<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="avpu-scale"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem avpu-scale</b></p><a name="avpu-scale"> </a><a name="hcavpu-scale"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/avpu-scale</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">A<a name="avpu-scale-A"> </a></td><td>Alert</td><td>The patient is alert and responds spontaneously.</td></tr><tr><td style="white-space:nowrap">V<a name="avpu-scale-V"> </a></td><td>Responds to voice</td><td>The patient responds when spoken to.</td></tr><tr><td style="white-space:nowrap">P<a name="avpu-scale-P"> </a></td><td>Responds to pain</td><td>The patient responds only to painful stimulation.</td></tr><tr><td style="white-space:nowrap">U<a name="avpu-scale-U"> </a></td><td>Unresponsive</td><td>The patient does not respond to voice or painful stimulation.</td></tr><tr><td style="white-space:nowrap">unknown<a name="avpu-scale-unknown"> </a></td><td>Unknown</td><td>The patient's responsiveness could not be established.</td></tr></table></div>
  </text>
  <url value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/avpu-scale"/>
  <version value="0.1.0"/>
  <name value="EMAVPUScaleCS"/>
  <title value="AVPU Scale"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-07-20T11:03:05+00:00"/>
  <publisher value="Digital Health Agency (DHA), Kenya"/>
  <contact>
    <name value="Digital Health Agency (DHA), Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="Digital Health Agency Kenya – FHIR Team"/>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="AVPU scale used to describe a patient's responsiveness."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="A"/>
    <display value="Alert"/>
    <definition value="The patient is alert and responds spontaneously."/>
  </concept>
  <concept>
    <code value="V"/>
    <display value="Responds to voice"/>
    <definition value="The patient responds when spoken to."/>
  </concept>
  <concept>
    <code value="P"/>
    <display value="Responds to pain"/>
    <definition value="The patient responds only to painful stimulation."/>
  </concept>
  <concept>
    <code value="U"/>
    <display value="Unresponsive"/>
    <definition value="The patient does not respond to voice or painful stimulation."/>
  </concept>
  <concept>
    <code value="unknown"/>
    <display value="Unknown"/>
    <definition value="The patient's responsiveness could not be established."/>
  </concept>
</CodeSystem>