Kenya Emergency FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya Emergency FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions

: KPS.G Referral Data Elements - TTL Representation

Active as of 2026-07-20

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/kpsg-referral-codes> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "kpsg-referral-codes"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem kpsg-referral-codes</b></p><a name=\"kpsg-referral-codes\"> </a><a name=\"hckpsg-referral-codes\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/kpsg-referral-codes</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\">referral-in<a name=\"kpsg-referral-codes-referral-in\"> </a></td><td>In</td><td>The client has been received into the care of this facility</td></tr><tr><td style=\"white-space:nowrap\">referral-out<a name=\"kpsg-referral-codes-referral-out\"> </a></td><td>Out</td><td>The client has been referred out to another facility</td></tr><tr><td style=\"white-space:nowrap\">emergency-referral<a name=\"kpsg-referral-codes-emergency-referral\"> </a></td><td>Emergency Referral</td><td>The client requires urgent emergency care</td></tr><tr><td style=\"white-space:nowrap\">adverse-drug-reaction<a name=\"kpsg-referral-codes-adverse-drug-reaction\"> </a></td><td>Management of Adverse Drug Reactions</td><td>Referral due to adverse drug reaction requiring specialist management</td></tr><tr><td style=\"white-space:nowrap\">medication-unavailable<a name=\"kpsg-referral-codes-medication-unavailable\"> </a></td><td>Medication Not Available</td><td>Medication required by the client is not available at this facility</td></tr><tr><td style=\"white-space:nowrap\">client-wish<a name=\"kpsg-referral-codes-client-wish\"> </a></td><td>Client's Wish</td><td>The client has expressed a preference to be seen at another facility</td></tr><tr><td style=\"white-space:nowrap\">other-general-services<a name=\"kpsg-referral-codes-other-general-services\"> </a></td><td>Referral for Other General Services</td><td>Referral to access general services not available at the current facility</td></tr><tr><td style=\"white-space:nowrap\">community<a name=\"kpsg-referral-codes-community\"> </a></td><td>Community</td><td>The client was referred from the community level (e.g., CHW)</td></tr><tr><td style=\"white-space:nowrap\">health-provider<a name=\"kpsg-referral-codes-health-provider\"> </a></td><td>Health Provider</td><td>The client was referred from another health provider or facility</td></tr><tr><td style=\"white-space:nowrap\">self-referral<a name=\"kpsg-referral-codes-self-referral\"> </a></td><td>Self</td><td>The client self-referred without a formal referral from a health worker</td></tr><tr><td style=\"white-space:nowrap\">sms<a name=\"kpsg-referral-codes-sms\"> </a></td><td>Text Message / SMS</td><td>Client prefers to be contacted via SMS</td></tr><tr><td style=\"white-space:nowrap\">voice-call<a name=\"kpsg-referral-codes-voice-call\"> </a></td><td>Voice Call</td><td>Client prefers to be contacted via phone call</td></tr><tr><td style=\"white-space:nowrap\">email-comm<a name=\"kpsg-referral-codes-email-comm\"> </a></td><td>Email</td><td>Client prefers to be contacted via email</td></tr><tr><td style=\"white-space:nowrap\">no-communication<a name=\"kpsg-referral-codes-no-communication\"> </a></td><td>Communication Consent Declined</td><td>Client has declined consent for communications</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/kpsg-referral-codes"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "KPSGReferralCodesCS"] ;
  fhir:CodeSystem.title [ fhir:value "KPS.G Referral Data Elements"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-20T11:03:05+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "CodeSystem representing referral-related data elements under the Kenya Patient Summary (KPS.G)."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "14"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "referral-in" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "In" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client has been received into the care of this facility" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "referral-out" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Out" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client has been referred out to another facility" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "emergency-referral" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Emergency Referral" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client requires urgent emergency care" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "adverse-drug-reaction" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Management of Adverse Drug Reactions" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Referral due to adverse drug reaction requiring specialist management" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "medication-unavailable" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medication Not Available" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Medication required by the client is not available at this facility" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "client-wish" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Client's Wish" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client has expressed a preference to be seen at another facility" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "other-general-services" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Referral for Other General Services" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Referral to access general services not available at the current facility" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "community" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Community" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client was referred from the community level (e.g., CHW)" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "health-provider" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Health Provider" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client was referred from another health provider or facility" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "self-referral" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Self" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The client self-referred without a formal referral from a health worker" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "sms" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Text Message / SMS" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Client prefers to be contacted via SMS" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "voice-call" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Voice Call" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Client prefers to be contacted via phone call" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "email-comm" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Email" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Client prefers to be contacted via email" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-communication" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Communication Consent Declined" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Client has declined consent for communications" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/kpsg-referral-codes.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/kpsg-referral-codes.ttl> .