Kenya Emergency FHIR Implementation Guide
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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

: Observation - Secondary Survey, Upper Extremities (Finding Present) - TTL Representation

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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/Observation/em-exam-upper-extremities-example> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-exam-upper-extremities-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-secondary-survey-observation" ;
       fhir:index 0 ;
       fhir:link <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-secondary-survey-observation>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation em-exam-upper-extremities-example</b></p><a name=\"em-exam-upper-extremities-example\"> </a><a name=\"hcem-exam-upper-extremities-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-em-secondary-survey-observation.html\">Observation - Emergency Secondary Survey</a></p></div><p><b>Emergency No Findings On Exam</b>: false</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-secondary-survey-region secondary-survey-upper-extremities}\">Secondary survey - upper extremities</span></p><p><b>subject</b>: <a href=\"Patient/pat-0712345678\">Patient/pat-0712345678</a></p><p><b>encounter</b>: <a href=\"Encounter-em-poc-encounter-example.html\">Encounter: identifier = http://hie.go.ke/fhir/identifier/incident-id#INC-20260629120000-0712345678-abc123; status = finished; class = Emergency medical services field response (Emergency Encounter Class#FLD); type = Scene and transport care; priority = Orange - Very urgent; period = 2026-06-29 12:08:00+0300 --&gt; 2026-06-29 12:38:00+0300</a></p><p><b>effective</b>: 2026-06-29 12:23:00+0300</p><p><b>performer</b>: <a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></p><p><b>value</b>: <span title=\"Codes:\">Deformity and swelling, right forearm</span></p><p><b>bodySite</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-body-region upper-extremities}\">Upper extremities</span></p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-no-findings-on-exam" ] ;
     fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "exam" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-secondary-survey-region" ] ;
       fhir:Coding.code [ fhir:value "secondary-survey-upper-extremities" ] ;
       fhir:Coding.display [ fhir:value "Secondary survey - upper extremities" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/pat-0712345678> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-0712345678" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/em-poc-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/em-poc-encounter-example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-06-29T12:23:00+03:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/em-practitioner-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/em-practitioner-example" ]
  ] ;
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.text [ fhir:value "Deformity and swelling, right forearm" ]
  ] ;
  fhir:Observation.bodySite [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-body-region" ] ;
       fhir:Coding.code [ fhir:value "upper-extremities" ] ;
       fhir:Coding.display [ fhir:value "Upper extremities" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-0712345678> a fhir:Patient .

<http://hl7.org/fhir/Encounter/em-poc-encounter-example> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/em-practitioner-example> a fhir:Practitioner .

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

<http://hl7.org/fhir/Observation/em-exam-upper-extremities-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/em-exam-upper-extremities-example.ttl> .