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

: Observation - Heart Rate - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "em-vitals-hr-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-vital-signs-observation"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation em-vitals-hr-example</b></p><a name=\"em-vitals-hr-example\"> </a><a name=\"hcem-vitals-hr-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-vital-signs-observation.html\">Observation - Emergency Vital Signs</a></p></div><p><b>Emergency Vital Sign Qualitative State</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-vital-qualitative-state weak}\">Weak</span></p><p><b>Emergency Clinical Guidance Message</b>: Weak, rapid pulse. Reassess perfusion and prepare for shock management.</p><p><b>Emergency Vital Sign Age Group</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-age-group adult}\">Adult</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs 8867-4}\">Heart rate</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 12:15:00+0300</p><p><b>performer</b>: <a href=\"Practitioner-em-practitioner-example.html\">Practitioner Sarah Njoroge </a></p><p><b>value</b>: 128 beats/minute<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-qualitative-state",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-vital-qualitative-state",
            "code" : "weak",
            "display" : "Weak"
          }
        ]
      }
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-clinical-guidance-message",
      "valueString" : "Weak, rapid pulse. Reassess perfusion and prepare for shock management."
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-vital-age-group",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-age-group",
            "code" : "adult",
            "display" : "Adult"
          }
        ]
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs",
        "code" : "8867-4",
        "display" : "Heart rate"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/pat-0712345678"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/em-poc-encounter-example"
  },
  "effectiveDateTime" : "2026-06-29T12:15:00+03:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/em-practitioner-example"
    }
  ],
  "valueQuantity" : {
    "value" : 128,
    "unit" : "beats/minute",
    "system" : "http://unitsofmeasure.org",
    "code" : "/min"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H",
          "display" : "High"
        }
      ]
    }
  ]
}