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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="em-vitals-hr-example"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-vital-signs-observation"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-qualitative-state">
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-vital-qualitative-state"/>
        <code value="weak"/>
        <display value="Weak"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-clinical-guidance-message">
    <valueString
                 value="Weak, rapid pulse. Reassess perfusion and prepare for shock management."/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-vital-age-group">
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/em-age-group"/>
        <code value="adult"/>
        <display value="Adult"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="http://localhost:8085/fhir/CodeSystem/vital-signs-loinc-cs"/>
      <code value="8867-4"/>
      <display value="Heart rate"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/pat-0712345678"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/em-poc-encounter-example"/>
  </encounter>
  <effectiveDateTime value="2026-06-29T12:15:00+03:00"/>
  <performer>🔗 
    <reference value="Practitioner/em-practitioner-example"/>
  </performer>
  <valueQuantity>
    <value value="128"/>
    <unit value="beats/minute"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="/min"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="H"/>
      <display value="High"/>
    </coding>
  </interpretation>
</Observation>