Kenya Core Implementation Guide
1.0.0 - release Kenya flag

Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core OperationOutcome Profile

Official URL: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome Version: 1.0.0
Active as of 2026-09-08 Computable Name: KenyaCoreOperationOutcome

Kenya Core profile for OperationOutcome, used to report the outcome of an operation, typically errors, warnings, or informational messages returned by a system when processing a request.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code, from the IssueType value set
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics SΣ 0..1 string Additional diagnostic information about the issue
.... location SΣ 0..* string Path of element(s) related to the issue
.... expression SΣ 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from OperationOutcome

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id S 0..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
... issue S 1..* BackboneElement A single issue associated with the action
.... severity S 1..1 code fatal | error | warning | information
.... code S 1..1 code Error or warning code, from the IssueType value set
.... details S 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
..... coding S 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
.... diagnostics S 0..1 string Additional diagnostic information about the issue
.... location S 0..* string Path of element(s) related to the issue
.... expression S 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code, from the IssueType value set
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics SΣ 0..1 string Additional diagnostic information about the issue
.... location SΣ 0..* string Path of element(s) related to the issue
.... expression SΣ 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
OperationOutcome.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
OperationOutcome.language Base preferred Common Languages 📍4.0.1 FHIR Std.
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from OperationOutcome

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 14 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code, from the IssueType value set
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics SΣ 0..1 string Additional diagnostic information about the issue
.... location SΣ 0..* string Path of element(s) related to the issue
.... expression SΣ 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from OperationOutcome

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id S 0..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
... issue S 1..* BackboneElement A single issue associated with the action
.... severity S 1..1 code fatal | error | warning | information
.... code S 1..1 code Error or warning code, from the IssueType value set
.... details S 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
..... coding S 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
.... diagnostics S 0..1 string Additional diagnostic information about the issue
.... location S 0..* string Path of element(s) related to the issue
.... expression S 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/core/StructureDefinition/kenya-core-operationoutcome
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement A single issue associated with the action
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.
.... code SΣ 1..1 code Error or warning code, from the IssueType value set
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 0..1 CodeableConcept Additional details about the error, e.g. a local code or message
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... diagnostics SΣ 0..1 string Additional diagnostic information about the issue
.... location SΣ 0..* string Path of element(s) related to the issue
.... expression SΣ 0..* string FHIRPath of element(s) related to the issue

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
OperationOutcome.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
OperationOutcome.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
OperationOutcome.language Base preferred Common Languages 📍4.0.1 FHIR Std.
OperationOutcome.issue.​severity Base required IssueSeverity 📍4.0.1 FHIR Std.
OperationOutcome.issue.​code Base required IssueType 📍4.0.1 FHIR Std.
OperationOutcome.issue.​details Base example Operation Outcome Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error OperationOutcome If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error OperationOutcome If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error OperationOutcome If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice OperationOutcome A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from OperationOutcome

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 14 elements

 

Other representations of profile: CSV, Excel, Schematron