Kenya Emergency FHIR Implementation Guide
1.0.0 - ci-build
Kenya
Kenya Emergency FHIR Implementation Guide
1.0.0 - ci-build
Kenya
Kenya Emergency FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2026-10-02 |
{
"resourceType" : "ConceptMap",
"id" : "em-gcs-crosswalk",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap em-gcs-crosswalk</b></p><a name=\"em-gcs-crosswalk\"> </a><a name=\"hcem-gcs-crosswalk\"> </a><p>This mapping does not specify any particular context of use.</p><br/><p><b>Group 1 </b>Mapping from <a href=\"CodeSystem-em-source-gcs-eye-opening.html\">Ambulance Dispatch Source GCS Eye-Opening Codes</a> to <a href=\"CodeSystem-em-gcs-eye-opening.html\">Emergency GCS Eye-Opening Response</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>XC3W (Spontaneous)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>spontaneous</td></tr><tr><td>XC5L (To Voice)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>to-voice</td></tr><tr><td>XC3H (To Pain)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>to-pain</td></tr><tr><td>XC87 (No Response)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>no-response</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"CodeSystem-em-source-gcs-motor-response.html\">Ambulance Dispatch Source GCS Motor Response Codes</a> to <a href=\"CodeSystem-em-gcs-motor-response.html\">Emergency GCS Motor Response</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>XC87 (Obeys Commands)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>obeys-commands</td></tr><tr><td>XC6J (Localizes Pain)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>localizes-pain</td></tr><tr><td>XC8Q (Withdraws From Pain)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>withdraws-from-pain</td></tr><tr><td>XC8W (Flexion to Pain (Decorticate))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>flexion-to-pain (Flexion to pain (decorticate))</td></tr><tr><td>XC8H (Extension to Pain (Decerebrate))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>extension-to-pain (Extension to pain (decerebrate))</td></tr><tr><td>XC34 (No Response)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>no-response</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"CodeSystem-em-source-gcs-verbal-response.html\">Ambulance Dispatch Source GCS Verbal Response Codes</a> to <a href=\"CodeSystem-em-gcs-verbal-response.html\">Emergency GCS Verbal Response</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>XC2X (Oriented)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>oriented</td></tr><tr><td>XC4Y (Confused)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>confused</td></tr><tr><td>XC4A (Inappropriate Words)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>inappropriate-words</td></tr><tr><td>XC7U (Incomprehensible Sounds)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>incomprehensible-sounds</td></tr><tr><td>XC8U (No Response)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>no-response</td></tr></table></div>"
},
"url" : "https://fhir.dha.go.ke/ems/ConceptMap/em-gcs-crosswalk",
"version" : "1.0.0",
"title" : "GCS Crosswalk: Ambulance Dispatch Source to This IG's GCS CodeSystems",
"status" : "active",
"experimental" : false,
"date" : "2026-10-02T12:38:12+00:00",
"publisher" : "Digital Health Agency (DHA), Kenya",
"contact" : [
{
"name" : "Digital Health Agency (DHA), Kenya",
"telecom" : [
{
"system" : "url",
"value" : "https://dha.go.ke"
},
{
"system" : "email",
"value" : "info@dha.go.ke"
}
]
},
{
"name" : "Digital Health Agency Kenya – FHIR Team",
"telecom" : [
{
"system" : "email",
"value" : "info@dha.go.ke",
"use" : "work"
},
{
"system" : "url",
"value" : "https://dha.go.ke",
"use" : "work"
}
]
}
],
"description" : "Maps the ambulance dispatch source system's own GCS eye-opening, motor\nresponse, and verbal response codes (EMSourceGCSEyeOpeningCS,\nEMSourceGCSMotorResponseCS, EMSourceGCSVerbalResponseCS) onto this IG's own\nEMGCSEyeOpeningCS, EMGCSMotorResponseCS, and EMGCSVerbalResponseCS. Use via\n$translate during ingestion so a raw source value such as \"XC3W\" is\nconverted to this IG's \"spontaneous\" before being placed on\nEMVitalSignsObservation.component[gcsEye] (and similarly for gcsMotor and\ngcsVerbal).",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "KE",
"display" : "Kenya"
}
]
}
],
"group" : [
{
"source" : "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-eye-opening",
"target" : "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-eye-opening",
"element" : [
{
"code" : "XC3W",
"display" : "Spontaneous",
"target" : [
{
"code" : "spontaneous",
"display" : "Spontaneous",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC5L",
"display" : "To Voice",
"target" : [
{
"code" : "to-voice",
"display" : "To voice",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC3H",
"display" : "To Pain",
"target" : [
{
"code" : "to-pain",
"display" : "To pain",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC87",
"display" : "No Response",
"target" : [
{
"code" : "no-response",
"display" : "No response",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-motor-response",
"target" : "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-motor-response",
"element" : [
{
"code" : "XC87",
"display" : "Obeys Commands",
"target" : [
{
"code" : "obeys-commands",
"display" : "Obeys commands",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC6J",
"display" : "Localizes Pain",
"target" : [
{
"code" : "localizes-pain",
"display" : "Localizes pain",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC8Q",
"display" : "Withdraws From Pain",
"target" : [
{
"code" : "withdraws-from-pain",
"display" : "Withdraws from pain",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC8W",
"display" : "Flexion to Pain (Decorticate)",
"target" : [
{
"code" : "flexion-to-pain",
"display" : "Flexion to pain (decorticate)",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC8H",
"display" : "Extension to Pain (Decerebrate)",
"target" : [
{
"code" : "extension-to-pain",
"display" : "Extension to pain (decerebrate)",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC34",
"display" : "No Response",
"target" : [
{
"code" : "no-response",
"display" : "No response",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-verbal-response",
"target" : "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-verbal-response",
"element" : [
{
"code" : "XC2X",
"display" : "Oriented",
"target" : [
{
"code" : "oriented",
"display" : "Oriented",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC4Y",
"display" : "Confused",
"target" : [
{
"code" : "confused",
"display" : "Confused",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC4A",
"display" : "Inappropriate Words",
"target" : [
{
"code" : "inappropriate-words",
"display" : "Inappropriate words",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC7U",
"display" : "Incomprehensible Sounds",
"target" : [
{
"code" : "incomprehensible-sounds",
"display" : "Incomprehensible sounds",
"equivalence" : "equivalent"
}
]
},
{
"code" : "XC8U",
"display" : "No Response",
"target" : [
{
"code" : "no-response",
"display" : "No response",
"equivalence" : "equivalent"
}
]
}
]
}
]
}