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

: GCS Crosswalk: Ambulance Dispatch Source to This IG's GCS CodeSystems - TTL Representation

Active as of 2026-10-02

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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/ConceptMap/em-gcs-crosswalk> a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-gcs-crosswalk"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:ConceptMap.url [ fhir:value "https://fhir.dha.go.ke/ems/ConceptMap/em-gcs-crosswalk"] ;
  fhir:ConceptMap.version [ fhir:value "1.0.0"] ;
  fhir:ConceptMap.title [ fhir:value "GCS Crosswalk: Ambulance Dispatch Source to This IG's GCS CodeSystems"] ;
  fhir:ConceptMap.status [ fhir:value "active"] ;
  fhir:ConceptMap.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ConceptMap.date [ fhir:value "2026-10-02T12:38:12+00:00"^^xsd:dateTime] ;
  fhir:ConceptMap.publisher [ fhir:value "Digital Health Agency (DHA), Kenya"] ;
  fhir:ConceptMap.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency (DHA), Kenya" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Digital Health Agency Kenya – FHIR Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://dha.go.ke" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:ConceptMap.description [ fhir:value "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)."] ;
  fhir:ConceptMap.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "KE" ] ;
       fhir:Coding.display [ fhir:value "Kenya" ]
     ]
  ] ;
  fhir:ConceptMap.group [
     fhir:index 0 ;
     fhir:ConceptMap.group.source [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-eye-opening" ] ;
     fhir:ConceptMap.group.target [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-eye-opening" ] ;
     fhir:ConceptMap.group.element [
       fhir:index 0 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC3W" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Spontaneous" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "spontaneous" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Spontaneous" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC5L" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "To Voice" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "to-voice" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "To voice" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC3H" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "To Pain" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "to-pain" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "To pain" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC87" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "No Response" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "no-response" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "No response" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ConceptMap.group.source [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-motor-response" ] ;
     fhir:ConceptMap.group.target [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-motor-response" ] ;
     fhir:ConceptMap.group.element [
       fhir:index 0 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC87" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Obeys Commands" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "obeys-commands" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Obeys commands" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC6J" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Localizes Pain" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "localizes-pain" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Localizes pain" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC8Q" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Withdraws From Pain" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "withdraws-from-pain" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Withdraws from pain" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC8W" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Flexion to Pain (Decorticate)" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "flexion-to-pain" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Flexion to pain (decorticate)" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC8H" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Extension to Pain (Decerebrate)" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "extension-to-pain" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Extension to pain (decerebrate)" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC34" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "No Response" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "no-response" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "No response" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:ConceptMap.group.source [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-verbal-response" ] ;
     fhir:ConceptMap.group.target [ fhir:value "https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-verbal-response" ] ;
     fhir:ConceptMap.group.element [
       fhir:index 0 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC2X" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Oriented" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "oriented" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Oriented" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC4Y" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Confused" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "confused" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Confused" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC4A" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Inappropriate Words" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "inappropriate-words" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Inappropriate words" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC7U" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "Incomprehensible Sounds" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "incomprehensible-sounds" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "Incomprehensible sounds" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:ConceptMap.group.element.code [ fhir:value "XC8U" ] ;
       fhir:ConceptMap.group.element.display [ fhir:value "No Response" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index 0 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "no-response" ] ;
         fhir:ConceptMap.group.element.target.display [ fhir:value "No response" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/ConceptMap/em-gcs-crosswalk.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ConceptMap/em-gcs-crosswalk.ttl> .