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

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

Active as of 2026-10-02

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="em-gcs-crosswalk"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://fhir.dha.go.ke/ems/ConceptMap/em-gcs-crosswalk"/>
  <version value="1.0.0"/>
  <title
         value="GCS Crosswalk: Ambulance Dispatch Source to This IG's GCS CodeSystems"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-10-02T12:38:12+00:00"/>
  <publisher value="Digital Health Agency (DHA), Kenya"/>
  <contact>
    <name value="Digital Health Agency (DHA), Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="Digital Health Agency Kenya – FHIR Team"/>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Maps the ambulance dispatch source system's own GCS eye-opening, motor
response, and verbal response codes (EMSourceGCSEyeOpeningCS,
EMSourceGCSMotorResponseCS, EMSourceGCSVerbalResponseCS) onto this IG's own
EMGCSEyeOpeningCS, EMGCSMotorResponseCS, and EMGCSVerbalResponseCS. Use via
$translate during ingestion so a raw source value such as &quot;XC3W&quot; is
converted to this IG's &quot;spontaneous&quot; before being placed on
EMVitalSignsObservation.component[gcsEye] (and similarly for gcsMotor and
gcsVerbal)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <group>
    <source
            value="https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-eye-opening"/>
    <target value="https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-eye-opening"/>
    <element>
      <code value="XC3W"/>
      <display value="Spontaneous"/>
      <target>
        <code value="spontaneous"/>
        <display value="Spontaneous"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC5L"/>
      <display value="To Voice"/>
      <target>
        <code value="to-voice"/>
        <display value="To voice"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC3H"/>
      <display value="To Pain"/>
      <target>
        <code value="to-pain"/>
        <display value="To pain"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC87"/>
      <display value="No Response"/>
      <target>
        <code value="no-response"/>
        <display value="No response"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-motor-response"/>
    <target
            value="https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-motor-response"/>
    <element>
      <code value="XC87"/>
      <display value="Obeys Commands"/>
      <target>
        <code value="obeys-commands"/>
        <display value="Obeys commands"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC6J"/>
      <display value="Localizes Pain"/>
      <target>
        <code value="localizes-pain"/>
        <display value="Localizes pain"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC8Q"/>
      <display value="Withdraws From Pain"/>
      <target>
        <code value="withdraws-from-pain"/>
        <display value="Withdraws from pain"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC8W"/>
      <display value="Flexion to Pain (Decorticate)"/>
      <target>
        <code value="flexion-to-pain"/>
        <display value="Flexion to pain (decorticate)"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC8H"/>
      <display value="Extension to Pain (Decerebrate)"/>
      <target>
        <code value="extension-to-pain"/>
        <display value="Extension to pain (decerebrate)"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC34"/>
      <display value="No Response"/>
      <target>
        <code value="no-response"/>
        <display value="No response"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="https://fhir.dha.go.ke/ems/CodeSystem/em-source-gcs-verbal-response"/>
    <target
            value="https://fhir.dha.go.ke/ems/CodeSystem/em-gcs-verbal-response"/>
    <element>
      <code value="XC2X"/>
      <display value="Oriented"/>
      <target>
        <code value="oriented"/>
        <display value="Oriented"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC4Y"/>
      <display value="Confused"/>
      <target>
        <code value="confused"/>
        <display value="Confused"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC4A"/>
      <display value="Inappropriate Words"/>
      <target>
        <code value="inappropriate-words"/>
        <display value="Inappropriate words"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC7U"/>
      <display value="Incomprehensible Sounds"/>
      <target>
        <code value="incomprehensible-sounds"/>
        <display value="Incomprehensible sounds"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="XC8U"/>
      <display value="No Response"/>
      <target>
        <code value="no-response"/>
        <display value="No response"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>