Kenya National Cancer Control Programme (NCCP) 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/nccpFHIRIG/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Example Oncology Adverse Event — Grade 3 Febrile Neutropenia

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{
  "resourceType" : "AdverseEvent",
  "id" : "OncologyAdverseEventExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AdverseEvent OncologyAdverseEventExample</b></p><a name=\"OncologyAdverseEventExample\"> </a><a name=\"hcOncologyAdverseEventExample\"> </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-nccp-oncology-adverse-event.html\">NCCP Oncology Adverse Event</a></p></div><p><b>CTCAE Grade Extension</b>: 3</p><p><b>CTCAE Action Taken Extension</b>: HOSPITALISED</p><p><b>actuality</b>: Adverse Event</p><p><b>category</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs MEDICATION-MISHAP}\">Medication Mishap</span></p><p><b>event</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs FEBRILE-NEUTROPENIA}\">Febrile Neutropenia</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>encounter</b>: <a href=\"Encounter-example-encounter.html\">Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); type = Treatment Encounter; period = 2026-01-15 09:00:00+0000 --&gt; 2026-01-15 13:00:00+0000</a></p><p><b>date</b>: 2026-01-25</p><p><b>severity</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-severity severe}\">Severe</span></p><p><b>outcome</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adverse-event-outcome recovering}\">Recovering</span></p><p><b>recorder</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner James Otieno </a></p><blockquote><p><b>suspectEntity</b></p><p><b>instance</b>: <a href=\"MedicationAdministration-example-med-admin.html\">MedicationAdministration: status = completed; medication[x] = Doxorubicin; effective[x] = 2026-01-15 10:30:00+0000</a></p><h3>Causalities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Assessment</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs PROBABLE}\">Probable</span></td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension",
      "valueInteger" : 3
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension",
      "valueCode" : "HOSPITALISED"
    }
  ],
  "actuality" : "actual",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs",
          "code" : "MEDICATION-MISHAP",
          "display" : "Medication Mishap"
        }
      ]
    }
  ],
  "event" : {
    "coding" : [
      {
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs",
        "code" : "FEBRILE-NEUTROPENIA",
        "display" : "Febrile Neutropenia"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-encounter"
  },
  "date" : "2026-01-25",
  "severity" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-severity",
        "code" : "severe",
        "display" : "Severe"
      }
    ]
  },
  "outcome" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-outcome",
        "code" : "recovering",
        "display" : "Recovering"
      }
    ]
  },
  "recorder" : {
    🔗 "reference" : "Practitioner/example-practitioner"
  },
  "suspectEntity" : [
    {
      "instance" : {
        🔗 "reference" : "MedicationAdministration/example-med-admin"
      },
      "causality" : [
        {
          "assessment" : {
            "coding" : [
              {
                "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs",
                "code" : "PROBABLE",
                "display" : "Probable"
              }
            ]
          }
        }
      ]
    }
  ]
}