Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
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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

: Example Oncology Adverse Event — Grade 3 Febrile Neutropenia

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:AdverseEvent ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "OncologyAdverseEventExample"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 3     ]
  ] [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "HOSPITALISED"     ]
  ] ) ; # 
  fhir:actuality [ fhir:v "actual"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs>       ] ;
fhir:code [ fhir:v "MEDICATION-MISHAP" ] ;
fhir:display [ fhir:v "Medication Mishap" ]     ] )
  ] ) ; # 
  fhir:event [
    ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs>       ] ;
fhir:code [ fhir:v "FEBRILE-NEUTROPENIA" ] ;
fhir:display [ fhir:v "Febrile Neutropenia" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example-patient ;
fhir:reference [ fhir:v "Patient/example-patient" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/example-encounter ;
fhir:reference [ fhir:v "Encounter/example-encounter" ]
  ] ; # 
  fhir:date [ fhir:v "2026-01-25"^^xsd:date] ; # 
  fhir:severity [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/adverse-event-severity"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/adverse-event-severity>       ] ;
fhir:code [ fhir:v "severe" ] ;
fhir:display [ fhir:v "Severe" ]     ] )
  ] ; # 
  fhir:outcome [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/adverse-event-outcome"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/adverse-event-outcome>       ] ;
fhir:code [ fhir:v "recovering" ] ;
fhir:display [ fhir:v "Recovering" ]     ] )
  ] ; # 
  fhir:recorder [
fhir:l fhir:Practitioner/example-practitioner ;
fhir:reference [ fhir:v "Practitioner/example-practitioner" ]
  ] ; # 
  fhir:suspectEntity ( [
fhir:instance [
fhir:l fhir:MedicationAdministration/example-med-admin ;
fhir:reference [ fhir:v "MedicationAdministration/example-med-admin" ]     ] ;
    ( fhir:causality [
fhir:assessment [
        ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs>           ] ;
fhir:code [ fhir:v "PROBABLE" ] ;
fhir:display [ fhir:v "Probable" ]         ] )       ]     ] )
  ] ) . #