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

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: Example Oncology Adverse Event — Grade 3 Febrile Neutropenia

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<AdverseEvent xmlns="http://hl7.org/fhir">
  <id value="OncologyAdverseEventExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension">
    <valueInteger value="3"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension">
    <valueCode value="HOSPITALISED"/>
  </extension>
  <actuality value="actual"/>
  <category>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs"/>
      <code value="MEDICATION-MISHAP"/>
      <display value="Medication Mishap"/>
    </coding>
  </category>
  <event>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs"/>
      <code value="FEBRILE-NEUTROPENIA"/>
      <display value="Febrile Neutropenia"/>
    </coding>
  </event>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <date value="2026-01-25"/>
  <severity>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/adverse-event-severity"/>
      <code value="severe"/>
      <display value="Severe"/>
    </coding>
  </severity>
  <outcome>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/adverse-event-outcome"/>
      <code value="recovering"/>
      <display value="Recovering"/>
    </coding>
  </outcome>
  <recorder>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </recorder>
  <suspectEntity>
    <instance>🔗 
      <reference value="MedicationAdministration/example-med-admin"/>
    </instance>
    <causality>
      <assessment>
        <coding>
          <system
                  value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs"/>
          <code value="PROBABLE"/>
          <display value="Probable"/>
        </coding>
      </assessment>
    </causality>
  </suspectEntity>
</AdverseEvent>