Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

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 Claim — AC Chemotherapy Cycle 1 Session 1

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<Claim xmlns="http://hl7.org/fhir">
  <id value="OncologyClaimExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim OncologyClaimExample</b></p><a name="OncologyClaimExample"> </a><a name="hcOncologyClaimExample"> </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-claim.html">NCCP Oncology Claim</a></p></div><p><b>Carcinoma Staging Extension</b>: STAGE-2</p><p><b>Treatment Setting Extension</b>: DAY-CASE</p><p><b>Session Expected Date Extension</b>: 2026-01-15</p><p><b>Sessions Required Extension</b>: 8</p><p><b>Cost Per Session Extension</b>: <span title="Kenyan Shilling">KES15,000.00</span> (KES)</p><p><b>Regimen Reference Extension</b>: <a href="CarePlan-example-careplan.html">CarePlan: status = active; intent = plan</a></p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Patient-example-patient.html">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>created</b>: 2026-01-15</p><p><b>provider</b>: <a href="Organization-example-organization.html">Organization Kenyatta National Hospital — Oncology Unit</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Condition-example-condition.html">Condition C50 — Malignant neoplasm of breast</a></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-example-coverage.html">Coverage: status = active</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}">SHA: Chemotherapy — Neo-adjuvant</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>15000</td><td>Kenyan shilling</td></tr></table><blockquote><p><b>detail</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}">SHA: Chemotherapy — Neo-adjuvant</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>7500</td><td>Kenyan shilling</td></tr></table></blockquote></blockquote></div>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-carcinoma-staging-extension">
    <valueCode value="STAGE-2"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-setting-extension">
    <valueCode value="DAY-CASE"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-session-expected-date-extension">
    <valueDate value="2026-01-15"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-required-extension">
    <valueInteger value="8"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cost-per-session-extension">
    <valueMoney>
      <value value="15000"/>
      <currency value="KES"/>
    </valueMoney>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension">
    <valueReference>🔗 
      <reference value="CarePlan/example-careplan"/>
    </valueReference>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
      <display value="Professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-15"/>
  <provider>🔗 
    <reference value="Organization/example-organization"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
      <display value="Normal"/>
    </coding>
  </priority>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>🔗 
      <reference value="Condition/example-condition"/>
    </diagnosisReference>
  </diagnosis>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/example-coverage"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
        <code value="SHA-CHEMO-NEO-ADJUVANT"/>
        <display value="SHA: Chemotherapy — Neo-adjuvant"/>
      </coding>
    </productOrService>
    <quantity>
      <value value="1"/>
    </quantity>
    <unitPrice>
      <value value="15000"/>
      <currency value="KES"/>
    </unitPrice>
    <detail>
      <sequence value="1"/>
      <productOrService>
        <coding>
          <system
                  value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
          <code value="SHA-CHEMO-NEO-ADJUVANT"/>
          <display value="SHA: Chemotherapy — Neo-adjuvant"/>
        </coding>
      </productOrService>
      <quantity>
        <value value="1"/>
      </quantity>
      <unitPrice>
        <value value="7500"/>
        <currency value="KES"/>
      </unitPrice>
    </detail>
  </item>
</Claim>