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

: Kenya Cancer Grade Code System

Active as of 2026-06-04

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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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "cancer-grade-cs"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cancer-grade-cs</b></p><a name=\"cancer-grade-cs\"> </a><a name=\"hccancer-grade-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-grade-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">GX<a name=\"cancer-grade-cs-GX\"> </a></td><td>GX — Grade Cannot Be Assessed</td><td>Histological grade cannot be assessed.</td></tr><tr><td style=\"white-space:nowrap\">G1<a name=\"cancer-grade-cs-G1\"> </a></td><td>G1 — Well Differentiated</td><td>Low grade; closely resembles normal tissue.</td></tr><tr><td style=\"white-space:nowrap\">G2<a name=\"cancer-grade-cs-G2\"> </a></td><td>G2 — Moderately Differentiated</td><td>Intermediate grade.</td></tr><tr><td style=\"white-space:nowrap\">G3<a name=\"cancer-grade-cs-G3\"> </a></td><td>G3 — Poorly Differentiated</td><td>High grade; little resemblance to normal tissue.</td></tr><tr><td style=\"white-space:nowrap\">G4<a name=\"cancer-grade-cs-G4\"> </a></td><td>G4 — Undifferentiated</td><td>Highest grade; no differentiation.</td></tr><tr><td style=\"white-space:nowrap\">LOW<a name=\"cancer-grade-cs-LOW\"> </a></td><td>Low Grade</td><td>Low-grade tumour (used when numeric grade not available).</td></tr><tr><td style=\"white-space:nowrap\">HIGH<a name=\"cancer-grade-cs-HIGH\"> </a></td><td>High Grade</td><td>High-grade tumour (used when numeric grade not available).</td></tr><tr><td style=\"white-space:nowrap\">NA<a name=\"cancer-grade-cs-NA\"> </a></td><td>Not Applicable</td><td>Grading not applicable to this tumour type.</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-grade-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-grade-cs>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "CancerGradeCS"] ; # 
  fhir:title [ fhir:v "Kenya Cancer Grade Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-06-04T14:49:30+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Digital Health Agency (DHA), Kenya"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Digital Health Agency (DHA), Kenya" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://dha.go.ke" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@dha.go.ke" ]     ] )
  ] [
fhir:name [ fhir:v "Digital Health Agency Kenya – FHIR Team" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://dha.go.ke" ] ;
fhir:use [ fhir:v "work" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Histological tumour grade codes based on degree of differentiation."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "KE" ] ;
fhir:display [ fhir:v "Kenya" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "8"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "GX" ] ;
fhir:display [ fhir:v "GX — Grade Cannot Be Assessed" ] ;
fhir:definition [ fhir:v "Histological grade cannot be assessed." ]
  ] [
fhir:code [ fhir:v "G1" ] ;
fhir:display [ fhir:v "G1 — Well Differentiated" ] ;
fhir:definition [ fhir:v "Low grade; closely resembles normal tissue." ]
  ] [
fhir:code [ fhir:v "G2" ] ;
fhir:display [ fhir:v "G2 — Moderately Differentiated" ] ;
fhir:definition [ fhir:v "Intermediate grade." ]
  ] [
fhir:code [ fhir:v "G3" ] ;
fhir:display [ fhir:v "G3 — Poorly Differentiated" ] ;
fhir:definition [ fhir:v "High grade; little resemblance to normal tissue." ]
  ] [
fhir:code [ fhir:v "G4" ] ;
fhir:display [ fhir:v "G4 — Undifferentiated" ] ;
fhir:definition [ fhir:v "Highest grade; no differentiation." ]
  ] [
fhir:code [ fhir:v "LOW" ] ;
fhir:display [ fhir:v "Low Grade" ] ;
fhir:definition [ fhir:v "Low-grade tumour (used when numeric grade not available)." ]
  ] [
fhir:code [ fhir:v "HIGH" ] ;
fhir:display [ fhir:v "High Grade" ] ;
fhir:definition [ fhir:v "High-grade tumour (used when numeric grade not available)." ]
  ] [
fhir:code [ fhir:v "NA" ] ;
fhir:display [ fhir:v "Not Applicable" ] ;
fhir:definition [ fhir:v "Grading not applicable to this tumour type." ]
  ] ) . #