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 Disease Extent Code System
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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 "disease-extent-codes-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 disease-extent-codes-cs</b></p><a name=\"disease-extent-codes-cs\"> </a><a name=\"hcdisease-extent-codes-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/disease-extent-codes-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\">IN-SITU<a name=\"disease-extent-codes-cs-IN-SITU\"> </a></td><td>In Situ</td><td>Carcinoma in situ; no invasion of basement membrane.</td></tr><tr><td style=\"white-space:nowrap\">LOCALIZED<a name=\"disease-extent-codes-cs-LOCALIZED\"> </a></td><td>Localized</td><td>Tumour confined to organ of origin.</td></tr><tr><td style=\"white-space:nowrap\">REGIONAL-LN<a name=\"disease-extent-codes-cs-REGIONAL-LN\"> </a></td><td>Regional — Lymph Nodes</td><td>Spread to regional lymph nodes only.</td></tr><tr><td style=\"white-space:nowrap\">REGIONAL-EXTENSION<a name=\"disease-extent-codes-cs-REGIONAL-EXTENSION\"> </a></td><td>Regional — Direct</td><td>Direct extension to adjacent structures.</td></tr><tr><td style=\"white-space:nowrap\">REGIONAL-BOTH<a name=\"disease-extent-codes-cs-REGIONAL-BOTH\"> </a></td><td>Regional — Combined</td><td>Both lymph node and direct extension involvement.</td></tr><tr><td style=\"white-space:nowrap\">DISTANT-METASTASIS<a name=\"disease-extent-codes-cs-DISTANT-METASTASIS\"> </a></td><td>Distant Metastasis</td><td>Spread to distant organs or non-regional lymph nodes.</td></tr><tr><td style=\"white-space:nowrap\">NOT-DETERMINABLE<a name=\"disease-extent-codes-cs-NOT-DETERMINABLE\"> </a></td><td>Not Determinable</td><td>Extent of disease cannot be assessed.</td></tr></table></div>"^^rdf:XMLLiteral ]
] ; #
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/disease-extent-codes-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/disease-extent-codes-cs>
] ; #
fhir:version [ fhir:v "0.1.0"] ; #
fhir:name [ fhir:v "DiseaseExtentCodesCS"] ; #
fhir:title [ fhir:v "Kenya Disease Extent 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 "Codes describing the extent of disease spread at the time of assessment."] ; #
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 "7"^^xsd:nonNegativeInteger] ; #
fhir:concept ( [
fhir:code [ fhir:v "IN-SITU" ] ;
fhir:display [ fhir:v "In Situ" ] ;
fhir:definition [ fhir:v "Carcinoma in situ; no invasion of basement membrane." ]
] [
fhir:code [ fhir:v "LOCALIZED" ] ;
fhir:display [ fhir:v "Localized" ] ;
fhir:definition [ fhir:v "Tumour confined to organ of origin." ]
] [
fhir:code [ fhir:v "REGIONAL-LN" ] ;
fhir:display [ fhir:v "Regional — Lymph Nodes" ] ;
fhir:definition [ fhir:v "Spread to regional lymph nodes only." ]
] [
fhir:code [ fhir:v "REGIONAL-EXTENSION" ] ;
fhir:display [ fhir:v "Regional — Direct" ] ;
fhir:definition [ fhir:v "Direct extension to adjacent structures." ]
] [
fhir:code [ fhir:v "REGIONAL-BOTH" ] ;
fhir:display [ fhir:v "Regional — Combined" ] ;
fhir:definition [ fhir:v "Both lymph node and direct extension involvement." ]
] [
fhir:code [ fhir:v "DISTANT-METASTASIS" ] ;
fhir:display [ fhir:v "Distant Metastasis" ] ;
fhir:definition [ fhir:v "Spread to distant organs or non-regional lymph nodes." ]
] [
fhir:code [ fhir:v "NOT-DETERMINABLE" ] ;
fhir:display [ fhir:v "Not Determinable" ] ;
fhir:definition [ fhir:v "Extent of disease cannot be assessed." ]
] ) . #
