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 Disease Extent Code System

Active as of 2026-06-04

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="disease-extent-codes-cs"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/disease-extent-codes-cs"/>
  <version value="0.1.0"/>
  <name value="DiseaseExtentCodesCS"/>
  <title value="Kenya Disease Extent Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-06-04T14:49:30+00:00"/>
  <publisher value="Digital Health Agency (DHA), Kenya"/>
  <contact>
    <name value="Digital Health Agency (DHA), Kenya"/>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
    </telecom>
  </contact>
  <contact>
    <name value="Digital Health Agency Kenya – FHIR Team"/>
    <telecom>
      <system value="email"/>
      <value value="info@dha.go.ke"/>
      <use value="work"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="https://dha.go.ke"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Codes describing the extent of disease spread at the time of assessment."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="KE"/>
      <display value="Kenya"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="7"/>
  <concept>
    <code value="IN-SITU"/>
    <display value="In Situ"/>
    <definition value="Carcinoma in situ; no invasion of basement membrane."/>
  </concept>
  <concept>
    <code value="LOCALIZED"/>
    <display value="Localized"/>
    <definition value="Tumour confined to organ of origin."/>
  </concept>
  <concept>
    <code value="REGIONAL-LN"/>
    <display value="Regional — Lymph Nodes"/>
    <definition value="Spread to regional lymph nodes only."/>
  </concept>
  <concept>
    <code value="REGIONAL-EXTENSION"/>
    <display value="Regional — Direct"/>
    <definition value="Direct extension to adjacent structures."/>
  </concept>
  <concept>
    <code value="REGIONAL-BOTH"/>
    <display value="Regional — Combined"/>
    <definition value="Both lymph node and direct extension involvement."/>
  </concept>
  <concept>
    <code value="DISTANT-METASTASIS"/>
    <display value="Distant Metastasis"/>
    <definition
                value="Spread to distant organs or non-regional lymph nodes."/>
  </concept>
  <concept>
    <code value="NOT-DETERMINABLE"/>
    <display value="Not Determinable"/>
    <definition value="Extent of disease cannot be assessed."/>
  </concept>
</CodeSystem>