{
  "resourceType" : "CodeSystem",
  "id" : "manifestation-codes-cs",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem manifestation-codes-cs</b></p><a name=\"manifestation-codes-cs\"> </a><a name=\"hcmanifestation-codes-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/manifestation-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></tr><tr><td style=\"white-space:nowrap\">WEIGHT-LOSS<a name=\"manifestation-codes-cs-WEIGHT-LOSS\"> </a></td><td>Unexplained Weight Loss</td></tr><tr><td style=\"white-space:nowrap\">HAEMOPTYSIS<a name=\"manifestation-codes-cs-HAEMOPTYSIS\"> </a></td><td>Haemoptysis (coughing blood)</td></tr><tr><td style=\"white-space:nowrap\">DYSPHAGIA<a name=\"manifestation-codes-cs-DYSPHAGIA\"> </a></td><td>Dysphagia (difficulty swallowing)</td></tr><tr><td style=\"white-space:nowrap\">ABDOMINAL-PAIN<a name=\"manifestation-codes-cs-ABDOMINAL-PAIN\"> </a></td><td>Abdominal Pain</td></tr><tr><td style=\"white-space:nowrap\">RECTAL-BLEEDING<a name=\"manifestation-codes-cs-RECTAL-BLEEDING\"> </a></td><td>Rectal / PR Bleeding</td></tr><tr><td style=\"white-space:nowrap\">PELVIC-PAIN<a name=\"manifestation-codes-cs-PELVIC-PAIN\"> </a></td><td>Pelvic Pain</td></tr><tr><td style=\"white-space:nowrap\">HAEMATURIA<a name=\"manifestation-codes-cs-HAEMATURIA\"> </a></td><td>Haematuria (blood in urine)</td></tr><tr><td style=\"white-space:nowrap\">BREAST-LUMP<a name=\"manifestation-codes-cs-BREAST-LUMP\"> </a></td><td>Breast Lump</td></tr><tr><td style=\"white-space:nowrap\">VAGINAL-BLEEDING<a name=\"manifestation-codes-cs-VAGINAL-BLEEDING\"> </a></td><td>Abnormal Vaginal Bleeding</td></tr><tr><td style=\"white-space:nowrap\">BONE-PAIN<a name=\"manifestation-codes-cs-BONE-PAIN\"> </a></td><td>Bone Pain</td></tr><tr><td style=\"white-space:nowrap\">HEADACHE<a name=\"manifestation-codes-cs-HEADACHE\"> </a></td><td>Headache</td></tr><tr><td style=\"white-space:nowrap\">SEIZURE<a name=\"manifestation-codes-cs-SEIZURE\"> </a></td><td>Seizure</td></tr><tr><td style=\"white-space:nowrap\">LYMPHADENOPATHY<a name=\"manifestation-codes-cs-LYMPHADENOPATHY\"> </a></td><td>Lymphadenopathy (enlarged lymph nodes)</td></tr><tr><td style=\"white-space:nowrap\">ASCITES<a name=\"manifestation-codes-cs-ASCITES\"> </a></td><td>Ascites</td></tr><tr><td style=\"white-space:nowrap\">JAUNDICE<a name=\"manifestation-codes-cs-JAUNDICE\"> </a></td><td>Jaundice</td></tr><tr><td style=\"white-space:nowrap\">NIGHT-SWEATS<a name=\"manifestation-codes-cs-NIGHT-SWEATS\"> </a></td><td>Night Sweats</td></tr><tr><td style=\"white-space:nowrap\">FATIGUE<a name=\"manifestation-codes-cs-FATIGUE\"> </a></td><td>Fatigue / Weakness</td></tr><tr><td style=\"white-space:nowrap\">COUGH<a name=\"manifestation-codes-cs-COUGH\"> </a></td><td>Persistent Cough</td></tr><tr><td style=\"white-space:nowrap\">DYSPNOEA<a name=\"manifestation-codes-cs-DYSPNOEA\"> </a></td><td>Dyspnoea (shortness of breath)</td></tr><tr><td style=\"white-space:nowrap\">SKIN-CHANGE<a name=\"manifestation-codes-cs-SKIN-CHANGE\"> </a></td><td>Skin Change / Lesion</td></tr><tr><td style=\"white-space:nowrap\">URINARY-SYMPTOMS<a name=\"manifestation-codes-cs-URINARY-SYMPTOMS\"> </a></td><td>Urinary Symptoms</td></tr><tr><td style=\"white-space:nowrap\">PRURITUS<a name=\"manifestation-codes-cs-PRURITUS\"> </a></td><td>Pruritus (itching)</td></tr><tr><td style=\"white-space:nowrap\">OTHER<a name=\"manifestation-codes-cs-OTHER\"> </a></td><td>Other</td></tr></table></div>"
  },
  "url" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/manifestation-codes-cs",
  "version" : "0.1.0",
  "name" : "ManifestationCodesCS",
  "title" : "Kenya Cancer Manifestation Codes Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-04T14:49:30+00:00",
  "publisher" : "Digital Health Agency (DHA), Kenya",
  "contact" : [{
    "name" : "Digital Health Agency (DHA), Kenya",
    "telecom" : [{
      "system" : "url",
      "value" : "https://dha.go.ke"
    },
    {
      "system" : "email",
      "value" : "info@dha.go.ke"
    }]
  },
  {
    "name" : "Digital Health Agency Kenya – FHIR Team",
    "telecom" : [{
      "system" : "email",
      "value" : "info@dha.go.ke",
      "use" : "work"
    },
    {
      "system" : "url",
      "value" : "https://dha.go.ke",
      "use" : "work"
    }]
  }],
  "description" : "Codes for presenting symptoms, signs, and clinical manifestations of cancer.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "KE",
      "display" : "Kenya"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 23,
  "concept" : [{
    "code" : "WEIGHT-LOSS",
    "display" : "Unexplained Weight Loss"
  },
  {
    "code" : "HAEMOPTYSIS",
    "display" : "Haemoptysis (coughing blood)"
  },
  {
    "code" : "DYSPHAGIA",
    "display" : "Dysphagia (difficulty swallowing)"
  },
  {
    "code" : "ABDOMINAL-PAIN",
    "display" : "Abdominal Pain"
  },
  {
    "code" : "RECTAL-BLEEDING",
    "display" : "Rectal / PR Bleeding"
  },
  {
    "code" : "PELVIC-PAIN",
    "display" : "Pelvic Pain"
  },
  {
    "code" : "HAEMATURIA",
    "display" : "Haematuria (blood in urine)"
  },
  {
    "code" : "BREAST-LUMP",
    "display" : "Breast Lump"
  },
  {
    "code" : "VAGINAL-BLEEDING",
    "display" : "Abnormal Vaginal Bleeding"
  },
  {
    "code" : "BONE-PAIN",
    "display" : "Bone Pain"
  },
  {
    "code" : "HEADACHE",
    "display" : "Headache"
  },
  {
    "code" : "SEIZURE",
    "display" : "Seizure"
  },
  {
    "code" : "LYMPHADENOPATHY",
    "display" : "Lymphadenopathy (enlarged lymph nodes)"
  },
  {
    "code" : "ASCITES",
    "display" : "Ascites"
  },
  {
    "code" : "JAUNDICE",
    "display" : "Jaundice"
  },
  {
    "code" : "NIGHT-SWEATS",
    "display" : "Night Sweats"
  },
  {
    "code" : "FATIGUE",
    "display" : "Fatigue / Weakness"
  },
  {
    "code" : "COUGH",
    "display" : "Persistent Cough"
  },
  {
    "code" : "DYSPNOEA",
    "display" : "Dyspnoea (shortness of breath)"
  },
  {
    "code" : "SKIN-CHANGE",
    "display" : "Skin Change / Lesion"
  },
  {
    "code" : "URINARY-SYMPTOMS",
    "display" : "Urinary Symptoms"
  },
  {
    "code" : "PRURITUS",
    "display" : "Pruritus (itching)"
  },
  {
    "code" : "OTHER",
    "display" : "Other"
  }]
}