<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="manifestation-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 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>
  </text>
  <url value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/manifestation-codes-cs"/>
  <version value="0.1.0"/>
  <name value="ManifestationCodesCS"/>
  <title value="Kenya Cancer Manifestation Codes 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 for presenting symptoms, signs, and clinical manifestations of cancer."/>
  <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="23"/>
  <concept>
    <code value="WEIGHT-LOSS"/>
    <display value="Unexplained Weight Loss"/>
  </concept>
  <concept>
    <code value="HAEMOPTYSIS"/>
    <display value="Haemoptysis (coughing blood)"/>
  </concept>
  <concept>
    <code value="DYSPHAGIA"/>
    <display value="Dysphagia (difficulty swallowing)"/>
  </concept>
  <concept>
    <code value="ABDOMINAL-PAIN"/>
    <display value="Abdominal Pain"/>
  </concept>
  <concept>
    <code value="RECTAL-BLEEDING"/>
    <display value="Rectal / PR Bleeding"/>
  </concept>
  <concept>
    <code value="PELVIC-PAIN"/>
    <display value="Pelvic Pain"/>
  </concept>
  <concept>
    <code value="HAEMATURIA"/>
    <display value="Haematuria (blood in urine)"/>
  </concept>
  <concept>
    <code value="BREAST-LUMP"/>
    <display value="Breast Lump"/>
  </concept>
  <concept>
    <code value="VAGINAL-BLEEDING"/>
    <display value="Abnormal Vaginal Bleeding"/>
  </concept>
  <concept>
    <code value="BONE-PAIN"/>
    <display value="Bone Pain"/>
  </concept>
  <concept>
    <code value="HEADACHE"/>
    <display value="Headache"/>
  </concept>
  <concept>
    <code value="SEIZURE"/>
    <display value="Seizure"/>
  </concept>
  <concept>
    <code value="LYMPHADENOPATHY"/>
    <display value="Lymphadenopathy (enlarged lymph nodes)"/>
  </concept>
  <concept>
    <code value="ASCITES"/>
    <display value="Ascites"/>
  </concept>
  <concept>
    <code value="JAUNDICE"/>
    <display value="Jaundice"/>
  </concept>
  <concept>
    <code value="NIGHT-SWEATS"/>
    <display value="Night Sweats"/>
  </concept>
  <concept>
    <code value="FATIGUE"/>
    <display value="Fatigue / Weakness"/>
  </concept>
  <concept>
    <code value="COUGH"/>
    <display value="Persistent Cough"/>
  </concept>
  <concept>
    <code value="DYSPNOEA"/>
    <display value="Dyspnoea (shortness of breath)"/>
  </concept>
  <concept>
    <code value="SKIN-CHANGE"/>
    <display value="Skin Change / Lesion"/>
  </concept>
  <concept>
    <code value="URINARY-SYMPTOMS"/>
    <display value="Urinary Symptoms"/>
  </concept>
  <concept>
    <code value="PRURITUS"/>
    <display value="Pruritus (itching)"/>
  </concept>
  <concept>
    <code value="OTHER"/>
    <display value="Other"/>
  </concept>
</CodeSystem>