{
  "resourceType" : "CodeSystem",
  "id" : "metastases-sites-cs",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem metastases-sites-cs</b></p><a name=\"metastases-sites-cs\"> </a><a name=\"hcmetastases-sites-cs\"> </a><p>This case-sensitive code system <code>https://nshr-uat.sha.go.ke/fhir/CodeSystem/metastases-sites-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\">BRAIN<a name=\"metastases-sites-cs-BRAIN\"> </a></td><td>Brain</td><td>Cerebral metastases.</td></tr><tr><td style=\"white-space:nowrap\">LUNG<a name=\"metastases-sites-cs-LUNG\"> </a></td><td>Lung</td><td>Pulmonary metastases.</td></tr><tr><td style=\"white-space:nowrap\">LIVER<a name=\"metastases-sites-cs-LIVER\"> </a></td><td>Liver</td><td>Hepatic metastases.</td></tr><tr><td style=\"white-space:nowrap\">BONE<a name=\"metastases-sites-cs-BONE\"> </a></td><td>Bone</td><td>Skeletal metastases.</td></tr><tr><td style=\"white-space:nowrap\">ADRENAL-GLAND<a name=\"metastases-sites-cs-ADRENAL-GLAND\"> </a></td><td>Adrenal Gland</td><td>Adrenal metastases.</td></tr><tr><td style=\"white-space:nowrap\">PERITONEUM<a name=\"metastases-sites-cs-PERITONEUM\"> </a></td><td>Peritoneum</td><td>Peritoneal carcinomatosis.</td></tr><tr><td style=\"white-space:nowrap\">PLEURA<a name=\"metastases-sites-cs-PLEURA\"> </a></td><td>Pleura</td><td>Pleural metastases / malignant effusion.</td></tr><tr><td style=\"white-space:nowrap\">LYMPH-NODES-DISTANT<a name=\"metastases-sites-cs-LYMPH-NODES-DISTANT\"> </a></td><td>Distant Lymph Nodes</td><td>Non-regional lymph node metastases.</td></tr><tr><td style=\"white-space:nowrap\">SKIN<a name=\"metastases-sites-cs-SKIN\"> </a></td><td>Skin</td><td>Cutaneous metastases.</td></tr><tr><td style=\"white-space:nowrap\">SPINAL-CORD<a name=\"metastases-sites-cs-SPINAL-CORD\"> </a></td><td>Spinal Cord</td><td>Epidural or spinal cord metastases.</td></tr><tr><td style=\"white-space:nowrap\">CONTRALATERAL-BREAST<a name=\"metastases-sites-cs-CONTRALATERAL-BREAST\"> </a></td><td>Contralateral Breast</td><td>Metastasis to the contralateral breast.</td></tr><tr><td style=\"white-space:nowrap\">OVARY<a name=\"metastases-sites-cs-OVARY\"> </a></td><td>Ovary (Krukenberg)</td><td>Ovarian metastases.</td></tr><tr><td style=\"white-space:nowrap\">MENINGES<a name=\"metastases-sites-cs-MENINGES\"> </a></td><td>Meninges / Leptomeninges</td><td>Leptomeningeal carcinomatosis.</td></tr><tr><td style=\"white-space:nowrap\">OTHER<a name=\"metastases-sites-cs-OTHER\"> </a></td><td>Other</td><td>Site of metastasis not listed above.</td></tr></table></div>"
  },
  "url" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/metastases-sites-cs",
  "version" : "0.1.0",
  "name" : "MetastasesSitesCS",
  "title" : "Kenya Metastases Sites 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 sites of distant metastatic spread.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "KE",
      "display" : "Kenya"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 14,
  "concept" : [{
    "code" : "BRAIN",
    "display" : "Brain",
    "definition" : "Cerebral metastases."
  },
  {
    "code" : "LUNG",
    "display" : "Lung",
    "definition" : "Pulmonary metastases."
  },
  {
    "code" : "LIVER",
    "display" : "Liver",
    "definition" : "Hepatic metastases."
  },
  {
    "code" : "BONE",
    "display" : "Bone",
    "definition" : "Skeletal metastases."
  },
  {
    "code" : "ADRENAL-GLAND",
    "display" : "Adrenal Gland",
    "definition" : "Adrenal metastases."
  },
  {
    "code" : "PERITONEUM",
    "display" : "Peritoneum",
    "definition" : "Peritoneal carcinomatosis."
  },
  {
    "code" : "PLEURA",
    "display" : "Pleura",
    "definition" : "Pleural metastases / malignant effusion."
  },
  {
    "code" : "LYMPH-NODES-DISTANT",
    "display" : "Distant Lymph Nodes",
    "definition" : "Non-regional lymph node metastases."
  },
  {
    "code" : "SKIN",
    "display" : "Skin",
    "definition" : "Cutaneous metastases."
  },
  {
    "code" : "SPINAL-CORD",
    "display" : "Spinal Cord",
    "definition" : "Epidural or spinal cord metastases."
  },
  {
    "code" : "CONTRALATERAL-BREAST",
    "display" : "Contralateral Breast",
    "definition" : "Metastasis to the contralateral breast."
  },
  {
    "code" : "OVARY",
    "display" : "Ovary (Krukenberg)",
    "definition" : "Ovarian metastases."
  },
  {
    "code" : "MENINGES",
    "display" : "Meninges / Leptomeninges",
    "definition" : "Leptomeningeal carcinomatosis."
  },
  {
    "code" : "OTHER",
    "display" : "Other",
    "definition" : "Site of metastasis not listed above."
  }]
}