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

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: Kenya Metastases Sites Code System

Active as of 2026-06-04

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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 "metastases-sites-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 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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/metastases-sites-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/metastases-sites-cs>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "MetastasesSitesCS"] ; # 
  fhir:title [ fhir:v "Kenya Metastases Sites 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 for sites of distant metastatic spread."] ; # 
  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 "14"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "BRAIN" ] ;
fhir:display [ fhir:v "Brain" ] ;
fhir:definition [ fhir:v "Cerebral metastases." ]
  ] [
fhir:code [ fhir:v "LUNG" ] ;
fhir:display [ fhir:v "Lung" ] ;
fhir:definition [ fhir:v "Pulmonary metastases." ]
  ] [
fhir:code [ fhir:v "LIVER" ] ;
fhir:display [ fhir:v "Liver" ] ;
fhir:definition [ fhir:v "Hepatic metastases." ]
  ] [
fhir:code [ fhir:v "BONE" ] ;
fhir:display [ fhir:v "Bone" ] ;
fhir:definition [ fhir:v "Skeletal metastases." ]
  ] [
fhir:code [ fhir:v "ADRENAL-GLAND" ] ;
fhir:display [ fhir:v "Adrenal Gland" ] ;
fhir:definition [ fhir:v "Adrenal metastases." ]
  ] [
fhir:code [ fhir:v "PERITONEUM" ] ;
fhir:display [ fhir:v "Peritoneum" ] ;
fhir:definition [ fhir:v "Peritoneal carcinomatosis." ]
  ] [
fhir:code [ fhir:v "PLEURA" ] ;
fhir:display [ fhir:v "Pleura" ] ;
fhir:definition [ fhir:v "Pleural metastases / malignant effusion." ]
  ] [
fhir:code [ fhir:v "LYMPH-NODES-DISTANT" ] ;
fhir:display [ fhir:v "Distant Lymph Nodes" ] ;
fhir:definition [ fhir:v "Non-regional lymph node metastases." ]
  ] [
fhir:code [ fhir:v "SKIN" ] ;
fhir:display [ fhir:v "Skin" ] ;
fhir:definition [ fhir:v "Cutaneous metastases." ]
  ] [
fhir:code [ fhir:v "SPINAL-CORD" ] ;
fhir:display [ fhir:v "Spinal Cord" ] ;
fhir:definition [ fhir:v "Epidural or spinal cord metastases." ]
  ] [
fhir:code [ fhir:v "CONTRALATERAL-BREAST" ] ;
fhir:display [ fhir:v "Contralateral Breast" ] ;
fhir:definition [ fhir:v "Metastasis to the contralateral breast." ]
  ] [
fhir:code [ fhir:v "OVARY" ] ;
fhir:display [ fhir:v "Ovary (Krukenberg)" ] ;
fhir:definition [ fhir:v "Ovarian metastases." ]
  ] [
fhir:code [ fhir:v "MENINGES" ] ;
fhir:display [ fhir:v "Meninges / Leptomeninges" ] ;
fhir:definition [ fhir:v "Leptomeningeal carcinomatosis." ]
  ] [
fhir:code [ fhir:v "OTHER" ] ;
fhir:display [ fhir:v "Other" ] ;
fhir:definition [ fhir:v "Site of metastasis not listed above." ]
  ] ) . #