Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
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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 Metastases Sites Code System

Active as of 2026-06-04

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="metastases-sites-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 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>
  </text>
  <url
       value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/metastases-sites-cs"/>
  <version value="0.1.0"/>
  <name value="MetastasesSitesCS"/>
  <title value="Kenya Metastases Sites 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 sites of distant metastatic spread."/>
  <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="14"/>
  <concept>
    <code value="BRAIN"/>
    <display value="Brain"/>
    <definition value="Cerebral metastases."/>
  </concept>
  <concept>
    <code value="LUNG"/>
    <display value="Lung"/>
    <definition value="Pulmonary metastases."/>
  </concept>
  <concept>
    <code value="LIVER"/>
    <display value="Liver"/>
    <definition value="Hepatic metastases."/>
  </concept>
  <concept>
    <code value="BONE"/>
    <display value="Bone"/>
    <definition value="Skeletal metastases."/>
  </concept>
  <concept>
    <code value="ADRENAL-GLAND"/>
    <display value="Adrenal Gland"/>
    <definition value="Adrenal metastases."/>
  </concept>
  <concept>
    <code value="PERITONEUM"/>
    <display value="Peritoneum"/>
    <definition value="Peritoneal carcinomatosis."/>
  </concept>
  <concept>
    <code value="PLEURA"/>
    <display value="Pleura"/>
    <definition value="Pleural metastases / malignant effusion."/>
  </concept>
  <concept>
    <code value="LYMPH-NODES-DISTANT"/>
    <display value="Distant Lymph Nodes"/>
    <definition value="Non-regional lymph node metastases."/>
  </concept>
  <concept>
    <code value="SKIN"/>
    <display value="Skin"/>
    <definition value="Cutaneous metastases."/>
  </concept>
  <concept>
    <code value="SPINAL-CORD"/>
    <display value="Spinal Cord"/>
    <definition value="Epidural or spinal cord metastases."/>
  </concept>
  <concept>
    <code value="CONTRALATERAL-BREAST"/>
    <display value="Contralateral Breast"/>
    <definition value="Metastasis to the contralateral breast."/>
  </concept>
  <concept>
    <code value="OVARY"/>
    <display value="Ovary (Krukenberg)"/>
    <definition value="Ovarian metastases."/>
  </concept>
  <concept>
    <code value="MENINGES"/>
    <display value="Meninges / Leptomeninges"/>
    <definition value="Leptomeningeal carcinomatosis."/>
  </concept>
  <concept>
    <code value="OTHER"/>
    <display value="Other"/>
    <definition value="Site of metastasis not listed above."/>
  </concept>
</CodeSystem>