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

• Narrative Content
• XML
• JSON
• TTL

: Example Coverage Eligibility Request — SHA Chemotherapy Pre-authorisation

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{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "OncologyCoverageEligibilityRequestExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest OncologyCoverageEligibilityRequestExample</b></p><a name=\"OncologyCoverageEligibilityRequestExample\"> </a><a name=\"hcOncologyCoverageEligibilityRequestExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nccp-oncology-coverage-eligibility-request.html\">NCCP Oncology Coverage Eligibility Request</a></p></div><p><b>Regimen Reference Extension</b>: <a href=\"CarePlan-example-careplan.html\">CarePlan: status = active; intent = plan</a></p><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>created</b>: 2026-01-08</p><p><b>provider</b>: <a href=\"Organization-example-organization.html\">Organization Kenyatta National Hospital — Oncology Unit</a></p><p><b>insurer</b>: <a href=\"Organization-sha-kenya.html\">Organization Social Health Authority — Kenya</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Coverage-example-coverage.html\">Coverage: status = active</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}\">SHA: Chemotherapy — Neo-adjuvant</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension",
      "valueReference" : {
        🔗 "reference" : "CarePlan/example-careplan"
      }
    }
  ],
  "status" : "active",
  "purpose" : [
    "auth-requirements"
  ],
  "patient" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-08",
  "provider" : {
    🔗 "reference" : "Organization/example-organization"
  },
  "insurer" : {
    🔗 "reference" : "Organization/sha-kenya"
  },
  "insurance" : [
    {
      "coverage" : {
        🔗 "reference" : "Coverage/example-coverage"
      }
    }
  ],
  "item" : [
    {
      "productOrService" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-CHEMO-NEO-ADJUVANT",
            "display" : "SHA: Chemotherapy — Neo-adjuvant"
          }
        ]
      }
    }
  ]
}