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
: Example Coverage Eligibility Request — SHA Chemotherapy Pre-authorisation
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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:CoverageEligibilityRequest ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "OncologyCoverageEligibilityRequestExample"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension> ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:CarePlan/example-careplan ;
fhir:reference [ fhir:v "CarePlan/example-careplan" ] ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:purpose ( [ fhir:v "auth-requirements"] ) ; #
fhir:patient [
fhir:l fhir:Patient/example-patient ;
fhir:reference [ fhir:v "Patient/example-patient" ]
] ; #
fhir:created [ fhir:v "2026-01-08"^^xsd:date] ; #
fhir:provider [
fhir:l fhir:Organization/example-organization ;
fhir:reference [ fhir:v "Organization/example-organization" ]
] ; #
fhir:insurer [
fhir:l fhir:Organization/sha-kenya ;
fhir:reference [ fhir:v "Organization/sha-kenya" ]
] ; #
fhir:insurance ( [
fhir:coverage [
fhir:l fhir:Coverage/example-coverage ;
fhir:reference [ fhir:v "Coverage/example-coverage" ] ]
] ) ; #
fhir:item ( [
fhir:productOrService [
( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs> ] ;
fhir:code [ fhir:v "SHA-CHEMO-NEO-ADJUVANT" ] ;
fhir:display [ fhir:v "SHA: Chemotherapy — Neo-adjuvant" ] ] ) ]
] ) . #
