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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<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="OncologyCoverageEligibilityRequestExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension">
    <valueReference>🔗 
      <reference value="CarePlan/example-careplan"/>
    </valueReference>
  </extension>
  <status value="active"/>
  <purpose value="auth-requirements"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-08"/>
  <provider>🔗 
    <reference value="Organization/example-organization"/>
  </provider>
  <insurer>🔗 
    <reference value="Organization/sha-kenya"/>
  </insurer>
  <insurance>
    <coverage>🔗 
      <reference value="Coverage/example-coverage"/>
    </coverage>
  </insurance>
  <item>
    <productOrService>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
        <code value="SHA-CHEMO-NEO-ADJUVANT"/>
        <display value="SHA: Chemotherapy — Neo-adjuvant"/>
      </coding>
    </productOrService>
  </item>
</CoverageEligibilityRequest>