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 CTCAE Adverse Event Observation — Grade 2 Nausea

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<Observation xmlns="http://hl7.org/fhir">
  <id value="CTCAEAdverseEventObservationExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-adverse-event-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation CTCAEAdverseEventObservationExample</b></p><a name="CTCAEAdverseEventObservationExample"> </a><a name="hcCTCAEAdverseEventObservationExample"> </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-ctcae-adverse-event-observation.html">NCCP CTCAE Adverse Event Observation</a></p></div><p><b>CTCAE Attribution Extension</b>: PROBABLE</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs NAUSEA}">Nausea</span></p><p><b>subject</b>: <a href="Patient-example-patient.html">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>encounter</b>: <a href="Encounter-example-encounter.html">Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); type = Treatment Encounter; period = 2026-01-15 09:00:00+0000 --&gt; 2026-01-15 13:00:00+0000</a></p><p><b>effective</b>: 2026-01-18</p><p><b>performer</b>: <a href="Practitioner-example-practitioner.html">Practitioner James Otieno </a></p><p><b>value</b>: 2</p></div>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-attribution-extension">
    <valueCode value="PROBABLE"/>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="exam"/>
      <display value="Exam"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs"/>
      <code value="NAUSEA"/>
      <display value="Nausea"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <effectiveDateTime value="2026-01-18"/>
  <performer>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueInteger value="2"/>
</Observation>