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
{
"resourceType" : "Observation",
"id" : "CancerSuspicionObservationExample",
"meta" : {
"profile" : [
🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cancer-suspicion-observation"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation CancerSuspicionObservationExample</b></p><a name=\"CancerSuspicionObservationExample\"> </a><a name=\"hcCancerSuspicionObservationExample\"> </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-cancer-suspicion-observation.html\">NCCP Cancer Suspicion Observation</a></p></div><p><b>status</b>: Preliminary</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/sha-interventions-cs SHA-ONCOLOGY-CONSULT}\">SHA: Oncology Consultation</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 --> 2026-01-15 13:00:00+0000</a></p><p><b>effective</b>: 2025-09-15</p><p><b>performer</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner James Otieno </a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-SUSPECTED-CANCER-TYPE}\">SHA: Suspected Cancer Type</span></p><p><b>value</b>: Cervical Cancer</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-SUSPICION-LEVEL}\">SHA: Cancer Suspicion Level</span></p><p><b>value</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs SUSPICION-HIGH}\">Suspicion High</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-REASON-FOR-SUSPICION}\">SHA: Reason for Suspicion</span></p><p><b>value</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs CLINICAL-FINDING}\">Clinical Finding</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-PRESENTING-SYMPTOMS}\">SHA: Presenting Symptoms</span></p><p><b>value</b>: Post-coital bleeding and mucopurulent vaginal discharge for 3 months</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-DIAGNOSTIC-WORKUP}\">SHA: Planned Diagnostic Workup</span></p><p><b>value</b>: Colposcopy with directed biopsy</p></blockquote></div>"
},
"status" : "preliminary",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam",
"display" : "Exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-ONCOLOGY-CONSULT",
"display" : "SHA: Oncology Consultation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/example-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/example-encounter"
},
"effectiveDateTime" : "2025-09-15",
"performer" : [
{
🔗 "reference" : "Practitioner/example-practitioner"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-SUSPECTED-CANCER-TYPE",
"display" : "SHA: Suspected Cancer Type"
}
]
},
"valueString" : "Cervical Cancer"
},
{
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-SUSPICION-LEVEL",
"display" : "SHA: Cancer Suspicion Level"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs",
"code" : "SUSPICION-HIGH",
"display" : "Suspicion High"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-REASON-FOR-SUSPICION",
"display" : "SHA: Reason for Suspicion"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs",
"code" : "CLINICAL-FINDING",
"display" : "Clinical Finding"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-PRESENTING-SYMPTOMS",
"display" : "SHA: Presenting Symptoms"
}
]
},
"valueString" : "Post-coital bleeding and mucopurulent vaginal discharge for 3 months"
},
{
"code" : {
"coding" : [
{
"system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
"code" : "SHA-DIAGNOSTIC-WORKUP",
"display" : "SHA: Planned Diagnostic Workup"
}
]
},
"valueString" : "Colposcopy with directed biopsy"
}
]
}