Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
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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 Cancer Suspicion Observation — High Suspicion Cervical Cancer

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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:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "CancerSuspicionObservationExample"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cancer-suspicion-observation"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cancer-suspicion-observation>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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 --&gt; 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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "preliminary"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "exam" ] ;
fhir:display [ fhir:v "Exam" ]     ] )
  ] ) ; # 
  fhir:code [
    ( 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-ONCOLOGY-CONSULT" ] ;
fhir:display [ fhir:v "SHA: Oncology Consultation" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example-patient ;
fhir:reference [ fhir:v "Patient/example-patient" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/example-encounter ;
fhir:reference [ fhir:v "Encounter/example-encounter" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2025-09-15"^^xsd:date
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/example-practitioner ;
fhir:reference [ fhir:v "Practitioner/example-practitioner" ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( 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-SUSPECTED-CANCER-TYPE" ] ;
fhir:display [ fhir:v "SHA: Suspected Cancer Type" ]       ] )     ] ;
fhir:value [
a fhir:String ;
fhir:v "Cervical Cancer"     ]
  ] [
fhir:code [
      ( 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-SUSPICION-LEVEL" ] ;
fhir:display [ fhir:v "SHA: Cancer Suspicion Level" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs>         ] ;
fhir:code [ fhir:v "SUSPICION-HIGH" ] ;
fhir:display [ fhir:v "Suspicion High" ]       ] )     ]
  ] [
fhir:code [
      ( 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-REASON-FOR-SUSPICION" ] ;
fhir:display [ fhir:v "SHA: Reason for Suspicion" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [
fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs"^^xsd:anyURI ;
fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs>         ] ;
fhir:code [ fhir:v "CLINICAL-FINDING" ] ;
fhir:display [ fhir:v "Clinical Finding" ]       ] )     ]
  ] [
fhir:code [
      ( 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-PRESENTING-SYMPTOMS" ] ;
fhir:display [ fhir:v "SHA: Presenting Symptoms" ]       ] )     ] ;
fhir:value [
a fhir:String ;
fhir:v "Post-coital bleeding and mucopurulent vaginal discharge for 3 months"     ]
  ] [
fhir:code [
      ( 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-DIAGNOSTIC-WORKUP" ] ;
fhir:display [ fhir:v "SHA: Planned Diagnostic Workup" ]       ] )     ] ;
fhir:value [
a fhir:String ;
fhir:v "Colposcopy with directed biopsy"     ]
  ] ) . #