Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

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 TNM Staging Observation — Breast Cancer Stage IIB

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<Observation xmlns="http://hl7.org/fhir">
  <id value="TNMStagingObservationExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-tnm-staging-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation TNMStagingObservationExample</b></p><a name="TNMStagingObservationExample"> </a><a name="hcTNMStagingObservationExample"> </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-tnm-staging-observation.html">NCCP TNM Staging Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</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>focus</b>: <a href="Condition-example-condition.html">Condition C50 — Malignant neoplasm of breast</a></p><p><b>effective</b>: 2025-11-15</p><p><b>performer</b>: <a href="Practitioner-example-practitioner.html">Practitioner James Otieno </a></p><p><b>method</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs CLINICAL-STAGE-TYPE}">Clinical Stage Type</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs CLINICAL-T}">Clinical T Stage</span></p><p><b>value</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-t-cs T2}">T2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs CLINICAL-N}">Clinical N Stage</span></p><p><b>value</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-n-cs N1}">N1</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs CLINICAL-M}">Clinical M Stage</span></p><p><b>value</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-m-cs M0}">M0</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs OVERALL-STAGE}">Overall Stage</span></p><p><b>value</b>: <span title="Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-summary-cs STAGE-2}">Stage 2</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-ONCOLOGY-CONSULT"/>
      <display value="SHA: Oncology Consultation"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <focus>🔗 
    <reference value="Condition/example-condition"/>
  </focus>
  <effectiveDateTime value="2025-11-15"/>
  <performer>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <method>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs"/>
      <code value="CLINICAL-STAGE-TYPE"/>
    </coding>
  </method>
  <component>
    <code>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs"/>
        <code value="CLINICAL-T"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-t-cs"/>
        <code value="T2"/>
        <display value="T2"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs"/>
        <code value="CLINICAL-N"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-n-cs"/>
        <code value="N1"/>
        <display value="N1"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs"/>
        <code value="CLINICAL-M"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-m-cs"/>
        <code value="M0"/>
        <display value="M0"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs"/>
        <code value="OVERALL-STAGE"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-summary-cs"/>
        <code value="STAGE-2"/>
        <display value="Stage 2"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>