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

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: Example Oncology Adverse Event — Grade 3 Febrile Neutropenia

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{
  "resourceType" : "AdverseEvent",
  "id" : "OncologyAdverseEventExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Grade 3 febrile neutropenia reported day 10 post AC cycle 1; patient hospitalised for IV antibiotics</p></div>"
  },
  "extension" : [
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension",
      "valueInteger" : 3
    },
    {
      "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension",
      "valueCode" : "HOSPITALISED"
    }
  ],
  "actuality" : "actual",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs",
          "code" : "MEDICATION-MISHAP",
          "display" : "Medication Mishap"
        }
      ]
    }
  ],
  "event" : {
    "coding" : [
      {
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs",
        "code" : "FEBRILE-NEUTROPENIA",
        "display" : "Febrile Neutropenia"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-encounter"
  },
  "date" : "2026-01-25",
  "severity" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-severity",
        "code" : "severe",
        "display" : "Severe"
      }
    ]
  },
  "outcome" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/adverse-event-outcome",
        "code" : "recovering",
        "display" : "Recovering"
      }
    ]
  },
  "recorder" : {
    🔗 "reference" : "Practitioner/example-practitioner"
  },
  "suspectEntity" : [
    {
      "instance" : {
        🔗 "reference" : "MedicationAdministration/example-med-admin"
      },
      "causality" : [
        {
          "assessment" : {
            "coding" : [
              {
                "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs",
                "code" : "PROBABLE",
                "display" : "Probable"
              }
            ]
          }
        }
      ]
    }
  ]
}