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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<AdverseEvent xmlns="http://hl7.org/fhir">
  <id value="OncologyAdverseEventExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-adverse-event"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-grade-extension">
    <valueInteger value="3"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-action-taken-extension">
    <valueCode value="HOSPITALISED"/>
  </extension>
  <actuality value="actual"/>
  <category>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/adverse-event-category-cs"/>
      <code value="MEDICATION-MISHAP"/>
      <display value="Medication Mishap"/>
    </coding>
  </category>
  <event>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs"/>
      <code value="FEBRILE-NEUTROPENIA"/>
      <display value="Febrile Neutropenia"/>
    </coding>
  </event>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <date value="2026-01-25"/>
  <severity>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/adverse-event-severity"/>
      <code value="severe"/>
      <display value="Severe"/>
    </coding>
  </severity>
  <outcome>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/adverse-event-outcome"/>
      <code value="recovering"/>
      <display value="Recovering"/>
    </coding>
  </outcome>
  <recorder>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </recorder>
  <suspectEntity>
    <instance>🔗 
      <reference value="MedicationAdministration/example-med-admin"/>
    </instance>
    <causality>
      <assessment>
        <coding>
          <system
                  value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-attribution-cs"/>
          <code value="PROBABLE"/>
          <display value="Probable"/>
        </coding>
      </assessment>
    </causality>
  </suspectEntity>
</AdverseEvent>