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

• Narrative Content
• XML
• JSON
• TTL

: Example Oncology Claim — AC Chemotherapy Cycle 1 Session 1

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<Claim xmlns="http://hl7.org/fhir">
  <id value="OncologyClaimExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-claim"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>SHA insurance claim for Doxorubicin + Cyclophosphamide (AC) cycle 1 session 1 for breast cancer</p></div>
  </text>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-carcinoma-staging-extension">
    <valueCode value="STAGE-2"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-setting-extension">
    <valueCode value="DAY-CASE"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-session-expected-date-extension">
    <valueDate value="2026-01-15"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-sessions-required-extension">
    <valueInteger value="8"/>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cost-per-session-extension">
    <valueMoney>
      <value value="15000"/>
      <currency value="KES"/>
    </valueMoney>
  </extension>
  <extension
             url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension">
    <valueReference>🔗 
      <reference value="CarePlan/example-careplan"/>
    </valueReference>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
      <display value="Professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/example-patient"/>
  </patient>
  <created value="2026-01-15"/>
  <provider>🔗 
    <reference value="Organization/example-organization"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
      <display value="Normal"/>
    </coding>
  </priority>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>🔗 
      <reference value="Condition/example-condition"/>
    </diagnosisReference>
  </diagnosis>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/example-coverage"/>
    </coverage>
  </insurance>
  <item>
    <sequence value="1"/>
    <productOrService>
      <coding>
        <system
                value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
        <code value="SHA-CHEMO-NEO-ADJUVANT"/>
        <display value="SHA: Chemotherapy — Neo-adjuvant"/>
      </coding>
    </productOrService>
    <quantity>
      <value value="1"/>
    </quantity>
    <unitPrice>
      <value value="15000"/>
      <currency value="KES"/>
    </unitPrice>
    <detail>
      <sequence value="1"/>
      <productOrService>
        <coding>
          <system
                  value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
          <code value="SHA-CHEMO-NEO-ADJUVANT"/>
          <display value="SHA: Chemotherapy — Neo-adjuvant"/>
        </coding>
      </productOrService>
      <quantity>
        <value value="1"/>
      </quantity>
      <unitPrice>
        <value value="7500"/>
        <currency value="KES"/>
      </unitPrice>
    </detail>
  </item>
</Claim>