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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• XML
• JSON
• TTL

: Example Prior Systemic Therapy Statement — Tamoxifen Adjuvant Hormonal Therapy

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<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="PriorSystemicTherapyStatementExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-prior-systemic-therapy-statement"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>5 years of adjuvant tamoxifen for ER+ breast cancer (2018–2023) prior to current recurrence</p></div>
  </text>
  <status value="completed"/>
  <category>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/med-clinical-category-cs"/>
      <code value="HORMONAL-THERAPY"/>
      <display value="Hormonal Therapy"/>
    </coding>
  </category>
  <medicationCodeableConcept>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs"/>
      <code value="TAMOXIFEN"/>
      <display value="Tamoxifen"/>
    </coding>
  </medicationCodeableConcept>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <effectivePeriod>
    <start value="2018-03-01"/>
    <end value="2023-02-28"/>
  </effectivePeriod>
  <reasonReference>🔗 
    <reference value="Condition/example-condition"/>
  </reasonReference>
  <note>
    <text
          value="Completed 5 years of adjuvant tamoxifen. Switched to letrozole following menopause in 2021."/>
  </note>
</MedicationStatement>