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 Cancer Suspicion Observation — High Suspicion Cervical Cancer

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{
  "resourceType" : "Observation",
  "id" : "CancerSuspicionObservationExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cancer-suspicion-observation"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>High-level clinical suspicion of cervical cancer at screening visit based on abnormal cytology and clinical finding</p></div>"
  },
  "status" : "preliminary",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "exam",
          "display" : "Exam"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
        "code" : "SHA-ONCOLOGY-CONSULT",
        "display" : "SHA: Oncology Consultation"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-encounter"
  },
  "effectiveDateTime" : "2025-09-15",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/example-practitioner"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-SUSPECTED-CANCER-TYPE",
            "display" : "SHA: Suspected Cancer Type"
          }
        ]
      },
      "valueString" : "Cervical Cancer"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-SUSPICION-LEVEL",
            "display" : "SHA: Cancer Suspicion Level"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs",
            "code" : "SUSPICION-HIGH",
            "display" : "Suspicion High"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-REASON-FOR-SUSPICION",
            "display" : "SHA: Reason for Suspicion"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs",
            "code" : "CLINICAL-FINDING",
            "display" : "Clinical Finding"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-PRESENTING-SYMPTOMS",
            "display" : "SHA: Presenting Symptoms"
          }
        ]
      },
      "valueString" : "Post-coital bleeding and mucopurulent vaginal discharge for 3 months"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code" : "SHA-DIAGNOSTIC-WORKUP",
            "display" : "SHA: Planned Diagnostic Workup"
          }
        ]
      },
      "valueString" : "Colposcopy with directed biopsy"
    }
  ]
}