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 Cancer Suspicion Observation — High Suspicion Cervical Cancer

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