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 Morphology Observation — Invasive Ductal Carcinoma

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<Observation xmlns="http://hl7.org/fhir">
  <id value="MorphologyObservationExample"/>
  <meta>
    <profile
             value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-morphology-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Histopathology core-needle biopsy confirming invasive ductal carcinoma of the left breast</p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-PATHOLOGY"/>
      <display value="SHA: Pathology / Histopathology"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <focus>🔗 
    <reference value="Condition/example-condition"/>
  </focus>
  <effectiveDateTime value="2025-11-10"/>
  <performer>🔗 
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/morphology-codes-cs"/>
      <code value="INVASIVE-DUCTAL-CARCINOMA"/>
      <display value="Invasive Ductal Carcinoma"/>
    </coding>
  </valueCodeableConcept>
  <bodySite>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-primary-site-cs"/>
      <code value="BREAST"/>
      <display value="Breast"/>
    </coding>
  </bodySite>
  <method>
    <coding>
      <system
              value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/morphology-method-cs"/>
      <code value="BIOPSY"/>
      <display value="Biopsy"/>
    </coding>
  </method>
</Observation>