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 TNM Staging Observation — Breast Cancer Stage IIB

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{
  "resourceType" : "Observation",
  "id" : "TNMStagingObservationExample",
  "meta" : {
    "profile" : [
      🔗 "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-tnm-staging-observation"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>TNM staging observation T2 N1 M0 for a breast cancer patient</p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ]
    }
  ],
  "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"
  },
  "focus" : [
    {
      🔗 "reference" : "Condition/example-condition"
    }
  ],
  "effectiveDateTime" : "2025-11-15",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/example-practitioner"
    }
  ],
  "method" : {
    "coding" : [
      {
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
        "code" : "CLINICAL-STAGE-TYPE"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
            "code" : "CLINICAL-T"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-t-cs",
            "code" : "T2",
            "display" : "T2"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
            "code" : "CLINICAL-N"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-n-cs",
            "code" : "N1",
            "display" : "N1"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
            "code" : "CLINICAL-M"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-m-cs",
            "code" : "M0",
            "display" : "M0"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
            "code" : "OVERALL-STAGE"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-summary-cs",
            "code" : "STAGE-2",
            "display" : "Stage 2"
          }
        ]
      }
    }
  ]
}