{
  "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 class=\"res-header-id\"><b>Generated Narrative: Observation CancerSuspicionObservationExample</b></p><a name=\"CancerSuspicionObservationExample\"> </a><a name=\"hcCancerSuspicionObservationExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nccp-cancer-suspicion-observation.html\">NCCP Cancer Suspicion Observation</a></p></div><p><b>status</b>: Preliminary</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-ONCOLOGY-CONSULT}\">SHA: Oncology Consultation</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>encounter</b>: <a href=\"Encounter-example-encounter.html\">Encounter: status = finished; class = ambulatory (v3 Code System ActCode#AMB); type = Treatment Encounter; period = 2026-01-15 09:00:00+0000 --&gt; 2026-01-15 13:00:00+0000</a></p><p><b>effective</b>: 2025-09-15</p><p><b>performer</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner James Otieno </a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-SUSPECTED-CANCER-TYPE}\">SHA: Suspected Cancer Type</span></p><p><b>value</b>: Cervical Cancer</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-SUSPICION-LEVEL}\">SHA: Cancer Suspicion Level</span></p><p><b>value</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-suspicion-level-cs SUSPICION-HIGH}\">Suspicion High</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-REASON-FOR-SUSPICION}\">SHA: Reason for Suspicion</span></p><p><b>value</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/reason-for-suspicion-cs CLINICAL-FINDING}\">Clinical Finding</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-PRESENTING-SYMPTOMS}\">SHA: Presenting Symptoms</span></p><p><b>value</b>: Post-coital bleeding and mucopurulent vaginal discharge for 3 months</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-DIAGNOSTIC-WORKUP}\">SHA: Planned Diagnostic Workup</span></p><p><b>value</b>: Colposcopy with directed biopsy</p></blockquote></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"
  }]
}