{
  "resourceType" : "Observation",
  "id" : "RECISTResponseExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-response-assessment-observation"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation RECISTResponseExample</b></p><a name=\"RECISTResponseExample\"> </a><a name=\"hcRECISTResponseExample\"> </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-recist-response-assessment-observation.html\">NCCP RECIST Overall Response Assessment Observation</a></p></div><p><b>RECIST Timepoint Extension</b>: WEEK-8</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 21976-6}\">Cancer outcome status</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>focus</b>: <a href=\"Condition-example-condition.html\">Condition C50 — Malignant neoplasm of breast</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>: 2026-03-15</p><p><b>performer</b>: <a href=\"Practitioner-example-practitioner.html\">Practitioner James Otieno </a></p><p><b>value</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/recist-response-cs PARTIAL-RESPONSE}\">Partial Response</span></p><p><b>derivedFrom</b>: <a href=\"Observation-example-target-lesion.html\">Observation SHA: Oncology Diagnostic Imaging</a></p></div>"
  },
  "extension" : [{
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-timepoint-extension",
    "valueCode" : "WEEK-8"
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "21976-6",
      "display" : "Cancer outcome status"
    }]
  },
  "subject" : {
    "reference" : "Patient/example-patient"
  },
  "focus" : [{
    "reference" : "Condition/example-condition"
  }],
  "encounter" : {
    "reference" : "Encounter/example-encounter"
  },
  "effectiveDateTime" : "2026-03-15",
  "performer" : [{
    "reference" : "Practitioner/example-practitioner"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/recist-response-cs",
      "code" : "PARTIAL-RESPONSE",
      "display" : "Partial Response"
    }]
  },
  "derivedFrom" : [{
    "reference" : "Observation/example-target-lesion"
  }]
}