{
  "resourceType" : "Observation",
  "id" : "KCHIPPregnancyContextExample",
  "meta" : {
    "profile" : ["http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-pregnancy-context"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation KCHIPPregnancyContextExample</b></p><a name=\"KCHIPPregnancyContextExample\"> </a><a name=\"hcKCHIPPregnancyContextExample\"> </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-kchip-pregnancy-context.html\">KCHIP Pregnancy Context</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes pregnancy-context-panel}\">Pregnancy Context Panel</span></p><p><b>subject</b>: <a href=\"Patient-KisumuPatientExample.html\">Achieng Grace Odhiambo  Female, DoB: 1990-04-23 ( http://moh.kenya/identifier/nationalID-no#12345678)</a></p><p><b>effective</b>: 2026-05-10 09:00:00+0300</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11996-6}\">Gravida</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11977-6}\">Parity</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8691-8}\">History of Pregnancies Narrative</span></p><p><b>value</b>: Previous SVD x2; no complications. Current pregnancy: previous caesarean section risk noted.</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8665-2}\">Last menstrual period start date</span></p><p><b>value</b>: 2025-08-14</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11778-8}\">Delivery date Estimated</span></p><p><b>value</b>: 2026-05-21</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 18185-9}\">Gestational age</span></p><p><b>value</b>: 36 wk<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codewk = 'wk')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11884-4}\">Gestational age Estimated from last menstrual period and ultrasound</span></p><p><b>value</b>: 35 wk<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codewk = 'wk')</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes",
      "code" : "pregnancy-context-panel",
      "display" : "Pregnancy Context Panel"
    }]
  },
  "subject" : {
    "reference" : "Patient/KisumuPatientExample"
  },
  "effectiveDateTime" : "2026-05-10T09:00:00+03:00",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11996-6",
        "display" : "Gravida"
      }]
    },
    "valueInteger" : 3
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11977-6",
        "display" : "Parity"
      }]
    },
    "valueInteger" : 2
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8691-8",
        "display" : "History of Pregnancies Narrative"
      }]
    },
    "valueString" : "Previous SVD x2; no complications. Current pregnancy: previous caesarean section risk noted."
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "8665-2",
        "display" : "Last menstrual period start date"
      }]
    },
    "valueDateTime" : "2025-08-14"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11778-8",
        "display" : "Delivery date Estimated"
      }]
    },
    "valueDateTime" : "2026-05-21"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18185-9",
        "display" : "Gestational age"
      }]
    },
    "valueQuantity" : {
      "value" : 36,
      "unit" : "wk",
      "system" : "http://unitsofmeasure.org",
      "code" : "wk"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11884-4",
        "display" : "Gestational age Estimated from last menstrual period and ultrasound"
      }]
    },
    "valueQuantity" : {
      "value" : 35,
      "unit" : "wk",
      "system" : "http://unitsofmeasure.org",
      "code" : "wk"
    }
  }]
}