{
  "resourceType" : "Observation",
  "id" : "CTCAEAdverseEventObservationExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-adverse-event-observation"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>CTCAE Grade 2 nausea recorded on cycle 1 day 3 post AC chemotherapy; dose not modified</p></div>"
  },
  "extension" : [{
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-attribution-extension",
    "valueCode" : "PROBABLE"
  }],
  "status" : "final",
  "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/ctcae-terms-cs",
      "code" : "NAUSEA",
      "display" : "Nausea"
    }]
  },
  "subject" : {
    "reference" : "Patient/example-patient"
  },
  "encounter" : {
    "reference" : "Encounter/example-encounter"
  },
  "effectiveDateTime" : "2026-01-18",
  "performer" : [{
    "reference" : "Practitioner/example-practitioner"
  }],
  "valueInteger" : 2
}