<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="CTCAEAdverseEventObservationExample"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-adverse-event-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><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>
  </text>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-ctcae-attribution-extension">
    <valueCode value="PROBABLE"/>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="exam"/>
      <display value="Exam"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/ctcae-terms-cs"/>
      <code value="NAUSEA"/>
      <display value="Nausea"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <effectiveDateTime value="2026-01-18"/>
  <performer>
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueInteger value="2"/>
</Observation>