{
  "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>High-level clinical suspicion of cervical cancer at screening visit based on abnormal cytology and clinical finding</p></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"
  }]
}