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

<Observation xmlns="http://hl7.org/fhir">
  <id value="PerformanceStatusObservationExample"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-performance-status-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>ECOG Performance Status</b>: ECOG 1 (ambulatory, restricted in strenuous activity)</p><p>Recorded 2026-01-10 for Mary Wanjiku at the cycle 1 pre-treatment assessment.</p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
      <display value="Survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-ONCOLOGY-CONSULT"/>
      <display value="SHA: Oncology Consultation"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <effectiveDateTime value="2026-01-10"/>
  <performer>
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/performance-status-ecog-cs"/>
      <code value="ECOG-1"/>
      <display value="ECOG 1"/>
    </coding>
  </valueCodeableConcept>
</Observation>