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

<Observation xmlns="http://hl7.org/fhir">
  <id value="RECISTNonTargetLesionObservationExample"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-non-target-lesion-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>RECIST non-target lesion assessment: liver lesion present/non-measurable at week 8 assessment</p></div>
  </text>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-timepoint-extension">
    <valueCode value="WEEK-8"/>
  </extension>
  <status value="final"/>
  <code>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-IMAGING"/>
      <display value="SHA: Oncology Diagnostic Imaging"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-patient"/>
  </subject>
  <effectiveDateTime value="2026-03-15"/>
  <performer>
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/recist-response-cs"/>
      <code value="STABLE-DISEASE"/>
      <display value="Stable Disease"/>
    </coding>
  </valueCodeableConcept>
  <bodySite>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-primary-site-cs"/>
      <code value="LIVER"/>
      <display value="Liver and Intrahepatic Ducts"/>
    </coding>
  </bodySite>
</Observation>