{
  "resourceType" : "Observation",
  "id" : "TNMStagingObservationExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-tnm-staging-observation"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>TNM staging observation T2 N1 M0 for a breast cancer patient</p></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory",
      "display" : "Laboratory"
    }]
  }],
  "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"
  },
  "focus" : [{
    "reference" : "Condition/example-condition"
  }],
  "effectiveDateTime" : "2025-11-15",
  "performer" : [{
    "reference" : "Practitioner/example-practitioner"
  }],
  "method" : {
    "coding" : [{
      "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
      "code" : "CLINICAL-STAGE-TYPE"
    }]
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
        "code" : "CLINICAL-T"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-t-cs",
        "code" : "T2",
        "display" : "T2"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
        "code" : "CLINICAL-N"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-n-cs",
        "code" : "N1",
        "display" : "N1"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
        "code" : "CLINICAL-M"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/clinical-m-cs",
        "code" : "M0",
        "display" : "M0"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-type-cs",
        "code" : "OVERALL-STAGE"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-stage-summary-cs",
        "code" : "STAGE-2",
        "display" : "Stage 2"
      }]
    }
  }]
}