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

<Observation xmlns="http://hl7.org/fhir">
  <id value="iptp-adr-002"/>
  <meta>
    <profile value="http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-adr-observation"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation iptp-adr-002</b></p><a name="iptp-adr-002"> </a><a name="hciptp-adr-002"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-iptp-adr-observation.html">IPTp Adverse Drug Reaction Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 281647001}">Adverse reactions</span></p><p><b>subject</b>: <a href="Patient-iptp-patient-001.html">Anonymous Patient Female, DoB Unknown</a></p><p><b>effective</b>: 2026-04-20 11:30:00+0300</p><p><b>value</b>: <span title="Codes:{http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system adr-severe}">Severe ADR</span></p><p><b>note</b>: </p><blockquote><div><p>Action: immediate facility referral; CHP urgent follow-up queue; facility alert; pharmacovigilance reporting queue; InfoAFYA blocked until resolved</p>
</div></blockquote><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 75326-9}">Problem</span></td><td>Severe rash, swelling, and difficulty breathing</td></tr></table></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="281647001"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/iptp-patient-001"/>
  </subject>
  <effectiveDateTime value="2026-04-20T11:30:00+03:00"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system"/>
      <code value="adr-severe"/>
      <display value="Severe ADR"/>
    </coding>
  </valueCodeableConcept>
  <note>
    <text value="Action: immediate facility referral; CHP urgent follow-up queue; facility alert; pharmacovigilance reporting queue; InfoAFYA blocked until resolved"/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="75326-9"/>
        <display value="Problem"/>
      </coding>
    </code>
    <valueString value="Severe rash, swelling, and difficulty breathing"/>
  </component>
</Observation>