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

<Observation xmlns="http://hl7.org/fhir">
  <id value="iptp-issue-002"/>
  <meta>
    <profile value="http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-issue-report"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation iptp-issue-002</b></p><a name="iptp-issue-002"> </a><a name="hciptp-issue-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-issue-report.html">IPTp Issue Report</a></p></div><p><b>IPTp Issue Resolution Status</b>: <span title="Codes:{http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system resolution-open}">Open</span></p><p><b>IPTp Manual Review Flag</b>: true</p><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://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system issue-type-other}">Other Issue</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 12:00:00+0300</p><p><b>value</b>: Nina wasiwasi kuhusu dawa hii, je ni salama wakati wa ujauzito?</p><p><b>note</b>: </p><blockquote><div><p>issue_text encrypted at rest; auto-reply sent; health worker may follow up</p>
</div></blockquote></div>
  </text>
  <extension url="http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-resolution-status">
    <valueCodeableConcept>
      <coding>
        <system value="http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system"/>
        <code value="resolution-open"/>
        <display value="Open"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-manual-review-flag">
    <valueBoolean value="true"/>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system"/>
      <code value="issue-type-other"/>
      <display value="Other Issue"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/iptp-patient-001"/>
  </subject>
  <effectiveDateTime value="2026-04-20T12:00:00+03:00"/>
  <valueString value="Nina wasiwasi kuhusu dawa hii, je ni salama wakati wa ujauzito?"/>
  <note>
    <text value="issue_text encrypted at rest; auto-reply sent; health worker may follow up"/>
  </note>
</Observation>