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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "iptp-adr-002",
  "meta": {
    "profile": [
      "http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-adr-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "281647001"
      }
    ]
  },
  "subject": {
    "reference": "Patient/iptp-patient-001"
  },
  "effectiveDateTime": "2026-04-20T11:30:00+03:00",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system",
        "code": "adr-severe",
        "display": "Severe ADR"
      }
    ]
  },
  "note": [
    {
      "text": "Action: immediate facility referral; CHP urgent follow-up queue; facility alert; pharmacovigilance reporting queue; InfoAFYA blocked until resolved"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "75326-9",
            "display": "Problem"
          }
        ]
      },
      "valueString": "Severe rash, swelling, and difficulty breathing"
    }
  ]
}