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Source1

{
  "resourceType": "Observation",
  "id": "RECISTResponseExample",
  "meta": {
    "profile": [
      "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-response-assessment-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-recist-timepoint-extension",
      "valueCode": "WEEK-8"
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "21976-6",
        "display": "Cancer outcome status"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example-patient"
  },
  "focus": [
    {
      "reference": "Condition/example-condition"
    }
  ],
  "encounter": {
    "reference": "Encounter/example-encounter"
  },
  "effectiveDateTime": "2026-03-15",
  "performer": [
    {
      "reference": "Practitioner/example-practitioner"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "https://nshr-uat.sha.go.ke/fhir/CodeSystem/recist-response-cs",
        "code": "PARTIAL-RESPONSE",
        "display": "Partial Response"
      }
    ]
  },
  "derivedFrom": [
    {
      "reference": "Observation/example-target-lesion"
    }
  ]
}