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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "TNMStagingObservationExample",
  "meta": {
    "profile": [
      "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-tnm-staging-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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"
          }
        ]
      }
    }
  ]
}