PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build -
PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build
PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build
PROTECT-CHILD Pediatric Transplant Data Implementation Guide, published by Protect Child. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/protect-child/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ProtectChildKidneyRecipientJourneyExample",
"type" : "collection",
"timestamp" : "2024-07-01T10:00:00+02:00",
"entry" : [
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Organization/PCCenter2Padova",
"resource" : {
"resourceType" : "Organization",
"id" : "PCCenter2Padova",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/study-centre"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_PCCenter2Padova\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization PCCenter2Padova</b></p><a name=\"PCCenter2Padova\"> </a><a name=\"hcPCCenter2Padova\"> </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-study-centre.html\">Study Centre</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsStudyCentreId.html\" title=\"Identifier namespace for StudyCentre (Organization) resources in the PROTECT-CHILD IG. Values 1–4 map to La Paz, Padova, Palma, and Hamburg respectively.\">ProtectChildStudyCentreId</a>/2</p><p><b>name</b>: University of Padova</p><p><b>address</b>: IT </p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/center",
"value" : "2"
}
],
"name" : "University of Padova",
"address" : [
{
"country" : "IT"
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Patient/KidneyRecipient1",
"resource" : {
"resourceType" : "Patient",
"id" : "KidneyRecipient1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-transplant"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_KidneyRecipient1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient KidneyRecipient1</b></p><a name=\"KidneyRecipient1\"> </a><a name=\"hcKidneyRecipient1\"> </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-patient-transplant.html\">Transplant Recipient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Managing Organization: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></li></ul></td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "REC-2-0001"
}
],
"gender" : "male",
"managingOrganization" : {
🔗 "reference" : "Organization/PCCenter2Padova"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Patient/KidneyDonor1",
"resource" : {
"resourceType" : "Patient",
"id" : "KidneyDonor1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/donor"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_KidneyDonor1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient KidneyDonor1</b></p><a name=\"KidneyDonor1\"> </a><a name=\"hcKidneyDonor1\"> </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-donor.html\">Transplant Donor</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Anonymous Patient Female, DoB: 1988-04-11 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-2-0001)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "DON-2-0001"
}
],
"gender" : "female",
"birthDate" : "1988-04-11",
"deceasedBoolean" : false
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Medication/ImmunosuppressantBasiliximab1",
"resource" : {
"resourceType" : "Medication",
"id" : "ImmunosuppressantBasiliximab1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressant"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_ImmunosuppressantBasiliximab1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ImmunosuppressantBasiliximab1</b></p><a name=\"ImmunosuppressantBasiliximab1\"> </a><a name=\"hcImmunosuppressantBasiliximab1\"> </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-immunosuppressant.html\">Immunosuppressant</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMM-0003</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs 19038440}\">Basiliximab</span></p><p><b>status</b>: Active</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMM-0003"
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs",
"code" : "19038440",
"display" : "Basiliximab"
}
]
},
"status" : "active"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Medication/ImmunosuppressantTacrolimus1",
"resource" : {
"resourceType" : "Medication",
"id" : "ImmunosuppressantTacrolimus1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressant"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_ImmunosuppressantTacrolimus1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ImmunosuppressantTacrolimus1</b></p><a name=\"ImmunosuppressantTacrolimus1\"> </a><a name=\"hcImmunosuppressantTacrolimus1\"> </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-immunosuppressant.html\">Immunosuppressant</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMM-0002</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs cni-fk506}\">CNI (FK506)</span></p><p><b>status</b>: Active</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMM-0002"
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs",
"code" : "cni-fk506",
"display" : "CNI (FK506)"
}
]
},
"status" : "active"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Medication/ImmunosuppressantExample1",
"resource" : {
"resourceType" : "Medication",
"id" : "ImmunosuppressantExample1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressant"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_ImmunosuppressantExample1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ImmunosuppressantExample1</b></p><a name=\"ImmunosuppressantExample1\"> </a><a name=\"hcImmunosuppressantExample1\"> </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-immunosuppressant.html\">Immunosuppressant</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMM-0001</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs 1506270}\">Steroid (methylprednisolone)</span></p><p><b>status</b>: Active</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMM-0001"
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunosuppressant-drug-type-cs",
"code" : "1506270",
"display" : "Steroid (methylprednisolone)"
}
]
},
"status" : "active"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyRecipientDiagnosis1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyRecipientDiagnosis1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-primary-disease-diagnosis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyRecipientDiagnosis1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyRecipientDiagnosis1</b></p><a name=\"KidneyRecipientDiagnosis1\"> </a><a name=\"hcKidneyRecipientDiagnosis1\"> </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-patient-primary-disease-diagnosis.html\">Patient Primary Disease Diagnosis</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 N18.5}\">Chronic kidney disease, stage 5</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 64033007}\">Kidney structure</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>onset</b>: 2021-11-04</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "N18.5",
"display" : "Chronic kidney disease, stage 5"
}
]
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64033007",
"display" : "Kidney structure"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"onsetDateTime" : "2021-11-04"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/KidneyVisitPreTx1",
"resource" : {
"resourceType" : "Encounter",
"id" : "KidneyVisitPreTx1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_KidneyVisitPreTx1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter KidneyVisitPreTx1</b></p><a name=\"KidneyVisitPreTx1\"> </a><a name=\"hcKidneyVisitPreTx1\"> </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-visit.html\">Visit</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIS-2-0001</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs pre-transplant}\">Pre-transplant visit</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>period</b>: 2024-03-01 --> 2024-03-25</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIS-2-0001"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"type" : [
{
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs",
"code" : "pre-transplant",
"display" : "Pre-transplant visit"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"period" : {
"start" : "2024-03-01",
"end" : "2024-03-25"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyRecipientAge1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyRecipientAge1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-demographics-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyRecipientAge1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyRecipientAge1</b></p><a name=\"KidneyRecipientAge1\"> </a><a name=\"hcKidneyRecipientAge1\"> </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-patient-demographics-observation.html\">Patient Demographics 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:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-observations-panel-cs patient-demographics-panel}\">Patient demographics panel (age)</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>effective</b>: 2024-03-12</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30525-0}\">Age</span></p><p><b>value</b>: 12 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-observations-panel-cs age-months}\">Patient age in months</span></p><p><b>value</b>: 144 months<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemo = 'mo')</span></p></blockquote></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-observations-panel-cs",
"code" : "patient-demographics-panel",
"display" : "Patient demographics panel (age)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"effectiveDateTime" : "2024-03-12",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30525-0",
"display" : "Age"
}
]
},
"valueQuantity" : {
"value" : 12,
"unit" : "years",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-observations-panel-cs",
"code" : "age-months",
"display" : "Patient age in months"
}
]
},
"valueQuantity" : {
"value" : 144,
"unit" : "months",
"system" : "http://unitsofmeasure.org",
"code" : "mo"
}
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/KidneyTransplant1",
"resource" : {
"resourceType" : "Procedure",
"id" : "KidneyTransplant1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_KidneyTransplant1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure KidneyTransplant1</b></p><a name=\"KidneyTransplant1\"> </a><a name=\"hcKidneyTransplant1\"> </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-transplant.html\">Transplant</a></p></div><p><b>Transplant donor reference</b>: <a href=\"Patient-KidneyDonor1.html\">Anonymous Patient Female, DoB: 1988-04-11 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#DON-2-0001)</a></p><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/TXP-2-0001</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-type-cs kidney}\">Kidney transplant</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>performed</b>: 2024-03-12 09:30:00+0100</p><p><b>complicationDetail</b>: <a href=\"Condition-KidneyIntraopComplication1.html\">Condition Kidney ischemia</a></p></div>"
},
"extension" : [
{
"url" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant-donor-ref",
"valueReference" : {
🔗 "reference" : "Patient/KidneyDonor1"
}
}
],
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "TXP-2-0001"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-type-cs",
"code" : "kidney",
"display" : "Kidney transplant"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"performedDateTime" : "2024-03-12T09:30:00+01:00",
"complicationDetail" : [
{
🔗 "reference" : "Condition/KidneyIntraopComplication1"
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/KidneyAnastomosis1",
"resource" : {
"resourceType" : "Procedure",
"id" : "KidneyAnastomosis1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant-anastomosis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_KidneyAnastomosis1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure KidneyAnastomosis1</b></p><a name=\"KidneyAnastomosis1\"> </a><a name=\"hcKidneyAnastomosis1\"> </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-transplant-anastomosis.html\">Transplant Anastomosis</a></p></div><p><b>partOf</b>: <a href=\"Procedure-KidneyTransplant1.html\">Procedure Kidney transplant</a></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/ureteral-anastomosis-type-cs standard}\">Standard</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>performed</b>: 2024-03-12</p></div>"
},
"partOf" : [
{
🔗 "reference" : "Procedure/KidneyTransplant1"
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/ureteral-anastomosis-type-cs",
"code" : "standard",
"display" : "Standard"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"performedDateTime" : "2024-03-12"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyIntraopComplication1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyIntraopComplication1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/intraoperative-complication"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyIntraopComplication1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyIntraopComplication1</b></p><a name=\"KidneyIntraopComplication1\"> </a><a name=\"hcKidneyIntraopComplication1\"> </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-intraoperative-complication.html\">Intraoperative Complication</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/intraoperative-complication-cs kidney-ischemia}\">Kidney ischemia</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>onset</b>: 2024-03-12</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/intraoperative-complication-cs",
"code" : "kidney-ischemia",
"display" : "Kidney ischemia"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"onsetDateTime" : "2024-03-12"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyEventDgf1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyEventDgf1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyEventDgf1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyEventDgf1</b></p><a name=\"KidneyEventDgf1\"> </a><a name=\"hcKidneyEventDgf1\"> </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-clinical-event.html\">Clinical Event</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/CLE-2-0001</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs delayed-kidney-graft-function}\">Delayed Kidney Graft Function</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>onset</b>: 2024-03-15</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "CLE-2-0001"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs",
"code" : "delayed-kidney-graft-function",
"display" : "Delayed Kidney Graft Function"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"onsetDateTime" : "2024-03-15"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/KidneyDialysis1",
"resource" : {
"resourceType" : "Procedure",
"id" : "KidneyDialysis1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_KidneyDialysis1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure KidneyDialysis1</b></p><a name=\"KidneyDialysis1\"> </a><a name=\"hcKidneyDialysis1\"> </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-clinical-event-procedure.html\">Clinical Event Procedure</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs hemodialysis}\">Hemodialysis</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>performed</b>: 2024-03-15 --> 2024-03-24</p><p><b>reasonReference</b>: <a href=\"Condition-KidneyEventDgf1.html\">Condition Delayed Kidney Graft Function</a></p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs",
"code" : "hemodialysis",
"display" : "Hemodialysis"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"performedPeriod" : {
"start" : "2024-03-15",
"end" : "2024-03-24"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/KidneyEventDgf1"
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/KidneyImmPatInduction1",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "KidneyImmPatInduction1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_KidneyImmPatInduction1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement KidneyImmPatInduction1</b></p><a name=\"KidneyImmPatInduction1\"> </a><a name=\"hcKidneyImmPatInduction1\"> </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-imm-pat.html\">Immunosuppressant to Patient</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMP-2-0002</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs induction}\">Induction</span></p><p><b>medication</b>: <a href=\"Medication-ImmunosuppressantBasiliximab1.html\">Medication Basiliximab</a></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>context</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>effective</b>: 2024-03-12 --> 2024-03-16</p><blockquote><p><b>dosage</b></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>20 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMP-2-0002"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs",
"code" : "induction",
"display" : "Induction"
}
]
},
"medicationReference" : {
🔗 "reference" : "Medication/ImmunosuppressantBasiliximab1"
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"context" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"effectivePeriod" : {
"start" : "2024-03-12",
"end" : "2024-03-16"
},
"dosage" : [
{
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 20,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/KidneyVisitMonth1",
"resource" : {
"resourceType" : "Encounter",
"id" : "KidneyVisitMonth1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_KidneyVisitMonth1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter KidneyVisitMonth1</b></p><a name=\"KidneyVisitMonth1\"> </a><a name=\"hcKidneyVisitMonth1\"> </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-visit.html\">Visit</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIS-2-0002</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs month-1}\">1 month visit</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>period</b>: 2024-04-12 --> 2024-04-12</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIS-2-0002"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs",
"code" : "month-1",
"display" : "1 month visit"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"period" : {
"start" : "2024-04-12",
"end" : "2024-04-12"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyVitalSign1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyVitalSign1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/vital-sign"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyVitalSign1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyVitalSign1</b></p><a name=\"KidneyVitalSign1\"> </a><a name=\"hcKidneyVitalSign1\"> </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-vital-sign.html\">Vital Sign</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIT-2-0001</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs vital-signs-panel}\">Vital signs panel</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitMonth1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2024-04-12 --> 2024-04-12</a></p><p><b>effective</b>: 2024-04-12</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8480-6}\">Systolic blood pressure</span></p><p><b>value</b>: 124 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8462-4}\">Diastolic blood pressure</span></p><p><b>value</b>: 78 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs sbp-percentile}\">Systolic blood pressure percentile</span></p><p><b>value</b>: 95</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs dbp-percentile}\">Diastolic blood pressure percentile</span></p><p><b>value</b>: 88</p></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIT-2-0001"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs",
"code" : "vital-signs-panel",
"display" : "Vital signs panel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitMonth1"
},
"effectiveDateTime" : "2024-04-12",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 124,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
]
},
"valueQuantity" : {
"value" : 78,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs",
"code" : "sbp-percentile",
"display" : "Systolic blood pressure percentile"
}
]
},
"valueInteger" : 95
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/vital-sign-local-cs",
"code" : "dbp-percentile",
"display" : "Diastolic blood pressure percentile"
}
]
},
"valueInteger" : 88
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/kidney-lab-creatinine-month-1",
"resource" : {
"resourceType" : "Observation",
"id" : "kidney-lab-creatinine-month-1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/lab-result-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_kidney-lab-creatinine-month-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation kidney-lab-creatinine-month-1</b></p><a name=\"kidney-lab-creatinine-month-1\"> </a><a name=\"hckidney-lab-creatinine-month-1\"> </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-lab-result-observation.html\">Lab Result</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/LBR-2-0001</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2160-0}\">Creatinine [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitMonth1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2024-04-12 --> 2024-04-12</a></p><p><b>effective</b>: 2024-04-12 08:40:00+0200</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: 1.6 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "LBR-2-0001"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "2160-0",
"display" : "Creatinine [Mass/volume] in Serum or Plasma"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitMonth1"
},
"effectiveDateTime" : "2024-04-12T08:40:00+02:00",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueQuantity" : {
"value" : 1.6,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyInvestigation1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyInvestigation1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-instrumental-investigation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyInvestigation1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyInvestigation1</b></p><a name=\"KidneyInvestigation1\"> </a><a name=\"hcKidneyInvestigation1\"> </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-patient-instrumental-investigation.html\">Patient Instrumental Investigation</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IIV-2-0001</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/instrumental-investigation-name-cs 4167052}\">Kidney doppler ultrasound</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitMonth1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2024-04-12 --> 2024-04-12</a></p><p><b>effective</b>: 2024-04-12</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-result-cs normal}\">Normal</span></p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IIV-2-0001"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/instrumental-investigation-name-cs",
"code" : "4167052",
"display" : "Kidney doppler ultrasound"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitMonth1"
},
"effectiveDateTime" : "2024-04-12",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-result-cs",
"code" : "normal",
"display" : "Normal"
}
]
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/KidneyImmPatMaintenance1",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "KidneyImmPatMaintenance1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_KidneyImmPatMaintenance1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement KidneyImmPatMaintenance1</b></p><a name=\"KidneyImmPatMaintenance1\"> </a><a name=\"hcKidneyImmPatMaintenance1\"> </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-imm-pat.html\">Immunosuppressant to Patient</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMP-2-0001</p><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs maintenance}\">Maintenance</span></p><p><b>medication</b>: <a href=\"Medication-ImmunosuppressantTacrolimus1.html\">Medication CNI (FK506)</a></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>context</b>: <a href=\"Encounter-KidneyVisitPreTx1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2024-03-01 --> 2024-03-25</a></p><p><b>effective</b>: 2024-03-12 --> 2024-06-20</p><blockquote><p><b>dosage</b></p><p><b>text</b>: Divided twice daily.</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>0.1 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg.kg-1 = 'mg.kg-1')</span></td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMP-2-0001"
}
],
"status" : "active",
"category" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs",
"code" : "maintenance",
"display" : "Maintenance"
}
]
},
"medicationReference" : {
🔗 "reference" : "Medication/ImmunosuppressantTacrolimus1"
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"context" : {
🔗 "reference" : "Encounter/KidneyVisitPreTx1"
},
"effectivePeriod" : {
"start" : "2024-03-12",
"end" : "2024-06-20"
},
"dosage" : [
{
"text" : "Divided twice daily.",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 0.1,
"unit" : "mg/kg",
"system" : "http://unitsofmeasure.org",
"code" : "mg.kg-1"
}
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyImmPatPk1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyImmPatPk1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat-pk-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyImmPatPk1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyImmPatPk1</b></p><a name=\"KidneyImmPatPk1\"> </a><a name=\"hcKidneyImmPatPk1\"> </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-imm-pat-pk-observation.html\">Immunosuppressant PK Observation</a></p></div><p><b>partOf</b>: <a href=\"MedicationStatement-KidneyImmPatMaintenance1.html\">MedicationStatement: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#IMP-2-0001; status = active; category = Maintenance; medication[x] = ->Medication CNI (FK506); effective[x] = 2024-03-12 --> 2024-06-20</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-pk-type-cs pre-dose-level}\">Pre-dose drug level (trough / C0)</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>effective</b>: 2024-04-12</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: 6.2 ng/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeng.mL-1 = 'ng.mL-1')</span></p></div>"
},
"partOf" : [
{
🔗 "reference" : "MedicationStatement/KidneyImmPatMaintenance1"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-pk-type-cs",
"code" : "pre-dose-level",
"display" : "Pre-dose drug level (trough / C0)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"effectiveDateTime" : "2024-04-12",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueQuantity" : {
"value" : 6.2,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org",
"code" : "ng.mL-1"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/KidneyVisitRejection1",
"resource" : {
"resourceType" : "Encounter",
"id" : "KidneyVisitRejection1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_KidneyVisitRejection1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter KidneyVisitRejection1</b></p><a name=\"KidneyVisitRejection1\"> </a><a name=\"hcKidneyVisitRejection1\"> </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-visit.html\">Visit</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIS-2-0003</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs clinical-event}\">Clinical Event visit</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>period</b>: 2024-06-20 --> 2024-06-20</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIS-2-0003"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs",
"code" : "clinical-event",
"display" : "Clinical Event visit"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"period" : {
"start" : "2024-06-20",
"end" : "2024-06-20"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyMicrobiology1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyMicrobiology1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/microbiology"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyMicrobiology1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyMicrobiology1</b></p><a name=\"KidneyMicrobiology1\"> </a><a name=\"hcKidneyMicrobiology1\"> </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-microbiology.html\">Microbiology</a></p></div><p><b>Transplant type context</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-type-cs kidney}\">Kidney transplant</span></p><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/MIC-2-0001</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs microbiology-panel}\">Microbiology studies panel</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-06-20 --> 2024-06-20</a></p><p><b>effective</b>: 2024-06-20</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs blood-bkv-dna}\">Blood BKV-DNA</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs blood-bkv-dna-copies}\">Blood BKV-DNA copies/ml</span></p><p><b>value</b>: 42000 copies/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{copies}/mL = '{copies}/mL')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs urine-bkv-dna}\">Urine BKV-DNA</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs bkv-dna-kidney-biopsy}\">BKV-DNA on kidney biopsy</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs bkv-fish-kidney-biopsy}\">BKV FISH on kidney biopsy</span></p><p><b>value</b>: true</p></blockquote></div>"
},
"extension" : [
{
"url" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant-type-ext",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-type-cs",
"code" : "kidney",
"display" : "Kidney transplant"
}
]
}
}
],
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "MIC-2-0001"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "microbiology-panel",
"display" : "Microbiology studies panel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection1"
},
"effectiveDateTime" : "2024-06-20",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "blood-bkv-dna"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "blood-bkv-dna-copies"
}
]
},
"valueQuantity" : {
"value" : 42000,
"unit" : "copies/mL",
"system" : "http://unitsofmeasure.org",
"code" : "{copies}/mL"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "urine-bkv-dna"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "bkv-dna-kidney-biopsy"
}
]
},
"valueBoolean" : true
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "bkv-fish-kidney-biopsy"
}
]
},
"valueBoolean" : true
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyMicrobiologyDiagnosis1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyMicrobiologyDiagnosis1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/microbiology-diagnosis"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyMicrobiologyDiagnosis1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyMicrobiologyDiagnosis1</b></p><a name=\"KidneyMicrobiologyDiagnosis1\"> </a><a name=\"hcKidneyMicrobiologyDiagnosis1\"> </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-microbiology-diagnosis.html\">Microbiology Diagnosis</a></p></div><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs evidence-bkvan}\">Histological evidence of BKVAN</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-06-20 --> 2024-06-20</a></p><p><b>onset</b>: 2024-06-20</p></div>"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/microbiology-cs",
"code" : "evidence-bkvan",
"display" : "Histological evidence of BKVAN"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection1"
},
"onsetDateTime" : "2024-06-20"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/kidney-lab-creatinine-rejection-1",
"resource" : {
"resourceType" : "Observation",
"id" : "kidney-lab-creatinine-rejection-1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/lab-result-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_kidney-lab-creatinine-rejection-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation kidney-lab-creatinine-rejection-1</b></p><a name=\"kidney-lab-creatinine-rejection-1\"> </a><a name=\"hckidney-lab-creatinine-rejection-1\"> </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-lab-result-observation.html\">Lab Result</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/LBR-2-0002</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2160-0}\">Creatinine [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-06-20 --> 2024-06-20</a></p><p><b>effective</b>: 2024-06-20 08:20:00+0200</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: 2.4 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "LBR-2-0002"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "2160-0",
"display" : "Creatinine [Mass/volume] in Serum or Plasma"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection1"
},
"effectiveDateTime" : "2024-06-20T08:20:00+02:00",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueQuantity" : {
"value" : 2.4,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyEventBkv1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyEventBkv1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyEventBkv1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyEventBkv1</b></p><a name=\"KidneyEventBkv1\"> </a><a name=\"hcKidneyEventBkv1\"> </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-clinical-event.html\">Clinical Event</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/CLE-2-0003</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs bk-virus-infection}\">BK Virus Infection</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-06-20 --> 2024-06-20</a></p><p><b>onset</b>: 2024-06-20</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "CLE-2-0003"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs",
"code" : "bk-virus-infection",
"display" : "BK Virus Infection"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection1"
},
"onsetDateTime" : "2024-06-20"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/KidneyImmPatReduced1",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "KidneyImmPatReduced1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_KidneyImmPatReduced1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement KidneyImmPatReduced1</b></p><a name=\"KidneyImmPatReduced1\"> </a><a name=\"hcKidneyImmPatReduced1\"> </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-imm-pat.html\">Immunosuppressant to Patient</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMP-2-0003</p><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs maintenance}\">Maintenance</span></p><p><b>medication</b>: <a href=\"Medication-ImmunosuppressantTacrolimus1.html\">Medication CNI (FK506)</a></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>context</b>: <a href=\"Encounter-KidneyVisitRejection1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-06-20 --> 2024-06-20</a></p><p><b>effective</b>: 2024-06-20 --> (ongoing)</p><blockquote><p><b>dosage</b></p><p><b>text</b>: Halved in response to biopsy-proven BK-virus nephropathy. Divided twice daily.</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>0.05 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg.kg-1 = 'mg.kg-1')</span></td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMP-2-0003"
}
],
"status" : "active",
"category" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs",
"code" : "maintenance",
"display" : "Maintenance"
}
]
},
"medicationReference" : {
🔗 "reference" : "Medication/ImmunosuppressantTacrolimus1"
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"context" : {
🔗 "reference" : "Encounter/KidneyVisitRejection1"
},
"effectivePeriod" : {
"start" : "2024-06-20"
},
"dosage" : [
{
"text" : "Halved in response to biopsy-proven BK-virus nephropathy. Divided twice daily.",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 0.05,
"unit" : "mg/kg",
"system" : "http://unitsofmeasure.org",
"code" : "mg.kg-1"
}
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/KidneyVisitRejection2",
"resource" : {
"resourceType" : "Encounter",
"id" : "KidneyVisitRejection2",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_KidneyVisitRejection2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter KidneyVisitRejection2</b></p><a name=\"KidneyVisitRejection2\"> </a><a name=\"hcKidneyVisitRejection2\"> </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-visit.html\">Visit</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIS-2-0004</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs clinical-event}\">Clinical Event visit</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>period</b>: 2024-09-10 --> 2024-09-10</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIS-2-0004"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs",
"code" : "clinical-event",
"display" : "Clinical Event visit"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"period" : {
"start" : "2024-09-10",
"end" : "2024-09-10"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyEventRejection1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyEventRejection1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyEventRejection1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyEventRejection1</b></p><a name=\"KidneyEventRejection1\"> </a><a name=\"hcKidneyEventRejection1\"> </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-clinical-event.html\">Clinical Event</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/CLE-2-0002</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs kidney-rejection-episode}\">Kidney Rejection Episode</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection2.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0004; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-09-10 --> 2024-09-10</a></p><p><b>onset</b>: 2024-09-10</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "CLE-2-0002"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs",
"code" : "kidney-rejection-episode",
"display" : "Kidney Rejection Episode"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection2"
},
"onsetDateTime" : "2024-09-10"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/KidneyImmunologyBiopsy1",
"resource" : {
"resourceType" : "Observation",
"id" : "KidneyImmunologyBiopsy1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunological-data"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_KidneyImmunologyBiopsy1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation KidneyImmunologyBiopsy1</b></p><a name=\"KidneyImmunologyBiopsy1\"> </a><a name=\"hcKidneyImmunologyBiopsy1\"> </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-immunological-data.html\">Immunological Data</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMD-2-0001</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunological-data-panel-cs immunological-data-panel}\">Immunological data panel</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection2.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0004; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-09-10 --> 2024-09-10</a></p><p><b>effective</b>: 2024-09-10</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs banff-category}\">Banff rejection category</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-category-cs 4}\">Banff 4 – T cell-mediated rejection</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs ihc-if-c4d}\">IHC/IF C4d result</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs post-tx-dsa-class}\">Post-transplant anti-HLA DSA class</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs class-ii}\">Class II</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs mfi-category}\">MFI category</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/mfi-category-cs MR}\">MR (moderate, 2k–4k)</span></p></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMD-2-0001"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunological-data-panel-cs",
"code" : "immunological-data-panel",
"display" : "Immunological data panel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection2"
},
"effectiveDateTime" : "2024-09-10",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "banff-category",
"display" : "Banff rejection category"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-category-cs",
"code" : "4",
"display" : "Banff 4 – T cell-mediated rejection"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "ihc-if-c4d",
"display" : "IHC/IF C4d result"
}
]
},
"valueBoolean" : false
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "post-tx-dsa-class",
"display" : "Post-transplant anti-HLA DSA class"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs",
"code" : "class-ii",
"display" : "Class II"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "mfi-category",
"display" : "MFI category"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/mfi-category-cs",
"code" : "MR",
"display" : "MR (moderate, 2k–4k)"
}
]
}
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/kidney-lab-creatinine-rejection-2",
"resource" : {
"resourceType" : "Observation",
"id" : "kidney-lab-creatinine-rejection-2",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/lab-result-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_kidney-lab-creatinine-rejection-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation kidney-lab-creatinine-rejection-2</b></p><a name=\"kidney-lab-creatinine-rejection-2\"> </a><a name=\"hckidney-lab-creatinine-rejection-2\"> </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-lab-result-observation.html\">Lab Result</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/LBR-2-0003</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2160-0}\">Creatinine [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitRejection2.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0004; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-09-10 --> 2024-09-10</a></p><p><b>effective</b>: 2024-09-10 08:30:00+0200</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: 3.1 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "LBR-2-0003"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "2160-0",
"display" : "Creatinine [Mass/volume] in Serum or Plasma"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitRejection2"
},
"effectiveDateTime" : "2024-09-10T08:30:00+02:00",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueQuantity" : {
"value" : 3.1,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/MedicationStatement/KidneyImmPatRejectionTreatment1",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "KidneyImmPatRejectionTreatment1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_KidneyImmPatRejectionTreatment1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement KidneyImmPatRejectionTreatment1</b></p><a name=\"KidneyImmPatRejectionTreatment1\"> </a><a name=\"hcKidneyImmPatRejectionTreatment1\"> </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-imm-pat.html\">Immunosuppressant to Patient</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/IMP-2-0004</p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs maintenance}\">Maintenance</span></p><p><b>medication</b>: <a href=\"Medication-ImmunosuppressantExample1.html\">Medication Steroid (methylprednisolone)</a></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>context</b>: <a href=\"Encounter-KidneyVisitRejection2.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0004; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2024-09-10 --> 2024-09-10</a></p><p><b>effective</b>: 2024-09-10 --> 2024-09-12</p><blockquote><p><b>dosage</b></p><p><b>text</b>: Rejection treatment: intravenous methylprednisolone pulse, once daily for three consecutive days, for the rejection episode recorded at this visit. Not maintenance therapy — the DM phase list has no value for rejection treatment.</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>10 mg/kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg.kg-1 = 'mg.kg-1')</span></td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMP-2-0004"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs",
"code" : "maintenance",
"display" : "Maintenance"
}
]
},
"medicationReference" : {
🔗 "reference" : "Medication/ImmunosuppressantExample1"
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"context" : {
🔗 "reference" : "Encounter/KidneyVisitRejection2"
},
"effectivePeriod" : {
"start" : "2024-09-10",
"end" : "2024-09-12"
},
"dosage" : [
{
"text" : "Rejection treatment: intravenous methylprednisolone pulse, once daily for three consecutive days, for the rejection episode recorded at this visit. Not maintenance therapy — the DM phase list has no value for rejection treatment.",
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 10,
"unit" : "mg/kg",
"system" : "http://unitsofmeasure.org",
"code" : "mg.kg-1"
}
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Encounter/KidneyVisitTermination1",
"resource" : {
"resourceType" : "Encounter",
"id" : "KidneyVisitTermination1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/visit"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_KidneyVisitTermination1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter KidneyVisitTermination1</b></p><a name=\"KidneyVisitTermination1\"> </a><a name=\"hcKidneyVisitTermination1\"> </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-visit.html\">Visit</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/VIS-2-0005</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs termination}\">Termination visit</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>period</b>: 2025-01-20 --> 2025-01-20</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "VIS-2-0005"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/visit-type-cs",
"code" : "termination",
"display" : "Termination visit"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"period" : {
"start" : "2025-01-20",
"end" : "2025-01-20"
}
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Condition/KidneyEventGraftFailure1",
"resource" : {
"resourceType" : "Condition",
"id" : "KidneyEventGraftFailure1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_KidneyEventGraftFailure1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition KidneyEventGraftFailure1</b></p><a name=\"KidneyEventGraftFailure1\"> </a><a name=\"hcKidneyEventGraftFailure1\"> </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-clinical-event.html\">Clinical Event</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/CLE-2-0004</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs graft-failure}\">Graft Failure</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitTermination1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0005; status = finished; class = ambulatory (ActCode#AMB); type = Termination visit; period = 2025-01-20 --> 2025-01-20</a></p><p><b>onset</b>: 2025-01-20</p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "CLE-2-0004"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-type-cs",
"code" : "graft-failure",
"display" : "Graft Failure"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitTermination1"
},
"onsetDateTime" : "2025-01-20"
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Observation/kidney-lab-creatinine-termination-1",
"resource" : {
"resourceType" : "Observation",
"id" : "kidney-lab-creatinine-termination-1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/lab-result-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_kidney-lab-creatinine-termination-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation kidney-lab-creatinine-termination-1</b></p><a name=\"kidney-lab-creatinine-termination-1\"> </a><a name=\"hckidney-lab-creatinine-termination-1\"> </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-lab-result-observation.html\">Lab Result</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-NsProtectChildId.html\" title=\"Single identifier namespace for PROTECT-CHILD record business identifiers (patient, donor, visit, transplant, and all per-visit clinical/lab/medication/specimen/event records). The resource type distinguishes the kind of record. Identifiers follow one convention: TOKEN-CENTRE-SEQUENCE, for example REC-1-0001 (patient, centre 1, sequence 1) or LBR-1-0006 (lab result); study-wide catalogue entries such as lab tests are not centre-qualified and use TOKEN-SEQUENCE, for example LBT-0001. Identifiers carry no clinical meaning.\">ProtectChildId</a>/LBR-2-0004</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2160-0}\">Creatinine [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-KidneyVisitTermination1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-2-0005; status = finished; class = ambulatory (ActCode#AMB); type = Termination visit; period = 2025-01-20 --> 2025-01-20</a></p><p><b>effective</b>: 2025-01-20 09:00:00+0100</p><p><b>performer</b>: <a href=\"Organization-PCCenter2Padova.html\">Organization University of Padova</a></p><p><b>value</b>: 5.2 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "LBR-2-0004"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "2160-0",
"display" : "Creatinine [Mass/volume] in Serum or Plasma"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"encounter" : {
🔗 "reference" : "Encounter/KidneyVisitTermination1"
},
"effectiveDateTime" : "2025-01-20T09:00:00+01:00",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter2Padova"
}
],
"valueQuantity" : {
"value" : 5.2,
"unit" : "mg/dL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/KidneyDialysisChronic1",
"resource" : {
"resourceType" : "Procedure",
"id" : "KidneyDialysisChronic1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_KidneyDialysisChronic1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure KidneyDialysisChronic1</b></p><a name=\"KidneyDialysisChronic1\"> </a><a name=\"hcKidneyDialysisChronic1\"> </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-clinical-event-procedure.html\">Clinical Event Procedure</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs hemodialysis}\">Hemodialysis</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>performed</b>: 2025-01-20 --> (ongoing)</p><p><b>reasonReference</b>: <a href=\"Condition-KidneyEventGraftFailure1.html\">Condition Graft Failure</a></p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs",
"code" : "hemodialysis",
"display" : "Hemodialysis"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"performedPeriod" : {
"start" : "2025-01-20"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/KidneyEventGraftFailure1"
}
]
}
},
{
"fullUrl" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/Procedure/KidneyRelisting1",
"resource" : {
"resourceType" : "Procedure",
"id" : "KidneyRelisting1",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_KidneyRelisting1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure KidneyRelisting1</b></p><a name=\"KidneyRelisting1\"> </a><a name=\"hcKidneyRelisting1\"> </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-clinical-event-procedure.html\">Clinical Event Procedure</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs transplant-listing}\">Listed for retransplant</span></p><p><b>subject</b>: <a href=\"Patient-KidneyRecipient1.html\">Anonymous Patient Male, DoB Unknown ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-2-0001)</a></p><p><b>performed</b>: 2025-02-10</p><p><b>reasonReference</b>: <a href=\"Condition-KidneyEventGraftFailure1.html\">Condition Graft Failure</a></p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/clinical-event-procedure-type-cs",
"code" : "transplant-listing",
"display" : "Listed for retransplant"
}
]
},
"subject" : {
🔗 "reference" : "Patient/KidneyRecipient1"
},
"performedDateTime" : "2025-02-10",
"reasonReference" : [
{
🔗 "reference" : "Condition/KidneyEventGraftFailure1"
}
]
}
}
]
}