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

• Narrative Content
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• JSON
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: Example graft biopsy — liver, rejection episode - JSON Representation

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{
  "resourceType" : "DiagnosticReport",
  "id" : "GraftBiopsyLiver1",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/graft-biopsy"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport GraftBiopsyLiver1</b></p><a name=\"GraftBiopsyLiver1\"> </a><a name=\"hcGraftBiopsyLiver1\"> </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-graft-biopsy.html\">Graft Biopsy</a></p></div><h2><span title=\"Codes:{http://loinc.org 11529-5}\">Surgical pathology study</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 SP}\">Surgical Pathology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)</td></tr><tr><td>Relevant Time</td><td>2023-11-15</td></tr><tr><td>Performer</td><td> <a href=\"Organization-PCCenter1LaPaz.html\">Organization La Paz University Hospital</a></td></tr><tr><td>Identifier</td><td> <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-1-0002</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td></tr><tr><td><a href=\"Observation-LiverRai1.html\"><span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/graft-pathology-cs liver-rai}\">Banff Rejection Activity Index (liver)</span></a></td><td>6</td><td>Final</td><td/></tr><tr><td><a href=\"Observation-C4dStainLiver1.html\"><span title=\"Codes:{http://loinc.org 49461-7}\">C4d Ag [Presence] in Tissue by Immune stain</span></a></td><td><span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-c4d-score-cs c4d-3}\">C4d3 – diffuse (&gt;50%)</span></td><td>Final</td><td><blockquote><div><p>C4d positive in the portal microvasculature, diffuse portal capillary staining.</p>\n</div></blockquote></td></tr></table><p>Diffuse portal microvascular C4d staining; no immune-complex deposition.</p></div>"
  },
  "identifier" : [
    {
      "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
      "value" : "IMD-1-0002"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "SP",
          "display" : "Surgical Pathology"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11529-5",
        "display" : "Surgical pathology study"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientTransplant1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/VisitClinicalEventExample1"
  },
  "effectiveDateTime" : "2023-11-15",
  "performer" : [
    {
      🔗 "reference" : "Organization/PCCenter1LaPaz"
    }
  ],
  "specimen" : [
    {
      🔗 "reference" : "Specimen/LiverBiopsySpecimen1"
    }
  ],
  "result" : [
    {
      🔗 "reference" : "Observation/LiverRai1"
    },
    {
      🔗 "reference" : "Observation/C4dStainLiver1"
    }
  ],
  "conclusion" : "Diffuse portal microvascular C4d staining; no immune-complex deposition."
}