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
• XML
• JSON
• TTL

: Example graft biopsy — liver, rejection episode - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="GraftBiopsyLiver1"/>
  <meta>
    <profile
             value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/graft-biopsy"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
</div></blockquote></td></tr></table><p>Diffuse portal microvascular C4d staining; no immune-complex deposition.</p></div>
  </text>
  <identifier>
    <system
            value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id"/>
    <value value="IMD-1-0002"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="SP"/>
      <display value="Surgical Pathology"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11529-5"/>
      <display value="Surgical pathology study"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/ExamplePatientTransplant1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/VisitClinicalEventExample1"/>
  </encounter>
  <effectiveDateTime value="2023-11-15"/>
  <performer>🔗 
    <reference value="Organization/PCCenter1LaPaz"/>
  </performer>
  <specimen>🔗 
    <reference value="Specimen/LiverBiopsySpecimen1"/>
  </specimen>
  <result>🔗 
    <reference value="Observation/LiverRai1"/>
  </result>
  <result>🔗 
    <reference value="Observation/C4dStainLiver1"/>
  </result>
  <conclusion
              value="Diffuse portal microvascular C4d staining; no immune-complex deposition."/>
</DiagnosticReport>