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

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• JSON
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: Kidney example — steroid pulse for the rejection episode - JSON Representation

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{
  "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\"><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 --&gt; 2024-09-10</a></p><p><b>effective</b>: 2024-09-10 --&gt; 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"
          }
        }
      ]
    }
  ]
}