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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• TTL

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/MedicationStatement/KidneyImmPatRejectionTreatment1> a fhir:MedicationStatement ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "KidneyImmPatRejectionTreatment1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat" ;
       fhir:index 0 ;
       fhir:link <https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/imm-pat>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:MedicationStatement.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id" ] ;
     fhir:Identifier.value [ fhir:value "IMP-2-0004" ]
  ] ;
  fhir:MedicationStatement.status [ fhir:value "completed"] ;
  fhir:MedicationStatement.category [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-pat-phase-cs" ] ;
       fhir:Coding.code [ fhir:value "maintenance" ] ;
       fhir:Coding.display [ fhir:value "Maintenance" ]
     ]
  ] ;
  fhir:MedicationStatement.medicationReference [
     fhir:link <http://hl7.org/fhir/Medication/ImmunosuppressantExample1> ;
     fhir:Reference.reference [ fhir:value "Medication/ImmunosuppressantExample1" ]
  ] ;
  fhir:MedicationStatement.subject [
     fhir:link <http://hl7.org/fhir/Patient/KidneyRecipient1> ;
     fhir:Reference.reference [ fhir:value "Patient/KidneyRecipient1" ]
  ] ;
  fhir:MedicationStatement.context [
     fhir:link <http://hl7.org/fhir/Encounter/KidneyVisitRejection2> ;
     fhir:Reference.reference [ fhir:value "Encounter/KidneyVisitRejection2" ]
  ] ;
  fhir:MedicationStatement.effectivePeriod [
     fhir:Period.start [ fhir:value "2024-09-10"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2024-09-12"^^xsd:date ]
  ] ;
  fhir:MedicationStatement.dosage [
     fhir:index 0 ;
     fhir:Dosage.text [ fhir:value "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." ] ;
     fhir:Dosage.doseAndRate [
       fhir:index 0 ;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "mg/kg" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "mg.kg-1" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Medication/ImmunosuppressantExample1> a fhir:Medication .

<http://hl7.org/fhir/Patient/KidneyRecipient1> a fhir:Patient .

<http://hl7.org/fhir/Encounter/KidneyVisitRejection2> a fhir:Encounter .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/MedicationStatement/KidneyImmPatRejectionTreatment1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/MedicationStatement/KidneyImmPatRejectionTreatment1.ttl> .