{
  "resourceType" : "Observation",
  "id" : "C4dStainLiver1",
  "meta" : {
    "profile" : ["https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/c4d-stain"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation C4dStainLiver1</b></p><a name=\"C4dStainLiver1\"> </a><a name=\"hcC4dStainLiver1\"> </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-c4d-stain.html\">C4d Stain</a></p></div><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 49461-7}\">C4d Ag [Presence] in Tissue by Immune stain</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientTransplant1.html\">Anonymous Patient Female, DoB: 2014-08 ( https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#REC-1-0001)</a></p><p><b>encounter</b>: <a href=\"Encounter-VisitClinicalEventExample1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0003; status = finished; class = ambulatory (ActCode#AMB); type = Clinical Event visit; period = 2023-11-15 --&gt; 2023-11-15</a></p><p><b>effective</b>: 2023-11-15</p><p><b>performer</b>: <a href=\"Organization-PCCenter1LaPaz.html\">Organization La Paz University Hospital</a></p><p><b>value</b>: <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></p><p><b>note</b>: </p><blockquote><div><p>C4d positive in the portal microvasculature, diffuse portal capillary staining.</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Specimen-LiverBiopsySpecimen1.html\">Specimen: status = available; type = Tissue</a></p></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "49461-7",
      "display" : "C4d Ag [Presence] in Tissue by Immune stain"
    }]
  },
  "subject" : {
    "reference" : "Patient/ExamplePatientTransplant1"
  },
  "encounter" : {
    "reference" : "Encounter/VisitClinicalEventExample1"
  },
  "effectiveDateTime" : "2023-11-15",
  "performer" : [{
    "reference" : "Organization/PCCenter1LaPaz"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-c4d-score-cs",
      "code" : "c4d-3",
      "display" : "C4d3 – diffuse (>50%)"
    }]
  },
  "note" : [{
    "text" : "C4d positive in the portal microvasculature, diffuse portal capillary staining."
  }],
  "specimen" : {
    "reference" : "Specimen/LiverBiopsySpecimen1"
  }
}