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 Immunological Data — pre-transplant typing - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="ImmunologicalDataExample1"/>
  <meta>
    <profile
             value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunological-data"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ImmunologicalDataExample1</b></p><a name="ImmunologicalDataExample1"> </a><a name="hcImmunologicalDataExample1"> </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-immunological-data.html">Immunological Data</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>/IMD-1-0001</p><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:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunological-data-panel-cs immunological-data-panel}">Immunological data panel</span></p><p><b>subject</b>: <a href="Patient-ExamplePatientTransplant1.html">Anonymous Patient Female, DoB Unknown ( 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-VisitPreTxExample1.html">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0001; status = finished; class = inpatient encounter (ActCode#IMP); type = Pre-transplant visit; period = 2023-07-25 --&gt; 2023-08-28</a></p><p><b>effective</b>: 2023-08-01</p><p><b>performer</b>: <a href="Organization-PCCenter1LaPaz.html">Organization La Paz University Hospital</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 883-9}">ABO group [Type] in Blood</span></p><p><b>value</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-abo-group-cs A}">Group A</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 10331-7}">Rh [Type] in Blood</span></p><p><b>value</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-rh-factor-cs positive}">Rh positive</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-a-1}">HLA-A allele 1</span></p><p><b>value</b>: A*02:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-a-2}">HLA-A allele 2</span></p><p><b>value</b>: A*24:02</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-b-1}">HLA-B allele 1</span></p><p><b>value</b>: B*07:02</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-b-2}">HLA-B allele 2</span></p><p><b>value</b>: B*44:03</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-c-1}">HLA-C allele 1</span></p><p><b>value</b>: C*07:02</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-c-2}">HLA-C allele 2</span></p><p><b>value</b>: C*16:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-drb1-1}">HLA-DRB1 allele 1</span></p><p><b>value</b>: DRB1*03:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-drb1-2}">HLA-DRB1 allele 2</span></p><p><b>value</b>: DRB1*15:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-dp-1}">HLA-DP allele 1</span></p><p><b>value</b>: DPB1*04:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-dp-2}">HLA-DP allele 2</span></p><p><b>value</b>: DPB1*02:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-dqb1-1}">HLA-DQB1 allele 1</span></p><p><b>value</b>: DQB1*02:01</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs hla-dqb1-2}">HLA-DQB1 allele 2</span></p><p><b>value</b>: DQB1*06:02</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs pre-tx-dsa}">Pre-transplant anti-HLA DSA</span></p><p><b>value</b>: No donor-specific antibodies detected on pre-transplant screen</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs anti-hla-antibodies}">Presence of anti-HLA antibodies</span></p><p><b>value</b>: false</p></blockquote></div>
  </text>
  <identifier>
    <system
            value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id"/>
    <value value="IMD-1-0001"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system
              value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunological-data-panel-cs"/>
      <code value="immunological-data-panel"/>
      <display value="Immunological data panel"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/ExamplePatientTransplant1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/VisitPreTxExample1"/>
  </encounter>
  <effectiveDateTime value="2023-08-01"/>
  <performer>🔗 
    <reference value="Organization/PCCenter1LaPaz"/>
  </performer>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="883-9"/>
        <display value="ABO group [Type] in Blood"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-abo-group-cs"/>
        <code value="A"/>
        <display value="Group A"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10331-7"/>
        <display value="Rh [Type] in Blood"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-rh-factor-cs"/>
        <code value="positive"/>
        <display value="Rh positive"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-a-1"/>
        <display value="HLA-A allele 1"/>
      </coding>
    </code>
    <valueString value="A*02:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-a-2"/>
        <display value="HLA-A allele 2"/>
      </coding>
    </code>
    <valueString value="A*24:02"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-b-1"/>
        <display value="HLA-B allele 1"/>
      </coding>
    </code>
    <valueString value="B*07:02"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-b-2"/>
        <display value="HLA-B allele 2"/>
      </coding>
    </code>
    <valueString value="B*44:03"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-c-1"/>
        <display value="HLA-C allele 1"/>
      </coding>
    </code>
    <valueString value="C*07:02"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-c-2"/>
        <display value="HLA-C allele 2"/>
      </coding>
    </code>
    <valueString value="C*16:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-drb1-1"/>
        <display value="HLA-DRB1 allele 1"/>
      </coding>
    </code>
    <valueString value="DRB1*03:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-drb1-2"/>
        <display value="HLA-DRB1 allele 2"/>
      </coding>
    </code>
    <valueString value="DRB1*15:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-dp-1"/>
        <display value="HLA-DP allele 1"/>
      </coding>
    </code>
    <valueString value="DPB1*04:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-dp-2"/>
        <display value="HLA-DP allele 2"/>
      </coding>
    </code>
    <valueString value="DPB1*02:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-dqb1-1"/>
        <display value="HLA-DQB1 allele 1"/>
      </coding>
    </code>
    <valueString value="DQB1*02:01"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="hla-dqb1-2"/>
        <display value="HLA-DQB1 allele 2"/>
      </coding>
    </code>
    <valueString value="DQB1*06:02"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="pre-tx-dsa"/>
        <display value="Pre-transplant anti-HLA DSA"/>
      </coding>
    </code>
    <valueString
                 value="No donor-specific antibodies detected on pre-transplant screen"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="anti-hla-antibodies"/>
        <display value="Presence of anti-HLA antibodies"/>
      </coding>
    </code>
    <valueBoolean value="false"/>
  </component>
</Observation>