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
{
"resourceType" : "Observation",
"id" : "ImmunologicalDataExample2",
"meta" : {
"profile" : [
🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunological-data"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ImmunologicalDataExample2</b></p><a name=\"ImmunologicalDataExample2\"> </a><a name=\"hcImmunologicalDataExample2\"> </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-1-0002</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-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 --> 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><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 ihc-if-c4d}\">IHC/IF C4d result</span></p><p><b>value</b>: true</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 c4d-result}\">C4d result detail</span></p><p><b>value</b>: C4d positive in the portal microvasculature, diffuse portal capillary staining</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 if-result}\">Immunofluorescence result</span></p><p><b>value</b>: Diffuse portal microvascular C4d staining; no immune-complex deposition</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 post-tx-dsa-class}\">Post-transplant anti-HLA DSA class</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs class-i}\">Class I</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 mfi-category}\">MFI category</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/mfi-category-cs SR}\">SR (strong, >4k)</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 antibody-type}\">Antibody type specification</span></p><p><b>value</b>: Anti-HLA class I donor-specific antibody against 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 anca}\">ANCA result</span></p><p><b>value</b>: false</p></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
"value" : "IMD-1-0002"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
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"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/immunological-data-panel-cs",
"code" : "immunological-data-panel",
"display" : "Immunological data panel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientTransplant1"
},
"encounter" : {
🔗 "reference" : "Encounter/VisitClinicalEventExample1"
},
"effectiveDateTime" : "2023-11-15",
"performer" : [
{
🔗 "reference" : "Organization/PCCenter1LaPaz"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "ihc-if-c4d",
"display" : "IHC/IF C4d result"
}
]
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"valueBoolean" : true
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{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "c4d-result",
"display" : "C4d result detail"
}
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},
"valueString" : "C4d positive in the portal microvasculature, diffuse portal capillary staining"
},
{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "if-result",
"display" : "Immunofluorescence result"
}
]
},
"valueString" : "Diffuse portal microvascular C4d staining; no immune-complex deposition"
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{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "post-tx-dsa-class",
"display" : "Post-transplant anti-HLA DSA class"
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"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs",
"code" : "class-i",
"display" : "Class I"
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{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "mfi-category",
"display" : "MFI category"
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]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/mfi-category-cs",
"code" : "SR",
"display" : "SR (strong, >4k)"
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{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "antibody-type",
"display" : "Antibody type specification"
}
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"valueString" : "Anti-HLA class I donor-specific antibody against B*44:03"
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{
"code" : {
"coding" : [
{
"system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
"code" : "anca",
"display" : "ANCA result"
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