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PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build -

PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build

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

: Kidney example — biopsy immunology panel - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="KidneyImmunologyBiopsy1"/>
  <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 KidneyImmunologyBiopsy1</b></p><a name="KidneyImmunologyBiopsy1"> </a><a name="hcKidneyImmunologyBiopsy1"> </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-2-0001</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-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>encounter</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</p><p><b>performer</b>: <a href="Organization-PCCenter2Padova.html">Organization University of Padova</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 banff-category}">Banff rejection category</span></p><p><b>value</b>: <span title="Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-category-cs 4}">Banff 4 – T cell-mediated rejection</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 ihc-if-c4d}">IHC/IF C4d result</span></p><p><b>value</b>: false</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-ii}">Class II</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 MR}">MR (moderate, 2k–4k)</span></p></blockquote></div>
  </text>
  <identifier>
    <system
            value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id"/>
    <value value="IMD-2-0001"/>
  </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/KidneyRecipient1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/KidneyVisitRejection2"/>
  </encounter>
  <effectiveDateTime value="2024-09-10"/>
  <performer>🔗 
    <reference value="Organization/PCCenter2Padova"/>
  </performer>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="banff-category"/>
        <display value="Banff rejection category"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-category-cs"/>
        <code value="4"/>
        <display value="Banff 4 – T cell-mediated rejection"/>
      </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="ihc-if-c4d"/>
        <display value="IHC/IF C4d result"/>
      </coding>
    </code>
    <valueBoolean value="false"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs"/>
        <code value="post-tx-dsa-class"/>
        <display value="Post-transplant anti-HLA DSA class"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs"/>
        <code value="class-ii"/>
        <display value="Class II"/>
      </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="mfi-category"/>
        <display value="MFI category"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/mfi-category-cs"/>
        <code value="MR"/>
        <display value="MR (moderate, 2k–4k)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>