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

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: Example Patient Instrumental Investigation — liver biopsy at the 1-month visit - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "LiverHistologyEbvExample1",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-instrumental-investigation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation LiverHistologyEbvExample1</b></p><a name=\"LiverHistologyEbvExample1\"> </a><a name=\"hcLiverHistologyEbvExample1\"> </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-patient-instrumental-investigation.html\">Patient Instrumental Investigation</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>/IIV-1-0002</p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/instrumental-investigation-name-cs liver-histology}\">Liver Histology</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-VisitExample1.html\">Encounter: identifier = https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id#ProtectChildId#VIS-1-0002; status = finished; class = ambulatory (ActCode#AMB); type = 1 month visit; period = 2023-09-15 --&gt; 2023-09-15</a></p><p><b>effective</b>: 2023-09-15</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/patient-instrumental-investigation-result-cs abnormal}\">Abnormal</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-component-cs abnormality}\">Abnormality description</span></td><td>Portal and lobular mononuclear infiltrate, EBER-positive nuclei; no bile duct damage or endothelialitis — favours EBV hepatitis over rejection.</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id",
      "value" : "IIV-1-0002"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/instrumental-investigation-name-cs",
        "code" : "liver-histology",
        "display" : "Liver Histology"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientTransplant1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/VisitExample1"
  },
  "effectiveDateTime" : "2023-09-15",
  "performer" : [
    {
      🔗 "reference" : "Organization/PCCenter1LaPaz"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-result-cs",
        "code" : "abnormal",
        "display" : "Abnormal"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-component-cs",
            "code" : "abnormality",
            "display" : "Abnormality description"
          }
        ]
      },
      "valueString" : "Portal and lobular mononuclear infiltrate, EBER-positive nuclei; no bile duct damage or endothelialitis — favours EBV hepatitis over rejection."
    }
  ]
}