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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="LiverHistologyEbvExample1"/>
  <meta>
    <profile
             value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-instrumental-investigation"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system
            value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id"/>
    <value value="IIV-1-0002"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system
              value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/instrumental-investigation-name-cs"/>
      <code value="liver-histology"/>
      <display value="Liver Histology"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/ExamplePatientTransplant1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/VisitExample1"/>
  </encounter>
  <effectiveDateTime value="2023-09-15"/>
  <performer>🔗 
    <reference value="Organization/PCCenter1LaPaz"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-result-cs"/>
      <code value="abnormal"/>
      <display value="Abnormal"/>
    </coding>
  </valueCodeableConcept>
  <component>
    <code>
      <coding>
        <system
                value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-instrumental-investigation-component-cs"/>
        <code value="abnormality"/>
        <display value="Abnormality description"/>
      </coding>
    </code>
    <valueString
                 value="Portal and lobular mononuclear infiltrate, EBER-positive nuclei; no bile duct damage or endothelialitis — favours EBV hepatitis over rejection."/>
  </component>
</Observation>