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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "ImmunologicalDataExample1",
  "meta": {
    "profile": [
      "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunological-data"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/immunological-data-id",
      "value": "IMMDATA-001"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "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/VisitExample1"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "883-9",
            "display": "ABO group [Type] in Blood"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-abo-group-cs",
            "code": "A",
            "display": "Group A"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "10331-7",
            "display": "Rh [Type] in Blood"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/patient-rh-factor-cs",
            "code": "positive",
            "display": "Rh positive"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
            "code": "hla-a-1",
            "display": "HLA-A allele 1"
          }
        ]
      },
      "valueString": "A*02:01"
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
            "code": "hla-a-2",
            "display": "HLA-A allele 2"
          }
        ]
      },
      "valueString": "A*24:02"
    },
    {
      "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"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/dsa-class-cs",
            "code": "class-i",
            "display": "Class I"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/imm-data-component-cs",
            "code": "banff-category",
            "display": "Banff rejection category"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/banff-category-cs",
            "code": "2",
            "display": "Banff 2 – Antibody-mediated changes"
          }
        ]
      }
    }
  ]
}