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Packagehl7.fhir.us.uscdi-scd
Resource TypeBiologicallyDerivedProduct
IdBiologicallyDerivedProduct-prbcs-antigen-matched-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: BiologicallyDerivedProduct prbcs-antigen-matched-example

SCD Transfusion Red Cell Antigen Match Profile

  • matchedAntigen: C antigen (Rh2) (substance)
  • matchedAntigen: E antigen (Rh3) (substance)
  • matchedAntigen: K antigen (Kell1) (substance)
  • matchingProtocol: Extended CcEeK + Fya + Jkb antigen matching per institutional SCD transfusion protocol

SCD Blood Product Age at Transfusion: 5 days (Details: UCUM coded = 'd')

productCategory: Cells

productCode: Packed RBCs — leukoreduced, irradiated, antigen-matched, HbS-negative

status: Available

request: ServiceRequest Automated red blood cell exchange (procedure)

Collections

-Collected[x]
*2024-11-09 00:00:00-0600

processing

description: Leukoreduction by filtration

procedure: Leukoreduced

time: 2024-11-09 02:00:00-0600

processing

description: Gamma irradiation (25 Gy)

procedure: Irradiated

time: 2024-11-09 03:00:00-0600

processing

description: Extended antigen matching: C-neg, E-neg, K-neg, Fya-neg, Jkb-neg; HbS-negative unit confirmed

procedure: Extended Phenotype Matched

Storages

-Duration
*2024-11-09 03:00:00-0600 --> 2024-11-14 06:00:00-0600

Source1

{
  "resourceType": "BiologicallyDerivedProduct",
  "id": "prbcs-antigen-matched-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-biologicallyderivedproduct"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "matchedAntigen",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "16951006",
                "display": "C antigen (Rh2) (substance)"
              }
            ]
          }
        },
        {
          "url": "matchedAntigen",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "73817003",
                "display": "E antigen (Rh3) (substance)"
              }
            ]
          }
        },
        {
          "url": "matchedAntigen",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "90290005",
                "display": "K antigen (Kell1) (substance)"
              }
            ]
          }
        },
        {
          "url": "matchingProtocol",
          "valueString": "Extended CcEeK + Fya + Jkb antigen matching per institutional SCD transfusion protocol"
        }
      ],
      "url": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-transfusion-antigen-match"
    },
    {
      "url": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-blood-product-age",
      "valueQuantity": {
        "value": 5,
        "unit": "days",
        "system": "http://unitsofmeasure.org",
        "code": "d"
      }
    }
  ],
  "productCategory": "cells",
  "productCode": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "3360007",
        "display": "Packed red blood cells (product)"
      },
      {
        "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-blood-product-processing-cs",
        "code": "sickle-cell-negative",
        "display": "Sickle Cell Trait Negative (HbS Negative)"
      }
    ],
    "text": "Packed RBCs — leukoreduced, irradiated, antigen-matched, HbS-negative"
  },
  "status": "available",
  "request": [
    {
      "reference": "ServiceRequest/exchange-transfusion-order-example"
    }
  ],
  "collection": {
    "collectedDateTime": "2024-11-09T00:00:00-06:00"
  },
  "processing": [
    {
      "description": "Leukoreduction by filtration",
      "procedure": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-blood-product-processing-cs",
            "code": "leukoreduced",
            "display": "Leukoreduced"
          }
        ]
      },
      "timeDateTime": "2024-11-09T02:00:00-06:00"
    },
    {
      "description": "Gamma irradiation (25 Gy)",
      "procedure": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-blood-product-processing-cs",
            "code": "irradiated",
            "display": "Irradiated"
          }
        ]
      },
      "timeDateTime": "2024-11-09T03:00:00-06:00"
    },
    {
      "description": "Extended antigen matching: C-neg, E-neg, K-neg, Fya-neg, Jkb-neg; HbS-negative unit confirmed",
      "procedure": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-blood-product-processing-cs",
            "code": "extended-phenotype-matched",
            "display": "Extended Phenotype Matched"
          },
          {
            "system": "http://hl7.org/fhir/us/uscdi-scd/CodeSystem/scd-blood-product-processing-cs",
            "code": "sickle-cell-negative",
            "display": "Sickle Cell Trait Negative (HbS Negative)"
          }
        ]
      }
    }
  ],
  "storage": [
    {
      "duration": {
        "start": "2024-11-09T03:00:00-06:00",
        "end": "2024-11-14T06:00:00-06:00"
      }
    }
  ]
}