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
| Draft as of 2026-09-28 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/graft-pathology-cs> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "graft-pathology-cs"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem graft-pathology-cs</b></p><a name=\"graft-pathology-cs\"> </a><a name=\"hcgraft-pathology-cs\"> </a><p>This case-sensitive code system <code>https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/graft-pathology-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">banff-category<a name=\"graft-pathology-cs-banff-category\"> </a></td><td>Banff diagnostic category</td><td>Banff 2022 diagnostic category assigned on a kidney allograft biopsy.</td></tr><tr><td style=\"white-space:nowrap\">liver-rai<a name=\"graft-pathology-cs-liver-rai\"> </a></td><td>Banff Rejection Activity Index (liver)</td><td>Total Banff Rejection Activity Index (RAI) for liver allograft rejection, 0–9.</td></tr><tr><td style=\"white-space:nowrap\">banff-g<a name=\"graft-pathology-cs-banff-g\"> </a></td><td>g – glomerulitis</td><td>Banff lesion score for glomerulitis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-ptc<a name=\"graft-pathology-cs-banff-ptc\"> </a></td><td>ptc – peritubular capillaritis</td><td>Banff lesion score for peritubular capillaritis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-i<a name=\"graft-pathology-cs-banff-i\"> </a></td><td>i – interstitial inflammation</td><td>Banff lesion score for interstitial inflammation, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-t<a name=\"graft-pathology-cs-banff-t\"> </a></td><td>t – tubulitis</td><td>Banff lesion score for tubulitis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-v<a name=\"graft-pathology-cs-banff-v\"> </a></td><td>v – intimal arteritis</td><td>Banff lesion score for intimal arteritis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-ci<a name=\"graft-pathology-cs-banff-ci\"> </a></td><td>ci – interstitial fibrosis</td><td>Banff lesion score for interstitial fibrosis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-ct<a name=\"graft-pathology-cs-banff-ct\"> </a></td><td>ct – tubular atrophy</td><td>Banff lesion score for tubular atrophy, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-cg<a name=\"graft-pathology-cs-banff-cg\"> </a></td><td>cg – transplant glomerulopathy</td><td>Glomerular basement membrane double contours. Banff scores cg1 as cg1a/cg1b; both are recorded here as 1.</td></tr><tr><td style=\"white-space:nowrap\">banff-ah<a name=\"graft-pathology-cs-banff-ah\"> </a></td><td>ah – arteriolar hyalinosis</td><td>Banff lesion score for arteriolar hyalinosis, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">banff-mm<a name=\"graft-pathology-cs-banff-mm\"> </a></td><td>mm – mesangial matrix expansion</td><td>Banff lesion score for mesangial matrix expansion, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">rai-portal-inflammation<a name=\"graft-pathology-cs-rai-portal-inflammation\"> </a></td><td>Portal inflammation</td><td>Rejection activity index component for portal inflammation, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">rai-bile-duct-inflammation<a name=\"graft-pathology-cs-rai-bile-duct-inflammation\"> </a></td><td>Bile duct inflammation / damage</td><td>Rejection activity index component for bile duct inflammation / damage, graded 0–3.</td></tr><tr><td style=\"white-space:nowrap\">rai-venous-endothelial-inflammation<a name=\"graft-pathology-cs-rai-venous-endothelial-inflammation\"> </a></td><td>Venous endothelial inflammation</td><td>Rejection activity index component for venous endothelial inflammation, graded 0–3.</td></tr></table></div>"
] ;
fhir:CodeSystem.url [ fhir:value "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/graft-pathology-cs"] ;
fhir:CodeSystem.version [ fhir:value "0.1.0-ci-build"] ;
fhir:CodeSystem.name [ fhir:value "GraftPathologyCS"] ;
fhir:CodeSystem.title [ fhir:value "Graft Pathology Codes"] ;
fhir:CodeSystem.status [ fhir:value "draft"] ;
fhir:CodeSystem.experimental [ fhir:value "true"^^xsd:boolean] ;
fhir:CodeSystem.date [ fhir:value "2026-09-28T06:51:47+00:00"^^xsd:dateTime] ;
fhir:CodeSystem.publisher [ fhir:value "Protect Child"] ;
fhir:CodeSystem.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "Protect Child" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "https://protect-child.eu/" ]
]
] ;
fhir:CodeSystem.description [ fhir:value "Local observation and component codes for graft biopsy scoring: the Banff diagnostic category, the Banff lesion scores, and the liver Banff Rejection Activity Index with its three constituent scores. Neither LOINC nor SNOMED CT carries these."] ;
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
fhir:CodeSystem.content [ fhir:value "complete"] ;
fhir:CodeSystem.count [ fhir:value "15"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index 0 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-category" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Banff diagnostic category" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff 2022 diagnostic category assigned on a kidney allograft biopsy." ]
], [
fhir:index 1 ;
fhir:CodeSystem.concept.code [ fhir:value "liver-rai" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Banff Rejection Activity Index (liver)" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Total Banff Rejection Activity Index (RAI) for liver allograft rejection, 0–9." ]
], [
fhir:index 2 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-g" ] ;
fhir:CodeSystem.concept.display [ fhir:value "g – glomerulitis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for glomerulitis, graded 0–3." ]
], [
fhir:index 3 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-ptc" ] ;
fhir:CodeSystem.concept.display [ fhir:value "ptc – peritubular capillaritis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for peritubular capillaritis, graded 0–3." ]
], [
fhir:index 4 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-i" ] ;
fhir:CodeSystem.concept.display [ fhir:value "i – interstitial inflammation" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for interstitial inflammation, graded 0–3." ]
], [
fhir:index 5 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-t" ] ;
fhir:CodeSystem.concept.display [ fhir:value "t – tubulitis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for tubulitis, graded 0–3." ]
], [
fhir:index 6 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-v" ] ;
fhir:CodeSystem.concept.display [ fhir:value "v – intimal arteritis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for intimal arteritis, graded 0–3." ]
], [
fhir:index 7 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-ci" ] ;
fhir:CodeSystem.concept.display [ fhir:value "ci – interstitial fibrosis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for interstitial fibrosis, graded 0–3." ]
], [
fhir:index 8 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-ct" ] ;
fhir:CodeSystem.concept.display [ fhir:value "ct – tubular atrophy" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for tubular atrophy, graded 0–3." ]
], [
fhir:index 9 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-cg" ] ;
fhir:CodeSystem.concept.display [ fhir:value "cg – transplant glomerulopathy" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Glomerular basement membrane double contours. Banff scores cg1 as cg1a/cg1b; both are recorded here as 1." ]
], [
fhir:index 10 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-ah" ] ;
fhir:CodeSystem.concept.display [ fhir:value "ah – arteriolar hyalinosis" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for arteriolar hyalinosis, graded 0–3." ]
], [
fhir:index 11 ;
fhir:CodeSystem.concept.code [ fhir:value "banff-mm" ] ;
fhir:CodeSystem.concept.display [ fhir:value "mm – mesangial matrix expansion" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Banff lesion score for mesangial matrix expansion, graded 0–3." ]
], [
fhir:index 12 ;
fhir:CodeSystem.concept.code [ fhir:value "rai-portal-inflammation" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Portal inflammation" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Rejection activity index component for portal inflammation, graded 0–3." ]
], [
fhir:index 13 ;
fhir:CodeSystem.concept.code [ fhir:value "rai-bile-duct-inflammation" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Bile duct inflammation / damage" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Rejection activity index component for bile duct inflammation / damage, graded 0–3." ]
], [
fhir:index 14 ;
fhir:CodeSystem.concept.code [ fhir:value "rai-venous-endothelial-inflammation" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Venous endothelial inflammation" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Rejection activity index component for venous endothelial inflammation, graded 0–3." ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/graft-pathology-cs.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/graft-pathology-cs.ttl> .
IG © 2025 Protect Child. Package hl7.eu.fhir.protect-child#0.1.0-ci-build based on FHIR 4.0.1. Generated 2026-09-28
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