<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="graft-pathology-cs"/>
  <text>
    <status value="generated"/><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>
  </text>
  <url value="https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/graft-pathology-cs"/>
  <version value="0.1.0-ci-build"/>
  <name value="GraftPathologyCS"/>
  <title value="Graft Pathology Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-09-28T06:51:47+00:00"/>
  <publisher value="Protect Child"/>
  <contact>
    <name value="Protect Child"/>
    <telecom>
      <system value="url"/>
      <value value="https://protect-child.eu/"/>
    </telecom>
  </contact>
  <description 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."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="15"/>
  <concept>
    <code value="banff-category"/>
    <display value="Banff diagnostic category"/>
    <definition value="Banff 2022 diagnostic category assigned on a kidney allograft biopsy."/>
  </concept>
  <concept>
    <code value="liver-rai"/>
    <display value="Banff Rejection Activity Index (liver)"/>
    <definition value="Total Banff Rejection Activity Index (RAI) for liver allograft rejection, 0–9."/>
  </concept>
  <concept>
    <code value="banff-g"/>
    <display value="g – glomerulitis"/>
    <definition value="Banff lesion score for glomerulitis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-ptc"/>
    <display value="ptc – peritubular capillaritis"/>
    <definition value="Banff lesion score for peritubular capillaritis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-i"/>
    <display value="i – interstitial inflammation"/>
    <definition value="Banff lesion score for interstitial inflammation, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-t"/>
    <display value="t – tubulitis"/>
    <definition value="Banff lesion score for tubulitis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-v"/>
    <display value="v – intimal arteritis"/>
    <definition value="Banff lesion score for intimal arteritis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-ci"/>
    <display value="ci – interstitial fibrosis"/>
    <definition value="Banff lesion score for interstitial fibrosis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-ct"/>
    <display value="ct – tubular atrophy"/>
    <definition value="Banff lesion score for tubular atrophy, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-cg"/>
    <display value="cg – transplant glomerulopathy"/>
    <definition value="Glomerular basement membrane double contours. Banff scores cg1 as cg1a/cg1b; both are recorded here as 1."/>
  </concept>
  <concept>
    <code value="banff-ah"/>
    <display value="ah – arteriolar hyalinosis"/>
    <definition value="Banff lesion score for arteriolar hyalinosis, graded 0–3."/>
  </concept>
  <concept>
    <code value="banff-mm"/>
    <display value="mm – mesangial matrix expansion"/>
    <definition value="Banff lesion score for mesangial matrix expansion, graded 0–3."/>
  </concept>
  <concept>
    <code value="rai-portal-inflammation"/>
    <display value="Portal inflammation"/>
    <definition value="Rejection activity index component for portal inflammation, graded 0–3."/>
  </concept>
  <concept>
    <code value="rai-bile-duct-inflammation"/>
    <display value="Bile duct inflammation / damage"/>
    <definition value="Rejection activity index component for bile duct inflammation / damage, graded 0–3."/>
  </concept>
  <concept>
    <code value="rai-venous-endothelial-inflammation"/>
    <display value="Venous endothelial inflammation"/>
    <definition value="Rejection activity index component for venous endothelial inflammation, graded 0–3."/>
  </concept>
</CodeSystem>