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PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build -

PROTECT-CHILD Pediatric Transplant Data Implementation Guide
0.1.0-ci-build - ci-build

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

: ClinicalEvent logical model → FHIR - JSON Representation

Draft as of 2026-09-28

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{
  "resourceType" : "ConceptMap",
  "id" : "clinical-event-lm-to-fhir",
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"grid\"><tr><td><b>DM field</b></td><td><b>Target profile</b></td><td><b>FHIR element</b></td><td><b>Relationship</b></td><td><b>Comment</b></td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.clinicalEventId\">clinical_event_id</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.identifier.value\">Condition.identifier.value</a></td><td>related to</td><td>One per DM row folded in: the START row, and the END row when the episode has ended</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.clinicalEventTypeId\">clinical_event_type_id</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.code\">Condition.code</a></td><td>equivalent</td><td>ClinicalEventTypeVS</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.visitId\">visit_id</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.encounter\">Condition.encounter</a></td><td>related to</td><td>The START row. The visit where the episode started</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.visitId\">visit_id</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.extension:endVisit\">Condition.extension:endVisit</a></td><td>related to</td><td>FHIR path: Condition.extension[endVisit]. The END row. The visit where it ended, on the same Condition</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.eventPhase\">event_phase</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.onset_x_\">Condition.onset[x]</a></td><td>related to</td><td>FHIR path: Condition.onsetDateTime. The START row. Sets clinicalStatus = #active</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.eventPhase\">event_phase</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.abatement_x_\">Condition.abatement[x]</a></td><td>related to</td><td>FHIR path: Condition.abatementDateTime. The END row. Sets clinicalStatus = #resolved — on the same Condition</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.causeDeath\">cause_death</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.note:cause_death\">Condition.note:cause_death</a></td><td>equivalent</td><td>FHIR path: Condition.note[cause_death].text.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.specifyKidneyRejectionEpisode\">specify_kidney_rejection_episode</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.note:specify_kidney_rejection_episode\">Condition.note:specify_kidney_rejection_episode</a></td><td>equivalent</td><td>FHIR path: Condition.note[specify_kidney_rejection_episode].text.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.previousUrologicalIntervention\">previous_urological_intervention</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.note:previous_urological_intervention\">Condition.note:previous_urological_intervention</a></td><td>equivalent</td><td>FHIR path: Condition.note[previous_urological_intervention].text.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.underlyingProthromboticDisorders\">underlying_prothrombotic_disorders</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.note:underlying_prothrombotic_disorders\">Condition.note:underlying_prothrombotic_disorders</a></td><td>equivalent</td><td>FHIR path: Condition.note[underlying_prothrombotic_disorders].text.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.kidneyBiopsy\">kidney_biopsy</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.note:kidney_biopsy\">Condition.note:kidney_biopsy</a></td><td>equivalent</td><td>FHIR path: Condition.note[kidney_biopsy].text.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.vascularComplicationType\">vascular_complication_type</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.evidence.code\">Condition.evidence.code</a></td><td>equivalent</td><td>VascularComplicationTypeVS — coded value on the ClinicalEvent itself</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.dgf\">dgf</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.code\">Condition.code</a></td><td>related to</td><td>First-class ClinicalEvent; SNOMED 426136000 Delayed renal graft function; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.episodesAkiAfterLtx\">episodes_aki_after_ltx</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.code\">Condition.code</a></td><td>related to</td><td>First-class ClinicalEvent; SNOMED 14669001 Acute kidney injury; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.histologicEvidenceCniToxicity\">histologic_evidence_cni_toxicity</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.code\">Condition.code</a></td><td>related to</td><td>First-class ClinicalEvent; ClinicalEventTypeCS#histologic-evidence-cni-toxicity (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.hypoxicIschemicEventPltx\">hypoxic_ischemic_event_pltx</a></td><td>clinical-event</td><td><a href=\"StructureDefinition-clinical-event.html#s-Condition.code\">Condition.code</a></td><td>related to</td><td>First-class ClinicalEvent; ClinicalEventTypeCS#hypoxic-ischemic-event-pltx (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.concomitantMedications\">concomitant_medications</a></td><td>clinical-event-flag-observation</td><td><a href=\"StructureDefinition-clinical-event-flag-observation.html#s-Observation.code\">Observation.code</a></td><td>related to</td><td>ClinicalEventEvidenceCS#concomitant-medications; valueBoolean carries the DM value, true or false</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.treatmentAdherence\">treatment_adherence</a></td><td>clinical-event-flag-observation</td><td><a href=\"StructureDefinition-clinical-event-flag-observation.html#s-Observation.code\">Observation.code</a></td><td>related to</td><td>ClinicalEventEvidenceCS#treatment-adherence; valueBoolean carries the DM value, true or false</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.dialysisType\">dialysis_type</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.code\">Procedure.code</a></td><td>equivalent</td><td>SNOMED 302497006 Hemodialysis or 71192002 Peritoneal dialysis</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.dialysisStartDate\">dialysis_start_date</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.performed_x_\">Procedure.performed[x]</a></td><td>equivalent</td><td>FHIR path: Procedure.performedPeriod.start.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.dialysisEndDate\">dialysis_end_date</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.performed_x_\">Procedure.performed[x]</a></td><td>equivalent</td><td>FHIR path: Procedure.performedPeriod.end.</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.retransplantation\">retransplantation</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.code\">Procedure.code</a></td><td>related to</td><td>SNOMED 18027006 / 70536003 (the organ transplanted); true → status = #completed, false → status = #not-done with no date</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.retransplantationDate\">retransplantation_date</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.performed_x_\">Procedure.performed[x]</a></td><td>equivalent</td><td>FHIR path: Procedure.performedDateTime. Date on the retransplantation Procedure</td></tr><tr><td><a href=\"StructureDefinition-pcClinicalEventLm.html#s-pcClinicalEventLm.dateEntryTransplantList\">date_entry_transplant_list</a></td><td>clinical-event-procedure</td><td><a href=\"StructureDefinition-clinical-event-procedure.html#s-Procedure.performed_x_\">Procedure.performed[x]</a></td><td>equivalent</td><td>FHIR path: Procedure.performedDateTime. SNOMED 471300007 On waiting list for organ transplant</td></tr></table></div>"
  },
  "url" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ConceptMap/clinical-event-lm-to-fhir",
  "version" : "0.1.0-ci-build",
  "name" : "ClinicalEventLmToFhir",
  "title" : "ClinicalEvent logical model → FHIR",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-09-28T06:51:47+00:00",
  "publisher" : "Protect Child",
  "contact" : [
    {
      "name" : "Protect Child",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://protect-child.eu/"
        }
      ]
    }
  ],
  "description" : "Where each field of the ClinicalEvent logical model lands in this guide's profiles. Generated from the model-map page; one group per target profile. Equivalence `relatedto` marks a field that is derived, split or recoded on the way. Not mapped: event_number (calculated; not stored).",
  "group" : [
    {
      "source" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/pcClinicalEventLm",
      "target" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event",
      "element" : [
        {
          "code" : "pcClinicalEventLm.clinicalEventId",
          "display" : "clinical_event_id",
          "target" : [
            {
              "code" : "Condition.identifier.value",
              "equivalence" : "relatedto",
              "comment" : "One per DM row folded in: the START row, and the END row when the episode has ended"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.clinicalEventTypeId",
          "display" : "clinical_event_type_id",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "equivalent",
              "comment" : "ClinicalEventTypeVS"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.visitId",
          "display" : "visit_id",
          "target" : [
            {
              "code" : "Condition.encounter",
              "equivalence" : "relatedto",
              "comment" : "The START row. The visit where the episode started"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.visitId",
          "display" : "visit_id",
          "target" : [
            {
              "code" : "Condition.extension:endVisit",
              "equivalence" : "relatedto",
              "comment" : "FHIR path: Condition.extension[endVisit]. The END row. The visit where it ended, on the same Condition"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.eventPhase",
          "display" : "event_phase",
          "target" : [
            {
              "code" : "Condition.onset[x]",
              "equivalence" : "relatedto",
              "comment" : "FHIR path: Condition.onsetDateTime. The START row. Sets clinicalStatus = #active"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.eventPhase",
          "display" : "event_phase",
          "target" : [
            {
              "code" : "Condition.abatement[x]",
              "equivalence" : "relatedto",
              "comment" : "FHIR path: Condition.abatementDateTime. The END row. Sets clinicalStatus = #resolved — on the same Condition"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.causeDeath",
          "display" : "cause_death",
          "target" : [
            {
              "code" : "Condition.note:cause_death",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Condition.note[cause_death].text."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.specifyKidneyRejectionEpisode",
          "display" : "specify_kidney_rejection_episode",
          "target" : [
            {
              "code" : "Condition.note:specify_kidney_rejection_episode",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Condition.note[specify_kidney_rejection_episode].text."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.previousUrologicalIntervention",
          "display" : "previous_urological_intervention",
          "target" : [
            {
              "code" : "Condition.note:previous_urological_intervention",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Condition.note[previous_urological_intervention].text."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.underlyingProthromboticDisorders",
          "display" : "underlying_prothrombotic_disorders",
          "target" : [
            {
              "code" : "Condition.note:underlying_prothrombotic_disorders",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Condition.note[underlying_prothrombotic_disorders].text."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.kidneyBiopsy",
          "display" : "kidney_biopsy",
          "target" : [
            {
              "code" : "Condition.note:kidney_biopsy",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Condition.note[kidney_biopsy].text."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.vascularComplicationType",
          "display" : "vascular_complication_type",
          "target" : [
            {
              "code" : "Condition.evidence.code",
              "equivalence" : "equivalent",
              "comment" : "VascularComplicationTypeVS — coded value on the ClinicalEvent itself"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.dgf",
          "display" : "dgf",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "relatedto",
              "comment" : "First-class ClinicalEvent; SNOMED 426136000 Delayed renal graft function; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.episodesAkiAfterLtx",
          "display" : "episodes_aki_after_ltx",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "relatedto",
              "comment" : "First-class ClinicalEvent; SNOMED 14669001 Acute kidney injury; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.histologicEvidenceCniToxicity",
          "display" : "histologic_evidence_cni_toxicity",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "relatedto",
              "comment" : "First-class ClinicalEvent; ClinicalEventTypeCS#histologic-evidence-cni-toxicity (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.hypoxicIschemicEventPltx",
          "display" : "hypoxic_ischemic_event_pltx",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "relatedto",
              "comment" : "First-class ClinicalEvent; ClinicalEventTypeCS#hypoxic-ischemic-event-pltx (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)"
            }
          ]
        }
      ]
    },
    {
      "source" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/pcClinicalEventLm",
      "target" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-flag-observation",
      "element" : [
        {
          "code" : "pcClinicalEventLm.concomitantMedications",
          "display" : "concomitant_medications",
          "target" : [
            {
              "code" : "Observation.code",
              "equivalence" : "relatedto",
              "comment" : "ClinicalEventEvidenceCS#concomitant-medications; valueBoolean carries the DM value, true or false"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.treatmentAdherence",
          "display" : "treatment_adherence",
          "target" : [
            {
              "code" : "Observation.code",
              "equivalence" : "relatedto",
              "comment" : "ClinicalEventEvidenceCS#treatment-adherence; valueBoolean carries the DM value, true or false"
            }
          ]
        }
      ]
    },
    {
      "source" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/pcClinicalEventLm",
      "target" : "https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-procedure",
      "element" : [
        {
          "code" : "pcClinicalEventLm.dialysisType",
          "display" : "dialysis_type",
          "target" : [
            {
              "code" : "Procedure.code",
              "equivalence" : "equivalent",
              "comment" : "SNOMED 302497006 Hemodialysis or 71192002 Peritoneal dialysis"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.dialysisStartDate",
          "display" : "dialysis_start_date",
          "target" : [
            {
              "code" : "Procedure.performed[x]",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Procedure.performedPeriod.start."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.dialysisEndDate",
          "display" : "dialysis_end_date",
          "target" : [
            {
              "code" : "Procedure.performed[x]",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Procedure.performedPeriod.end."
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.retransplantation",
          "display" : "retransplantation",
          "target" : [
            {
              "code" : "Procedure.code",
              "equivalence" : "relatedto",
              "comment" : "SNOMED 18027006 / 70536003 (the organ transplanted); true → status = #completed, false → status = #not-done with no date"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.retransplantationDate",
          "display" : "retransplantation_date",
          "target" : [
            {
              "code" : "Procedure.performed[x]",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Procedure.performedDateTime. Date on the retransplantation Procedure"
            }
          ]
        },
        {
          "code" : "pcClinicalEventLm.dateEntryTransplantList",
          "display" : "date_entry_transplant_list",
          "target" : [
            {
              "code" : "Procedure.performed[x]",
              "equivalence" : "equivalent",
              "comment" : "FHIR path: Procedure.performedDateTime. SNOMED 471300007 On waiting list for organ transplant"
            }
          ]
        }
      ]
    }
  ]
}