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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

Resource Profile: Clinical Event ( Experimental )

Official URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event Version: 0.1.0-ci-build
Draft as of 2026-09-28 Computable Name: ClinicalEvent

One clinical episode for a transplant patient, aligned with the DMv1.2 clinical_event table. The DM's START and END rows for the same episode fold into a single Condition — onsetDateTime from the START row, abatementDateTime from the END row, and both clinical_event_ids in identifier — because two Conditions would make every completed episode count twice. Several Conditions may share an encounter: the DM's visit-to-event 1:1 would make a visit that brings both rejection and CMV unrecordable, and nothing here enforces it. The diagnosis-type events dgf, episodes-aki-after-ltx, histologic-evidence-cni-toxicity and hypoxic-ischemic-event-pltx are ClinicalEvent types (Condition.code from ClinicalEventTypeVS). The coded value vascular_complication_type is in Condition.evidence.code. Non-diagnosis boolean flags (concomitant-medications, treatment-adherence) are ClinicalEventFlagObservation resources. Free-text fields are in Condition.note. Dialysis episodes, retransplantation, and transplant-list entry are linked ClinicalEventProcedure resources via Procedure.reasonReference.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, pc-event-1, pc-event-2, pc-event-3, pc-event-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value Σ 1..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept #refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... subject SΣ 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter SΣ 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] SC 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime SC 0..1 dateTime Date this episode ended (END row's visit date)
... evidence SC 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy
..... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: pc-event-1, pc-event-2, pc-event-3, pc-event-4
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... identifier S 1..* Identifier clinical_event_id — one per DM row folded in (START, and END when ended)
.... system 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value 1..1 string The value that is unique
... clinicalStatus S 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
... code S 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... subject S 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter S 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime S 0..1 dateTime Date this episode ended (END row's visit date)
... evidence S 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
.... code S 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, pc-event-1, pc-event-2, pc-event-3, pc-event-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier clinical_event_id — one per DM row folded in (START, and END when ended)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept #refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter SΣ 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] SC 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime SC 0..1 dateTime Date this episode ended (END row's visit date)
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence SC 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()

This structure is derived from Condition

Summary

Mandatory: 5 elements
Must-Support: 19 elements
Fixed: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.onset[x]
  • The element 1 is sliced based on the value of Condition.abatement[x]
  • The element 1 is sliced based on the value of Condition.note
  • The element 1 is sliced based on the value of Condition.note.author[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, pc-event-1, pc-event-2, pc-event-3, pc-event-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value Σ 1..1 string The value that is unique
Example General: 123456
... clinicalStatus ?!SΣC 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept #refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... subject SΣ 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter SΣ 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] SC 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime SC 0..1 dateTime Date this episode ended (END row's visit date)
... evidence SC 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy
..... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: pc-event-1, pc-event-2, pc-event-3, pc-event-4
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... identifier S 1..* Identifier clinical_event_id — one per DM row folded in (START, and END when ended)
.... system 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value 1..1 string The value that is unique
... clinicalStatus S 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
... code S 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... subject S 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter S 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] S 0..1 dateTime, Age, Period, Range, string When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime S 0..1 dateTime Date this episode ended (END row's visit date)
... evidence S 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
.... code S 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, pc-event-1, pc-event-2, pc-event-3, pc-event-4
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:endVisit S 0..1 Reference(Visit) The Visit at which the END row was recorded
URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier clinical_event_id — one per DM row folded in (START, and END when ended)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/NamingSystem/protect-child-id
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... clinicalStatus ?!SΣC 0..1 CodeableConcept #active while the episode runs; #resolved once the END row closes it. Absent on a refuted record (pc-event-4)
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept #refuted when the DM yes/no column is explicitly false; otherwise absent or #confirmed
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept clinical_event_type_id — type of clinical event
Binding: Clinical Event Type ValueSet (required)
... bodySite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... subject SΣ 1..1 Reference(Transplant Recipient) Transplant recipient
... encounter SΣ 1..1 Reference(Visit) visit_id — the Visit at which the episode was first recorded (the START row)
... Slices for onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Date this episode started (START row's visit date)
... Slices for abatement[x] SC 0..1 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime SC 0..1 dateTime Date this episode ended (END row's visit date)
... recordedDate Σ 0..1 dateTime Date record was first recorded
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence SC 0..1 BackboneElement vascular_complication_type — coded vascular complication (if present)
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣC 0..1 CodeableConcept Manifestation/symptom
Binding: Vascular Complication Type ValueSet (required)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... Slices for note S 0..* Annotation Additional information about the Condition
Slice: Unordered, Open by value:author.ofType(string)
.... note:cause_death S 0..1 Annotation cause_death — free-text cause of death
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: cause_death
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:specify_kidney_rejection_episode S 0..1 Annotation specify_kidney_rejection_episode — rejection episode specification
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: specify_kidney_rejection_episode
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:previous_urological_intervention S 0..1 Annotation previous_urological_intervention — prior urological intervention
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: previous_urological_intervention
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:underlying_prothrombotic_disorders S 0..1 Annotation underlying_prothrombotic_disorders — underlying prothrombotic disorders (free text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: underlying_prothrombotic_disorders
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:kidney_biopsy S 0..1 Annotation kidney_biopsy — kidney biopsy findings (free text)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Open by type:$this
...... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
...... authorString string
..... Slices for author[x] Content/Rules for all slices
...... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
Fixed Value: kidney_biopsy
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Condition.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base required Clinical Event Type ValueSet 📦0.1.0-ci-build This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base required Vascular Complication Type ValueSet 📦0.1.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
pc-event-1 error Condition An episode recorded as resolved SHALL carry the date it ended. clinicalStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' and code = 'resolved').exists() implies abatement.exists()
pc-event-2 error Condition An episode SHALL NOT end before it started. (onset.ofType(dateTime).exists() and abatement.ofType(dateTime).exists()) implies abatement.ofType(dateTime) >= onset.ofType(dateTime)
pc-event-3 warning Condition The visit at which the episode ended SHALL NOT be the visit at which it started. extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').exists() implies extension('https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/clinical-event-end-visit').value.ofType(Reference).reference != encounter.reference
pc-event-4 error Condition An episode SHALL carry a clinical status, unless it is recorded as refuted: a DM yes/no column that was explicitly false. clinicalStatus.exists() or verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'refuted').exists()

This structure is derived from Condition

Summary

Mandatory: 5 elements
Must-Support: 19 elements
Fixed: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.onset[x]
  • The element 1 is sliced based on the value of Condition.abatement[x]
  • The element 1 is sliced based on the value of Condition.note
  • The element 1 is sliced based on the value of Condition.note.author[x]

 

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