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
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
| Official URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-patient | Version: 0.1.0-ci-build | |||
| Draft as of 2026-02-09 | Computable Name: ImmunosuppressiveMaintenancePatient | |||
Maintenance immunosuppressive therapy given to the transplant patient, aligned with the immunosuppressive_maintenance_patient table.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | 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()
|
This structure is derived from Basic
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  Basic |
0..* | Basic | Resource for non-supported content | |||||
  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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:patient_id |
S | 1..1 | Reference(Transplant Recipient) | patient_id – reference to PatientTransplant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-patient-ref | ||||
| extension:immunosuppressant_id |
S | 1..1 | Reference(Immunosuppressant) | immunosuppressant_id – reference to Immunosuppressant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-immunosuppressant-ref | ||||
| extension:dose |
S | 1..1 | Quantity | dose – maintenance dose of the immunosuppressant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-dose | ||||
| extension:pre_dose_level |
S | 0..1 | Quantity | pre_dose_level – drug level before dosing (trough) URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-pre-dose-level | ||||
| extension:csa2h_post_dose_level |
S | 0..1 | Quantity | csa2h_post_dose_level – drug level 2 hours after dosing (C2) URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-csa2h-post-dose-level | ||||
| extension:auc |
S | 0..1 | Quantity | auc – area under the concentration–time curve URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-auc | ||||
| extension:start_date |
S | 0..1 | date | start_date – date maintenance therapy started URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-start-date | ||||
 extension:end_date |
S | 0..1 | date | end_date – date maintenance therapy stopped URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-end-date | ||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | imm_main_pat_id – identifier of the immunosuppressive maintenance record | ||||
| 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/immunosuppressive-maintenance-patient-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) | ||||
| code |
?!SΣ | 1..1 | CodeableConcept | Type of immunosuppressive maintenance record Binding: Immunosuppressive Maintenance to Patient Type ValueSet (required): Codes for identifying types of resources not yet defined by FHIR. | ||||
| subject |
Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource | ||||
| created |
Σ | 0..1 | date | When created | ||||
| author |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Basic.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Basic.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | 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()
|
This structure is derived from Basic
Summary
Mandatory: 6 elements
Must-Support: 10 elements
Fixed: 1 element
Extensions
This structure refers to these extensions:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | 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()
|
Differential View
This structure is derived from Basic
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Basic |
0..* | Basic | Resource for non-supported content | |||||
| 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:patient_id |
S | 1..1 | Reference(Transplant Recipient) | patient_id – reference to PatientTransplant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-patient-ref | ||||
| extension:immunosuppressant_id |
S | 1..1 | Reference(Immunosuppressant) | immunosuppressant_id – reference to Immunosuppressant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-immunosuppressant-ref | ||||
| extension:dose |
S | 1..1 | Quantity | dose – maintenance dose of the immunosuppressant URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-dose | ||||
| extension:pre_dose_level |
S | 0..1 | Quantity | pre_dose_level – drug level before dosing (trough) URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-pre-dose-level | ||||
| extension:csa2h_post_dose_level |
S | 0..1 | Quantity | csa2h_post_dose_level – drug level 2 hours after dosing (C2) URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-csa2h-post-dose-level | ||||
| extension:auc |
S | 0..1 | Quantity | auc – area under the concentration–time curve URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-auc | ||||
| extension:start_date |
S | 0..1 | date | start_date – date maintenance therapy started URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-start-date | ||||
| extension:end_date |
S | 0..1 | date | end_date – date maintenance therapy stopped URL: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/immunosuppressive-maintenance-end-date | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | imm_main_pat_id – identifier of the immunosuppressive maintenance record | ||||
| 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/immunosuppressive-maintenance-patient-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) | ||||
| code |
?!SΣ | 1..1 | CodeableConcept | Type of immunosuppressive maintenance record Binding: Immunosuppressive Maintenance to Patient Type ValueSet (required): Codes for identifying types of resources not yet defined by FHIR. | ||||
| subject |
Σ | 0..1 | Reference(Resource) | Identifies the focus of this resource | ||||
| created |
Σ | 0..1 | date | When created | ||||
| author |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | Who created | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Basic.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Basic.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Basic.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Basic.code | Base | required | Immunosuppressive Maintenance to Patient Type ValueSet | 📦0.1.0-ci-build | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Basic | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Basic | 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 | Basic | 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 | Basic | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Basic | 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()
|
This structure is derived from Basic
Summary
Mandatory: 6 elements
Must-Support: 10 elements
Fixed: 1 element
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
