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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Transplant Details

Intraoperative and peri-operative details panel for a transplant, aligned with the DMv1.2 transplant table. All detail fields are components of a single Observation linked to the Transplant Procedure via Observation.partOf. One instance per transplant. The mandatory txType component carries the transplant type (liver / kidney / combined) so organ-specific invariants (pc-td-1 through pc-td-5) can be evaluated without cross-resource resolution.

Usages:

• Examples for this Profile: Observation/TransplantDetailsExample1

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	SΣ	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Procedure)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
Slices for component	SΣ	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:txType	SΣ	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
component:time_diag_to_tx	SΣ	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Time from diagnosis to transplant (months))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: mo
component:d_r_weight_ratio	SΣ	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Donor/recipient weight ratio)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: 1
component:vessel_mismatch_d_r	SΣ	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vessel mismatch (donor-recipient))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	boolean	Actual component result
component:cold_ischemia_time	SΣ	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Cold ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
component:warm_ischemia_time	SΣ	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Warm ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
component:vascular_anomalies	SΣ	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vascular anomalies (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
component:type_surgical_biliary_anastomosis	SΣ	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of surgical biliary anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
component:intraoperative_complications	SΣ	0..*	BackboneElement	intraoperative_complications — repeat per complication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Intraoperative complication)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
component:intraoperative_complications_other	SΣ	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other intraoperative complications (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
component:type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of ureteral graft anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
component:other_type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:time_diag_to_tx.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications_other.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:other_type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
partOf	S	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	S	1..1	code	registered | preliminary | final | amended + Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Fixed Value: As shown (Procedure)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
code	S	1..1	CodeableConcept	Type of observation (code / type) Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
subject	S	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
Slices for component	S	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:txType	S	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
value[x]		0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
component:time_diag_to_tx	S	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Time from diagnosis to transplant (months))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: mo
component:d_r_weight_ratio	S	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Donor/recipient weight ratio)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: 1
component:vessel_mismatch_d_r	S	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Vessel mismatch (donor-recipient))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
value[x]		0..1	boolean	Actual component result
component:cold_ischemia_time	S	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Cold ischemia time (minutes))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: min
component:warm_ischemia_time	S	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Warm ischemia time (minutes))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: min
component:vascular_anomalies	S	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Vascular anomalies (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
value[x]		0..1	string	Actual component result
component:type_surgical_biliary_anastomosis	S	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Type of surgical biliary anastomosis)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
value[x]		0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
component:intraoperative_complications	S	0..*	BackboneElement	intraoperative_complications — repeat per complication
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Intraoperative complication)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
value[x]		0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
component:intraoperative_complications_other	S	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Other intraoperative complications (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
value[x]		0..1	string	Actual component result
component:type_ureteral_graft_anastomosis	S	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Type of ureteral graft anastomosis)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
value[x]		0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
component:other_type_ureteral_graft_anastomosis	S	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
value[x]		0..1	string	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
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. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	SΣ	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Procedure)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:txType	SΣ	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:time_diag_to_tx	SΣ	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Time from diagnosis to transplant (months))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: mo
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:d_r_weight_ratio	SΣ	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Donor/recipient weight ratio)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: 1
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:vessel_mismatch_d_r	SΣ	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vessel mismatch (donor-recipient))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	boolean	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cold_ischemia_time	SΣ	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Cold ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:warm_ischemia_time	SΣ	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Warm ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:vascular_anomalies	SΣ	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vascular anomalies (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:type_surgical_biliary_anastomosis	SΣ	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of surgical biliary anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:intraoperative_complications	SΣ	0..*	BackboneElement	intraoperative_complications — repeat per complication
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Intraoperative complication)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:intraoperative_complications_other	SΣ	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other intraoperative complications (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of ureteral graft anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:other_type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:txType.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:txType.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_surgical_biliary_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_ureteral_graft_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 18 elements
Fixed: 15 elements

Structures

This structure refers to these other structures:

• Transplant (https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant)
• Transplant Recipient (https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-transplant)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	SΣ	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Procedure)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
Slices for component	SΣ	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:txType	SΣ	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
component:time_diag_to_tx	SΣ	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Time from diagnosis to transplant (months))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: mo
component:d_r_weight_ratio	SΣ	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Donor/recipient weight ratio)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: 1
component:vessel_mismatch_d_r	SΣ	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vessel mismatch (donor-recipient))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	boolean	Actual component result
component:cold_ischemia_time	SΣ	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Cold ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
component:warm_ischemia_time	SΣ	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Warm ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
component:vascular_anomalies	SΣ	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vascular anomalies (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
component:type_surgical_biliary_anastomosis	SΣ	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of surgical biliary anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
component:intraoperative_complications	SΣ	0..*	BackboneElement	intraoperative_complications — repeat per complication
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Intraoperative complication)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
component:intraoperative_complications_other	SΣ	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other intraoperative complications (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
component:type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of ureteral graft anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
component:other_type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:time_diag_to_tx.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications_other.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:other_type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
partOf	S	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	S	1..1	code	registered | preliminary | final | amended + Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Fixed Value: As shown (Procedure)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
code	S	1..1	CodeableConcept	Type of observation (code / type) Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
subject	S	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
Slices for component	S	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:txType	S	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
value[x]		0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
component:time_diag_to_tx	S	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Time from diagnosis to transplant (months))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: mo
component:d_r_weight_ratio	S	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Donor/recipient weight ratio)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: 1
component:vessel_mismatch_d_r	S	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Vessel mismatch (donor-recipient))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
value[x]		0..1	boolean	Actual component result
component:cold_ischemia_time	S	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Cold ischemia time (minutes))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: min
component:warm_ischemia_time	S	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Warm ischemia time (minutes))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
value[x]		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: min
component:vascular_anomalies	S	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Vascular anomalies (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
value[x]		0..1	string	Actual component result
component:type_surgical_biliary_anastomosis	S	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Type of surgical biliary anastomosis)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
value[x]		0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
component:intraoperative_complications	S	0..*	BackboneElement	intraoperative_complications — repeat per complication
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Intraoperative complication)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
value[x]		0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
component:intraoperative_complications_other	S	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Other intraoperative complications (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
value[x]		0..1	string	Actual component result
component:type_ureteral_graft_anastomosis	S	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Type of ureteral graft anastomosis)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
value[x]		0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
component:other_type_ureteral_graft_anastomosis	S	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
value[x]		0..1	string	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, pc-td-1, pc-td-2, pc-td-3, pc-td-4, pc-td-5
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. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	SΣ	1..1	Reference(Transplant)	The Transplant Procedure these details belong to
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Procedure)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: procedure
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transplant-details-panel
display		1..1	string	Representation defined by the system Fixed Value: Transplant details panel
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Transplant Recipient)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	1..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:txType	SΣ	1..1	BackboneElement	tx_type — transplant organ type; drives organ-specific field applicability
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tx-type
display		1..1	string	Representation defined by the system Fixed Value: Transplant type (liver / kidney / combined)
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Transplant Type ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:time_diag_to_tx	SΣ	0..1	BackboneElement	time_diag_to_tx — months from primary diagnosis to transplant
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Time from diagnosis to transplant (months))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: time_diag_to_tx
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: mo
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:d_r_weight_ratio	SΣ	0..1	BackboneElement	d_r_weight_ratio — donor/recipient weight ratio
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Donor/recipient weight ratio)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: d_r_weight_ratio
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: 1
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:vessel_mismatch_d_r	SΣ	0..1	BackboneElement	vessel_mismatch_d_r — vessel mismatch between donor and recipient
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vessel mismatch (donor-recipient))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vessel_mismatch_d_r
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	boolean	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cold_ischemia_time	SΣ	0..1	BackboneElement	cold_ischemia_time — cold ischemia time (minutes)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Cold ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cold_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:warm_ischemia_time	SΣ	0..1	BackboneElement	warm_ischemia_time — warm ischemia time (minutes)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Warm ischemia time (minutes))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: warm_ischemia_time
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: min
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:vascular_anomalies	SΣ	0..1	BackboneElement	vascular_anomalies — vascular anomalies (free text)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Vascular anomalies (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vascular_anomalies
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:type_surgical_biliary_anastomosis	SΣ	0..1	BackboneElement	type_surgical_biliary_anastomosis — biliary anastomosis type (Liver only)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of surgical biliary anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_surgical_biliary_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Type of surgical biliary anastomosis ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:intraoperative_complications	SΣ	0..*	BackboneElement	intraoperative_complications — repeat per complication
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Intraoperative complication)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Intraoperative Complications ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:intraoperative_complications_other	SΣ	0..1	BackboneElement	intraoperative_complications_other — other complications (free text)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other intraoperative complications (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: intraoperative_complications_other
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	type_ureteral_graft_anastomosis (Kidney only)
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Type of ureteral graft anastomosis)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Ureteral Graft Anastomosis Type ValueSet (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:other_type_ureteral_graft_anastomosis	SΣ	0..1	BackboneElement	other_type_ureteral_graft_anastomosis — free text
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	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Fixed Value: As shown (Other type of ureteral graft anastomosis (free text))
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/CodeSystem/transplant-detail
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: other_type_ureteral_graft_anastomosis
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:txType.​value[x]	Base	required	Transplant Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:txType.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:txType.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:time_diag_to_tx.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:d_r_weight_ratio.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:vessel_mismatch_d_r.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:cold_ischemia_time.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:warm_ischemia_time.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:vascular_anomalies.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​value[x]	Base	required	Type of surgical biliary anastomosis ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_surgical_biliary_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:type_surgical_biliary_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​value[x]	Base	required	Intraoperative Complications ValueSet	📦0.1.0-ci-build	This IG
Observation.component:intraoperative_complications.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:intraoperative_complications_other.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​value[x]	Base	required	Ureteral Graft Anastomosis Type ValueSet	📦0.1.0-ci-build	This IG
Observation.component:type_ureteral_graft_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:type_ureteral_graft_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:other_type_ureteral_graft_anastomosis.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
pc-td-1	error	Observation	Biliary anastomosis type is only applicable for liver or combined transplants.	component.where(code.coding.code = 'type_surgical_biliary_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-2	error	Observation	Ureteral graft anastomosis type is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-3	error	Observation	Other ureteral graft anastomosis is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'other_type_ureteral_graft_anastomosis').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()
pc-td-4	error	Observation	Liver-specific intraoperative complications (bile-duct-injury, liver-ischemia) are only applicable for liver or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'bile-duct-injury' or code = 'liver-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'liver' or code = 'combined').exists()
pc-td-5	error	Observation	Kidney-specific intraoperative complication (kidney-ischemia) is only applicable for kidney or combined transplants.	component.where(code.coding.code = 'intraoperative_complications').value.ofType(CodeableConcept).coding.where(code = 'kidney-ischemia').exists() implies component.where(code.coding.code = 'tx-type').value.ofType(CodeableConcept).coding.where(code = 'kidney' or code = 'combined').exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements
Must-Support: 18 elements
Fixed: 15 elements

Structures

This structure refers to these other structures:

• Transplant (https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/transplant)
• Transplant Recipient (https://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/StructureDefinition/patient-transplant)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component