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

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

PROTECT-CHILD Pediatric Transplant Data Implementation Guide, published by Protect Child. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/protect-child/ and changes regularly. See the Directory of published versions

Transplant

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Transplant profile Transplant Procedure + Observation + Condition PROCEDURE FIELDS Transplant ID M Visit ID M Donor ID M Transplant Type M Date of Transplant M Time Diag. to Transplant M TRANSPLANT DETAIL (OBSERVATION) D/R Weight Ratio R Vessel Mismatch D/R R Cold Ischemia Time R Warm Ischemia Time R Vascular Anomalies R ANASTOMOSIS (PROCEDURE) Biliary Anastomosis Type R Ureteral Anastomosis Type O Other Ureteral Anastomosis O COMPLICATIONS (CONDITION) Intraop. Complications R Other Complications R

Primary profile: Transplant (Procedure)
Detail panel: TransplantDetails (Observation), one per transplant, via Observation.partOf = Reference(Transplant)
Complications: IntraoperativeComplication (Condition), one per complication, via Transplant.complicationDetail
Anastomoses: TransplantAnastomosis (Procedure), one per anastomosis, via Procedure.partOf = Reference(Transplant)
Graft episode and admission: transplant_id, date_tx and tx_type also feed GraftEpisode and TransplantAdmission; see the Visit map

Concept map: TransplantLmToFhir

Cardinality key — M = Mandatory (1..1) · R = Recommended (0..1) · O = Optional (0..1)

DM field Card. FHIR path Notes
transplant_id M Procedure.identifier.value  
visit_id M Procedure.encounter Transplant.encounter = Reference(Visit)
donor_id M Procedure.extension[donor_id] TransplantDonorRef
tx_type M Procedure.code TransplantTypeVS
date_tx M Procedure.performedDateTime  
time_diag_to_tx M Observation.component[time_diag_to_tx].valueQuantity Quantity (mo); calculated field
d_r_weight_ratio R Observation.component[d_r_weight_ratio].valueQuantity Graft-to-recipient weight ratio (GRWR): graft weight / recipient body weight, UCUM %
vessel_mismatch_d_r R Observation.component[vessel_mismatch_d_r].valueBoolean  
cold_ischemia_time R Observation.component[cold_ischemia_time].valueQuantity Quantity (min)
warm_ischemia_time R Observation.component[warm_ischemia_time].valueQuantity Quantity (min)
vascular_anomalies R Observation.component[vascular_anomalies].valueString Free text
type_surgical_biliary_anastomosis R Procedure.code TransplantAnastomosis (Procedure) linked via Procedure.partOf; BiliaryAnastomosisTypeVS; Liver only
intraoperative_complications R Condition.code Each complication is an IntraoperativeComplication (Condition, encounter-diagnosis) linked from Transplant.complicationDetail; IntraoperativeComplicationVS
intraoperative_complications_other R Condition.note Free-text complication carried on the IntraoperativeComplication Condition; Liver only
type_ureteral_graft_anastomosis O Procedure.code TransplantAnastomosis (Procedure) linked via Procedure.partOf; UreteralAnastomosisTypeVS; Kidney only (DMv1.2 marks this field as Both; the IG treats it as Kidney only because ureteral anastomosis is not applicable to liver transplantation. This divergence should be resolved in a future DM revision.)
other_type_ureteral_graft_anastomosis O Procedure.code.text Free-text anastomosis type on the TransplantAnastomosis Procedure; Kidney only (same rationale as above)