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Packagehl7.eu.fhir.protect-child
Resource TypeConceptMap
IdConceptMap-clinical-event-lm-to-fhir.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/hl7-eu/protect-child/ConceptMap-clinical-event-lm-to-fhir.html
URLhttps://hl7.eu/fhir/ig/hl7.eu.fhir.protect-child/ConceptMap/clinical-event-lm-to-fhir
Version0.1.0-ci-build
Statusdraft
Date2026-09-28T06:51:47+00:00
NameClinicalEventLmToFhir
TitleClinicalEvent logical model → FHIR
Realmeu
Authorityhl7
DescriptionWhere each field of the ClinicalEvent logical model lands in this guide's profiles. Generated from the model-map page; one group per target profile. Equivalence `relatedto` marks a field that is derived, split or recoded on the way. Not mapped: event_number (calculated; not stored).

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StructureDefinition
hl7.eu.fhir.protect-child#currentclinical-eventClinical Event
hl7.eu.fhir.protect-child#currentclinical-event-flag-observationClinical Event Flag Observation
hl7.eu.fhir.protect-child#currentclinical-event-procedureClinical Event Procedure
hl7.eu.fhir.protect-child#currentpcClinicalEventLmClinicalEvent logical model

Narrative

Note: links and images are rebased to the (stated) source

DM fieldTarget profileFHIR elementRelationshipComment
clinical_event_idclinical-eventCondition.identifier.valuerelated toOne per DM row folded in: the START row, and the END row when the episode has ended
clinical_event_type_idclinical-eventCondition.codeequivalentClinicalEventTypeVS
visit_idclinical-eventCondition.encounterrelated toThe START row. The visit where the episode started
visit_idclinical-eventCondition.extension:endVisitrelated toFHIR path: Condition.extension[endVisit]. The END row. The visit where it ended, on the same Condition
event_phaseclinical-eventCondition.onset[x]related toFHIR path: Condition.onsetDateTime. The START row. Sets clinicalStatus = #active
event_phaseclinical-eventCondition.abatement[x]related toFHIR path: Condition.abatementDateTime. The END row. Sets clinicalStatus = #resolved — on the same Condition
cause_deathclinical-eventCondition.note:cause_deathequivalentFHIR path: Condition.note[cause_death].text.
specify_kidney_rejection_episodeclinical-eventCondition.note:specify_kidney_rejection_episodeequivalentFHIR path: Condition.note[specify_kidney_rejection_episode].text.
previous_urological_interventionclinical-eventCondition.note:previous_urological_interventionequivalentFHIR path: Condition.note[previous_urological_intervention].text.
underlying_prothrombotic_disordersclinical-eventCondition.note:underlying_prothrombotic_disordersequivalentFHIR path: Condition.note[underlying_prothrombotic_disorders].text.
kidney_biopsyclinical-eventCondition.note:kidney_biopsyequivalentFHIR path: Condition.note[kidney_biopsy].text.
vascular_complication_typeclinical-eventCondition.evidence.codeequivalentVascularComplicationTypeVS — coded value on the ClinicalEvent itself
dgfclinical-eventCondition.coderelated toFirst-class ClinicalEvent; SNOMED 426136000 Delayed renal graft function; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)
episodes_aki_after_ltxclinical-eventCondition.coderelated toFirst-class ClinicalEvent; SNOMED 14669001 Acute kidney injury; false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)
histologic_evidence_cni_toxicityclinical-eventCondition.coderelated toFirst-class ClinicalEvent; ClinicalEventTypeCS#histologic-evidence-cni-toxicity (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)
hypoxic_ischemic_event_pltxclinical-eventCondition.coderelated toFirst-class ClinicalEvent; ClinicalEventTypeCS#hypoxic-ischemic-event-pltx (no SNOMED concept); false → the same ClinicalEvent with verificationStatus = #refuted (explicitly no)
concomitant_medicationsclinical-event-flag-observationObservation.coderelated toClinicalEventEvidenceCS#concomitant-medications; valueBoolean carries the DM value, true or false
treatment_adherenceclinical-event-flag-observationObservation.coderelated toClinicalEventEvidenceCS#treatment-adherence; valueBoolean carries the DM value, true or false
dialysis_typeclinical-event-procedureProcedure.codeequivalentSNOMED 302497006 Hemodialysis or 71192002 Peritoneal dialysis
dialysis_start_dateclinical-event-procedureProcedure.performed[x]equivalentFHIR path: Procedure.performedPeriod.start.
dialysis_end_dateclinical-event-procedureProcedure.performed[x]equivalentFHIR path: Procedure.performedPeriod.end.
retransplantationclinical-event-procedureProcedure.coderelated toSNOMED 18027006 / 70536003 (the organ transplanted); true → status = #completed, false → status = #not-done with no date
retransplantation_dateclinical-event-procedureProcedure.performed[x]equivalentFHIR path: Procedure.performedDateTime. Date on the retransplantation Procedure
date_entry_transplant_listclinical-event-procedureProcedure.performed[x]equivalentFHIR path: Procedure.performedDateTime. SNOMED 471300007 On waiting list for organ transplant

Source1

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