MII-Initiative

MII IG Pathologie-Befund EN v2026

Active Problems (List)

Description

The MII PR Patho Active Problems profile of the resource List represents a list of the patient's existing diseases and/or problems at the time of examination, which reflect the sender's clinical question within the supporting information of the MII PR Patho Service Request profile.

The individual diseases/questions can be represented using the MII PR Patho Problem List Item profile.

NameCanonical
MII_PR_Patho_Active_Problems_Listhttps://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-active-problems-list

idΣ0..1string
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
modeS Σ ?!1..1codeBindingFixed Value
titleΣ0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ1..1Reference(Patient | Group | Device | Location)
encounter0..1Reference(Encounter)
dateΣ0..1dateTime
sourceΣ0..1Reference(Practitioner | PractitionerRole | Patient | Device)
orderedBy0..1CodeableConceptBinding
note0..*Annotation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
flag0..1CodeableConcept
deleted?! C0..1boolean
date0..1dateTime
item1..1Reference(MII_PR_Patho_Problem_List_Item)
emptyReasonC0..1CodeableConceptBinding
idΣ0..1string
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
modeS Σ ?!1..1codeBindingFixed Value
titleΣ0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ1..1Reference(Patient | Group | Device | Location)
encounter0..1Reference(Encounter)
dateΣ0..1dateTime
sourceΣ0..1Reference(Practitioner | PractitionerRole | Patient | Device)
orderedBy0..1CodeableConceptBinding
note0..*Annotation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
flag0..1CodeableConcept
deleted?! C0..1boolean
date0..1dateTime
item1..1Reference(MII_PR_Patho_Problem_List_Item)
emptyReasonC0..1CodeableConceptBinding
idΣ0..1string
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
modeS Σ ?!1..1codeBindingFixed Value
titleΣ0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemΣ1..1uriPattern
versionΣ0..1string
codeΣ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ1..1Reference(Patient | Group | Device | Location)
encounter0..1Reference(Encounter)
dateΣ0..1dateTime
sourceΣ0..1Reference(Practitioner | PractitionerRole | Patient | Device)
orderedBy0..1CodeableConceptBinding
note0..*Annotation
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
flag0..1CodeableConcept
deleted?! C0..1boolean
date0..1dateTime
item1..1Reference(MII_PR_Patho_Problem_List_Item)
emptyReasonC0..1CodeableConceptBinding
{
"resourceType": "StructureDefinition",
"id": "mii-pr-patho-active-problems-list",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-active-problems-list",
"version": "2025.0.0",
"name": "MII_PR_Patho_Active_Problems_List",
"title": "MII PR Patho Active Problems List",
"status": "active",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "List of conditions currently being monitored for the patient",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "List",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/List",
"derivation": "constraint",
"element": [
{
"id": "List.meta.profile",
"path": "List.meta.profile",
"mustSupport": true
},
{
"id": "List.status",
"path": "List.status",
"mustSupport": true
},
{
"id": "List.mode",
"path": "List.mode",
"fixedCode": "snapshot",
"mustSupport": true
},
{
"id": "List.code",
"path": "List.code",
"min": 1,
"mustSupport": true
},
{
"id": "List.code.coding",
"path": "List.code.coding",
"min": 1,
"code": "11450-4",
"system": "http://loinc.org"
},
"mustSupport": true
},
{
"id": "List.code.coding.system",
"path": "List.code.coding.system",
"min": 1
},
{
"id": "List.code.coding.code",
"path": "List.code.coding.code",
"min": 1
},
{
"id": "List.subject",
"path": "List.subject",
"min": 1,
"mustSupport": true
},
{
"id": "List.entry",
"path": "List.entry",
"mustSupport": true
},
{
"id": "List.entry.item",
"path": "List.entry.item",
"type": [
{
"code": "Reference",
"https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item"
]
}
]
}
]
}
}

List of all must-support data elements

FHIR-element Explanation
List.status Final & preliminary results are allowed
List.mode Fixed on #snapshot (This list was prepared as a snapshot. It should not be assumed to be current.)
List.code Fixed on LOINC 11450-4 "Problem list - Reported"
List.subject Reference to patient
List.entry Reference to MII PR Patho Problem List Item

Reference to the Logical model

FHIR-element Logical model

Examples

{
"resourceType": "List",
"id": "mii-exa-patho-active-problems-list",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-active-problems-list"
]
},
"mode": "snapshot",
"code": {
"coding": [
{
"code": "11450-4",
"system": "http://loinc.org",
"display": "Problem list - Reported"
}
]
},
"status": "current",
"subject": {
"reference": "Patient/12345"
},
"entry": [
{
"item": {
"reference": "Condition/mii-exa-patho-problem-list-item-1"
}
}
]
}