MII-Initiative

MII IG Pathologie-Befund EN v2026

History of present illness (List)

Description

The MII PR Patho History of Present Illness profile of the resource List depicts the sender's description of the medical history and is part of the "supportingInfo" in the MII PR Patho Service Request profile.

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

NameCanonical
MII_PR_Patho_History_Of_Present_Illnesshttps://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-history-of-present-illness

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-history-of-present-illness",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-history-of-present-illness",
"version": "2025.0.0",
"name": "MII_PR_Patho_History_Of_Present_Illness",
"title": "MII PR Patho History Of Present Illness",
"status": "active",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "List profile for 'History of Present Illness'",
"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": "8684-3",
"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 Pattern Coding on LOINC 8684-3 "History of Present illness"
List.subject Reference to patient
List.entry Reference to MII PR Patho Problem List Item

References to the logical model

FHIR-element logical model

Examples

{
"resourceType": "List",
"id": "mii-exa-patho-history-of-present-illness",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-history-of-present-illness"
]
},
"mode": "snapshot",
"code": {
"coding": [
{
"code": "8684-3",
"system": "http://loinc.org",
"display": "History of Present illness"
}
]
},
"status": "current",
"subject": {
"reference": "Patient/12345"
},
"entry": [
{
"item": {
"reference": "Condition/mii-exa-patho-problem-list-item-2"
}
}
]
}