MII-Initiative

MII IG Pathologie-Befund EN v2026

Problem (Condition)

Description

The MII PR Patho Problem List Item profile of the Resource Condition represents the individual list entries of the MII PR Patho Active Problems and MII PR Patho History of Present Illness profiles.

NameCanonical
MII_PR_Patho_Problem_List_Itemhttps://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item

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
identifierΣ0..*Identifier
clinicalStatusΣ ?! C0..1CodeableConceptBinding
verificationStatusΣ ?! C0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
problem-list-itemS1..1CodeableConceptBindingPattern
severity0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
bodySiteΣ0..*CodeableConcept
subjectS Σ1..1Reference(Patient)
encounterΣ0..1Reference(Encounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
recorderΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
summaryC0..1CodeableConcept
assessmentC0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
codeΣ C0..*CodeableConcept
detailΣ C0..*Reference(Resource)
note0..*Annotation
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
identifierΣ0..*Identifier
clinicalStatusΣ ?! C0..1CodeableConceptBinding
verificationStatusΣ ?! C0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
problem-list-itemS1..1CodeableConceptBindingPattern
severity0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
bodySiteΣ0..*CodeableConcept
subjectS Σ1..1Reference(Patient)
encounterΣ0..1Reference(Encounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
recorderΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
summaryC0..1CodeableConcept
assessmentC0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
codeΣ C0..*CodeableConcept
detailΣ C0..*Reference(Resource)
note0..*Annotation
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
identifierΣ0..*Identifier
clinicalStatusΣ ?! C0..1CodeableConceptBinding
verificationStatusΣ ?! C0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
problem-list-itemS1..1CodeableConceptBindingPattern
severity0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
bodySiteΣ0..*CodeableConcept
subjectS Σ1..1Reference(Patient)
encounterΣ0..1Reference(Encounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
recorderΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
asserterΣ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
summaryC0..1CodeableConcept
assessmentC0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
codeΣ C0..*CodeableConcept
detailΣ C0..*Reference(Resource)
note0..*Annotation
{
"resourceType": "StructureDefinition",
"id": "mii-pr-patho-problem-list-item",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item",
"version": "2025.0.0",
"name": "MII_PR_Patho_Problem_List_Item",
"title": "MII PR Patho Problem List Item",
"status": "active",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Condition profile for problem list item",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Condition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
"derivation": "constraint",
"element": [
{
"id": "Condition.meta.profile",
"path": "Condition.meta.profile",
"mustSupport": true
},
{
"id": "Condition.category",
"path": "Condition.category",
"slicing": {
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Condition.category.coding",
"path": "Condition.category.coding",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.category.coding.system",
"path": "Condition.category.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.category.coding.code",
"path": "Condition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.category:problem-list-item",
"path": "Condition.category",
"sliceName": "problem-list-item",
"min": 1,
"max": "1",
"coding": [
{
"code": "problem-list-item",
"system": "http://terminology.hl7.org/CodeSystem/condition-category"
}
]
},
"mustSupport": true
},
{
"id": "Condition.code",
"path": "Condition.code",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-problem-list-snomed-ct"
}
},
{
"id": "Condition.code.coding",
"path": "Condition.code.coding",
"mustSupport": true
},
{
"id": "Condition.code.coding.system",
"path": "Condition.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding.code",
"path": "Condition.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.subject",
"path": "Condition.subject",
"type": [
{
"code": "Reference",
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"mustSupport": true
}
]
}
}

List of all must-support data elements

FHIR element Explanation
Condition.category Pattern coding on "problem-list-item"
Condition.code Extensible binding on MII VS Patho Problem List SNOMED CT
Condition.subject Reference to patient

Logical Model Reference

FHIR Element Logical Data Model

Examples

{
"resourceType": "Condition",
"id": "mii-exa-patho-problem-list-item-1",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item"
]
},
{
"coding": [
{
"code": "problem-list-item",
"system": "http://terminology.hl7.org/CodeSystem/condition-category"
}
]
}
],
"code": {
"coding": [
{
"code": "363346000",
"system": "http://snomed.info/sct",
"display": "Malignant neoplastic disease (disorder)"
}
]
},
"subject": {
"reference": "Patient/12345"
}
}


{
"resourceType": "Condition",
"id": "mii-exa-patho-problem-list-item-2",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item"
]
},
{
"coding": [
{
"code": "problem-list-item",
"system": "http://terminology.hl7.org/CodeSystem/condition-category"
}
]
}
],
"code": {
"coding": [
{
"code": "266987004",
"system": "http://snomed.info/sct",
"display": "History of malignant neoplasm (situation)"
}
]
},
"subject": {
"reference": "Patient/12345"
}
}