MII IG Onkologie DE v2024

Erstdiagnose Evidenz: List

Die List-Ressource ist eine flache Sammlung von Ressourcen und bietet Funktionen für die Verwaltung der Sammlung. In diesem Fall dient die Ressource als Sammlung der Observationen und Befundberichte, die zum Zeitpunkt der onkologischen Erstdiagnose bekannt sind. Dazu gehören beispielsweise eine TNM-Klassifikation sowie weitere diagnostisch relevante Klassifikationen, Fernmetastasen, Histologien etc.

Die Evidenz-Liste selbst ist nicht Teil des oBDS, sondern soll den Stand zum Zeitpunkt der Erstdiagnose dauerhaft festhalten.

Die Liste SOLLTE auf Basis der Inhalte erstellt werden, die vor bzw. zum Zeitpunkt der Erstdiagnosestellung bekannt waren.
Dazu KÖNNEN die Einträge direkt aus der Diagnosemeldung übernommen werden.

Name	Status	Version	Canonical	Basis
MII_PR_Onko_Liste_Evidenz_Erstdiagnose	draft	2024.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose	http://hl7.org/fhir/StructureDefinition/List

Inhalt

List	I		List	There are no (further) constraints on this element Element id List Short description A list is a curated collection of resources Alternate names Collection, WorkingList, Organizer Definition A list is a curated collection of resources. Data type List Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` lst-3: An entry date can only be used if the mode of the list is "working" `mode = 'working' or entry.date.empty()` lst-2: The deleted flag can only be used if the mode of the list is "changes" `mode = 'changes' or entry.deleted.empty()` lst-1: A list can only have an emptyReason if it is empty `emptyReason.empty() or entry.empty()` Mappings rim: Entity. Role, or Act rim: Act[classCode<ORG,moodCode=EVN]
id	Σ	0..1	string	There are no (further) constraints on this element Element id List.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id List.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id List.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id List.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id List.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id List.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element id List.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id List.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id List.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id List.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id List.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id List.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id List.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id List.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id List.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id List.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier		0..*	Identifier	There are no (further) constraints on this element Element id List.identifier Short description Business identifier Definition Identifier for the List assigned for business purposes outside the context of FHIR. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier rim: .id
status	S Σ ?!	1..1	codeBindingPattern	Element id List.status Short description current \| retired \| entered-in-error Definition Indicates the current state of this list. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data type code Binding The current state of the list. ListStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern current Mappings rim: n/a w5: FiveWs.status rim: .status[current=active;retired=obsolete;entered-in-error=nullified]
mode	S Σ ?!	1..1	codeBindingPattern	Element id List.mode Short description working \| snapshot \| changes Definition How this list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. Requirements Lists are used in various ways, and it must be known in what way it is safe to use them. Comments This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Data type code Binding The processing mode that applies to this list. ListMode (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern snapshot Mappings rim: n/a w5: FiveWs.class rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
title	S Σ	1..1	stringPattern	Element id List.title Short description Descriptive name for the list Definition A label for the list assigned by the author. Requirements Allows customization beyond just the code identifying the kind of list. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern Liste der Evidenz zum Erstdiagnosezeitpunkt Mappings rim: n/a rim: .title
code	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id List.code Short description What the purpose of this list is Definition This code defines the purpose of the list - why it was created. Requirements Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included. Comments If there is no code, the purpose of the list is implied where it is used, such as in a document section using Document.section.code. Data type CodeableConcept Binding What the purpose of a list is. ExampleUseCodesForList (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.what[x] rim: .code
subject	S Σ I	1..1	Reference(Patient)	Element id List.subject Short description If all resources have the same subject Definition The common subject (or patient) of the resources that are in the list if there is one. Requirements The primary purpose of listing the subject explicitly is to help with finding the right list. Comments Some purely arbitrary lists do not have a common subject, so this is optional. Data type Reference(Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.subject[x] rim: .participation[typeCode<SUB].role (and sometimes .player) w5: FiveWs.subject
encounter	S I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element id List.encounter Short description Context in which list created Definition The encounter that is the context in which this list was created. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.context rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
date	Σ	0..1	dateTime	There are no (further) constraints on this element Element id List.date Short description When the list was prepared Definition The date that the list was prepared. Requirements Identifies how current the list is which affects relevance. Comments The actual important date is the date of currency of the resources that were summarized, but it is usually assumed that these are current when the preparation occurs. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.recorded rim: .participation[typeCode<AUT].time[type=TS]
source	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| Device)	There are no (further) constraints on this element Element id List.source Short description Who and/or what defined the list contents (aka Author) Alternate names Author Definition The entity responsible for deciding what the contents of the list were. Where the list was created by a human, this is the same as the author of the list. Requirements Allows follow-up as well as context. Comments The primary source is the entity that made the decisions what items are in the list. This may be software or user. Data type Reference(Practitioner \| PractitionerRole \| Patient \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.author rim: .participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]
orderedBy		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id List.orderedBy Short description What order the list has Definition What order applies to the items in the list. Requirements Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. Comments Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. Data type CodeableConcept Binding What order applies to the items in a list. ListOrderCodes (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: .outboundRelationship[typeCode=COMP].sequenceNumber > 1
note		0..*	Annotation	There are no (further) constraints on this element Element id List.note Short description Comments about the list Definition Comments that apply to the overall list. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act rim: .inboundRelationship[typeCode=SUBJ].act.text
entry	S I	1..*	BackboneElement	There are no (further) constraints on this element Element id List.entry Short description Entries in the list Definition Entries in this list. Comments If there are no entries in the list, an emptyReason SHOULD be provided. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id		0..1	string	There are no (further) constraints on this element Element id List.entry.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id List.entry.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id List.entry.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
flag	S	0..1	CodeableConcept	There are no (further) constraints on this element Element id List.entry.flag Short description Status/Workflow information about this item Definition The flag allows the system constructing the list to indicate the role and significance of the item in the list. Requirements This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list. Comments The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is "changes". Data type CodeableConcept Binding Codes that provide further information about the reason and meaning of the item in the list. PatientMedicineChangeTypes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
deleted	?! I	0..1	boolean	There are no (further) constraints on this element Element id List.entry.deleted Short description If this item is actually marked as deleted Definition True if this item is marked as deleted in the list. Requirements The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as "deleted". Comments If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is "changes". A deleted entry should be displayed in narrative as deleted. This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list. Meaning when missing List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes' Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"
date		0..1	dateTime	There are no (further) constraints on this element Element id List.entry.date Short description When item added to list Definition When this item was added to the list. Requirements The date may be significant for understanding the meaning of items in a working list. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .availabilityTime
item	S I	1..1	Reference(Observation \| DiagnosticReport)	Element id List.entry.item Short description Actual entry Definition A reference to the actual resource from which data was derived. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Observation \| DiagnosticReport) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .target or .role or .role.entity
emptyReason	I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id List.emptyReason Short description Why list is empty Definition If the list is empty, why the list is empty. Requirements Allows capturing things like "none exist" or "not asked" which can be important for most lists. Comments The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. Data type CodeableConcept Binding If a list is empty, why it is empty. ListEmptyReasons (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]

Dieses Profil beschreibt eine Liste, die alle Observationen und Berichte enthält, die für eine Erstdiagnostik relevant waren. (synchrone Observationen im Sinne der Krebsregister)

Feldname
List.meta.profile
List.status
List.mode
List.title
List.subject
List.encounter
List.entry
List.entry.flag
List.entry.item

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-onko-liste-evidenz-erstdiagnose" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose" />
    <version value="2024.0.0-ballot" />
    <name value="MII_PR_Onko_Liste_Evidenz_Erstdiagnose" />
    <title value="MII PR Onkologie Diagnose" />
    <status value="draft" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil beschreibt eine Liste, die alle Observationen und Berichte enth&#228;lt, die f&#252;r eine Erstdiagnostik relevant waren.  (synchrone Observationen im Sinne der Krebsregister)" />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="List" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/List" />
    <derivation value="constraint" />
    <differential>
        <element id="List.meta.profile">
            <path value="List.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="List.status">
            <path value="List.status" />
            <patternCode value="current" />
            <mustSupport value="true" />
        </element>
        <element id="List.mode">
            <path value="List.mode" />
            <patternCode value="snapshot" />
            <mustSupport value="true" />
        </element>
        <element id="List.title">
            <path value="List.title" />
            <min value="1" />
            <patternString value="Liste der Evidenz zum Erstdiagnosezeitpunkt" />
            <mustSupport value="true" />
        </element>
        <element id="List.subject">
            <path value="List.subject" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="List.encounter">
            <path value="List.encounter" />
            <mustSupport value="true" />
        </element>
        <element id="List.entry">
            <path value="List.entry" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="List.entry.flag">
            <path value="List.entry.flag" />
            <mustSupport value="true" />
        </element>
        <element id="List.entry.item">
            <path value="List.entry.item" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
            </type>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-onko-liste-evidenz-erstdiagnose",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose",
    "version": "2024.0.0-ballot",
    "name": "MII_PR_Onko_Liste_Evidenz_Erstdiagnose",
    "title": "MII PR Onkologie Diagnose",
    "status": "draft",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt eine Liste, die alle Observationen und Berichte enthält, die für eine Erstdiagnostik relevant waren.  (synchrone Observationen im Sinne der Krebsregister)",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "List",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/List",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "List.meta.profile",
                "path": "List.meta.profile",
                "mustSupport": true
            },
            {
                "id": "List.status",
                "path": "List.status",
                "patternCode": "current",
                "mustSupport": true
            },
            {
                "id": "List.mode",
                "path": "List.mode",
                "patternCode": "snapshot",
                "mustSupport": true
            },
            {
                "id": "List.title",
                "path": "List.title",
                "min": 1,
                "patternString": "Liste der Evidenz zum Erstdiagnosezeitpunkt",
                "mustSupport": true
            },
            {
                "id": "List.subject",
                "path": "List.subject",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "List.encounter",
                "path": "List.encounter",
                "mustSupport": true
            },
            {
                "id": "List.entry",
                "path": "List.entry",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "List.entry.flag",
                "path": "List.entry.flag",
                "mustSupport": true
            },
            {
                "id": "List.entry.item",
                "path": "List.entry.item",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Observation",
                            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
                        ]
                    }
                ],
                "mustSupport": true
            }
        ]
    }
}

MII PR Onkologie Diagnose

Suchparameter

Folgende Suchparameter sind für das Modul Onkologie relevant, auch in Kombination:

Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter _id MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_id=1234

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".

Beispiele

{
    "resourceType": "List",
    "id": "mii-exa-onko-liste-evidenz-erstdiagnose-1",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose"
        ]
    },
    "status": "current",
    "mode": "snapshot",
    "title": "Liste der Evidenz zum Erstdiagnosezeitpunkt",
    "subject": {
        "reference": "Patient/example"
    },
    "entry":  [
        {
            "item": {
                "reference": "Observation/example-ecog-zustand"
            }
        },
        {
            "item": {
                "reference": "Observation/example-tnm-klassifikation"
            }
        },
        {
            "item": {
                "reference": "Observation/example-tnm-t-kategorie"
            }
        },
        {
            "item": {
                "reference": "Observation/example-tnm-n-kategorie"
            }
        },
        {
            "item": {
                "reference": "Observation/example-tnm-m-kategorie"
            }
        },
        {
            "item": {
                "reference": "Observation/example-tnm-l-kategorie"
            }
        },
        {
            "item": {
                "reference": "Observation/example-fernmetastase-1"
            }
        },
        {
            "item": {
                "reference": "Observation/example-fernmetastase-2"
            }
        },
        {
            "item": {
                "reference": "DiagnosticReport/example-pathobefund-1"
            }
        }
    ]
}