MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MII PR Patho History Of Present Illness

The MII PR Patho History of Present Illness profile of the List resource represents the description of the anamnesis by the submitter and is part of the "supportingInfo" in the MII PR Patho Service Request profile.

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

Usages:

• Refer to this Profile: MII PR Patho Service Request
• Examples for this Profile: List/mii-exa-patho-history-of-present-illness

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
meta	Σ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!SΣ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
code	SΣ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
coding	SΣ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
entry	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	example	Example Use Codes for List	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	List	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-4	error	List	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-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	mode = 'working' or entry.date.empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List		0..*	List	A list is a curated collection of resources
meta
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
status	S	1..1	code	current | retired | entered-in-error
mode	S	1..1	code	working | snapshot | changes Fixed Value: snapshot
code	S	1..1	CodeableConcept	What the purpose of this list is
coding	S	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
subject	S	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
entry	S	0..*	BackboneElement	Entries in the list
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!SΣ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	SΣ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
List.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
List.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	example	Example Use Codes for List	📍4.0.1	FHIR Std.
List.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
List.entry.flag	Base	example	Patient Medicine Change Types	📍4.0.1	FHIR Std.
List.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	List	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-4	error	List	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-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	mode = 'working' or entry.date.empty()

Summary

Mandatory: 5 elements
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• MII PR Patho Problem List Item (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
meta	Σ	0..1	Meta	Metadata about the resource
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!SΣ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
code	SΣ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
coding	SΣ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
entry	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	example	Example Use Codes for List	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	List	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-4	error	List	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-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	mode = 'working' or entry.date.empty()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List		0..*	List	A list is a curated collection of resources
meta
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
status	S	1..1	code	current | retired | entered-in-error
mode	S	1..1	code	working | snapshot | changes Fixed Value: snapshot
code	S	1..1	CodeableConcept	What the purpose of this list is
coding	S	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
subject	S	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
entry	S	0..*	BackboneElement	Entries in the list
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
List	C	0..*	List	A list is a curated collection of resources Constraints: lst-1, lst-2, lst-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!SΣ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list.
mode	?!SΣ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list. Fixed Value: snapshot
title	Σ	0..1	string	Descriptive name for the list Example General: Dr. Jane's Patients
code	SΣ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8684-3
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	If all resources have the same subject
encounter		0..1	Reference(Encounter)	Context in which list created
date	Σ	0..1	dateTime	When the list was prepared
source	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | Device)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
entry	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(MII PR Patho Problem List Item)	Actual entry
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
List.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
List.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
List.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
List.status	Base	required	ListStatus	📍4.0.1	FHIR Std.
List.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
List.code	Base	example	Example Use Codes for List	📍4.0.1	FHIR Std.
List.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
List.entry.flag	Base	example	Patient Medicine Change Types	📍4.0.1	FHIR Std.
List.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	List	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-4	error	List	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-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes"	mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working"	mode = 'working' or entry.date.empty()

Summary

Mandatory: 5 elements
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• MII PR Patho Problem List Item (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-problem-list-item)

Other representations of profile: CSV, Excel, Schematron