MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR Onkologie Evidenz Diagnose Primärtumor

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-liste-evidenz-erstdiagnose Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_Onko_Liste_Evidenz_Erstdiagnose

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

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.

Beispiele

mii-exa-onko-liste-evidenz-erstdiagnose-1

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... mode ?!SΣ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title SΣ 1..1 string Descriptive name for the list
Required Pattern: Liste der Evidenz zum Erstdiagnosezeitpunkt
... subject SΣ 1..1 Reference(Patient) If all resources have the same subject
... encounter S 0..1 Reference(Encounter) Context in which list created
... entry SC 1..* BackboneElement Entries in the list
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag S 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
.... item S 1..1 Reference(Observation | DiagnosticReport) Actual entry

doco 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.entry.flag Base example Patient Medicine Change Types 📍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()

Diese Struktur ist abgeleitet von List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
Required Pattern: current
... mode S 1..1 code working | snapshot | changes
Required Pattern: snapshot
... subject S 1..1 Reference(Patient) If all resources have the same subject
... encounter S 0..1 Reference(Encounter) Context in which list created
... entry S 1..* BackboneElement Entries in the list
.... flag S 0..1 CodeableConcept Status/Workflow information about this item
.... item S 1..1 Reference(Observation | DiagnosticReport) Actual entry

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
Required Pattern: current
... mode ?!SΣ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title SΣ 1..1 string Descriptive name for the list
Required Pattern: Liste der Evidenz zum Erstdiagnosezeitpunkt
... code Σ 0..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
... subject SΣ 1..1 Reference(Patient) If all resources have the same subject
... encounter S 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 1..* 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 S 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 S 1..1 Reference(Observation | DiagnosticReport) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.

doco 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()

Diese Struktur ist abgeleitet von List

Summary

Mandatory: 3 elements
Must-Support: 9 elements

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... mode ?!SΣ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title SΣ 1..1 string Descriptive name for the list
Required Pattern: Liste der Evidenz zum Erstdiagnosezeitpunkt
... subject SΣ 1..1 Reference(Patient) If all resources have the same subject
... encounter S 0..1 Reference(Encounter) Context in which list created
... entry SC 1..* BackboneElement Entries in the list
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... flag S 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
.... item S 1..1 Reference(Observation | DiagnosticReport) Actual entry

doco 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.entry.flag Base example Patient Medicine Change Types 📍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-Ansicht

Diese Struktur ist abgeleitet von List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
Required Pattern: current
... mode S 1..1 code working | snapshot | changes
Required Pattern: snapshot
... subject S 1..1 Reference(Patient) If all resources have the same subject
... encounter S 0..1 Reference(Encounter) Context in which list created
... entry S 1..* BackboneElement Entries in the list
.... flag S 0..1 CodeableConcept Status/Workflow information about this item
.... item S 1..1 Reference(Observation | DiagnosticReport) Actual entry

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
Required Pattern: current
... mode ?!SΣ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title SΣ 1..1 string Descriptive name for the list
Required Pattern: Liste der Evidenz zum Erstdiagnosezeitpunkt
... code Σ 0..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
... subject SΣ 1..1 Reference(Patient) If all resources have the same subject
... encounter S 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 1..* 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 S 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 S 1..1 Reference(Observation | DiagnosticReport) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.

doco 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()

Diese Struktur ist abgeleitet von List

Summary

Mandatory: 3 elements
Must-Support: 9 elements

 

Weitere Repräsentationen des Profils: CSV, Excel, Schematron