0.2.0 - ci-build

ONCOnnectTumorboardIG - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Comorbidities (Profile)

Official URL: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-comorbidities Version: 0.2.0
Draft as of 2025-12-18 Computable Name: ONCOnnect_PR_TB_Comorbidities

Captures the comorbidities of a patient.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (Profile)) If all resources have the same subject
... note 0..* Annotation Notes should be used to track additional comorbidities not captured in the structured data.
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

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.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.emptyReason Base required 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()

This structure is derived from List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List 0..* List A list is a curated collection of resources
... status 1..1 code current | retired | entered-in-error
Required Pattern: current
... mode 1..1 code working | snapshot | changes
Required Pattern: snapshot
... code 1..1 CodeableConcept What the purpose of this list is
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
... note 0..* Annotation Notes should be used to track additional comorbidities not captured in the structured data.
... entry
.... item 1..1 Reference(MII PR Diagnose Condition) Actual entry
... emptyReason 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.emptyReason Base required List Empty Reasons 📍4.0.1 FHIR Std.
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
... 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 ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title Σ 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (Profile)) 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 Notes should be used to track additional comorbidities not captured in the structured data.
... entry C 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 Diagnose Condition) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 required 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List C 0..* List A list is a curated collection of resources
Constraints: lst-1, lst-2, lst-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (Profile)) If all resources have the same subject
... note 0..* Annotation Notes should be used to track additional comorbidities not captured in the structured data.
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

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.code Base example Example Use Codes for List 📍4.0.1 FHIR Std.
List.emptyReason Base required 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()

Differential View

This structure is derived from List

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. List 0..* List A list is a curated collection of resources
... status 1..1 code current | retired | entered-in-error
Required Pattern: current
... mode 1..1 code working | snapshot | changes
Required Pattern: snapshot
... code 1..1 CodeableConcept What the purpose of this list is
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
... note 0..* Annotation Notes should be used to track additional comorbidities not captured in the structured data.
... entry
.... item 1..1 Reference(MII PR Diagnose Condition) Actual entry
... emptyReason 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
List.emptyReason Base required List Empty Reasons 📍4.0.1 FHIR Std.

Snapshot View

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
... 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 ?!Σ 1..1 code current | retired | entered-in-error
Binding: ListStatus (required): The current state of the list.
Required Pattern: current
... mode ?!Σ 1..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this list.
Required Pattern: snapshot
... title Σ 0..1 string Descriptive name for the list
Example General: Dr. Jane's Patients
... code Σ 1..1 CodeableConcept What the purpose of this list is
Binding: ExampleUseCodesForList (example): What the purpose of a list is.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 83243-6
..... display 1..1 string Representation defined by the system
Fixed Value: Comorbidities and coexisting conditions
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient (Profile)) 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 Notes should be used to track additional comorbidities not captured in the structured data.
... entry C 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 Diagnose Condition) Actual entry
... emptyReason C 0..1 CodeableConcept Why list is empty
Binding: ListEmptyReasons (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 required 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()

 

Other representations of profile: CSV, Excel, Schematron