onconnect-pr-tb-oncological-history
type: StructureDefinition
node role: treeRoot
id:
  v: onconnect-pr-tb-oncological-history
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition onconnect-pr-tb-oncological-history Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> List 0..* List A list is a curated collection of resources #xD; status 1..1 code current | retired | entered-in-error Required Pattern: current #xD; mode 1..1 code working | snapshot | changes Required Pattern: snapshot #xD; code 1..1 CodeableConcept What the purpose of this list is Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://loinc.org #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: 35090-0 #xD; display 1..1 string Representation defined by the system Fixed Value: Patient history #xD; subject 1..1 Reference(Patient (Profile)) If all resources have the same subject #xD; entry 0..* BackboneElement A list of all relevant patient history items, such as previous surgeries, treatments, or previous tumor boards. Examplary events and there profiles are listed above. #xD; item 1..1 Reference(MedicationStatement | Procedure | Observation | CarePlan | Condition) Actual entry #xD; emptyReason 0..1 CodeableConcept Why list is empty Binding: ListEmptyReasons (required) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-oncological-history
  l: onconnect-pr-tb-oncological-history
version:
  v: 0.2.0
name:
  v: ONCOnnect_PR_TB_OncologicalHistory
title:
  v: Oncological History (Profile)
status:
  v: draft
date:
  v: 2025-12-18T14:53:01+00:00
publisher:
  v: ONCOnnect
contact:
  name:
    v: ONCOnnect
  telecom:
    system:
      v: url
    value:
      v: https://ccc-onconnect.de/
description:
  v: Captures the patient's oncological history, including conditions and events that are relevant to their health status. The resources that should be used to represent the different events are listed below. | Event | Profile | | ----------------------- | -------------------------------------------------- | | CT-Staging + Staging | ONCOnnect PR TB TNMStaging | | Surgery | MII PR Onkologie Operation | | Tumorboard | MII PR Onkologie Tumorkonferenz | | Radiotherapy | MII PR Onkologie Strahlentherapie | | Chemotherapy | MII PR Medikation MedicationStatement | | Initial diagnosis | Condition (might be part of the primary diagnosis) | | Guideline ("Leitlinie") | CarePlan/Observation | | (Other) | Observation / .. | In case it is not possible or requires significant effort to track the patient history in a structured way, you should still use one base resource per event, but only use the `note` property to capture the information. This is why this profile only defines the Reference type to link to FHIR base resources and not the specific MII profiles. E.g. the MII Onkologie Operation profile would require a structured OPS code. Please include a date (YYYY-MM-DD, YYYY-MM, YYYY, DD.MM.YYYY or DD.MM) in the `note` to indicate when the event occurred.
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: List
  l: List
base definition:
  v: http://hl7.org/fhir/StructureDefinition/List
  l: List
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: List
    path:
      v: List
    short:
      v: A list is a curated collection of resources
    definition:
      v: A list is a curated collection of resources.
    alias:
      v: Collection
    alias:
      v: WorkingList
    alias:
      v: Organizer
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: List
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: lst-1
      severity:
        v: error
      human:
        v: A list can only have an emptyReason if it is empty
      expression:
        v: emptyReason.empty() or entry.empty()
      xpath:
        v: not(exists(f:emptyReason) and exists(f:entry))
      source:
        v: http://hl7.org/fhir/StructureDefinition/List
        l: List
    constraint:
      key:
        v: lst-2
      severity:
        v: error
      human:
        v: The deleted flag can only be used if the mode of the list is "changes"
      expression:
        v: mode = 'changes' or entry.deleted.empty()
      xpath:
        v: (f:mode/@value = 'changes') or not(exists(f:entry/f:deleted))
      source:
        v: http://hl7.org/fhir/StructureDefinition/List
        l: List
    constraint:
      key:
        v: lst-3
      severity:
        v: error

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: An entry date can only be used if the mode of the list is "working"

v: mode = 'working' or entry.date.empty()

v: (f:mode/@value = 'working') or not(exists(f:entry/f:date))

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: rim
map:
  v: Act[classCode<ORG,moodCode=EVN]

id:
  v: List.id
path:
  v: List.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: List.meta
path:
  v: List.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: List.implicitRules
path:
  v: List.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: List.language
path:
  v: List.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: List.text
path:
  v: List.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: List.contained
path:
  v: List.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: List.extension
path:
  v: List.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: List.modifierExtension
path:
  v: List.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: List.identifier
path:
  v: List.identifier
short:
  v: Business identifier
definition:
  v: Identifier for the List assigned for business purposes outside the context of FHIR.
min:
  v: 0
max:
  v: *
base:
  path:
    v: List.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id

id:
  v: List.status
path:
  v: List.status
short:
  v: current | retired | entered-in-error
definition:
  v: Indicates the current state of this list.
comment:
  v: This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: List.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: current
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ListStatus
  strength:
    v: required
  description:
    v: The current state of the list.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .status[current=active;retired=obsolete;entered-in-error=nullified]

id:
  v: List.mode
path:
  v: List.mode
short:
  v: working | snapshot | changes
definition:
  v: 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.
comment:
  v: This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
requirements:
  v: Lists are used in various ways, and it must be known in what way it is safe to use them.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: List.mode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
pattern: Code
  v: snapshot
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: If set to "changes", the list is considered incomplete, while the other two codes indicate the list is complete, which changes the understanding of the elements listed
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ListMode
  strength:
    v: required
  description:
    v: The processing mode that applies to this list.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-mode|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-mode
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value

id:
  v: List.title
path:
  v: List.title
short:
  v: Descriptive name for the list
definition:
  v: A label for the list assigned by the author.
requirements:
  v: Allows customization beyond just the code identifying the kind of list.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: Dr. Jane's Patients
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .title

id:
  v: List.code
path:
  v: List.code
short:
  v: What the purpose of this list is
definition:
  v: This code defines the purpose of the list - why it was created.
comment:
  v: 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.
requirements:
  v: Lists often contain subsets of resources rather than an exhaustive list. The code identifies what type of subset is included.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: List.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/35090-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 35090-0
    display:
      v: Patient history
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ListPurpose
  strength:
    v: example
  description:
    v: What the purpose of a list is.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-example-codes|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-example-codes
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: rim
  map:
    v: .code

id:
  v: List.subject
path:
  v: List.subject
short:
  v: If all resources have the same subject
definition:
  v: The common subject (or patient) of the resources that are in the list if there is one.
comment:
  v: Some purely arbitrary lists do not have a common subject, so this is optional.
requirements:
  v: The primary purpose of listing the subject explicitly is to help with finding the right list.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: List.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-patient
    l: onconnect-pr-tb-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode<SUB].role (and sometimes .player)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: List.encounter
path:
  v: List.encounter
short:
  v: Context in which list created
definition:
  v: The encounter that is the context in which this list was created.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

id:
  v: List.date
path:
  v: List.date
short:
  v: When the list was prepared
definition:
  v: The date that the list was prepared.
comment:
  v: 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.
requirements:
  v: Identifies how current the list is which affects relevance.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode<AUT].time[type=TS]

id:
  v: List.source
path:
  v: List.source
short:
  v: Who and/or what defined the list contents (aka Author)
definition:
  v: 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.
comment:
  v: The primary source is the entity that made the decisions what items are in the list. This may be software or user.
requirements:
  v: Allows follow-up as well as context.
alias:
  v: Author
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Device
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.author
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode<AUT].role[classCode=REL].player[classCode=PSN,determinerCode=INST] or .participation[typeCode<AUT].role[classCode=REL].player[classCode=DEV,determinerCode=INST]

id:
  v: List.orderedBy
path:
  v: List.orderedBy
short:
  v: What order the list has
definition:
  v: What order applies to the items in the list.
comment:
  v: 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.
requirements:
  v: Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.orderedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ListOrder
  strength:
    v: preferred
  description:
    v: What order applies to the items in a list.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-order|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-order
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].sequenceNumber > 1

id:
  v: List.note
path:
  v: List.note
short:
  v: Comments about the list
definition:
  v: Comments that apply to the overall list.
min:
  v: 0
max:
  v: *
base:
  path:
    v: List.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].act.text

id:
  v: List.entry
path:
  v: List.entry
short:
  v: A list of all relevant patient history items, such as previous surgeries, treatments, or previous tumor boards. Examplary events and there profiles are listed above.
definition:
  v: Entries in this list.
comment:
  v: If there are no entries in the list, an emptyReason SHOULD be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: List.entry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
condition:
  v: lst-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]

id:
  v: List.entry.id
path:
  v: List.entry.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: List.entry.extension
path:
  v: List.entry.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: List.entry.modifierExtension
path:
  v: List.entry.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: List.entry.flag
path:
  v: List.entry.flag
short:
  v: Status/Workflow information about this item
definition:
  v: The flag allows the system constructing the list to indicate the role and significance of the item in the list.
comment:
  v: 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".
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.entry.flag
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ListItemFlag
  strength:
    v: example
  description:
    v: Codes that provide further information about the reason and meaning of the item in the list.
  value set:
    v: http://hl7.org/fhir/ValueSet/list-item-flag|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-item-flag
mapping:
  identity:
    v: rim
  map:
    v: .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value

id:
  v: List.entry.deleted
path:
  v: List.entry.deleted
short:
  v: If this item is actually marked as deleted
definition:
  v: True if this item is marked as deleted in the list.
comment:
  v: 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.
requirements:
  v: 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".
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.entry.deleted
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
meaning when missing:
  v: 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'
condition:
  v: lst-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: If deleted is true, then the item included in the list isn't actually part of the list anymore
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: added: .updateMode=("A","AR") retained: .updateMode="NC" updated: .updateMode="R" deleted: .updateMode="D"

id:
  v: List.entry.date
path:
  v: List.entry.date
short:
  v: When item added to list
definition:
  v: When this item was added to the list.
requirements:
  v: The date may be significant for understanding the meaning of items in a working list.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.entry.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .availabilityTime

id:
  v: List.entry.item
path:
  v: List.entry.item
short:
  v: Actual entry
definition:
  v: A reference to the actual resource from which data was derived.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: List.entry.item
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    l: MedicationStatement
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    l: CarePlan
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .target or .role or .role.entity

id:
  v: List.emptyReason
path:
  v: List.emptyReason
short:
  v: Why list is empty
definition:
  v: If the list is empty, why the list is empty.
comment:
  v: 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.
requirements:
  v: Allows capturing things like "none exist" or "not asked" which can be important for most lists.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: List.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: lst-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
    l: http://hl7.org/fhir/ValueSet/list-empty-reason
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]

element:
  id:
    v: List
  path:
    v: List
element:
  id:
    v: List.status
  path:
    v: List.status
  pattern: Code
    v: current
element:
  id:
    v: List.mode
  path:
    v: List.mode
  pattern: Code
    v: snapshot
element:
  id:
    v: List.code
  path:
    v: List.code
  min:
    v: 1
  pattern: CodeableConcept
    coding: https://loinc.org/rdf/35090-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 35090-0
      display:
        v: Patient history
element:
  id:
    v: List.subject
  path:
    v: List.subject
  min:
    v: 1
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://tumorboards-ig.app.ccc-onconnect.de/StructureDefinition/onconnect-pr-tb-patient
      l: onconnect-pr-tb-patient
element:
  id:
    v: List.entry
  path:
    v: List.entry
  short:
    v: A list of all relevant patient history items, such as previous surgeries, treatments, or previous tumor boards. Examplary events and there profiles are listed above.
element:
  id:
    v: List.entry.item
  path:
    v: List.entry.item
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
      l: MedicationStatement
    target profile:
      v: http://hl7.org/fhir/StructureDefinition/Procedure
      l: Procedure
    target profile:
      v: http://hl7.org/fhir/StructureDefinition/Observation
      l: Observation
    target profile:
      v: http://hl7.org/fhir/StructureDefinition/CarePlan
      l: CarePlan
    target profile:
      v: http://hl7.org/fhir/StructureDefinition/Condition
      l: Condition
element:
  id:
    v: List.emptyReason
  path:
    v: List.emptyReason
  binding:
    strength:
      v: required
    value set:
      v: http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
      l: http://hl7.org/fhir/ValueSet/list-empty-reason