Objective To establish an evaluation index system for the compliance of end-of-life care preferences for terminal cancer patients, and to provide a reference for assessing and improving the compliance of end-of-life care preferences among terminal cancer patients.Methods Through literature review and qualitative interviews （involving 9 patients, 10 family members, and 15 medical staffers）, the first draft of the evaluation index system for the compliance of end-of-life care preferences for terminal cancer patients was constructed. Two rounds of consultation with 17 experts were conducted, and analytic hierarchy process（AHP） was used to determine the weight of each index.Results In the first and second rounds of expert consultation, the expert response rate were 88.2% and 100.0%, respectively; the expert authority coefficients were 0.943 and 0.973, respectively; the Kendall concordance coefficients were 0.168-0.256 and 0.108-0.267 for first-, second- and third- level indicators, respectively. Finally, an evaluation index system for the compliance of end-of-life care preferences for terminal cancer patients was constructed, including 4 first-level indexes（healthcare conditions, healthcare workers′ readiness for care, family support, and disease-related factors）, 29 second-level indexes, and 97 third-level indexes.Conclusion The evaluation index system for the compliance of end-of-life care preferences for terminal cancer patients is scientific and reliable, which can provide a reference direction for the evaluation and intervention of end-of-life compliance in patients with terminal cancer.