This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
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This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Detailed Descriptions for the elements in the FamilyMemberHistory resource.
| FamilyMemberHistory | |
| Definition | Significant health events and conditions for a person related to the patient relevant in the context of care for the patient. |
| Control | 1..1 |
| Invariants | Defined on this element fhs-1: Can have age[x] or born[x], but not both (expression: age[x].empty() or born[x].empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])) |
| FamilyMemberHistory.identifier | |
| Definition | This records identifiers associated with this family member history record that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). |
| Note | This is a business identifer, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| Requirements | Need to allow connection to a wider workflow. |
| FamilyMemberHistory.patient | |
| Definition | The person who this history concerns. |
| Control | 1..1 |
| Type | Reference(Patient) |
| Alternate Names | Proband |
| Summary | true |
| FamilyMemberHistory.date | |
| Definition | The date (and possibly time) when the family member history was taken. |
| Control | 0..1 |
| Type | dateTime |
| Requirements | Allows determination of how current the summary is. |
| Summary | true |
| Comments | This should be captured even if the same as the date on the List aggregating the full family history. |
| FamilyMemberHistory.status | |
| Definition | A code specifying a state of a Family Member History record. |
| Control | 1..1 |
| Binding | FamilyHistoryStatus: A code that identifies the status of the family history record. (Required) |
| Type | code |
| Is Modifier | true |
| Summary | true |
| FamilyMemberHistory.name | |
| Definition | This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair". |
| Control | 0..1 |
| Type | string |
| Requirements | Allows greater ease in ensuring the same person is being talked about. |
| Summary | true |
| FamilyMemberHistory.relationship | |
| Definition | The type of relationship this person has to the patient (father, mother, brother etc.). |
| Control | 1..1 |
| Binding | FamilyMember: The nature of the relationship between the patient and the related person being described in the family member history. (Example) |
| Type | CodeableConcept |
| Summary | true |
| FamilyMemberHistory.gender | |
| Definition | Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes. |
| Control | 0..1 |
| Binding | AdministrativeGender: The gender of a person used for administrative purposes. (Required) |
| Type | code |
| Requirements | Not all relationship codes imply gender and the relative's gender can be relevant for risk assessments. |
| Summary | true |
| FamilyMemberHistory.born[x] | |
| Definition | The actual or approximate date of birth of the relative. |
| Control | 0..1 |
| Type | Period|date|string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements | Allows calculation of the relative's age. |
| Invariants | Affect this element fhs-1: Can have age[x] or born[x], but not both (expression: age[x].empty() or born[x].empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])) |
| FamilyMemberHistory.age[x] | |
| Definition | The actual or approximate age of the relative at the time the family member history is recorded. |
| Control | 0..1 |
| Type | Age|Range|string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements | While age can be calculated from date of birth, sometimes recording age directly is more natureal for clinicians. |
| Invariants | Affect this element fhs-1: Can have age[x] or born[x], but not both (expression: age[x].empty() or born[x].empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])) |
| FamilyMemberHistory.deceased[x] | |
| Definition | Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record. |
| Control | 0..1 |
| Type | boolean|Age|Range|date|string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| FamilyMemberHistory.note | |
| Definition | This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible. |
| Control | 0..1 |
| Type | Annotation |
| FamilyMemberHistory.condition | |
| Definition | The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per condition. |
| Control | 0..* |
| Comments | If none of the conditions listed have an outcome of "death" specified, that indicates that none of the specified conditions are known to have been the primary cause of death. |
| FamilyMemberHistory.condition.code | |
| Definition | The actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system. |
| Control | 1..1 |
| Binding | Condition/Problem/Diagnosis Codes: Identification of the Condition or diagnosis. (Example) |
| Type | CodeableConcept |
| FamilyMemberHistory.condition.outcome | |
| Definition | Indicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relation. |
| Control | 0..1 |
| Binding | Condition Outcome Codes: The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc. (Example) |
| Type | CodeableConcept |
| FamilyMemberHistory.condition.onset[x] | |
| Definition | Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence. |
| Control | 0..1 |
| Type | Age|Range|Period|string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements | Age of onset of a condition in relatives is predictive of risk for the patient. |
| To Do | Define/find appropriate observation code. |
| FamilyMemberHistory.condition.note | |
| Definition | An area where general notes can be placed about this specific condition. |
| Control | 0..1 |
| Type | Annotation |