This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
This is an example form generated from the questionnaire. See also the XML or JSON format.
This is an example form generated from the questionnaire. See also the XML or JSON format
| Logical id of this artefact |
Metadata about the resource
| A set of rules under which this content was created |
| language |
Text summary of the resource, for human interpretation
Contained, inline Resources
External Id(s) for this record
| label: | |
| system: | |
| value: |
| Patient history is about |
|
| When history was captured/updated |
| Additional details not covered elsewhere |
| xml:id (or equivalent in JSON) |
| The family member described |
Relationship to the subject
| code: | |
| text: |
(approximate) date of birth
| type |
Period
| start: | |
| end: |
| date |
| string |
(approximate) age
| type |
Age
| comp: | |
| value: | |
| units: |
Range
| low: | |
| high: | |
| units: |
| string |
Dead? How old/when?
| type |
| boolean |
Age
| comp: | |
| value: | |
| units: |
Range
| low: | |
| high: | |
| units: |
| date |
| string |
| General note about related person |
| xml:id (or equivalent in JSON) |
Condition suffered by relation
| code: | |
| text: |
deceased | permanent disability | etc.
| code: | |
| text: |
When condition first manifested
| type |
Age
| comp: | |
| value: | |
| units: |
Range
| low: | |
| high: | |
| units: |
| string |
| Extra information about condition |