This page is part of the FHIR Specification (v3.2.0: R4 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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Patient Care Work Group | Maturity Level: 2 | Trial Use | Compartments: Patient |
Detailed Descriptions for the elements in the FamilyMemberHistory resource.
| FamilyMemberHistory | |
| Definition | Significant health 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.empty() or born.empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')]))fhs-2: Can only have estimatedAge if age[x] is present (expression : age.exists() or estimatedAge.empty(), xpath: exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))) |
| 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. |
| Summary | true |
| FamilyMemberHistory.instantiates | |
| Definition | A protocol or questionnaire that was adhered to in whole or in part by this event. |
| Control | 0..* |
| Type | uri |
| Summary | true |
| FamilyMemberHistory.status | |
| Definition | A code specifying the status of the record of the family history of a specific family member. |
| Control | 1..1 |
| Terminology Binding | FamilyHistoryStatus (Required) |
| Type | code |
| Is Modifier | true |
| Summary | true |
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| FamilyMemberHistory.dataAbsentReason | |
| Definition | Describes why the family member's history is not available. |
| Control | 0..1 |
| Terminology Binding | FamilyHistoryAbsentReason (Example) |
| Type | CodeableConcept |
| Requirements | This is a separate element to allow it to have a distinct binding from reasonCode. |
| Summary | true |
| 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.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 |
| Terminology Binding | FamilyMember (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 |
| Terminology Binding | AdministrativeGender (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.empty() or born.empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])) |
| FamilyMemberHistory.age[x] | |
| Definition | The 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 natural for clinicians. |
| Summary | true |
| Comments | use estimatedAge to indicate whether the age is actual or not. |
| Invariants | Affect this element fhs-1: Can have age[x] or born[x], but not both (expression : age.empty() or born.empty(), xpath: not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])) |
| FamilyMemberHistory.estimatedAge | |
| Definition | If true, indicates that the age value specified is an estimated value. |
| Control | 0..1 |
| Type | boolean |
| Meaning if Missing | It is unknown whether the age is an estimate or not |
| Requirements | Clinicians often prefer to specify an estimaged age rather than an age range. |
| Summary | true |
| Comments | This element is labeled as a modifier because the fact tha age is estimated can/should change the results of any algorithm that calculates based on the specified age. |
| Invariants | Affect this element fhs-2: Can only have estimatedAge if age[x] is present (expression : age.exists() or estimatedAge.empty(), xpath: exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))) |
| 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] |
| Summary | true |
| FamilyMemberHistory.reasonCode | |
| Definition | Describes why the family member history occurred in coded or textual form. |
| Control | 0..* |
| Terminology Binding | SNOMED CT Clinical Findings (Example) |
| Type | CodeableConcept |
| Summary | true |
| Comments | Textual reasons can be caprued using reasonCode.text. |
| FamilyMemberHistory.reasonReference | |
| Definition | Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event. |
| Control | 0..* |
| Type | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) |
| Summary | true |
| 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..* |
| 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 |
| Terminology Binding | Condition/Problem/Diagnosis Codes (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 |
| Terminology Binding | Condition Outcome Codes (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. |
| FamilyMemberHistory.condition.note | |
| Definition | An area where general notes can be placed about this specific condition. |
| Control | 0..* |
| Type | Annotation |