StructureDefinition: Family member history for genetics analysis

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9.4.10.2 StructureDefinition: Family member history for genetics analysis

Patient Care

Work Group

Maturity Level: 0

Trial Use

Use Context: Any

The canonical URL for this profile is:

http://hl7.org/fhir/StructureDefinition/familymemberhistory-genetic

Adds additional information to a family member history supporting both the capture of mother/father relationships as well as additional observations necessary to enable genetics-based risk analysis for patients

This profile was published on Sat, Feb 21, 2015 00:00+1100 as a draft by Health Level Seven, Inc. - FHIR WG.

9.4.10.2.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

Text Summary
Differential View
Full Structure
XML Template
JSON Template
All

This structure is derived from FamilyMemberHistory.

Summary

Must-Support: 12 elements

Extensions

This structure refers to these extensions:

This indicates the differences between this profile and the base FamilyMemberHistory structure.

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory		0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient
parent	S	0..*	(Complex)	Mother(s) & Father(s) - genetic & other URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
sibling	S	0..*	(Complex)	natural brother(s) & natural sister(s) - genetic & other URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
observations	S	0..*	Reference(Observation)	Genetic markers, ethnicity, etc. URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
relationship	S	1..1	CodeableConcept	Relationship to the subject
sex	S	0..1	CodeableConcept	male \| female \| other \| unknown
born[x]	S	0..1	Period, date, string	(approximate) date of birth
age[x]	S	0..1	Age, Range, string	(approximate) age
deceased[x]	S	0..1	boolean, Age, Range, date, string	Dead? How old/when?
condition	S	0..*	BackboneElement	Condition that the related person had
code	S	1..1	CodeableConcept	Condition suffered by relation
outcome	S	0..1	CodeableConcept	deceased \| permanent disability \| etc.
onset[x]	S	0..1	Age, Range, Period, string	When condition first manifested
note		0..*	Annotation	Extra information about condition
Documentation for this format

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base FamilyMemberHistory structure.

Description & Constraints

FamilyMemberHistory

C

0..*

FamilyMemberHistory

Information about patient's relatives, relevant for patient

id

Σ

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: Common Languages (preferred): IETF language tag

Additional Bindings

Purpose

All Languages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension

Extension
Slice: Unordered, Open by value:url

parent

S

0..*

(Complex)

Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent

sibling

S

0..*

(Complex)

natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling

observations

S

0..*

Reference(Observation)

Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored

identifier

Σ

0..*

Identifier

External Id(s) for this record

instantiatesCanonical

Σ

0..*

canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)

Instantiates FHIR protocol or definition

instantiatesUri

Σ

0..*

uri

Instantiates external protocol or definition

status

?!Σ

1..1

code

partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.

dataAbsentReason

Σ

0..1

CodeableConcept

subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.

patient

Σ

1..1

Reference(Patient)

Patient history is about

date

Σ

0..1

dateTime

When history was recorded or last updated

name

Σ

0..1

string

The family member described

relationship

SΣ

1..1

CodeableConcept

Relationship to the subject
Binding: FamilyMember

(example): The nature of the relationship between the patient and the related person being described in the family member history.

sex

SΣ

0..1

CodeableConcept

male | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

born[x]

SC

0..1

(approximate) date of birth

bornPeriod

bornDate

bornString

SΣC

0..1

(approximate) age

ageAge

ageRange

ageString

ΣC

0..1

boolean

Age is estimated?

deceased[x]

SΣ

0..1

Dead? How old/when?

deceasedBoolean

deceasedAge

deceasedRange

deceasedDate

deceasedString

reason

Σ

0..*

Why was family member history performed?
Binding: SNOMED CT Clinical Findings (example): Codes indicating why the family member history was done.

note

0..*

Annotation

General note about related person

condition

S

0..*

BackboneElement

Condition that the related person had

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

S

1..1

CodeableConcept

Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.

outcome

S

0..1

CodeableConcept

deceased | permanent disability | etc.
Binding: Condition Outcome Codes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

contributedToDeath

0..1

boolean

Whether the condition contributed to the cause of death

onset[x]

S

0..1

When condition first manifested

onsetAge

onsetRange

onsetPeriod

onsetString

note

0..*

Annotation

Extra information about condition

procedure

0..*

BackboneElement

Procedures that the related person had

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

1..1

CodeableConcept

Procedures performed on the related person
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure.

outcome

0..1

CodeableConcept

What happened following the procedure
Binding: SNOMED CT Clinical Findings (example): The result of the procedure; e.g. death, permanent disability, temporary disability, etc.

contributedToDeath

0..1

boolean

Whether the procedure contributed to the cause of death

performed[x]

0..1

When the procedure was performed

performedAge

performedRange

performedPeriod

performedString

performedDateTime

note

0..*

Annotation

Extra information about the procedure

Documentation for this format

<!-- Family member history for genetics analysis -->

<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 
     External Id(s) for this record --></identifier>
 <instantiatesCanonical value="[canonical]"/><!-- I 0..* Instantiates FHIR protocol or definition -->
 <instantiatesUri value="[uri]"/><!-- I 0..* Instantiates external protocol or definition -->
 <status value="[code]"/><!-- I 1..1 partial | completed | entered-in-error | health-unknown   -->
 <dataAbsentReason><!-- I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred   --></dataAbsentReason>
 <patient><!-- I 1..1 Reference(Patient) 
     Patient history is about --></patient>
 <date value="[dateTime]"/><!-- I 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject    --></relationship>
 <sex><!-- I 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- I 0..1 Period|date|string 
     (approximate) date of birth --></born[x]>
 <age[x]><!-- I 0..1 Age|Range|string 
     (approximate) age --></age[x]>
 <estimatedAge value="[boolean]"/><!-- I 0..1 Age is estimated? -->
 <deceased[x]><!-- I 0..1 boolean|Age|Range|date|string 
     Dead? How old/when? --></deceased[x]>
 <reason><!-- I 0..* CodeableReference Why was family member history performed?   --></reason>
 <note><!-- I 0..* Annotation 
     General note about related person --></note>
 <condition> I 0..* BackboneElement  <!-- I 0..* Condition that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- I 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the condition contributed to the cause of death -->
  <onset[x]><!-- I 0..1 Age|Range|Period|string 
      When condition first manifested --></onset[x]>
  <note><!-- I 0..* Annotation 
      Extra information about condition --></note>
 </condition>
 <procedure> I 0..* BackboneElement  <!-- I 0..* Procedures that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Procedures performed on the related person   --></code>
  <outcome><!-- I 0..1 CodeableConcept What happened following the procedure   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the procedure contributed to the cause of death -->
  <performed[x]><!-- I 0..1 Age|Range|Period|string|
    dateTime When the procedure was performed --></performed[x]>
  <note><!-- I 0..* Annotation 
      Extra information about the procedure --></note>
 </procedure>
</FamilyMemberHistory>

{ // Family member history for genetics analysis
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Mother(s) & Father(s) - genetic & other // I
        // from Element: extension
      },
      { // natural brother(s) & natural sister(s) - genetic & other // I
        // from Element: extension
      },
      { // Genetic markers, ethnicity, etc. // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IExternal Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // IInstantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // IInstantiates external protocol or definition
    "status" : "<code>", // I R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // Isubject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // I R! Patient history is about
    "date" : "<dateTime>", // IWhen history was recorded or last updated
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject 
    "sex" : { CodeableConcept }, // Imale | female | other | unknown
  // value[x]: (approximate) date of birth. One of these 3:
    "bornPeriod" : { Period }, // I(approximate) date of birth
    "bornDate" : "<date>", // I(approximate) date of birth
    "bornString" : "<string>", // I(approximate) date of birth
  // value[x]: (approximate) age. One of these 3:
    "ageAge" : { Age }, // I(approximate) age
    "ageRange" : { Range }, // I(approximate) age
    "ageString" : "<string>", // I(approximate) age
    "estimatedAge" : <boolean>, // IAge is estimated?
  // value[x]: Dead? How old/when?. One of these 5:
    "deceasedBoolean" : <boolean>, // IDead? How old/when?
    "deceasedAge" : { Age }, // IDead? How old/when?
    "deceasedRange" : { Range }, // IDead? How old/when?
    "deceasedDate" : "<date>", // IDead? How old/when?
    "deceasedString" : "<string>", // IDead? How old/when?
    "reason" : [{ CodeableReference(Condition) }], // IWhy was family member history performed?
    "note" : [{ Annotation }], // IGeneral note about related person
    "condition" : [{ BackboneElement }], // ICondition that the related person had
    "procedure" : [{ BackboneElement }], // IProcedures that the related person had
  }

This structure is derived from FamilyMemberHistory.

Summary

Must-Support: 12 elements

Extensions

This structure refers to these extensions:

Differential View

This indicates the differences between this profile and the base FamilyMemberHistory structure.

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory		0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient
parent	S	0..*	(Complex)	Mother(s) & Father(s) - genetic & other URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
sibling	S	0..*	(Complex)	natural brother(s) & natural sister(s) - genetic & other URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
observations	S	0..*	Reference(Observation)	Genetic markers, ethnicity, etc. URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
relationship	S	1..1	CodeableConcept	Relationship to the subject
sex	S	0..1	CodeableConcept	male \| female \| other \| unknown
born[x]	S	0..1	Period, date, string	(approximate) date of birth
age[x]	S	0..1	Age, Range, string	(approximate) age
deceased[x]	S	0..1	boolean, Age, Range, date, string	Dead? How old/when?
condition	S	0..*	BackboneElement	Condition that the related person had
code	S	1..1	CodeableConcept	Condition suffered by relation
outcome	S	0..1	CodeableConcept	deceased \| permanent disability \| etc.
onset[x]	S	0..1	Age, Range, Period, string	When condition first manifested
note		0..*	Annotation	Extra information about condition
Documentation for this format

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base FamilyMemberHistory structure.

Description & Constraints

FamilyMemberHistory

C

0..*

FamilyMemberHistory

Information about patient's relatives, relevant for patient

id

Σ

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

uri

A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: Common Languages (preferred): IETF language tag

Additional Bindings

Purpose

All Languages

Max Binding

text

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension

Extension
Slice: Unordered, Open by value:url

parent

S

0..*

(Complex)

Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent

sibling

S

0..*

(Complex)

natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling

observations

S

0..*

Reference(Observation)

Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored

identifier

Σ

0..*

Identifier

External Id(s) for this record

instantiatesCanonical

Σ

0..*

canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)

Instantiates FHIR protocol or definition

instantiatesUri

Σ

0..*

uri

Instantiates external protocol or definition

status

?!Σ

1..1

code

partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.

dataAbsentReason

Σ

0..1

CodeableConcept

subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.

patient

Σ

1..1

Reference(Patient)

Patient history is about

date

Σ

0..1

dateTime

When history was recorded or last updated

name

Σ

0..1

string

The family member described

relationship

SΣ

1..1

CodeableConcept

Relationship to the subject
Binding: FamilyMember

(example): The nature of the relationship between the patient and the related person being described in the family member history.

sex

SΣ

0..1

CodeableConcept

male | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

born[x]

SC

0..1

(approximate) date of birth

bornPeriod

bornDate

bornString

SΣC

0..1

(approximate) age

ageAge

ageRange

ageString

ΣC

0..1

boolean

Age is estimated?

deceased[x]

SΣ

0..1

Dead? How old/when?

deceasedBoolean

deceasedAge

deceasedRange

deceasedDate

deceasedString

reason

Σ

0..*

Why was family member history performed?
Binding: SNOMED CT Clinical Findings (example): Codes indicating why the family member history was done.

note

0..*

Annotation

General note about related person

condition

S

0..*

BackboneElement

Condition that the related person had

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

S

1..1

CodeableConcept

Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.

outcome

S

0..1

CodeableConcept

deceased | permanent disability | etc.
Binding: Condition Outcome Codes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

contributedToDeath

0..1

boolean

Whether the condition contributed to the cause of death

onset[x]

S

0..1

When condition first manifested

onsetAge

onsetRange

onsetPeriod

onsetString

note

0..*

Annotation

Extra information about condition

procedure

0..*

BackboneElement

Procedures that the related person had

id

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extension

Extensions that cannot be ignored even if unrecognized

code

1..1

CodeableConcept

Procedures performed on the related person
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure.

outcome

0..1

CodeableConcept

What happened following the procedure
Binding: SNOMED CT Clinical Findings (example): The result of the procedure; e.g. death, permanent disability, temporary disability, etc.

contributedToDeath

0..1

boolean

Whether the procedure contributed to the cause of death

performed[x]

0..1

When the procedure was performed

performedAge

performedRange

performedPeriod

performedString

performedDateTime

note

0..*

Annotation

Extra information about the procedure

Documentation for this format

XML Template

<!-- Family member history for genetics analysis -->

<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 
     External Id(s) for this record --></identifier>
 <instantiatesCanonical value="[canonical]"/><!-- I 0..* Instantiates FHIR protocol or definition -->
 <instantiatesUri value="[uri]"/><!-- I 0..* Instantiates external protocol or definition -->
 <status value="[code]"/><!-- I 1..1 partial | completed | entered-in-error | health-unknown   -->
 <dataAbsentReason><!-- I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred   --></dataAbsentReason>
 <patient><!-- I 1..1 Reference(Patient) 
     Patient history is about --></patient>
 <date value="[dateTime]"/><!-- I 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject    --></relationship>
 <sex><!-- I 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- I 0..1 Period|date|string 
     (approximate) date of birth --></born[x]>
 <age[x]><!-- I 0..1 Age|Range|string 
     (approximate) age --></age[x]>
 <estimatedAge value="[boolean]"/><!-- I 0..1 Age is estimated? -->
 <deceased[x]><!-- I 0..1 boolean|Age|Range|date|string 
     Dead? How old/when? --></deceased[x]>
 <reason><!-- I 0..* CodeableReference Why was family member history performed?   --></reason>
 <note><!-- I 0..* Annotation 
     General note about related person --></note>
 <condition> I 0..* BackboneElement  <!-- I 0..* Condition that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- I 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the condition contributed to the cause of death -->
  <onset[x]><!-- I 0..1 Age|Range|Period|string 
      When condition first manifested --></onset[x]>
  <note><!-- I 0..* Annotation 
      Extra information about condition --></note>
 </condition>
 <procedure> I 0..* BackboneElement  <!-- I 0..* Procedures that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Procedures performed on the related person   --></code>
  <outcome><!-- I 0..1 CodeableConcept What happened following the procedure   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the procedure contributed to the cause of death -->
  <performed[x]><!-- I 0..1 Age|Range|Period|string|
    dateTime When the procedure was performed --></performed[x]>
  <note><!-- I 0..* Annotation 
      Extra information about the procedure --></note>
 </procedure>
</FamilyMemberHistory>

JSON Template

{ // Family member history for genetics analysis
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Mother(s) & Father(s) - genetic & other // I
        // from Element: extension
      },
      { // natural brother(s) & natural sister(s) - genetic & other // I
        // from Element: extension
      },
      { // Genetic markers, ethnicity, etc. // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IExternal Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // IInstantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // IInstantiates external protocol or definition
    "status" : "<code>", // I R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // Isubject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // I R! Patient history is about
    "date" : "<dateTime>", // IWhen history was recorded or last updated
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject 
    "sex" : { CodeableConcept }, // Imale | female | other | unknown
  // value[x]: (approximate) date of birth. One of these 3:
    "bornPeriod" : { Period }, // I(approximate) date of birth
    "bornDate" : "<date>", // I(approximate) date of birth
    "bornString" : "<string>", // I(approximate) date of birth
  // value[x]: (approximate) age. One of these 3:
    "ageAge" : { Age }, // I(approximate) age
    "ageRange" : { Range }, // I(approximate) age
    "ageString" : "<string>", // I(approximate) age
    "estimatedAge" : <boolean>, // IAge is estimated?
  // value[x]: Dead? How old/when?. One of these 5:
    "deceasedBoolean" : <boolean>, // IDead? How old/when?
    "deceasedAge" : { Age }, // IDead? How old/when?
    "deceasedRange" : { Range }, // IDead? How old/when?
    "deceasedDate" : "<date>", // IDead? How old/when?
    "deceasedString" : "<string>", // IDead? How old/when?
    "reason" : [{ CodeableReference(Condition) }], // IWhy was family member history performed?
    "note" : [{ Annotation }], // IGeneral note about related person
    "condition" : [{ BackboneElement }], // ICondition that the related person had
    "procedure" : [{ BackboneElement }], // IProcedures that the related person had
  }

Alternate definitions: Master Definition (XML, JSON), Schematron

9.4.10.2.2 Terminology Bindings

Path	Name	Conformance	ValueSet
FamilyMemberHistory.language	Common Languages	preferred	Common Languages
FamilyMemberHistory.status	FamilyHistoryStatus	required	FamilyHistoryStatus
FamilyMemberHistory.dataAbsentReason	FamilyHistoryAbsentReason	example	FamilyHistoryAbsentReason
FamilyMemberHistory.relationship	FamilyMember	example	FamilyMember
FamilyMemberHistory.sex	AdministrativeGender	extensible	AdministrativeGender
FamilyMemberHistory.reason	SNOMED CT Clinical Findings	example	SNOMED CT Clinical Findings
FamilyMemberHistory.condition.code	Condition/Problem/Diagnosis Codes	example	Condition/Problem/Diagnosis Codes
FamilyMemberHistory.condition.outcome	Condition Outcome Codes	example	Condition Outcome Codes
FamilyMemberHistory.procedure.code	Procedure Codes (SNOMED CT)	example	Procedure Codes (SNOMED CT)
FamilyMemberHistory.procedure.outcome	SNOMED CT Clinical Findings	example	SNOMED CT Clinical Findings

.