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9.4.10.2 StructureDefinition: FamilyMemberHistoryForGeneticsAnalysis

Patient Care icon 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+0800 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.

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

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... Slices for extension Content/Rules for all slices
.... 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, allergy, or intolerance 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

doco Documentation for this format icon

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

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. FamilyMemberHistory C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
fhs-1: Can have age[x] or born[x], but not both
fhs-2: Can only have estimatedAge if age[x] is present
fhs-3: Can have age[x] or deceased[x], but not both
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 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: All Languages (required): IETF language tag for a human language

Additional BindingsPurpose
Common Languages Starter Set
... 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: Family History Status (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: Family History Absent Reason (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
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the family member history and how they were involved
.... 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
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: Participation Role Type (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the family member history
... name Σ 0..1 string The family member described
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember icon (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 icon 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] SΣC icon 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC icon 0..1 boolean Age is estimated?
... deceased[x] SΣC icon 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reason Σ 0..* CodeableReference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) 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, allergy, or intolerance 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 Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... 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 Age
..... performedRange Range
..... performedPeriod Period
..... performedString string
..... performedDateTime dateTime
.... note 0..* Annotation Extra information about the procedure

doco Documentation for this format icon
<!-- FamilyMemberHistoryForGeneticsAnalysis -->doco

<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 -->
 <participant> I 0..* BackboneElement  <!-- I 0..* Who or what participated in the activities related to the family member history and how they were involved -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <function><!-- I 0..1 CodeableConcept Type of involvement   --></function>
  <actor><!-- I 1..1 Reference(Practitioner) 
      Who or what participated in the activities related to the family member history --></actor>
 </participant>
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject icon   --></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, allergy, or intolerance 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>

{ // FamilyMemberHistoryForGeneticsAnalysis
  // 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
    "participant" : [{ BackboneElement }], // IWho or what participated in the activities related to the family member history and how they were involved
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject icon
    "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
  }

Differential View

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

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... Slices for extension Content/Rules for all slices
.... 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, allergy, or intolerance 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

doco Documentation for this format icon

Snapshot View

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

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. FamilyMemberHistory C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
fhs-1: Can have age[x] or born[x], but not both
fhs-2: Can only have estimatedAge if age[x] is present
fhs-3: Can have age[x] or deceased[x], but not both
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 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: All Languages (required): IETF language tag for a human language

Additional BindingsPurpose
Common Languages Starter Set
... 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: Family History Status (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: Family History Absent Reason (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
... participant Σ 0..* BackboneElement Who or what participated in the activities related to the family member history and how they were involved
.... 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
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: Participation Role Type (extensible)
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam) Who or what participated in the activities related to the family member history
... name Σ 0..1 string The family member described
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember icon (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 icon 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] SΣC icon 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC icon 0..1 boolean Age is estimated?
... deceased[x] SΣC icon 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reason Σ 0..* CodeableReference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) 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, allergy, or intolerance 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 Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... 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 Age
..... performedRange Range
..... performedPeriod Period
..... performedString string
..... performedDateTime dateTime
.... note 0..* Annotation Extra information about the procedure

doco Documentation for this format icon

XML Template

<!-- FamilyMemberHistoryForGeneticsAnalysis -->doco

<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 -->
 <participant> I 0..* BackboneElement  <!-- I 0..* Who or what participated in the activities related to the family member history and how they were involved -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <function><!-- I 0..1 CodeableConcept Type of involvement   --></function>
  <actor><!-- I 1..1 Reference(Practitioner) 
      Who or what participated in the activities related to the family member history --></actor>
 </participant>
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject icon   --></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, allergy, or intolerance 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

{ // FamilyMemberHistoryForGeneticsAnalysis
  // 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
    "participant" : [{ BackboneElement }], // IWho or what participated in the activities related to the family member history and how they were involved
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject icon
    "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 All Languages required All Languages
FamilyMemberHistory.status Family History Status required Family History Status
FamilyMemberHistory.dataAbsentReason Family History Absent Reason example Family History Absent Reason
FamilyMemberHistory.participant.function Participation Role Type extensible Participation Role Type
FamilyMemberHistory.relationship FamilyMember example FamilyMember icon
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
. .