QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore FamilyMemberHistory

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory Version: 7.0.0-ballot
Active as of 2018-08-22 Computable Name: QICoreFamilyMemberHistory

Profile of Family Member History for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

QI Elements:
  • patient: (QI) Patient history is about
  • date: (QI) When history was recorded or last updated
  • relationship: (QI) Relationship to the subject
  • age[x]: (QI) (approximate) age
  • deceased[x]: (QI) Dead? How old/when?
  • condition.code: (QI) Condition suffered by relation
Primary code path: type
(PCPath) This element is the primary code path for this resource CQL Retrieve


NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

Examples

Father Died of Heart Attack Example

Usage:

Formal Views of Profile Content

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

This structure is derived from FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory FamilyMemberHistory
... patient 1..1 Reference(QICore Patient) (QI) Patient history is about
... date 0..1 dateTime (QI) When history was recorded or last updated
... relationship 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... deceased[x] 0..1 boolean, Age, Range, date, string (QI) Dead? How old/when?
... condition 0..* BackboneElement Condition that the related person had
.... Slices for extension Content/Rules for all slices
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.

.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... onset[x] 0..1 Age, Range, Period, string When condition first manifested

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.condition.extension:condition-severity
[CanonicalType[http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity]]		preferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.

... date Σ 0..1 dateTime (QI) When history was recorded or last updated
... relationship Σ 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... age[x] ΣC 0..1 (QI) (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... deceased[x] Σ 0..1 (QI) Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... condition 0..* BackboneElement Condition that the related person had
.... Slices for extension Content/Rules for all slices
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... onset[x] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
FamilyMemberHistory.statusrequiredFamilyHistoryStatus
http://hl7.org/fhir/ValueSet/history-status|4.0.1
from the FHIR Standard
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFamilyMemberHistoryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fhs-1errorFamilyMemberHistoryCan have age[x] or born[x], but not both
: age.empty() or born.empty()
fhs-2errorFamilyMemberHistoryCan only have estimatedAge if age[x] is present
: age.exists() or estimatedAge.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 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
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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(QICore Patient) (QI) Patient history is about
... date Σ 0..1 dateTime (QI) When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship Σ 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... sex Σ 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] C 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] ΣC 0..1 (QI) (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 (QI) Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode Σ 0..* CodeableConcept Why was family member history performed?
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.


... reasonReference Σ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note 0..* Annotation General note about related person
... condition 0..* BackboneElement Condition that the related person had
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... outcome 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: ConditionOutcomeCodes (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] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
FamilyMemberHistory.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
FamilyMemberHistory.statusrequiredFamilyHistoryStatus
http://hl7.org/fhir/ValueSet/history-status|4.0.1
from the FHIR Standard
FamilyMemberHistory.dataAbsentReasonexampleFamilyHistoryAbsentReason
http://hl7.org/fhir/ValueSet/history-absent-reason
from the FHIR Standard
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.sexextensibleAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
FamilyMemberHistory.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
FamilyMemberHistory.condition.outcomeexampleConditionOutcomeCodes
http://hl7.org/fhir/ValueSet/condition-outcome
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFamilyMemberHistoryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fhs-1errorFamilyMemberHistoryCan have age[x] or born[x], but not both
: age.empty() or born.empty()
fhs-2errorFamilyMemberHistoryCan only have estimatedAge if age[x] is present
: age.exists() or estimatedAge.empty()

Differential View

This structure is derived from FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory FamilyMemberHistory
... patient 1..1 Reference(QICore Patient) (QI) Patient history is about
... date 0..1 dateTime (QI) When history was recorded or last updated
... relationship 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... deceased[x] 0..1 boolean, Age, Range, date, string (QI) Dead? How old/when?
... condition 0..* BackboneElement Condition that the related person had
.... Slices for extension Content/Rules for all slices
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.

.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... onset[x] 0..1 Age, Range, Period, string When condition first manifested

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.condition.extension:condition-severity
[CanonicalType[http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity]]		preferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.

... date Σ 0..1 dateTime (QI) When history was recorded or last updated
... relationship Σ 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... age[x] ΣC 0..1 (QI) (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... deceased[x] Σ 0..1 (QI) Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... condition 0..* BackboneElement Condition that the related person had
.... Slices for extension Content/Rules for all slices
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... onset[x] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
FamilyMemberHistory.statusrequiredFamilyHistoryStatus
http://hl7.org/fhir/ValueSet/history-status|4.0.1
from the FHIR Standard
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFamilyMemberHistoryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fhs-1errorFamilyMemberHistoryCan have age[x] or born[x], but not both
: age.empty() or born.empty()
fhs-2errorFamilyMemberHistoryCan only have estimatedAge if age[x] is present
: age.exists() or estimatedAge.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C 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
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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(QICore Patient) (QI) Patient history is about
... date Σ 0..1 dateTime (QI) When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship Σ 1..1 CodeableConcept (QI) Relationship to the subject
Binding: FamilyMember (preferred)
... sex Σ 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] C 0..1 (approximate) date of birth
.... bornPeriod Period
.... bornDate date
.... bornString string
... age[x] ΣC 0..1 (QI) (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 (QI) Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode Σ 0..* CodeableConcept Why was family member history performed?
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.


... reasonReference Σ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note 0..* Annotation General note about related person
... condition 0..* BackboneElement Condition that the related person had
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... condition-abatement 0..1 date, Age, boolean When (or if) the family member's condition resolved
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
..... condition-severity 0..1 CodeableConcept The seriousness of the family member condition
URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity
Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 CodeableConcept (QI) Condition suffered by relation
Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.

.... outcome 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: ConditionOutcomeCodes (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] 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
FamilyMemberHistory.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
FamilyMemberHistory.statusrequiredFamilyHistoryStatus
http://hl7.org/fhir/ValueSet/history-status|4.0.1
from the FHIR Standard
FamilyMemberHistory.dataAbsentReasonexampleFamilyHistoryAbsentReason
http://hl7.org/fhir/ValueSet/history-absent-reason
from the FHIR Standard
FamilyMemberHistory.relationshippreferredFamilyMember
http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.sexextensibleAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender
from the FHIR Standard
FamilyMemberHistory.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
FamilyMemberHistory.condition.codeextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
FamilyMemberHistory.condition.outcomeexampleConditionOutcomeCodes
http://hl7.org/fhir/ValueSet/condition-outcome
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorFamilyMemberHistoryIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorFamilyMemberHistoryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceFamilyMemberHistoryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
fhs-1errorFamilyMemberHistoryCan have age[x] or born[x], but not both
: age.empty() or born.empty()
fhs-2errorFamilyMemberHistoryCan only have estimatedAge if age[x] is present
: age.exists() or estimatedAge.empty()

 

Other representations of profile: CSV, Excel, Schematron