This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Patient Care Work Group | Maturity Level: 2 | Trial Use | Compartments: Patient |
Detailed Descriptions for the elements in the FamilyMemberHistory resource.
FamilyMemberHistory | |
Definition | Significant health events and 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))) fhs-3: Not Done Reason can only be specified if NotDone is "true" (expression : notDone or notDoneReason.exists().not(), xpath: f:notDone/@value=true() or not(exists(f:notDoneReason))) |
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.definition | |
Definition | A protocol or questionnaire that was adhered to in whole or in part by this event. |
Control | 0..* |
Type | Reference(PlanDefinition | Questionnaire) |
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.notDone | |
Definition | If true, indicates the taking of an individual family member's history did not occur. The notDone element should not be used to document negated conditions, such as a family member that did not have a condition. |
Control | 0..1 |
Type | boolean |
Is Modifier | true |
Default Value | false |
Requirements | Creating a FamilyMemberHistory where notDone is true is intended for situations where there's a need for a specific statement in the record about something not being done. If the need is merely to indicate that a request wasn't fulfilled, that should be handled using Task. |
Summary | true |
Comments | This element is labeled as a modifier because it marks the family member history as a family member history that did not occur. The more attributes are populated, the more constrained the negated statement is. This notDone element is being evaluated and will likely be removed in a subsequent release. |
FamilyMemberHistory.notDoneReason | |
Definition | Describes why the family member's history is absent. |
Control | 0..1 |
Terminology Binding | FamilyHistoryNotDoneReason (Example) |
Type | CodeableConcept |
Requirements | This is a separate element to allow it to have a distinct binding from reasonCode. |
Summary | true |
Comments | This notDoneReason element is being evaluated and will likely be replaced in a subsequent release (e.g. dataAbsentReason). |
Invariants | Affect this element fhs-3: Not Done Reason can only be specified if NotDone is "true" (expression : notDone or notDoneReason.exists().not(), xpath: f:notDone/@value=true() or not(exists(f:notDoneReason))) |
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 natureal 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 |
Is Modifier | true |
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) |
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 |