Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.4.11.2 StructureDefinition: FamilyMemberHistoryForGeneticsAnalysis

Patient Care icon Work Group Maturity Level: 0Trial 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.

9.4.11.2.1 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.

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory 0..*FamilyMemberHistoryInformation about patient's relatives, relevant for patient
... parent S0..*(Complex)Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
... sibling S0..*(Complex)natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
... observations S0..*Reference(Observation)Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
... sex S0..1CodeableConceptmale | female | other | unknown
... born[x] S0..1Period, date, string(approximate) date of birth
... age[x] S0..1Age, Range, string(approximate) age
... deceased[x] S0..1boolean, Age, Range, date, stringDead? How old/when?
... condition S0..*BackboneElementCondition that the related person had
.... code S1..1CodeableConceptCondition suffered by relation
.... outcome S0..1CodeableConceptdeceased | permanent disability | etc
.... onset[x] S0..1Age, Range, Period, stringWhen condition first manifested
.... note 0..*AnnotationExtra 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.

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C icon0..*FamilyMemberHistoryInformation about patient's relatives, relevant for patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: All Languages (required): IETF language tag for a human language

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... parent S0..*(Complex)Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
... sibling S0..*(Complex)natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
... observations S0..*Reference(Observation)Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Id(s) for this record
... instantiatesCanonical Σ0..*canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... status ?!Σ1..1codepartial | completed | entered-in-error | health-unknown
Binding: Family History Status (required): A code that identifies the status of the family history record.

... dataAbsentReason Σ0..1CodeableConceptsubject-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 Σ1..1Reference(Patient)Patient history is about
... date Σ0..1dateTimeWhen history was recorded or last updated
... participant Σ0..*BackboneElementWho or what participated in the activities related to the family member history and how they were involved
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of involvement
Binding: Participation Role Type (extensible)
.... actor Σ1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)Who or what participated in the activities related to the family member history
... name Σ0..1stringThe family member described
... relationship SΣ1..1CodeableConceptRelationship 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 SΣ0..1CodeableConceptmale | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

... born[x] SC icon0..1(approximate) date of birth
.... bornPeriodPeriod
.... bornDatedate
.... bornStringstring
... age[x] SΣC icon0..1(approximate) age
.... ageAgeAge
.... ageRangeRange
.... ageStringstring
... estimatedAge ΣC icon0..1booleanAge is estimated?
... deceased[x] SΣC icon0..1Dead? How old/when?
.... deceasedBooleanboolean
.... deceasedAgeAge
.... deceasedRangeRange
.... deceasedDatedate
.... deceasedStringstring
... reason Σ0..*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..*AnnotationGeneral note about related person
... condition S0..*BackboneElementCondition that the related person had
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code S1..1CodeableConceptCondition suffered by relation
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.

.... outcome S0..1CodeableConceptdeceased | 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..1booleanWhether the condition contributed to the cause of death
.... onset[x] S0..1When condition first manifested
..... onsetAgeAge
..... onsetRangeRange
..... onsetPeriodPeriod
..... onsetStringstring
.... note 0..*AnnotationExtra information about condition
... procedure 0..*BackboneElementProcedures that the related person had
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptProcedures performed on the related person
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure.

.... outcome 0..1CodeableConceptWhat 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..1booleanWhether the procedure contributed to the cause of death
.... performed[x] 0..1When the procedure was performed
..... performedAgeAge
..... performedRangeRange
..... performedPeriodPeriod
..... performedStringstring
..... performedDateTimedateTime
.... note 0..*AnnotationExtra 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 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.

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory 0..*FamilyMemberHistoryInformation about patient's relatives, relevant for patient
... parent S0..*(Complex)Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
... sibling S0..*(Complex)natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
... observations S0..*Reference(Observation)Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
... sex S0..1CodeableConceptmale | female | other | unknown
... born[x] S0..1Period, date, string(approximate) date of birth
... age[x] S0..1Age, Range, string(approximate) age
... deceased[x] S0..1boolean, Age, Range, date, stringDead? How old/when?
... condition S0..*BackboneElementCondition that the related person had
.... code S1..1CodeableConceptCondition suffered by relation
.... outcome S0..1CodeableConceptdeceased | permanent disability | etc
.... onset[x] S0..1Age, Range, Period, stringWhen condition first manifested
.... note 0..*AnnotationExtra 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.

NameFlagsCard.TypeDescription & Constraintsdoco
.. FamilyMemberHistory C icon0..*FamilyMemberHistoryInformation about patient's relatives, relevant for patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: All Languages (required): IETF language tag for a human language

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... parent S0..*(Complex)Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
... sibling S0..*(Complex)natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
... observations S0..*Reference(Observation)Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Id(s) for this record
... instantiatesCanonical Σ0..*canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... status ?!Σ1..1codepartial | completed | entered-in-error | health-unknown
Binding: Family History Status (required): A code that identifies the status of the family history record.

... dataAbsentReason Σ0..1CodeableConceptsubject-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 Σ1..1Reference(Patient)Patient history is about
... date Σ0..1dateTimeWhen history was recorded or last updated
... participant Σ0..*BackboneElementWho or what participated in the activities related to the family member history and how they were involved
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of involvement
Binding: Participation Role Type (extensible)
.... actor Σ1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam)Who or what participated in the activities related to the family member history
... name Σ0..1stringThe family member described
... relationship SΣ1..1CodeableConceptRelationship 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 SΣ0..1CodeableConceptmale | female | other | unknown
Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.

... born[x] SC icon0..1(approximate) date of birth
.... bornPeriodPeriod
.... bornDatedate
.... bornStringstring
... age[x] SΣC icon0..1(approximate) age
.... ageAgeAge
.... ageRangeRange
.... ageStringstring
... estimatedAge ΣC icon0..1booleanAge is estimated?
... deceased[x] SΣC icon0..1Dead? How old/when?
.... deceasedBooleanboolean
.... deceasedAgeAge
.... deceasedRangeRange
.... deceasedDatedate
.... deceasedStringstring
... reason Σ0..*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..*AnnotationGeneral note about related person
... condition S0..*BackboneElementCondition that the related person had
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code S1..1CodeableConceptCondition suffered by relation
Binding: Condition/Problem/Diagnosis Codes (example): Identification of the Condition or diagnosis.

.... outcome S0..1CodeableConceptdeceased | 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..1booleanWhether the condition contributed to the cause of death
.... onset[x] S0..1When condition first manifested
..... onsetAgeAge
..... onsetRangeRange
..... onsetPeriodPeriod
..... onsetStringstring
.... note 0..*AnnotationExtra information about condition
... procedure 0..*BackboneElementProcedures that the related person had
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptProcedures performed on the related person
Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure.

.... outcome 0..1CodeableConceptWhat 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..1booleanWhether the procedure contributed to the cause of death
.... performed[x] 0..1When the procedure was performed
..... performedAgeAge
..... performedRangeRange
..... performedPeriodPeriod
..... performedStringstring
..... performedDateTimedateTime
.... note 0..*AnnotationExtra 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 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

9.4.11.2.2 Terminology Bindings

PathNameConformanceValueSet
FamilyMemberHistory.languageAll LanguagesrequiredAll Languages
FamilyMemberHistory.statusFamily History StatusrequiredFamily History Status
FamilyMemberHistory.dataAbsentReasonFamily History Absent ReasonexampleFamily History Absent Reason
FamilyMemberHistory.participant.functionParticipation Role TypeextensibleParticipation Role Type
FamilyMemberHistory.relationshipFamilyMemberexampleFamilyMember icon
FamilyMemberHistory.sexAdministrativeGenderextensibleAdministrativeGender
FamilyMemberHistory.reasonSNOMED CT Clinical FindingsexampleSNOMED CT Clinical Findings
FamilyMemberHistory.condition.codeCondition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes
FamilyMemberHistory.condition.outcomeCondition Outcome CodesexampleCondition Outcome Codes
FamilyMemberHistory.procedure.codeProcedure Codes (SNOMED CT)exampleProcedure Codes (SNOMED CT)
FamilyMemberHistory.procedure.outcomeSNOMED CT Clinical FindingsexampleSNOMED CT Clinical Findings
. .