This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.4.5 Resource FamilyHistory - Formal Definitions

Formal definitions for the elements in the FamilyHistory resource.

FamilyHistory
DefinitionSignificant health events and conditions for people related to the subject relevant in the context of care for the subject.
Control1..1
FamilyHistory.identifier
DefinitionThis records identifiers associated with this family 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).
Control0..*
TypeIdentifier
RequirementsNeed to allow connection to a wider workflow.
Summarytrue
FamilyHistory.subject
DefinitionThe person who this history concerns.
Control1..1
TypeResource(Patient)
AliasesProband
Summarytrue
FamilyHistory.note
DefinitionConveys information about family history not specific to individual relations.
Control0..1
Typestring
FamilyHistory.relation
DefinitionThe related person. Each FamilyHistory resource contains the entire family history for a single person.
Control0..*
FamilyHistory.relation.name
DefinitionThis will either be a name or a description. E.g. "Aunt Susan", "my cousin with the red hair".
Control0..1
Typestring
RequirementsAllows greater ease in ensuring the same person is being talked about.
Summarytrue
FamilyHistory.relation.relationship
DefinitionThe type of relationship this person has to the patient (father, mother, brother etc.).
Control1..1
BindingFamilialRelationship: The nature of the relationship between the patient and the related person being described in the family history (Value Set Definition)
TypeCodeableConcept
Summarytrue
FamilyHistory.relation.born[x]
DefinitionThe actual or approximate date of birth of the relative.
Control0..1
TypePeriod|date|string
RequirementsAllows calculation of the relative's age.
FamilyHistory.relation.deceased[x]
DefinitionIf this resource is indicating that the related person is deceased, then an indicator of whether the person is deceased (yes) or not (no) or the age or age range or description of age at death - can be indicated here. If the reason for death is known, then it can be indicated in the outcome code of the condition - in this case the deceased property should still be set.
Control0..1
Typeboolean|Age|Range|date|string
FamilyHistory.relation.note
DefinitionThis 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.
Control0..1
Typestring
FamilyHistory.relation.condition
DefinitionThe 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.
Control0..*
FamilyHistory.relation.condition.type
DefinitionThe 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.
Control1..1
TypeCodeableConcept
FamilyHistory.relation.condition.outcome
DefinitionIndicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relation.
Control0..1
BindingConditionOutcome: The result of the condition for the patient. E.g. death, permanent disability, temporary disability, etc.
TypeCodeableConcept
FamilyHistory.relation.condition.onset[x]
DefinitionEither 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.
Control0..1
TypeAge|Range|string
RequirementsAge of onset of a condition in relatives is predictive of risk for the patient.
To DoDefine/find appropriate observation code.
FamilyHistory.relation.condition.note
DefinitionAn area where general notes can be placed about this specific condition.
Control0..1
Typestring

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