|
FamilyMemberHistory
|
|
Definition
|
Significant
health
events
and
conditions
for
a
person
related
to
the
patient
relevant
in
the
context
of
care
for
the
patient.
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
Defined on this element
fhs-1
:
Can
have
age[x]
or
birth[x],
but
not
both
(xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
: 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.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).
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
This is a business identifer, not a resource identifier (see
discussion
)
|
|
Control
|
0..*
|
|
Type
|
Identifier
|
|
Requirements
|
Need
to
allow
connection
to
a
wider
workflow.
Need to allow connection to a wider workflow.
|
|
FamilyMemberHistory.patient
|
|
Definition
|
The
person
who
this
history
concerns.
The person who this history concerns.
|
|
Control
|
1..1
|
|
Type
|
Reference
(
Patient
)
|
Alternate
Names
Alternate Names
|
Proband
|
|
Summary
|
true
|
|
FamilyMemberHistory.date
|
|
Definition
|
The
date
(and
possibly
time)
when
the
family
member
history
was
taken.
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.
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.
This should be captured even if the same as the date on the List aggregating the full family history.
|
|
FamilyMemberHistory.status
|
|
Definition
|
A
code
specifying
a
state
of
a
Family
Member
History
record.
A code specifying a state of a Family Member History record.
|
|
Control
|
1..1
|
|
Binding
|
FamilyHistoryStatus:
A
code
that
identifies
the
status
of
the
family
history
record.
(
FamilyHistoryStatus:
A code that identifies the status of the family history record.
(
Required
)
|
|
Type
|
code
|
Is
Modifier
Is Modifier
|
true
|
|
Summary
|
true
|
|
FamilyMemberHistory.name
|
|
Definition
|
This
will
either
be
a
name
or
a
description;
e.g.
"Aunt
Susan",
"my
cousin
with
the
red
hair".
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.
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.).
The type of relationship this person has to the patient (father, mother, brother etc.).
|
|
Control
|
1..1
|
|
Binding
|
FamilyMember:
The
nature
of
the
relationship
between
the
patient
and
the
related
person
being
described
in
the
family
member
history.
(
FamilyMember:
The nature of the relationship between the patient and the related person being described in the family member history.
(
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.
Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes.
|
|
Control
|
0..1
|
|
Binding
|
AdministrativeGender:
The
gender
of
a
person
used
for
administrative
purposes.
(
AdministrativeGender:
The gender of a person used for administrative purposes.
(
Required
)
|
|
Type
|
code
|
|
Requirements
|
Not
all
relationship
codes
imply
gender
and
the
relative's
gender
can
be
relevant
for
risk
assessments.
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.
The actual or approximate date of birth of the relative.
|
|
Control
|
0..1
|
|
Type
|
Period
|
date
|
string
|
[x]
Note
[x] Note
|
See
Choice
of
Data
Types
for
further
information
about
how
to
use
[x]
See
Choice of Data Types
for further information about how to use [x]
|
|
Requirements
|
Allows
calculation
of
the
relative's
age.
Allows calculation of the relative's age.
|
|
Invariants
|
Affect
this
element
Affect this element
fhs-1
:
Can
have
age[x]
or
birth[x],
but
not
both
(xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
: 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
actual
or
approximate
age
of
the
relative
at
the
time
the
family
member
history
is
recorded.
The actual or approximate age of the relative at the time the family member history is recorded.
|
|
Control
|
0..1
|
|
Type
|
Age
|
Range
|
string
|
[x]
Note
[x] Note
|
See
Choice
of
Data
Types
for
further
information
about
how
to
use
[x]
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.
While age can be calculated from date of birth, sometimes recording age directly is more natureal for clinicians.
|
|
Invariants
|
Affect
this
element
Affect this element
fhs-1
:
Can
have
age[x]
or
birth[x],
but
not
both
(xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
: 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.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.
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
[x] Note
|
See
Choice
of
Data
Types
for
further
information
about
how
to
use
[x]
See
Choice of Data Types
for further information about how to use [x]
|
|
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.
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..1
|
|
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.
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.
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.
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
|
|
Binding
|
Condition/Problem/Diagnosis
Codes:
Identification
of
the
Condition
or
diagnosis.
(
Condition/Problem/Diagnosis Codes:
Identification of the Condition or diagnosis.
(
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.
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
|
|
Binding
|
Condition
Outcome
Codes:
The
result
of
the
condition
for
the
patient;
e.g.
death,
permanent
disability,
temporary
disability,
etc.
(
Condition Outcome Codes:
The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.
(
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.
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
[x] Note
|
See
Choice
of
Data
Types
for
further
information
about
how
to
use
[x]
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.
Age of onset of a condition in relatives is predictive of risk for the patient.
|
To
Do
To Do
|
Define/find
appropriate
observation
code.
Define/find appropriate observation code.
|
|
FamilyMemberHistory.condition.note
|
|
Definition
|
An
area
where
general
notes
can
be
placed
about
this
specific
condition.
An area where general notes can be placed about this specific condition.
|
|
Control
|
0..1
|
|
Type
|
Annotation
|
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:43+1100.
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