DSTU2 STU 3 Candidate
This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 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 . For a full list of available versions, see the Directory of published versions . Page versions: . Page versions: R5 R4B R4 R3 R2

4.28.5 4.41.5 Resource FamilyMemberHistory - Detailed Descriptions Resource FamilyMemberHistory - Detailed Descriptions Detailed Descriptions for the elements in the FamilyMemberHistory resource.

Detailed Descriptions for the elements in the FamilyMemberHistory resource.

© HL7.org 2011+. FHIR DSTU2 (v1.0.2-7202) generated on Sat, Oct 24, 2015 07:43+1100. Links: Search
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