Family
member
history
for
genetics
analysis
FamilyMemberHistoryForGeneticsAnalysis
<?xml version="1.0" encoding="UTF-8"?>
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
Significant health conditions for a person related to the patient relevant in the context
of care for the patient.
If the resource is contained in another resource, it SHALL be referred to from elsewhere
in the resource or SHALL refer to the containing resource
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))
or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
= '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
id).empty()
not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of
trading partners. This inherently limits the usefulness of the data in the long term.
However, the existing health eco-system is highly fractured, and not yet ready to define,
collect, and exchange data in a generally computable sense. Wherever possible, implementers
and/or specification writers should avoid using this element. Often, when used, the URL
is a reference to an implementation guide that defines these special rules as part of
it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies it's meaning or interpretation
Language is provided to support indexing and accessibility (typically, services such as
text to speech use the language tag). The html language tag in the narrative applies
to the narrative. The language tag on the resource may be used to specify the language
of other presentations generated from the data in the resource. Not all the content has
to be in the base language. The Resource.language should not be assumed to apply to the
narrative automatically. If a language is specified, it should it also be specified on
the div element in the html (see rules in HTML5 for information about the relationship
between xml:lang and the html lang attribute).
A human-readable narrative that contains a summary of the resource and can be used to
represent the content of the resource to a human. The narrative need not encode all the
structured data, but is required to contain sufficient detail to make it "clinically
safe" for a human to just read the narrative. Resource definitions may define what
content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have
a narrative. In some cases, a resource may only have text with little or no additional
discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary
for data from legacy systems where information is captured as a "text blob"
or where text is additionally entered raw or narrated and encoded information is added
later.
These resources do not have an independent existence apart from the resource that contains
them - they cannot be identified independently, and nor can they have their own independent
transaction scope.
This should never be done when the content can be identified properly, as once identification
is lost, it is extremely difficult (and context dependent) to restore it again. Contained
resources may have profiles and tags In their meta elements, but SHALL NOT have security
labels.
Containing new R4B resources within R4 resources may cause interoperability issues if
instances are shared with R4 systems
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
is SubscriptionTopic)
not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
f:SubscriptionStatus|f:SubscriptionTopic)
Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).
Even non-genetic relationships can be relevant in terms of genetic exposure.
Some cases may have complex inner-pedigree-tree relationship. For instance, double cousin
relationship need two extra link with In pedigree tree itself. This can't be revealed
by relationship to subject.
Allows capturing risk-relevant observations about the relative that aren't themselves
a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant,
presence of particular genetic markers, etc.
May be used to represent additional information that is not part of the basic definition
of the resource and that modifies the understanding of the element that contains it and/or
the understanding of the containing element's descendants. Usually modifier elements provide
negation or qualification. To make the use of extensions safe and manageable, there is
a strict set of governance applied to the definition and use of extensions. Though any
implementer is allowed to define an extension, there is a set of requirements that SHALL
be met as part of the definition of the extension. Applications processing a resource
are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
Business identifiers assigned to this family member history by the performer or other
systems which remain constant as the resource is updated and propagates from server to
server.
This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
)). It is best practice for the identifier to only appear on a single resource instance,
however business practices may occasionally dictate that multiple resource instances with
the same identifier can exist - possibly even with different resource types. For example,
multiple Patient and a Person resource instance might share the same social insurance
number.
Allows identification of the family member history as it is known by various participating
systems and in a way that remains consistent across servers.
The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that
is adhered to in whole or in part by this FamilyMemberHistory.
The URL pointing to an externally maintained protocol, guideline, orderset or other definition
that is adhered to in whole or in part by this FamilyMemberHistory.
A code specifying the status of the record of the family history of a specific family
member.
This element is labeled as a modifier because the status contains codes that mark the
resource as not currently valid.
This element is labelled as a modifier because it is a status element that contains status
entered-in-error which means that the resource should not be treated as valid
This should be captured even if the same as the date on the List aggregating the full
family history.
This will either be a name or a description; e.g. "Aunt Susan", "my cousin
with the red hair".
The nature of the relationship between the patient and the related person being described
in the family member history.
This element should ideally reflect whether the individual is genetically male or female.
However, as reported information based on the knowledge of the patient or reporting friend/relative
, there may be situations where the reported sex might not be totally accurate. E.g. 'Aunt
Sue' might be XY rather than XX. Questions soliciting this information should be phrased
to encourage capture of genetic sex where known. However, systems performing analysis
should also allow for the possibility of imprecision with this element.
While age can be calculated from date of birth, sometimes recording age directly is more
natural for clinicians.
This element is labeled as a modifier because the fact that age is estimated can/should
change the results of any algorithm that calculates based on the specified age.
Deceased flag or the actual or approximate age of the relative at the time of death for
the family member history record.
player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)
For age, you'd hang an observation off the role
Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that
justifies this family member history event.
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.
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.
inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION,
value<Diagnosis]
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and manageable, there is a strict set
of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
May be used to represent additional information that is not part of the basic definition
of the element and that modifies the understanding of the element in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. To make the use of extensions safe and manageable,
there is a strict set of governance applied to the definition and use of extensions. Though
any implementer can define an extension, there is a set of requirements that SHALL be
met as part of the definition of the extension. Applications processing a resource are
required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project,
or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
The use of extensions is what allows the FHIR specification to retain a core level of
simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
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.
Indicates what happened following the condition. If the condition resulted in death,
deceased date is captured on the relation.
The result of the condition for the patient; e.g. death, permanent disability, temporary
disability, etc.
outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].val
ue
This condition contributed to the cause of death of the related person. If contributedToDeath
is not populated, then it is unknown.
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.
inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="Subject
Age at measurement", value<Diagnosis].value[@xsi:typeCode='TS' or 'IVL_TS'] Use
originalText for string
<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="familymemberhistory-genetic"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">to do</div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="pc"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/familymemberhistory-genetic"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.5.1229"/> </identifier> <version value="5.0.0-draft-final"/> <name value="FamilyMemberHistoryForGeneticsAnalysis"/> <title value="Family member history for genetics analysis"/> <status value="draft"/> <experimental value="false"/> <date value="2019-05-29"/> <publisher value="Health Level Seven International (Clinical Genomics)"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/clingenomics"/> </telecom> </contact> <description value="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"/>
<fhirVersion value="5.0.0-draft-final"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 V2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="FamilyMemberHistory"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> <derivation value="constraint"/> <snapshot> <element id="FamilyMemberHistory"> <path value="FamilyMemberHistory"/> <short value="Information about patient's relatives, relevant for patient"/> <definition value="Significant health conditions for a person related to the patient relevant in the
context of care for the patient."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from
elsewhere in the resource or SHALL refer to the containing resource"/>
<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical)
= '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat
ched', id).empty()"/>
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
or a meta.lastUpdated"/>
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
display the resource to a human safely. Including a human readable representation
in the resource makes for a much more robust eco-system and cheaper handling of
resources by intermediary systems. Some ecosystems restrict distribution of resources
to only those systems that do fully understand the resources, and as a consequence
implementers may believe that the narrative is superfluous. However experience
shows that such eco-systems often open up to new participants over time."/>
</extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="fhs-1"/> <severity value="error"/> <human value="Can have age[x] or born[x], but not both"/> <expression value="age.empty() or born.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> </constraint> <constraint> <key value="fhs-2"/> <severity value="error"/> <human value="Can only have estimatedAge if age[x] is present"/> <expression value="age.exists() or estimatedAge.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> </constraint> <constraint> <key value="fhs-3"/> <severity value="error"/> <human value="Can have age[x] or deceased[x], but not both"/> <expression value="age.empty() or deceased.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="v2"/> <map value="Not in scope for v2"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="FamilyMemberHistory.id"> <path value="FamilyMemberHistory.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes."/>
<comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
for cases like the create and conditional update. Otherwise, the use of the resouce
id depends on the given use case."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="FamilyMemberHistory.meta"> <path value="FamilyMemberHistory.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the
resource."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="FamilyMemberHistory.implicitRules"> <path value="FamilyMemberHistory.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed,
and which must be understood when processing the content. Often, this is a reference
to an implementation guide that defines the special rules along with other profiles
etc."/>
<comment value="Asserting this rule set restricts the content to be only understood by a limited
set of trading partners. This inherently limits the usefulness of the data in the
long term. However, the existing health eco-system is highly fractured, and not
yet ready to define, collect, and exchange data in a generally computable sense.
Wherever possible, implementers and/or specification writers should avoid using
this element. Often, when used, the URL is a reference to an implementation guide
that defines these special rules as part of its narrative along with other profiles,
value sets, etc."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/> </element> <element id="FamilyMemberHistory.language"> <path value="FamilyMemberHistory.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services
such as text to speech use the language tag). The html language tag in the narrative
applies to the narrative. The language tag on the resource may be used to specify
the language of other presentations generated from the data in the resource. Not
all the content has to be in the base language. The Resource.language should not
be assumed to apply to the narrative automatically. If a language is specified,
it should it also be specified on the div element in the html (see rules in HTML5
for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </additional> </binding> </element> <element id="FamilyMemberHistory.text"> <path value="FamilyMemberHistory.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used
to represent the content of the resource to a human. The narrative need not encode
all the structured data, but is required to contain sufficient detail to make it
"clinically safe" for a human to just read the narrative. Resource definitions
may define what content should be represented in the narrative to ensure clinical
safety."/>
<comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
have a narrative. In some cases, a resource may only have text with little or no
additional discrete data (as long as all minOccurs=1 elements are satisfied).
This may be necessary for data from legacy systems where information is captured
as a "text blob" or where text is additionally entered raw or narrated
and encoded information is added later."/>
<alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="FamilyMemberHistory.contained"> <path value="FamilyMemberHistory.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning."/>
<comment value="This should never be done when the content can be identified properly, as once
identification is lost, it is extremely difficult (and context dependent) to restore
it again. Contained resources may have profiles and tags in their meta elements,
but SHALL NOT have security labels."/>
<alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="FamilyMemberHistory.extension"> <path value="FamilyMemberHistory.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="FamilyMemberHistory.extension:parent"> <path value="FamilyMemberHistory.extension"/> <sliceName value="parent"/> <short value="Mother(s) & Father(s) - genetic & other"/> <definition value="Identifies a parent of the relative."/> <comment value="Some individuals may have more than two parents (e.g. genetic vs. adoptive parents).
Even non-genetic relationships can be relevant in terms of genetic exposure."/>
<min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="player[classCode<LIV, determinerCode=INSTANCE].scopesRole"/> </mapping> </element> <element id="FamilyMemberHistory.extension:sibling"> <path value="FamilyMemberHistory.extension"/> <sliceName value="sibling"/> <short value="natural brother(s) & natural sister(s) - genetic & other"/> <definition value="Identifies a sibling of the relative."/> <comment value="Some cases may have complex inner-pedigree-tree relationship. For instance, double
cousin relationship need two extra link with In pedigree tree itself. This can't
be revealed by relationship to subject."/>
<min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="FamilyMemberHistory.extension:observations"> <path value="FamilyMemberHistory.extension"/> <sliceName value="observations"/> <short value="Genetic markers, ethnicity, etc."/> <definition value="Allows capturing risk-relevant observations about the relative that aren't themselves
a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant,
presence of particular genetic markers, etc."/>
<comment value="This may be extended with additional genomics-specific resources when they are
ready."/>
<min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=SUBJ].source"/> </mapping> </element> <element id="FamilyMemberHistory.modifierExtension"> <path value="FamilyMemberHistory.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the resource and that modifies the understanding of the element that contains
it and/or the understanding of the containing element's descendants. Usually modifier
elements provide negation or qualification. To make the use of extensions safe
and managable, there is a strict set of governance applied to the definition and
use of extensions. Though any implementer is allowed to define an extension, there
is a set of requirements that SHALL be met as part of the definition of the extension.
Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
resource that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="FamilyMemberHistory.identifier"> <path value="FamilyMemberHistory.identifier"/> <short value="External Id(s) for this record"/> <definition value="Business identifiers assigned to this family member history by the performer or
other systems which remain constant as the resource is updated and propagates from
server to server."/>
<comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden
tifiers)). It is best practice for the identifier to only appear on a single resource
instance, however business practices may occasionally dictate that multiple resource
instances with the same identifier can exist - possibly even with different resource
types. For example, multiple Patient and a Person resource instance might share
the same social insurance number."/>
<requirements value="Allows identification of the family member history as it is known by various participating
systems and in a way that remains consistent across servers."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value="id"/> </mapping> </element> <element id="FamilyMemberHistory.instantiatesCanonical"> <path value="FamilyMemberHistory.instantiatesCanonical"/> <short value="Instantiates FHIR protocol or definition"/> <definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition
that is adhered to in whole or in part by this FamilyMemberHistory."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.instantiatesCanonical"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.instantiatesCanonical"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="FamilyMemberHistory.instantiatesUri"> <path value="FamilyMemberHistory.instantiatesUri"/> <short value="Instantiates external protocol or definition"/> <definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other
definition that is adhered to in whole or in part by this FamilyMemberHistory."/>
<comment value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/> <min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.instantiatesUri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.instantiatesUri"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="FamilyMemberHistory.status"> <path value="FamilyMemberHistory.status"/> <short value="partial | completed | entered-in-error | health-unknown"/> <definition value="A code specifying the status of the record of the family history of a specific
family member."/>
<comment value="This element is labeled as a modifier because the status contains codes that mark
the resource as not currently valid."/>
<min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labelled as a modifier because it is a status element that contains
status entered-in-error which means that the resource should not be treated as
valid"/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryStatus"/> </extension> <strength value="required"/> <description value="A code that identifies the status of the family history record."/> <valueSet value="http://hl7.org/fhir/ValueSet/history-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> </element> <element id="FamilyMemberHistory.dataAbsentReason"> <path value="FamilyMemberHistory.dataAbsentReason"/> <short value="subject-unknown | withheld | unable-to-obtain | deferred"/> <definition value="Describes why the family member's history is not available."/> <requirements value="This is a separate element to allow it to have a distinct binding from reasonCode."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.dataAbsentReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryAbsentReason"/> </extension> <strength value="example"/> <description value="Codes describing the reason why a family member's history is not available."/> <valueSet value="http://hl7.org/fhir/ValueSet/history-absent-reason"/> </binding> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="FamilyMemberHistory.patient"> <path value="FamilyMemberHistory.patient"/> <short value="Patient history is about"/> <definition value="The person who this history concerns."/> <comment value="This is not the family member."/> <alias value="Proband"/> <min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="FamilyMemberHistory.date"> <path value="FamilyMemberHistory.date"/> <short value="When history was recorded or last updated"/> <definition value="The date (and possibly time) when the family member history was recorded or last
updated."/>
<comment value="This should be captured even if the same as the date on the List aggregating the
full family history."/>
<requirements value="Allows determination of how current the summary is."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=AUT].time"/> </mapping> </element> <element id="FamilyMemberHistory.participant"> <path value="FamilyMemberHistory.participant"/> <short value="Who or what participated in the activities related to the family member history
and how they were involved"/>
<definition value="Indicates who or what participated in the activities related to the family member
history and how they were involved."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="FamilyMemberHistory.participant.id"> <path value="FamilyMemberHistory.participant.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.participant.extension"> <path value="FamilyMemberHistory.participant.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.participant.modifierExtension"> <path value="FamilyMemberHistory.participant.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element and that modifies the understanding of the element in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can define an extension, there is
a set of requirements that SHALL be met as part of the definition of the extension.
Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="FamilyMemberHistory.participant.function"> <path value="FamilyMemberHistory.participant.function"/> <short value="Type of involvement"/> <definition value="Distinguishes the type of involvement of the actor in the activities related to
the family member history."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.participant.function"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyMemberHistoryParticipantFunction"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> </binding> <mapping> <identity value="rim"/> <map value=".participation.functionCode"/> </mapping> </element> <element id="FamilyMemberHistory.participant.actor"> <path value="FamilyMemberHistory.participant.actor"/> <short value="Who or what participated in the activities related to the family member history"/> <definition value="Indicates who or what participated in the activities related to the family member
history."/>
<min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.participant.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.who"/> </mapping> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="FamilyMemberHistory.name"> <path value="FamilyMemberHistory.name"/> <short value="The family member described"/> <definition value="This will either be a name or a description; e.g. "Aunt Susan", "my
cousin with the red hair"."/>
<requirements value="Allows greater ease in ensuring the same person is being talked about."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="name"/> </mapping> </element> <element id="FamilyMemberHistory.relationship"> <path value="FamilyMemberHistory.relationship"/> <short value="Relationship to the subject"/> <definition value="The type of relationship this person has to the patient (father, mother, brother
etc.)."/>
<min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.relationship"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilialRelationship"/> </extension> <strength value="example"/> <description value="The nature of the relationship between the patient and the related person being
described in the family member history."/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-FamilyMember"/> </binding> <mapping> <identity value="rim"/> <map value="code"/> </mapping> </element> <element id="FamilyMemberHistory.sex"> <path value="FamilyMemberHistory.sex"/> <short value="male | female | other | unknown"/> <definition value="The birth sex of the family member."/> <comment value="This element should ideally reflect whether the individual is genetically male
or female. However, as reported information based on the knowledge of the patient
or reporting friend/relative, there may be situations where the reported sex might
not be totally accurate. E.g. 'Aunt Sue' might be XY rather than XX. Questions
soliciting this information should be phrased to encourage capture of genetic sex
where known. However, systems performing analysis should also allow for the possibility
of imprecision with this element."/>
<requirements value="Not all relationship codes imply sex and the relative's sex can be relevant for
risk assessments."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.sex"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Sex"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="Codes describing the sex assigned at birth as documented on the birth registration."/> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/> </binding> </element> <element id="FamilyMemberHistory.born[x]"> <path value="FamilyMemberHistory.born[x]"/> <short value="(approximate) date of birth"/> <definition value="The actual or approximate date of birth of the relative."/> <requirements value="Allows calculation of the relative's age."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.born[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <type> <code value="date"/> </type> <type> <code value="string"/> </type> <condition value="fhs-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)"/> </mapping> </element> <element id="FamilyMemberHistory.age[x]"> <path value="FamilyMemberHistory.age[x]"/> <short value="(approximate) age"/> <definition value="The age of the relative at the time the family member history is recorded."/> <comment value="use estimatedAge to indicate whether the age is actual or not."/> <requirements value="While age can be calculated from date of birth, sometimes recording age directly
is more natural for clinicians."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.age[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Age"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <condition value="fhs-2"/> <condition value="fhs-1"/> <condition value="fhs-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code="age"].value"/> </mapping> </element> <element id="FamilyMemberHistory.estimatedAge"> <path value="FamilyMemberHistory.estimatedAge"/> <short value="Age is estimated?"/> <definition value="If true, indicates that the age value specified is an estimated value."/> <comment value="This element is labeled as a modifier because the fact that age is estimated can/should
change the results of any algorithm that calculates based on the specified age."/>
<requirements value="Clinicians often prefer to specify an estimaged age rather than an age range."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.estimatedAge"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <meaningWhenMissing value="It is unknown whether the age is an estimate or not"/> <condition value="fhs-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="FamilyMemberHistory.deceased[x]"> <path value="FamilyMemberHistory.deceased[x]"/> <short value="Dead? How old/when?"/> <definition value="Deceased flag or the actual or approximate age of the relative at the time of death
for the family member history record."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.deceased[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <type> <code value="Age"/> </type> <type> <code value="Range"/> </type> <type> <code value="date"/> </type> <type> <code value="string"/> </type> <condition value="fhs-3"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could
be URG) For age, you'd hang an observation off the role"/>
</mapping> </element> <element id="FamilyMemberHistory.reason"> <path value="FamilyMemberHistory.reason"/> <short value="Why was family member history performed?"/> <definition value="Describes why the family member history occurred in coded or textual form, or Indicates
a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies
this family member history event."/>
<comment value="Textual reasons can be captured using reasonCode.text."/> <min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.reason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryReason"/> </extension> <strength value="example"/> <description value="Codes indicating why the family member history was done."/> <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reason"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="FamilyMemberHistory.note"> <path value="FamilyMemberHistory.note"/> <short value="General note about related person"/> <definition value="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."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].v
alue"/>
</mapping> </element> <element id="FamilyMemberHistory.condition"> <path value="FamilyMemberHistory.condition"/> <short value="Condition that the related person had"/> <definition value="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."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.condition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION
, value<Diagnosis]"/>
</mapping> </element> <element id="FamilyMemberHistory.condition.id"> <path value="FamilyMemberHistory.condition.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.condition.extension"> <path value="FamilyMemberHistory.condition.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.condition.modifierExtension"> <path value="FamilyMemberHistory.condition.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element and that modifies the understanding of the element in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can define an extension, there is
a set of requirements that SHALL be met as part of the definition of the extension.
Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="FamilyMemberHistory.condition.code"> <path value="FamilyMemberHistory.condition.code"/> <short value="Condition suffered by relation"/> <definition value="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."/>
<min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.condition.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCode"/> </extension> <strength value="example"/> <description value="Identification of the Condition or diagnosis."/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="FamilyMemberHistory.condition.outcome"> <path value="FamilyMemberHistory.condition.outcome"/> <short value="deceased | permanent disability | etc"/> <definition value="Indicates what happened following the condition. If the condition resulted in
death, deceased date is captured on the relation."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.condition.outcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionOutcome"/> </extension> <strength value="example"/> <description value="The result of the condition for the patient; e.g. death, permanent disability,
temporary disability, etc."/>
<valueSet value="http://hl7.org/fhir/ValueSet/condition-outcome"/> </binding> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTI
ON].value"/>
</mapping> </element> <element id="FamilyMemberHistory.condition.contributedToDeath"> <path value="FamilyMemberHistory.condition.contributedToDeath"/> <short value="Whether the condition contributed to the cause of death"/> <definition value="This condition contributed to the cause of death of the related person. If contributedToDeath
is not populated, then it is unknown."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.condition.contributedToDeath"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="FamilyMemberHistory.condition.onset[x]"> <path value="FamilyMemberHistory.condition.onset[x]"/> <short value="When condition first manifested"/> <definition value="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."/>
<requirements value="Age of onset of a condition in relatives is predictive of risk for the patient."/> <min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.condition.onset[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Age"/> </type> <type> <code value="Range"/> </type> <type> <code value="Period"/> </type> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="Subject
Age at measurement", value<Diagnosis].value[@xsi:typeCode='TS' or 'IVL_TS']
Use originalText for string"/>
</mapping> </element> <element id="FamilyMemberHistory.condition.note"> <path value="FamilyMemberHistory.condition.note"/> <short value="Extra information about condition"/> <definition value="An area where general notes can be placed about this specific condition."/> <min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.condition.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].v
alue"/>
</mapping> </element> <element id="FamilyMemberHistory.procedure"> <path value="FamilyMemberHistory.procedure"/> <short value="Procedures that the related person had"/> <definition value="The significant Procedures (or procedure) that the family member had. This is a
repeating section to allow a system to represent more than one procedure per resource,
though there is nothing stopping multiple resources - one per procedure."/>
<min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.procedure"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="FamilyMemberHistory.procedure.id"> <path value="FamilyMemberHistory.procedure.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.procedure.extension"> <path value="FamilyMemberHistory.procedure.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="FamilyMemberHistory.procedure.modifierExtension"> <path value="FamilyMemberHistory.procedure.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element and that modifies the understanding of the element in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can define an extension, there is
a set of requirements that SHALL be met as part of the definition of the extension.
Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="There can be no stigma associated with the use of extensions by any application,
project, or standard - regardless of the institution or jurisdiction that uses
or defines the extensions. The use of extensions is what allows the FHIR specification
to retain a core level of simplicity for everyone."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="FamilyMemberHistory.procedure.code"> <path value="FamilyMemberHistory.procedure.code"/> <short value="Procedures performed on the related person"/> <definition value="The actual procedure specified. Could be a coded procedure or a less specific string
depending on how much is known about the procedure and the capabilities of the
creating system."/>
<min value="1"/> <max value="1"/> <base> <path value="FamilyMemberHistory.procedure.code"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureCode"/> </extension> <strength value="example"/> <description value="A code to identify a specific procedure."/> <valueSet value="http://hl7.org/fhir/ValueSet/procedure-code"/> </binding> </element> <element id="FamilyMemberHistory.procedure.outcome"> <path value="FamilyMemberHistory.procedure.outcome"/> <short value="What happened following the procedure"/> <definition value="Indicates what happened following the procedure. If the procedure resulted in death,
deceased date is captured on the relation."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.procedure.outcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureOutcome"/> </extension> <strength value="example"/> <description value="The result of the procedure; e.g. death, permanent disability, temporary disability,
etc."/>
<valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </binding> </element> <element id="FamilyMemberHistory.procedure.contributedToDeath"> <path value="FamilyMemberHistory.procedure.contributedToDeath"/> <short value="Whether the procedure contributed to the cause of death"/> <definition value="This procedure contributed to the cause of death of the related person. If contributedToDeath
is not populated, then it is unknown."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.procedure.contributedToDeath"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="FamilyMemberHistory.procedure.performed[x]"> <path value="FamilyMemberHistory.procedure.performed[x]"/> <short value="When the procedure was performed"/> <definition value="Estimated or actual date, date-time, period, or age when the procedure was performed.
Allows a period to support complex procedures that span more than one date, and
also allows for the length of the procedure to be captured."/>
<min value="0"/> <max value="1"/> <base> <path value="FamilyMemberHistory.procedure.performed[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Age"/> </type> <type> <code value="Range"/> </type> <type> <code value="Period"/> </type> <type> <code value="string"/> </type> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="FamilyMemberHistory.procedure.note"> <path value="FamilyMemberHistory.procedure.note"/> <short value="Extra information about the procedure"/> <definition value="An area where general notes can be placed about this specific procedure."/> <min value="0"/> <max value="*"/> <base> <path value="FamilyMemberHistory.procedure.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="FamilyMemberHistory"> <path value="FamilyMemberHistory"/> <min value="0"/> <max value="*"/> </element> <element id="FamilyMemberHistory.extension:parent"> <path value="FamilyMemberHistory.extension"/> <sliceName value="parent"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent"/> </type> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.extension:sibling"> <path value="FamilyMemberHistory.extension"/> <sliceName value="sibling"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling"/> </type> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.extension:observations"> <path value="FamilyMemberHistory.extension"/> <sliceName value="observations"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation"/> </type> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.relationship"> <path value="FamilyMemberHistory.relationship"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.sex"> <path value="FamilyMemberHistory.sex"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.born[x]"> <path value="FamilyMemberHistory.born[x]"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.age[x]"> <path value="FamilyMemberHistory.age[x]"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.deceased[x]"> <path value="FamilyMemberHistory.deceased[x]"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.condition"> <path value="FamilyMemberHistory.condition"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.condition.code"> <path value="FamilyMemberHistory.condition.code"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.condition.outcome"> <path value="FamilyMemberHistory.condition.outcome"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.condition.onset[x]"> <path value="FamilyMemberHistory.condition.onset[x]"/> <mustSupport value="true"/> </element> <element id="FamilyMemberHistory.condition.note"> <path value="FamilyMemberHistory.condition.note"/> </element> </differential>
</
StructureDefinition
>
Clinical
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