Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the FHIR Specification (v4.3.0: R4B - STU (v5.0.0-snapshot3: R5 Snapshot #3, to support Connectathon 32 ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Patient Care icon Work Group   Maturity Level : 0 Trial Use Use Context : Any

The official canonical URL for this profile is:

http://hl7.org/fhir/StructureDefinition/familymemberhistory-genetic

Adds additional information to a family member history supporting both the capture of mother/father relationships as well as additional observations necessary to enable genetics-based risk analysis for patients

This profile was published on Wed, Oct 2, 2013 00:00+1000 Sat, Feb 21, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Genomics). Seven, Inc. - FHIR WG.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work .

This structure is derived from indicates the differences between this profile and the base FamilyMemberHistory . structure.

0..1 0..* 1..1 0..1 0..1
Name icon Flags icon Card. icon Type icon Description & Constraints icon doco icon
. . FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . family-member-history-genetics-parent parent S 0..* 0 .. * (Complex) Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling sibling S 0..* 0 .. * (Complex) natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation observations S 0..* 0 .. * Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . sex:Sex . sex S 0..1 0 .. 1 CodeableConcept male | female | other | unknown
. . born[x]:BornAge . born[x] S 0..1 (approximate) date of birth 0 bornPeriod .. 1 Period bornDate , date bornString , string (approximate) date of birth
. . age[x]:Age . age[x] S (approximate) age 0 ageAge .. 1 Age ageRange , Range ageString , string (approximate) age
. . deceased[x]:DeceasedAge . deceased[x] S 0..1 Dead? How old/when? 0 deceasedBoolean .. 1 boolean deceasedAge , Age deceasedRange , Range deceasedDate , date deceasedString , string Dead? How old/when?
. . condition:Condition . condition S 0 .. * BackboneElement Condition that the related person had
. . . . code S 1 .. 1 CodeableConcept Condition suffered by relation
. . . . outcome S 0 .. 1 CodeableConcept deceased | permanent disability | etc.
. . . . onset[x] S When condition first manifested 0 onsetAge .. 1 Age onsetRange , Range onsetPeriod , Period onsetString , string When condition first manifested
. . . . note 0 .. * 0..1 Annotation Extra information about condition

doco Documentation for this format icon

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base FamilyMemberHistory structure.

S S S S
Name icon Flags icon Card. icon Type icon Description & Constraints icon doco icon
. . FamilyMemberHistory I C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: Common Languages ( preferred ): IETF language tag

Additional Bindings Purpose
All Languages Max Binding
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . family-member-history-genetics-parent parent S 0..* (Complex) Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling sibling S 0..* (Complex) natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation observations S 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . identifier Σ 0..* Identifier External Id(s) for this record
. . . instantiatesCanonical Σ 0..* canonical ( PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . instantiatesUri Σ 0..* uri Instantiates external protocol or definition
. . . status ?! Σ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus ( required ): A code that identifies the status of the family history record.

. . . dataAbsentReason Σ 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason ( example ): Codes describing the reason why a family member's history is not available.

. . . patient Σ 1..1 Reference ( Patient ) Patient history is about
. . . date Σ 0..1 dateTime When history was recorded or last updated
. . . participant Σ 0..* BackboneElement Who or what participated in the activities related to the family member history and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType ( extensible )
.... actor Σ 1..1 Reference ( Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam ) Who or what participated in the activities related to the family member history
. . . name Σ 0..1 string The family member described
. . relationship:Relationship . relationship S Σ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember icon ( example ): The nature of the relationship between the patient and the related person being described in the family member history.

. . sex:Sex . sex S Σ 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( extensible ): Codes describing the sex assigned at birth as documented on the birth registration.

. . born[x]:BornAge . born[x] S I C icon 0..1 (approximate) date of birth
. . . . bornPeriod Period
. . . . bornDate date
. . . . bornString string
. . age[x]:Age . age[x] S Σ I C icon 0..1 (approximate) age
. . . . ageAge Age
. . . . ageRange Range
. . . . ageString string
. . . estimatedAge Σ I C icon 0..1 boolean Age is estimated?
. . deceased[x]:DeceasedAge . deceased[x] S Σ C icon 0..1 Dead? How old/when?
. . . . deceasedBoolean boolean
. . . . deceasedAge Age
. . . . deceasedRange Range
. . . . deceasedDate date
. . . . deceasedString string
. . reasonCode . reason Σ 0..* CodeableConcept CodeableReference ( Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference ) Why was family member history performed?
Binding: SNOMED CT Clinical Findings ( example ): Codes indicating why the family member history was done.


. . reasonReference . note 0..* Annotation General note about related person
... condition S 0..* BackboneElement Condition that the related person had
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?! Σ 0..* Reference Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example ): Identification of the Condition or diagnosis.

.... outcome | Observation | AllergyIntolerance S 0..1 CodeableConcept deceased | QuestionnaireResponse permanent disability | DiagnosticReport etc.
Binding: Condition Outcome Codes | DocumentReference ( example ) ): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

.... contributedToDeath 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] Why was family member history performed? S 0..1 When condition first manifested
. . . . . note onsetAge Age
. . . . . onsetRange Range
. . . . . onsetPeriod Period
..... onsetString string
.... note 0..* Annotation General note Extra information about related person condition
. . condition:Condition . procedure 0..* BackboneElement Condition Procedures that the related person had
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code 1..1 CodeableConcept Condition suffered by relation Procedures performed on the related person
Binding: Condition/Problem/Diagnosis Procedure Codes (SNOMED CT) ( example ): Identification of the Condition or diagnosis. A code to identify a specific procedure.

. . . . outcome 0..1 CodeableConcept deceased | permanent disability | etc. What happened following the procedure
Binding: Condition Outcome Codes SNOMED CT Clinical Findings ( example ): The result of the condition for the patient; procedure; e.g. death, permanent disability, temporary disability, etc.

. . . . contributedToDeath 0..1 boolean Whether the condition procedure contributed to the cause of death
. . . . onset[x] performed[x] 0..1 When condition first manifested the procedure was performed
. . . . . onsetAge performedAge Age
. . . . . onsetRange performedRange Range
. . . . . onsetPeriod performedPeriod Period
. . . . . onsetString performedString string
. . . . . performedDateTime dateTime
. . . . note 0..1 0..* Annotation Extra information about condition the procedure

doco Documentation for this format icon
<!-- Family member history for genetics analysis -->doco

<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <

 <contained><!-- 0..* Resource 

     Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 

     External Id(s) for this record --></identifier>
 <
 <
 <
 <</dataAbsentReason>
 <

 <instantiatesCanonical value="[canonical]"/><!-- I 0..* Instantiates FHIR protocol or definition -->
 <instantiatesUri value="[uri]"/><!-- I 0..* Instantiates external protocol or definition -->
 <status value="[code]"/><!-- I 1..1 partial | completed | entered-in-error | health-unknown   -->
 <dataAbsentReason><!-- I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred   --></dataAbsentReason>
 <patient><!-- I 1..1 Reference(Patient) 

     Patient history is about --></patient>
 <
 <
 <</relationship>
 <</sex>
 <

 <date value="[dateTime]"/><!-- I 0..1 When history was recorded or last updated -->
 <participant> I 0..* BackboneElement  <!-- I 0..* Who or what participated in the activities related to the family member history and how they were involved -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <function><!-- I 0..1 CodeableConcept Type of involvement   --></function>
  <actor><!-- I 1..1 Reference(Practitioner) 
      Who or what participated in the activities related to the family member history --></actor>
 </participant>
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject icon   --></relationship>
 <sex><!-- I 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- I 0..1 Period|date|string 

     (approximate) date of birth --></born[x]>
 <

 <age[x]><!-- I 0..1 Age|Range|string 

     (approximate) age --></age[x]>
 <
 <

 <estimatedAge value="[boolean]"/><!-- I 0..1 Age is estimated? -->
 <deceased[x]><!-- I 0..1 boolean|Age|Range|date|string 

     Dead? How old/when? --></deceased[x]>
 <</reasonCode>
 <
     Why was family member history performed?</reasonReference>
 <

 <reason><!-- I 0..* CodeableReference Why was family member history performed?   --></reason>
 <note><!-- I 0..* Annotation 

     General note about related person --></note>
 <

 <condition> I 0..* BackboneElement  <!-- I 0..* Condition that the related person had -->

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</outcome>
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- I 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 

      Whether the condition contributed to the cause of death -->
  <

  <onset[x]><!-- I 0..1 Age|Range|Period|string 

      When condition first manifested --></onset[x]>
  <

  <note><!-- I 0..* Annotation 

      Extra information about condition --></note>
 </condition>
 <procedure> I 0..* BackboneElement  <!-- I 0..* Procedures that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Procedures performed on the related person   --></code>
  <outcome><!-- I 0..1 CodeableConcept What happened following the procedure   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the procedure contributed to the cause of death -->
  <performed[x]><!-- I 0..1 Age|Range|Period|string|
    dateTime When the procedure was performed --></performed[x]>

  <note><!-- I 0..* Annotation 
      Extra information about the procedure --></note>
 </procedure>

</FamilyMemberHistory>
{ // Family member history for genetics analysis
  // from Element: extension
    "
    "
    "
    "
    "

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources

    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // 

      { // Mother(s) & Father(s) - genetic & other // I

        // from Element: extension
      },
      { // 

      { // natural brother(s) & natural sister(s) - genetic & other // I

        // from Element: extension
      },
      { // 

      { // Genetic markers, ethnicity, etc. // I

        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "

    "
    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IExternal Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // IInstantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // IInstantiates external protocol or definition
    "status" : "<code>", // I R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // Isubject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // I R! Patient history is about
    "date" : "<dateTime>", // IWhen history was recorded or last updated
    "participant" : [{ BackboneElement }], // IWho or what participated in the activities related to the family member history and how they were involved
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject icon
    "sex" : { CodeableConcept }, // Imale | female | other | unknown
  // value[x]: (approximate) date of birth. One of these 3:

    "bornPeriod" : { Period }, // I(approximate) date of birth
    "bornDate" : "<date>", // I(approximate) date of birth
    "bornString" : "<string>", // I(approximate) date of birth
  // value[x]: (approximate) age. One of these 3:

    "ageAge" : { Age }, // I(approximate) age
    "ageRange" : { Range }, // I(approximate) age
    "ageString" : "<string>", // I(approximate) age
    "estimatedAge" : <boolean>, // IAge is estimated?
  // value[x]: Dead? How old/when?. One of these 5:

    "deceasedBoolean" : <boolean>, // IDead? How old/when?
    "deceasedAge" : { Age }, // IDead? How old/when?
    "deceasedRange" : { Range }, // IDead? How old/when?
    "deceasedDate" : "<date>", // IDead? How old/when?
    "deceasedString" : "<string>", // IDead? How old/when?
    "reason" : [{ CodeableReference(Condition) }], // IWhy was family member history performed?
    "note" : [{ Annotation }], // IGeneral note about related person
    "condition" : [{ BackboneElement }], // ICondition that the related person had
    "procedure" : [{ BackboneElement }], // IProcedures that the related person had

  }

Differential View

This structure is derived from indicates the differences between this profile and the base FamilyMemberHistory . structure.

0..1 0..* 1..1 0..1 0..1
Name icon Flags icon Card. icon Type icon Description & Constraints icon doco icon
. . FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . family-member-history-genetics-parent parent S 0..* 0 .. * (Complex) Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling sibling S 0..* 0 .. * (Complex) natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation observations S 0..* 0 .. * Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . sex:Sex . sex S 0..1 0 .. 1 CodeableConcept male | female | other | unknown
. . born[x]:BornAge . born[x] S 0..1 (approximate) date of birth 0 bornPeriod .. 1 Period bornDate , date bornString , string (approximate) date of birth
. . age[x]:Age . age[x] S (approximate) age 0 ageAge .. 1 Age ageRange , Range ageString , string (approximate) age
. . deceased[x]:DeceasedAge . deceased[x] S 0..1 Dead? How old/when? 0 deceasedBoolean .. 1 boolean deceasedAge , Age deceasedRange , Range deceasedDate , date deceasedString , string Dead? How old/when?
. . condition:Condition . condition S 0 .. * BackboneElement Condition that the related person had
. . . . code S 1 .. 1 CodeableConcept Condition suffered by relation
. . . . outcome S 0 .. 1 CodeableConcept deceased | permanent disability | etc.
. . . . onset[x] S When condition first manifested 0 onsetAge .. 1 Age onsetRange , Range onsetPeriod , Period onsetString , string When condition first manifested
. . . . note 0 .. * 0..1 Annotation Extra information about condition

doco Documentation for this format icon

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base FamilyMemberHistory structure.

S S S S
Name icon Flags icon Card. icon Type icon Description & Constraints icon doco icon
. . FamilyMemberHistory I C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . id Σ 0..1 id Logical id of this artifact
. . . meta Σ 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ 0..1 uri A set of rules under which this content was created
. . . language 0..1 code Language of the resource content
Binding: Common Languages ( preferred ): IETF language tag

Additional Bindings Purpose
All Languages Max Binding
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . family-member-history-genetics-parent parent S 0..* (Complex) Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling sibling S 0..* (Complex) natural brother(s) & natural sister(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation observations S 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . identifier Σ 0..* Identifier External Id(s) for this record
. . . instantiatesCanonical Σ 0..* canonical ( PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . instantiatesUri Σ 0..* uri Instantiates external protocol or definition
. . . status ?! Σ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus ( required ): A code that identifies the status of the family history record.

. . . dataAbsentReason Σ 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason ( example ): Codes describing the reason why a family member's history is not available.

. . . patient Σ 1..1 Reference ( Patient ) Patient history is about
. . . date Σ 0..1 dateTime When history was recorded or last updated
. . . participant Σ 0..* BackboneElement Who or what participated in the activities related to the family member history and how they were involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of involvement
Binding: ParticipationRoleType ( extensible )
.... actor Σ 1..1 Reference ( Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization | CareTeam ) Who or what participated in the activities related to the family member history
. . . name Σ 0..1 string The family member described
. . relationship:Relationship . relationship S Σ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember icon ( example ): The nature of the relationship between the patient and the related person being described in the family member history.

. . sex:Sex . sex S Σ 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( extensible ): Codes describing the sex assigned at birth as documented on the birth registration.

. . born[x]:BornAge . born[x] S I C icon 0..1 (approximate) date of birth
. . . . bornPeriod Period
. . . . bornDate date
. . . . bornString string
. . age[x]:Age . age[x] S Σ I C icon 0..1 (approximate) age
. . . . ageAge Age
. . . . ageRange Range
. . . . ageString string
. . . estimatedAge Σ I C icon 0..1 boolean Age is estimated?
. . deceased[x]:DeceasedAge . deceased[x] S Σ C icon 0..1 Dead? How old/when?
. . . . deceasedBoolean boolean
. . . . deceasedAge Age
. . . . deceasedRange Range
. . . . deceasedDate date
. . . . deceasedString string
. . reasonCode . reason Σ 0..* CodeableConcept CodeableReference ( Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference ) Why was family member history performed?
Binding: SNOMED CT Clinical Findings ( example ): Codes indicating why the family member history was done.


. . reasonReference . note 0..* Annotation General note about related person
... condition S 0..* BackboneElement Condition that the related person had
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?! Σ 0..* Reference Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example ): Identification of the Condition or diagnosis.

.... outcome | Observation | AllergyIntolerance S 0..1 CodeableConcept deceased | QuestionnaireResponse permanent disability | DiagnosticReport etc.
Binding: Condition Outcome Codes | DocumentReference ( example ) ): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

.... contributedToDeath 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] Why was family member history performed? S 0..1 When condition first manifested
. . . . . note onsetAge Age
. . . . . onsetRange Range
. . . . . onsetPeriod Period
..... onsetString string
.... note 0..* Annotation General note Extra information about related person condition
. . condition:Condition . procedure 0..* BackboneElement Condition Procedures that the related person had
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code 1..1 CodeableConcept Condition suffered by relation Procedures performed on the related person
Binding: Condition/Problem/Diagnosis Procedure Codes (SNOMED CT) ( example ): Identification of the Condition or diagnosis. A code to identify a specific procedure.

. . . . outcome 0..1 CodeableConcept deceased | permanent disability | etc. What happened following the procedure
Binding: Condition Outcome Codes SNOMED CT Clinical Findings ( example ): The result of the condition for the patient; procedure; e.g. death, permanent disability, temporary disability, etc.

. . . . contributedToDeath 0..1 boolean Whether the condition procedure contributed to the cause of death
. . . . onset[x] performed[x] 0..1 When condition first manifested the procedure was performed
. . . . . onsetAge performedAge Age
. . . . . onsetRange performedRange Range
. . . . . onsetPeriod performedPeriod Period
. . . . . onsetString performedString string
. . . . . performedDateTime dateTime
. . . . note 0..1 0..* Annotation Extra information about condition the procedure

doco Documentation for this format icon

XML Template

<!-- Family member history for genetics analysis -->doco

<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <

 <contained><!-- 0..* Resource 

     Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 

     External Id(s) for this record --></identifier>
 <
 <
 <
 <</dataAbsentReason>
 <

 <instantiatesCanonical value="[canonical]"/><!-- I 0..* Instantiates FHIR protocol or definition -->
 <instantiatesUri value="[uri]"/><!-- I 0..* Instantiates external protocol or definition -->
 <status value="[code]"/><!-- I 1..1 partial | completed | entered-in-error | health-unknown   -->
 <dataAbsentReason><!-- I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred   --></dataAbsentReason>
 <patient><!-- I 1..1 Reference(Patient) 

     Patient history is about --></patient>
 <
 <
 <</relationship>
 <</sex>
 <

 <date value="[dateTime]"/><!-- I 0..1 When history was recorded or last updated -->
 <participant> I 0..* BackboneElement  <!-- I 0..* Who or what participated in the activities related to the family member history and how they were involved -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <function><!-- I 0..1 CodeableConcept Type of involvement   --></function>
  <actor><!-- I 1..1 Reference(Practitioner) 
      Who or what participated in the activities related to the family member history --></actor>
 </participant>
 <name value="[string]"/><!-- I 0..1 The family member described -->
 <relationship><!-- I 1..1 CodeableConcept Relationship to the subject icon   --></relationship>
 <sex><!-- I 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- I 0..1 Period|date|string 

     (approximate) date of birth --></born[x]>
 <

 <age[x]><!-- I 0..1 Age|Range|string 

     (approximate) age --></age[x]>
 <
 <

 <estimatedAge value="[boolean]"/><!-- I 0..1 Age is estimated? -->
 <deceased[x]><!-- I 0..1 boolean|Age|Range|date|string 

     Dead? How old/when? --></deceased[x]>
 <</reasonCode>
 <
     Why was family member history performed?</reasonReference>
 <

 <reason><!-- I 0..* CodeableReference Why was family member history performed?   --></reason>
 <note><!-- I 0..* Annotation 

     General note about related person --></note>
 <

 <condition> I 0..* BackboneElement  <!-- I 0..* Condition that the related person had -->

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</outcome>
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- I 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 

      Whether the condition contributed to the cause of death -->
  <

  <onset[x]><!-- I 0..1 Age|Range|Period|string 

      When condition first manifested --></onset[x]>
  <

  <note><!-- I 0..* Annotation 

      Extra information about condition --></note>
 </condition>
 <procedure> I 0..* BackboneElement  <!-- I 0..* Procedures that the related person had -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Procedures performed on the related person   --></code>
  <outcome><!-- I 0..1 CodeableConcept What happened following the procedure   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- I 0..1 
      Whether the procedure contributed to the cause of death -->
  <performed[x]><!-- I 0..1 Age|Range|Period|string|
    dateTime When the procedure was performed --></performed[x]>

  <note><!-- I 0..* Annotation 
      Extra information about the procedure --></note>
 </procedure>

</FamilyMemberHistory>

JSON Template

{ // Family member history for genetics analysis
  // from Element: extension
    "
    "
    "
    "
    "

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources

    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // 

      { // Mother(s) & Father(s) - genetic & other // I

        // from Element: extension
      },
      { // 

      { // natural brother(s) & natural sister(s) - genetic & other // I

        // from Element: extension
      },
      { // 

      { // Genetic markers, ethnicity, etc. // I

        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "

    "
    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IExternal Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // IInstantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // IInstantiates external protocol or definition
    "status" : "<code>", // I R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // Isubject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // I R! Patient history is about
    "date" : "<dateTime>", // IWhen history was recorded or last updated
    "participant" : [{ BackboneElement }], // IWho or what participated in the activities related to the family member history and how they were involved
    "name" : "<string>", // IThe family member described
    "relationship" : { CodeableConcept }, // I R! Relationship to the subject icon
    "sex" : { CodeableConcept }, // Imale | female | other | unknown
  // value[x]: (approximate) date of birth. One of these 3:

    "bornPeriod" : { Period }, // I(approximate) date of birth
    "bornDate" : "<date>", // I(approximate) date of birth
    "bornString" : "<string>", // I(approximate) date of birth
  // value[x]: (approximate) age. One of these 3:

    "ageAge" : { Age }, // I(approximate) age
    "ageRange" : { Range }, // I(approximate) age
    "ageString" : "<string>", // I(approximate) age
    "estimatedAge" : <boolean>, // IAge is estimated?
  // value[x]: Dead? How old/when?. One of these 5:

    "deceasedBoolean" : <boolean>, // IDead? How old/when?
    "deceasedAge" : { Age }, // IDead? How old/when?
    "deceasedRange" : { Range }, // IDead? How old/when?
    "deceasedDate" : "<date>", // IDead? How old/when?
    "deceasedString" : "<string>", // IDead? How old/when?
    "reason" : [{ CodeableReference(Condition) }], // IWhy was family member history performed?
    "note" : [{ Annotation }], // IGeneral note about related person
    "condition" : [{ BackboneElement }], // ICondition that the related person had
    "procedure" : [{ BackboneElement }], // IProcedures that the related person had

  }

 

Alternate definitions: Master Definition ( XML , JSON ), Schematron

Path Name Conformance ValueSet
FamilyMemberHistory.language Common Languages preferred Common Languages
FamilyMemberHistory.status FamilyHistoryStatus required FamilyHistoryStatus
FamilyMemberHistory.dataAbsentReason FamilyHistoryAbsentReason example FamilyHistoryAbsentReason
FamilyMemberHistory.participant.function ParticipationRoleType extensible ParticipationRoleType
FamilyMemberHistory.relationship FamilyMember example FamilyMember icon
FamilyMemberHistory.sex AdministrativeGender extensible AdministrativeGender
FamilyMemberHistory.reasonCode FamilyMemberHistory.reason SNOMED CT Clinical Findings example SNOMED CT Clinical Findings
FamilyMemberHistory.condition.code Condition/Problem/Diagnosis Codes example Condition/Problem/Diagnosis Codes
FamilyMemberHistory.condition.outcome Condition Outcome Codes example Condition Outcome Codes
FamilyMemberHistory.procedure.code Procedure Codes (SNOMED CT) example Procedure Codes (SNOMED CT)
FamilyMemberHistory.procedure.outcome SNOMED CT Clinical Findings example SNOMED CT Clinical Findings
.