FHIR Release 3 (STU) 4

This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) in it's permanent home (it will always be available at this URL). 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 R4 R3 R2

(No assigned work group) Patient Care Work Group   Maturity Level : 1 Informative Trial Use Use Context : Any

The official 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 as a draft by Health Level Seven International (Clinical Genomics).

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

This structure is derived from FamilyMemberHistory .

.. * 1 .. 0 .. code 0 .. , date 0 1 0 1 boolean date 0 * .. 1 .. 1 0 .. , Range Annotation 0 * http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent .. * http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling * Reference http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory 0 0..*
. . relationship . family-member-history-genetics-parent S 0..* (Complex) Mother(s) & Father(s) - genetic & other
1 URL: CodeableConcept http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . gender . family-member-history-genetics-sibling S 0..* (Complex) natural brother(s) & natural sister(s) - genetic & other
1 URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation Binding: S AdministrativeGender 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: required http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation )
. . born[x] . relationship:Relationship S 1..1 1 CodeableConcept Period
. . . sex:Sex , S string 0..1 CodeableConcept
. . . age[x] born[x]:BornAge S 0..1 ..
. . . . bornPeriod Age Period ,
. . . . bornDate Range date ,
. . . . bornString string
. . . deceased[x] age[x]:Age S 0..1 ..
, . . . . ageAge Age ,
. . . . ageRange Range , ,
. . . . ageString string
. . condition . deceased[x]:DeceasedAge S 0..1 ..
. . . . deceasedBoolean BackboneElement boolean
. . . . code deceasedAge S Age 1
. . . . deceasedRange CodeableConcept Range
. . . outcome . deceasedDate S date 0
. . . . deceasedString CodeableConcept string
. . onset[x] . condition:Condition S 0..* 1 BackboneElement Age
, . Period . . . code , S string 1..1 CodeableConcept
. . . . note outcome 0 .. 1 S 0..1 CodeableConcept
. . family-member-history-genetics-parent . . onset[x] S 0..1 ..
. . . . . onsetAge (Complex) Mother(s) & Father(s) - genetic & other URL: Age
. . . . family-member-history-genetics-sibling . onsetRange S Range 0
. . . . . onsetPeriod (Complex) natural brother(s) & natural sister(s) - genetic & other URL: Period
. . family-member-history-genetics-observation . . . onsetString S 0 string ..
. . . . note ( Observation ) Genetic markers, ethnicity, etc. URL: 0..1 Annotation

doco Documentation for this format
Extension 0..1 The taking of a family member's history did not occur (approximate) date of birth (approximate) age xml:id (or equivalent in JSON) When condition first manifested
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I 0..* Information about patient's relatives, relevant for patient
. . . id Σ 0..1 id string Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( extensible preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . family-member-history-genetics-parent S I 0..* (Complex) Extension Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling S I 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 S I 0..* Reference ( Observation ) Extension Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier External Id(s) for this record
. . definition . instantiatesCanonical Σ I 0..* Reference canonical ( PlanDefinition ), Reference ( | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . status instantiatesUri ?! Σ Σ I 1..1 0..* code uri partial | completed | entered-in-error | health-unknown Instantiates external protocol or definition
Binding: FamilyHistoryStatus ( required )
. . notDone . status ?! Σ I 1..1 boolean code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus ( required )
. . . notDoneReason dataAbsentReason Σ I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryNotDoneReason FamilyHistoryAbsentReason ( example )
. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 0..1 dateTime When history was captured/updated recorded or last updated
. . . name Σ I 0..1 string The family member described
. . . relationship relationship:Relationship S Σ I 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember ( example )
. . gender . sex:Sex S Σ I 0..1 code CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( required extensible )
. . . born[x] born[x]:BornAge S I 0..1 (approximate) date of birth
.... bornPeriod Period ,
. . . . bornDate date ,
. . . . bornString string
. . . age[x] age[x]:Age S Σ I 0..1 (approximate) age
.... ageAge Age ,
. . . . ageRange Range ,
. . . . ageString string
. . . estimatedAge ?! Σ I 0..1 boolean Age is estimated?
. . deceased[x] . deceased[x]:DeceasedAge S Σ I 0..1 Dead? How old/when?
.... deceasedBoolean boolean ,
. . . . deceasedAge Age ,
. . . . deceasedRange Range ,
. . . . deceasedDate date ,
. . . . deceasedString string Dead? How old/when?
. . . reasonCode Σ I 0..* CodeableConcept Why was family member history performed?
Binding: SNOMED CT Clinical Findings ( example )
. . . reasonReference Σ I 0..* Reference ( Condition ), Reference ( | Observation ), Reference ( | AllergyIntolerance ), Reference ( | QuestionnaireResponse | DiagnosticReport | DocumentReference ) Why was family member history performed?
. . . note I 0..* Annotation General note about related person
. . . condition condition:Condition S I 0..* BackboneElement Condition that the related person had
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code S I 1..1 CodeableConcept Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example )
. . . . outcome S I 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: Condition Outcome Codes ( example )
. . . . contributedToDeath I 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] S I 0..1 When condition first manifested
..... onsetAge Age ,
. . . . . onsetRange Range ,
. . . . . onsetPeriod Period ,
. . . . . onsetString string
. . . . note I 0..1 Annotation Extra information about condition

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

< xmlns="http://hl7.org/fhir"

<FamilyMemberHistory xmlns="http://hl7.org/fhir"

>
  <!-- from Element: extension -->
 <
 <</meta>
 <
 <
 <

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

     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <</modifierExtension>
 <

 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 

     External Id(s) for this record --></identifier>
 <
     Instantiates protocol or definition</definition>
 <
 <
 <</notDoneReason>
 <

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

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

 <date value="[dateTime]"/><!-- ?? 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- ?? 0..1 The family member described -->
 <relationship><!-- ?? 1..1 CodeableConcept Relationship to the subject   --></relationship>
 <sex><!-- ?? 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- ?? 0..1 Period|date|string 

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

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

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

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

     Dead? How old/when? --></deceased[x]>
 <</reasonCode>
 <)|
   </reasonReference>
 <

 <reasonCode><!-- ?? 0..* CodeableConcept Why was family member history performed?   --></reasonCode>
 <reasonReference><!-- ?? 0..* Reference(Condition) 
     Why was family member history performed? --></reasonReference>
 <note><!-- ?? 0..* Annotation 

     General note about related person --></note>
 <condition> ?? 0..* BackboneElement  <!-- ?? 0..* Condition that the related person had -->
  <</modifierExtension>
  <</code>
  <</outcome>
  <

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- ?? 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- ?? 0..1 
      Whether the condition contributed to the cause of death -->
  <onset[x]><!-- ?? 0..1 Age|Range|Period|string 

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

  <note><!-- ?? 0..1 Annotation 

      Extra information about condition --></note>
 </condition>
</FamilyMemberHistory>
{ // Family member history for genetics analysis
  // from Element: extension
    "
    "
    "
    "
    "
    "
      { // 

    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text 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 // C?

        // from Element: extension
      },
      { // 

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

        // from Element: extension
      },
      { // 

      { // Genetic markers, ethnicity, etc. // C?

        // from Element: extension
      }
    ],
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?External Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // C?Instantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // C?Instantiates external protocol or definition
    "status" : "<code>", // C? R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // C?subject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // C? R! Patient history is about
    "date" : "<dateTime>", // C?When history was recorded or last updated
    "name" : "<string>", // C?The family member described
    "relationship" : { CodeableConcept }, // C? R! Relationship to the subject
    "sex" : { CodeableConcept }, // C?male | female | other | unknown

// value[x]: (approximate) date of birth. One of these 3:
    "
    "
    "

    "bornPeriod" : { Period }, // C?(approximate) date of birth
    "bornDate" : "<date>", // C?(approximate) date of birth
    "bornString" : "<string>", // C?(approximate) date of birth

// value[x]: (approximate) age. One of these 3:
    "
    "
    "
    "

    "ageAge" : { Age }, // C?(approximate) age
    "ageRange" : { Range }, // C?(approximate) age
    "ageString" : "<string>", // C?(approximate) age
    "estimatedAge" : <boolean>, // C?Age is estimated?

// value[x]: Dead? How old/when?. One of these 5:
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
    "

    "deceasedBoolean" : <boolean>, // C?Dead? How old/when?
    "deceasedAge" : { Age }, // C?Dead? How old/when?
    "deceasedRange" : { Range }, // C?Dead? How old/when?
    "deceasedDate" : "<date>" // C?Dead? How old/when?
    "deceasedString" : "<string>", // C?Dead? How old/when?
    "reasonCode" : [{ CodeableConcept }], // C?Why was family member history performed?
    "reasonReference" : [{ Reference(Condition) }], // C?Why was family member history performed?
    "note" : [{ Annotation }], // C?General note about related person
    "condition" : [{ BackboneElement }], // C?Condition that the related person had

  }

Differential View

This structure is derived from FamilyMemberHistory .

.. * 1 .. 0 .. code 0 .. , date 0 1 0 1 boolean date 0 * .. 1 .. 1 0 .. , Range Annotation 0 * http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent .. * http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling * Reference http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory 0 0..*
. . relationship . family-member-history-genetics-parent S 0..* (Complex) Mother(s) & Father(s) - genetic & other
1 URL: CodeableConcept http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . gender . family-member-history-genetics-sibling S 0..* (Complex) natural brother(s) & natural sister(s) - genetic & other
1 URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling
. . . family-member-history-genetics-observation Binding: S AdministrativeGender 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: required http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation )
. . born[x] . relationship:Relationship S 1..1 1 CodeableConcept Period
. . . sex:Sex , S string 0..1 CodeableConcept
. . . age[x] born[x]:BornAge S 0..1 ..
. . . . bornPeriod Age Period ,
. . . . bornDate Range date ,
. . . . bornString string
. . . deceased[x] age[x]:Age S 0..1 ..
, . . . . ageAge Age ,
. . . . ageRange Range , ,
. . . . ageString string
. . condition . deceased[x]:DeceasedAge S 0..1 ..
. . . . deceasedBoolean BackboneElement boolean
. . . . code deceasedAge S Age 1
. . . . deceasedRange CodeableConcept Range
. . . outcome . deceasedDate S date 0
. . . . deceasedString CodeableConcept string
. . onset[x] . condition:Condition S 0..* 1 BackboneElement Age
, . Period . . . code , S string 1..1 CodeableConcept
. . . . note outcome 0 .. 1 S 0..1 CodeableConcept
. . family-member-history-genetics-parent . . onset[x] S 0..1 ..
. . . . . onsetAge (Complex) Mother(s) & Father(s) - genetic & other URL: Age
. . . . family-member-history-genetics-sibling . onsetRange S Range 0
. . . . . onsetPeriod (Complex) natural brother(s) & natural sister(s) - genetic & other URL: Period
. . family-member-history-genetics-observation . . . onsetString S 0 string ..
. . . . note ( Observation ) Genetic markers, ethnicity, etc. URL: 0..1 Annotation

doco Documentation for this format

Snapshot View

Extension 0..1 The taking of a family member's history did not occur (approximate) date of birth (approximate) age xml:id (or equivalent in JSON) When condition first manifested
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I 0..* Information about patient's relatives, relevant for patient
. . . id Σ 0..1 id string Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( extensible preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . family-member-history-genetics-parent S I 0..* (Complex) Extension Mother(s) & Father(s) - genetic & other
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent
. . . family-member-history-genetics-sibling S I 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 S I 0..* Reference ( Observation ) Extension Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier External Id(s) for this record
. . definition . instantiatesCanonical Σ I 0..* Reference canonical ( PlanDefinition ), Reference ( | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . status instantiatesUri ?! Σ Σ I 1..1 0..* code uri partial | completed | entered-in-error | health-unknown Instantiates external protocol or definition
Binding: FamilyHistoryStatus ( required )
. . notDone . status ?! Σ I 1..1 boolean code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus ( required )
. . . notDoneReason dataAbsentReason Σ I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryNotDoneReason FamilyHistoryAbsentReason ( example )
. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 0..1 dateTime When history was captured/updated recorded or last updated
. . . name Σ I 0..1 string The family member described
. . . relationship relationship:Relationship S Σ I 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember ( example )
. . gender . sex:Sex S Σ I 0..1 code CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( required extensible )
. . . born[x] born[x]:BornAge S I 0..1 (approximate) date of birth
.... bornPeriod Period ,
. . . . bornDate date ,
. . . . bornString string
. . . age[x] age[x]:Age S Σ I 0..1 (approximate) age
.... ageAge Age ,
. . . . ageRange Range ,
. . . . ageString string
. . . estimatedAge ?! Σ I 0..1 boolean Age is estimated?
. . deceased[x] . deceased[x]:DeceasedAge S Σ I 0..1 Dead? How old/when?
.... deceasedBoolean boolean ,
. . . . deceasedAge Age ,
. . . . deceasedRange Range ,
. . . . deceasedDate date ,
. . . . deceasedString string Dead? How old/when?
. . . reasonCode Σ I 0..* CodeableConcept Why was family member history performed?
Binding: SNOMED CT Clinical Findings ( example )
. . . reasonReference Σ I 0..* Reference ( Condition ), Reference ( | Observation ), Reference ( | AllergyIntolerance ), Reference ( | QuestionnaireResponse | DiagnosticReport | DocumentReference ) Why was family member history performed?
. . . note I 0..* Annotation General note about related person
. . . condition condition:Condition S I 0..* BackboneElement Condition that the related person had
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code S I 1..1 CodeableConcept Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example )
. . . . outcome S I 0..1 CodeableConcept deceased | permanent disability | etc.
Binding: Condition Outcome Codes ( example )
. . . . contributedToDeath I 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] S I 0..1 When condition first manifested
..... onsetAge Age ,
. . . . . onsetRange Range ,
. . . . . onsetPeriod Period ,
. . . . . onsetString string
. . . . note I 0..1 Annotation Extra information about condition

doco Documentation for this format

XML Template

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

< xmlns="http://hl7.org/fhir"

<FamilyMemberHistory xmlns="http://hl7.org/fhir"

>
  <!-- from Element: extension -->
 <
 <</meta>
 <
 <
 <

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

     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <</modifierExtension>
 <

 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 

     External Id(s) for this record --></identifier>
 <
     Instantiates protocol or definition</definition>
 <
 <
 <</notDoneReason>
 <

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

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

 <date value="[dateTime]"/><!-- ?? 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- ?? 0..1 The family member described -->
 <relationship><!-- ?? 1..1 CodeableConcept Relationship to the subject   --></relationship>
 <sex><!-- ?? 0..1 CodeableConcept male | female | other | unknown   --></sex>
 <born[x]><!-- ?? 0..1 Period|date|string 

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

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

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

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

     Dead? How old/when? --></deceased[x]>
 <</reasonCode>
 <)|
   </reasonReference>
 <

 <reasonCode><!-- ?? 0..* CodeableConcept Why was family member history performed?   --></reasonCode>
 <reasonReference><!-- ?? 0..* Reference(Condition) 
     Why was family member history performed? --></reasonReference>
 <note><!-- ?? 0..* Annotation 

     General note about related person --></note>
 <condition> ?? 0..* BackboneElement  <!-- ?? 0..* Condition that the related person had -->
  <</modifierExtension>
  <</code>
  <</outcome>
  <

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 1..1 CodeableConcept Condition suffered by relation   --></code>
  <outcome><!-- ?? 0..1 CodeableConcept deceased | permanent disability | etc.   --></outcome>
  <contributedToDeath value="[boolean]"/><!-- ?? 0..1 
      Whether the condition contributed to the cause of death -->
  <onset[x]><!-- ?? 0..1 Age|Range|Period|string 

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

  <note><!-- ?? 0..1 Annotation 

      Extra information about condition --></note>
 </condition>
</FamilyMemberHistory>

JSON Template

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

    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text 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 // C?

        // from Element: extension
      },
      { // 

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

        // from Element: extension
      },
      { // 

      { // Genetic markers, ethnicity, etc. // C?

        // from Element: extension
      }
    ],
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?External Id(s) for this record
    "instantiatesCanonical" : ["<canonical>"], // C?Instantiates FHIR protocol or definition
    "instantiatesUri" : ["<uri>"], // C?Instantiates external protocol or definition
    "status" : "<code>", // C? R! partial | completed | entered-in-error | health-unknown
    "dataAbsentReason" : { CodeableConcept }, // C?subject-unknown | withheld | unable-to-obtain | deferred
    "patient" : { Reference(Patient) }, // C? R! Patient history is about
    "date" : "<dateTime>", // C?When history was recorded or last updated
    "name" : "<string>", // C?The family member described
    "relationship" : { CodeableConcept }, // C? R! Relationship to the subject
    "sex" : { CodeableConcept }, // C?male | female | other | unknown

// value[x]: (approximate) date of birth. One of these 3:
    "
    "
    "

    "bornPeriod" : { Period }, // C?(approximate) date of birth
    "bornDate" : "<date>", // C?(approximate) date of birth
    "bornString" : "<string>", // C?(approximate) date of birth

// value[x]: (approximate) age. One of these 3:
    "
    "
    "
    "

    "ageAge" : { Age }, // C?(approximate) age
    "ageRange" : { Range }, // C?(approximate) age
    "ageString" : "<string>", // C?(approximate) age
    "estimatedAge" : <boolean>, // C?Age is estimated?

// value[x]: Dead? How old/when?. One of these 5:
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
    "

    "deceasedBoolean" : <boolean>, // C?Dead? How old/when?
    "deceasedAge" : { Age }, // C?Dead? How old/when?
    "deceasedRange" : { Range }, // C?Dead? How old/when?
    "deceasedDate" : "<date>" // C?Dead? How old/when?
    "deceasedString" : "<string>", // C?Dead? How old/when?
    "reasonCode" : [{ CodeableConcept }], // C?Why was family member history performed?
    "reasonReference" : [{ Reference(Condition) }], // C?Why was family member history performed?
    "note" : [{ Annotation }], // C?General note about related person
    "condition" : [{ BackboneElement }], // C?Condition that the related person had

  }

 

Other representations of profile: Alternate definitions: Master Definition ( XML , JSON ), Schematron

Path Name Conformance ValueSet
FamilyMemberHistory.language Common Languages extensible preferred Common Languages
FamilyMemberHistory.status FamilyHistoryStatus required FamilyHistoryStatus
FamilyMemberHistory.notDoneReason FamilyMemberHistory.dataAbsentReason FamilyHistoryNotDoneReason FamilyHistoryAbsentReason example FamilyHistoryNotDoneReason FamilyHistoryAbsentReason
FamilyMemberHistory.relationship FamilyMember V3 Value SetFamilyMember example FamilyMember V3 Value SetFamilyMember
FamilyMemberHistory.gender FamilyMemberHistory.sex AdministrativeGender required extensible AdministrativeGender
FamilyMemberHistory.reasonCode 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
.