Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version 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 R2

Patient Care icon Work Group   Maturity Level : 1 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..* BackboneElement code
Name Flags Card. Type Description & Constraints doco
. . 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 bornPeriod 0 .. 1 Period bornDate , date bornString , string (approximate) date of birth
. . age[x]:Age . age[x] S ageAge 0 .. 1 Age ageRange , Range ageString , string (approximate) age
. . deceased[x]:DeceasedAge . deceased[x] S 0..1 deceasedBoolean 0 .. 1 boolean deceasedAge , Age deceasedRange , Range deceasedDate , date deceasedString , string Dead? How old/when?
. . condition:Condition . condition S S 0 .. * 1..1 CodeableConcept BackboneElement Condition that the related person had
. . . outcome . code S 0..1 1 .. 1 CodeableConcept Condition suffered by relation
. . . onset[x] . outcome S 0..1 onsetAge 0 Age onsetRange .. 1 Range CodeableConcept deceased | permanent disability | etc
. . . onsetPeriod . onset[x] Period S 0 .. 1 Age onsetString , Range , Period , 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.

I I I Σ I S I S I I S I I
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . id Σ 0..1 string id 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 0..1 code Language of the resource content
Binding: Common All Languages ( preferred required ) ): IETF language tag for a human language
Max Binding: All Languages
. . . 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 I 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 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 . observations S I 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! I Σ 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier External Id(s) for this record
. . . instantiatesCanonical Σ I 0..* canonical ( PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . instantiatesUri Σ I 0..* uri Instantiates external protocol or definition
. . . status ?! Σ I 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus Family History Status ( required ) ): A code that identifies the status of the family history record.

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

. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 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: Participation Role Type ( 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 I 0..1 string The family member described
. . . relationship:Relationship relationship S Σ I 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 I 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 I C icon 0..1 Dead? How old/when?
. . . . deceasedBoolean boolean
. . . . deceasedAge Age
. . . . deceasedRange Range
. . . . deceasedDate date
. . . . deceasedString string
. . reasonCode . reason Σ I 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..* I Annotation General note about related person
... condition S 0..* Reference BackboneElement ( Condition that the related person had
.... id | Observation | AllergyIntolerance 0..1 string | QuestionnaireResponse Unique id for inter-element referencing
.... extension | DiagnosticReport | DocumentReference 0..* Extension ) Additional content defined by implementations
.... modifierExtension Why was family member history performed? ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . note code I S 0..* 1..1 Annotation CodeableConcept General note about related person Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example ): Identification of the Condition or diagnosis.

. . . . condition:Condition outcome S I 0..1 CodeableConcept deceased | permanent disability | etc
Binding: Condition Outcome Codes ( 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] S 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about 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 I 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 ) ): 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 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 -->

<!-- FamilyMemberHistoryForGeneticsAnalysis -->doco


<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>
 <</meta>
 <
 <
 <

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <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>
 <<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.modifierExtension" title="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) (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>
 <
  <<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.condition.modifierExtension" title="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.

 <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>
{ // 

{ // FamilyMemberHistoryForGeneticsAnalysis

  // 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
      }
    ],
    "<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.modifierExtension" title="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) (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..* BackboneElement code
Name Flags Card. Type Description & Constraints doco
. . 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 bornPeriod 0 .. 1 Period bornDate , date bornString , string (approximate) date of birth
. . age[x]:Age . age[x] S ageAge 0 .. 1 Age ageRange , Range ageString , string (approximate) age
. . deceased[x]:DeceasedAge . deceased[x] S 0..1 deceasedBoolean 0 .. 1 boolean deceasedAge , Age deceasedRange , Range deceasedDate , date deceasedString , string Dead? How old/when?
. . condition:Condition . condition S S 0 .. * 1..1 CodeableConcept BackboneElement Condition that the related person had
. . . outcome . code S 0..1 1 .. 1 CodeableConcept Condition suffered by relation
. . . onset[x] . outcome S 0..1 onsetAge 0 Age onsetRange .. 1 Range CodeableConcept deceased | permanent disability | etc
. . . onsetPeriod . onset[x] Period S 0 .. 1 Age onsetString , Range , Period , 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.

I I I Σ I S I S I I S I I
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I C icon 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . id Σ 0..1 string id 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 0..1 code Language of the resource content
Binding: Common All Languages ( preferred required ) ): IETF language tag for a human language
Max Binding: All Languages
. . . 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 I 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 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 . observations S I 0..* Reference ( Observation ) Genetic markers, ethnicity, etc.
URL: http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-observation
. . . modifierExtension ?! I Σ 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier External Id(s) for this record
. . . instantiatesCanonical Σ I 0..* canonical ( PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition ) Instantiates FHIR protocol or definition
. . . instantiatesUri Σ I 0..* uri Instantiates external protocol or definition
. . . status ?! Σ I 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus Family History Status ( required ) ): A code that identifies the status of the family history record.

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

. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 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: Participation Role Type ( 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 I 0..1 string The family member described
. . . relationship:Relationship relationship S Σ I 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 I 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 I C icon 0..1 Dead? How old/when?
. . . . deceasedBoolean boolean
. . . . deceasedAge Age
. . . . deceasedRange Range
. . . . deceasedDate date
. . . . deceasedString string
. . reasonCode . reason Σ I 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..* I Annotation General note about related person
... condition S 0..* Reference BackboneElement ( Condition that the related person had
.... id | Observation | AllergyIntolerance 0..1 string | QuestionnaireResponse Unique id for inter-element referencing
.... extension | DiagnosticReport | DocumentReference 0..* Extension ) Additional content defined by implementations
.... modifierExtension Why was family member history performed? ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . note code I S 0..* 1..1 Annotation CodeableConcept General note about related person Condition suffered by relation
Binding: Condition/Problem/Diagnosis Codes ( example ): Identification of the Condition or diagnosis.

. . . . condition:Condition outcome S I 0..1 CodeableConcept deceased | permanent disability | etc
Binding: Condition Outcome Codes ( 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] S 0..1 When condition first manifested
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about 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 I 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 ) ): 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 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 -->

<!-- FamilyMemberHistoryForGeneticsAnalysis -->doco


<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>
 <</meta>
 <
 <
 <

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <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>
 <<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.modifierExtension" title="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) (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>
 <
  <<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.condition.modifierExtension" title="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.

 <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

{ // 

{ // FamilyMemberHistoryForGeneticsAnalysis

  // 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
      }
    ],
    "<a href="familymemberhistory-genetic-definitions.html#FamilyMemberHistory.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
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    "

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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 All Languages preferred required Common All Languages
FamilyMemberHistory.status FamilyHistoryStatus Family History Status required FamilyHistoryStatus Family History Status
FamilyMemberHistory.dataAbsentReason FamilyHistoryAbsentReason Family History Absent Reason example FamilyHistoryAbsentReason Family History Absent Reason
FamilyMemberHistory.participant.function Participation Role Type extensible Participation Role Type
FamilyMemberHistory.relationship V3 Value SetFamilyMember FamilyMember example V3 Value SetFamilyMember 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
. .