This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
(v3.0.2:
STU
2).
3).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
R3
R2
Patient
Care
Work
Group
| Maturity Level : 2 | Trial Use | Compartments : Patient |
Detailed Descriptions for the elements in the FamilyMemberHistory resource.
| FamilyMemberHistory | |
| Definition |
Significant health events and conditions for a person related to the patient relevant in the context of care for the patient. |
| Control | 1..1 |
| Invariants |
Defined
on
this
element
fhs-1 : Can have age[x] or :
age.empty()
or
born.empty(),
xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
fhs-2 : Can only have estimatedAge if age[x] is present ( expression :
age.exists()
or
estimatedAge.empty(),
xpath:
exists(*[starts-with(local-name(.),
'age')])
or
not(exists(f:estimatedAge)))
fhs-3 : Not Done Reason can only be specified if NotDone is "true" ( expression :
notDone
or
notDoneReason.exists().not(),
xpath:
f:notDone/@value=true()
or
not(exists(f:notDoneReason)))
|
| FamilyMemberHistory.identifier | |
| Definition |
This records identifiers associated with this family member history record that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| Requirements |
Need to allow connection to a wider workflow. |
| Summary | true |
|
|
|
| Definition |
|
| Control |
|
| Type |
Reference
(
|
| Summary |
|
| FamilyMemberHistory.status | |
| Definition | A code specifying the status of the record of the family history of a specific family member. |
| Control | 1..1 |
| Terminology Binding | FamilyHistoryStatus ( Required ) |
| Type | code |
| Is Modifier | true |
| Summary | true |
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
|
|
|
| Definition |
|
| Control | 0..1 |
| Type |
|
| Is Modifier | true |
| Default Value | false |
| Requirements |
|
| Summary | true |
| Comments |
This
|
|
|
|
| Definition |
|
| Control |
|
| Terminology Binding |
|
| Type |
|
| Requirements |
This is a separate element to allow it to have a distinct binding from reasonCode. |
| Summary | true |
| Comments | This notDoneReason element is being evaluated and will likely be replaced in a subsequent release (e.g. dataAbsentReason). |
| Invariants |
Affect
this
element
fhs-3 : Not Done Reason can only be specified if NotDone is "true" ( expression :
notDone
or
notDoneReason.exists().not(),
xpath:
f:notDone/@value=true()
or
not(exists(f:notDoneReason)))
|
| FamilyMemberHistory.patient | |
| Definition | The person who this history concerns. |
| Control | 1..1 |
| Type | Reference ( Patient ) |
| Alternate Names | Proband |
| Summary | true |
| FamilyMemberHistory.date | |
| Definition | The date (and possibly time) when the family member history was taken. |
| Control | 0..1 |
| Type | dateTime |
| Requirements | Allows determination of how current the summary is. |
| Summary | true |
| Comments | This should be captured even if the same as the date on the List aggregating the full family history. |
| FamilyMemberHistory.name | |
| Definition |
This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair". |
| Control | 0..1 |
| Type | string |
| Requirements |
Allows greater ease in ensuring the same person is being talked about. |
| Summary | true |
| FamilyMemberHistory.relationship | |
| Definition |
The type of relationship this person has to the patient (father, mother, brother etc.). |
| Control | 1..1 |
| Terminology Binding |
|
| Type | CodeableConcept |
| Summary | true |
| FamilyMemberHistory.gender | |
| Definition |
Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes. |
| Control | 0..1 |
| Terminology Binding |
|
| Type | code |
| Requirements |
Not all relationship codes imply gender and the relative's gender can be relevant for risk assessments. |
| Summary | true |
| FamilyMemberHistory.born[x] | |
| Definition |
The actual or approximate date of birth of the relative. |
| Control | 0..1 |
| Type | Period | date | string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements |
Allows calculation of the relative's age. |
| Invariants |
Affect
this
element
fhs-1 : Can have age[x] or :
age.empty()
or
born.empty(),
xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
|
| FamilyMemberHistory.age[x] | |
| Definition |
The
|
| Control | 0..1 |
| Type | Age | Range | string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements |
While age can be calculated from date of birth, sometimes recording age directly is more natureal for clinicians. |
| Summary | true |
| Comments | use estimatedAge to indicate whether the age is actual or not. |
| Invariants |
Affect
this
element
fhs-1 : Can have age[x] or :
age.empty()
or
born.empty(),
xpath:
not
(*[starts-with(local-name(.),
'age')]
and
*[starts-with(local-name(.),
'birth')]))
|
| FamilyMemberHistory.estimatedAge | |
| Definition | If true, indicates that the age value specified is an estimated value. |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | true |
| Meaning if Missing | It is unknown whether the age is an estimate or not |
| Requirements | Clinicians often prefer to specify an estimaged age rather than an age range. |
| Summary | true |
| Comments | This element is labeled as a modifier because the fact tha age is estimated can/should change the results of any algorithm that calculates based on the specified age. |
| Invariants |
Affect
this
element
fhs-2 : Can only have estimatedAge if age[x] is present ( expression :
age.exists()
or
estimatedAge.empty(),
xpath:
exists(*[starts-with(local-name(.),
'age')])
or
not(exists(f:estimatedAge)))
|
| FamilyMemberHistory.deceased[x] | |
| Definition |
Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record. |
| Control | 0..1 |
| Type | boolean | Age | Range | date | string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | true |
| FamilyMemberHistory.reasonCode | |
| Definition | Describes why the family member history occurred in coded or textual form. |
| Control | 0..* |
| Terminology Binding | SNOMED CT Clinical Findings ( Example ) |
| Type | CodeableConcept |
| Summary | true |
| Comments | Textual reasons can be caprued using reasonCode.text. |
| FamilyMemberHistory.reasonReference | |
| Definition | Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event. |
| Control | 0..* |
| Type | Reference ( Condition | Observation | AllergyIntolerance | QuestionnaireResponse ) |
| Summary | true |
| FamilyMemberHistory.note | |
| Definition |
This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible. |
| Control |
|
| Type | Annotation |
| FamilyMemberHistory.condition | |
| Definition |
The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per condition. |
| Control | 0..* |
| Comments |
If none of the conditions listed have an outcome of "death" specified, that indicates that none of the specified conditions are known to have been the primary cause of death. |
| FamilyMemberHistory.condition.code | |
| Definition |
The actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating system. |
| Control | 1..1 |
| Terminology Binding |
|
| Type | CodeableConcept |
| FamilyMemberHistory.condition.outcome | |
| Definition |
Indicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relation. |
| Control | 0..1 |
| Terminology Binding |
Condition
Outcome
|
| Type | CodeableConcept |
| FamilyMemberHistory.condition.onset[x] | |
| Definition |
Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence. |
| Control | 0..1 |
| Type | Age | Range | Period | string |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements |
Age of onset of a condition in relatives is predictive of risk for the patient. |
| FamilyMemberHistory.condition.note | |
| Definition |
An area where general notes can be placed about this specific condition. |
| Control |
|
| Type | Annotation |