Release 4 5 Preview #3
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Patient Care Work Group   Maturity Level : 1 0 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 Sat, Feb 21, 2015 00:00+0000 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 FamilyMemberHistory .

Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . family-member-history-genetics-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 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 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 0..1 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 0..* BackboneElement code 0 .. S * 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..1 0 .. * Annotation Extra information about condition

doco Documentation for this format
Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I 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 I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages : IETF language tag

. . . 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) 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 ) 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
. . . 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 ( required )
. . . dataAbsentReason Σ I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason ( example )
. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 0..1 dateTime When history was 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 )
. . . sex:Sex sex S Σ I 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( extensible )
. . . born[x]:BornAge born[x] S I 0..1 (approximate) date of birth
. . . . bornPeriod Period
. . . . bornDate date
. . . . bornString string
. . . age[x]:Age age[x] S Σ I 0..1 (approximate) age
. . . . ageAge Age
. . . . ageRange Range
. . . . ageString string
. . . estimatedAge Σ I 0..1 boolean Age is estimated?
. . . deceased[x]:DeceasedAge deceased[x] S Σ I 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 )
. . reasonReference . note Σ 0..* Annotation General note about related person
... condition S I 0..* BackboneElement Condition that the related person had
.... id 0..1 id 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 | Observation ( example | AllergyIntolerance )
.... outcome | QuestionnaireResponse | DiagnosticReport S 0..1 CodeableConcept deceased | DocumentReference permanent disability | etc.
Binding: Condition Outcome Codes ( example )
. . . . 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 I Period
..... onsetString string
.... note 0..* Annotation General note Extra information about related person condition
. . . condition:Condition procedure S I 0..* BackboneElement Condition Procedures that the related person had
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional 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 Procedures performed on the related person
Binding: Condition/Problem/Diagnosis Procedure Codes (SNOMED CT) ( example )
. . . . outcome S I 0..1 CodeableConcept deceased | permanent disability | etc. What happened following the procedure
Binding: Condition Outcome Codes SNOMED CT Clinical Findings ( example )
. . . . contributedToDeath I 0..1 boolean Whether the condition procedure contributed to the cause of death
. . . . onset[x] performed[x] S I 0..1 When condition first manifested the procedure was performed
. . . . . onsetAge performedAge Age
. . . . . onsetRange performedRange Range
. . . . . onsetPeriod performedPeriod Period
. . . . . onsetString performedString string
. . . note . . performedDateTime I 0..1 dateTime
. . . . note 0..* Annotation Extra information about condition the procedure

doco Documentation for this format
<!-- Family member history for genetics analysis -->doco
<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <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><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 
     External Id(s) for this record --></identifier>
 <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>
 <date value="[dateTime]"/><!-- ?? 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- ?? 0..1 The family member described -->
 <</relationship>

 <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>
 <
     Why was family member history performed?</reasonReference>

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

 <note><!-- ?? 0..* Annotation 
     General note about related person --></note>
 <

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

  <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..* Annotation 

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

</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?
    "
    "

    "reason" : [{ CodeableReference(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
    "procedure" : [{ BackboneElement }], // C?Procedures that the related person had

  }

Differential View

This structure is derived from FamilyMemberHistory .

Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
. . . family-member-history-genetics-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 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 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 0..1 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 0..* BackboneElement code 0 .. S * 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..1 0 .. * Annotation Extra information about condition

doco Documentation for this format

Snapshot View

Name Flags Card. Type Description & Constraints doco
. . FamilyMemberHistory I 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 I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages : IETF language tag

. . . 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) 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 ) 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
. . . 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 ( required )
. . . dataAbsentReason Σ I 0..1 CodeableConcept subject-unknown | withheld | unable-to-obtain | deferred
Binding: FamilyHistoryAbsentReason ( example )
. . . patient Σ I 1..1 Reference ( Patient ) Patient history is about
. . . date Σ I 0..1 dateTime When history was 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 )
. . . sex:Sex sex S Σ I 0..1 CodeableConcept male | female | other | unknown
Binding: AdministrativeGender ( extensible )
. . . born[x]:BornAge born[x] S I 0..1 (approximate) date of birth
. . . . bornPeriod Period
. . . . bornDate date
. . . . bornString string
. . . age[x]:Age age[x] S Σ I 0..1 (approximate) age
. . . . ageAge Age
. . . . ageRange Range
. . . . ageString string
. . . estimatedAge Σ I 0..1 boolean Age is estimated?
. . . deceased[x]:DeceasedAge deceased[x] S Σ I 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 )
. . reasonReference . note Σ 0..* Annotation General note about related person
... condition S I 0..* BackboneElement Condition that the related person had
.... id 0..1 id 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 | Observation ( example | AllergyIntolerance )
.... outcome | QuestionnaireResponse | DiagnosticReport S 0..1 CodeableConcept deceased | DocumentReference permanent disability | etc.
Binding: Condition Outcome Codes ( example )
. . . . contributedToDeath 0..1 boolean Whether the condition contributed to the cause of death
.... onset[x] S 0..1 Why was family member history performed? When condition first manifested
. . . . . note onsetAge Age
. . . . . onsetRange Range
..... onsetPeriod Period I
. . . . . onsetString string
.... note 0..* Annotation General note Extra information about related person condition
. . . condition:Condition procedure S I 0..* BackboneElement Condition Procedures that the related person had
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional 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 Procedures performed on the related person
Binding: Condition/Problem/Diagnosis Procedure Codes (SNOMED CT) ( example )
. . . . outcome S I 0..1 CodeableConcept deceased | permanent disability | etc. What happened following the procedure
Binding: Condition Outcome Codes SNOMED CT Clinical Findings ( example )
. . . . contributedToDeath I 0..1 boolean Whether the condition procedure contributed to the cause of death
. . . . onset[x] performed[x] S I 0..1 When condition first manifested the procedure was performed
. . . . . onsetAge performedAge Age
. . . . . onsetRange performedRange Range
. . . . . onsetPeriod performedPeriod Period
. . . . . onsetString performedString string
. . . note . . performedDateTime I 0..1 dateTime
. . . . note 0..* Annotation Extra information about condition the procedure

doco Documentation for this format

XML Template

<!-- Family member history for genetics analysis -->doco
<FamilyMemberHistory xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <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><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 
     External Id(s) for this record --></identifier>
 <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>
 <date value="[dateTime]"/><!-- ?? 0..1 When history was recorded or last updated -->
 <name value="[string]"/><!-- ?? 0..1 The family member described -->
 <</relationship>

 <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>
 <
     Why was family member history performed?</reasonReference>

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

 <note><!-- ?? 0..* Annotation 
     General note about related person --></note>
 <

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

  <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..* Annotation 

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

</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?
    "
    "

    "reason" : [{ CodeableReference(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
    "procedure" : [{ BackboneElement }], // C?Procedures 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.relationship V3 Value SetFamilyMember FamilyMember example V3 Value SetFamilyMember FamilyMember
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
.