QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

## Resource Profile: QICore FamilyMemberHistory

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-familymemberhistory | Version: 7.0.2
Standards status: Trial-use | Maturity Level: 4 | Computable Name: QICoreFamilyMemberHistory

Profile of Family Member History for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
QI Elements:

- relationship: (QI) Relationship to the subject
- deceased[x]: (QI) Dead? How old/when?
- age[x]: (QI) (approximate) age
- patient: (QI) Patient history is about
- date: (QI) When history was recorded or last updated

Primary code path: FamilyMemberHistory.condition.code
(PCPath) This element is the primary code path for this resource CQL Retrieve
Usage

See the patterns page for implementation and usage patterns.

### Examples

Father Died of Heart Attack Example

Usages:

- Refer to this Profile: QICore AdverseEvent
- Examples for this Profile: FamilyMemberHistory/example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date | Σ | 0..1 | dateTime | (QI) When history was recorded or last updated
relationship | Σ | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
age[x] | Σ C | 0..1 |  | (QI) (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
deceased[x] | Σ | 0..1 |  | (QI) Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | FamilyMemberHistory | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fhs-1 | error | FamilyMemberHistory | Can have age[x] or born[x], but not both | `age.empty() or born.empty()`
fhs-2 | error | FamilyMemberHistory | Can only have estimatedAge if age[x] is present | `age.exists() or estimatedAge.empty()`

This structure is derived from FamilyMemberHistory

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory |  | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient
patient |  | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date |  | 0..1 | dateTime | (QI) When history was recorded or last updated
relationship |  | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
age[x] |  | 0..1 | Age, Range, string | (QI) (approximate) age
deceased[x] |  | 0..1 | boolean, Age, Range, date, string | (QI) Dead? How old/when?
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 | Age, Range, Period, string | When condition first manifested
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​condition.extension:condition-severity<br/>[CanonicalType[http://hl7.​org/fhir/StructureDefinition/familymemberhistory-severity|5.​2.0-ballot]] | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Id(s) for this record
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
dataAbsentReason | Σ | 0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date | Σ | 0..1 | dateTime | (QI) When history was recorded or last updated
name | Σ | 0..1 | string | The family member described
relationship | Σ | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
sex | Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.
born[x] | C | 0..1 |  | (approximate) date of birth
bornPeriod |  |  | Period |
bornDate |  |  | date |
bornString |  |  | string |
age[x] | Σ C | 0..1 |  | (QI) (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
estimatedAge | Σ C | 0..1 | boolean | Age is estimated?
deceased[x] | Σ | 0..1 |  | (QI) Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
reasonCode | Σ | 0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.
reasonReference | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed?
note |  | 0..* | Annotation | General note about related person
condition |  | 0..* | BackboneElement | Condition that the related person had
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
outcome |  | 0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (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] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
note |  | 0..* | Annotation | Extra information about condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | FamilyMemberHistory | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fhs-1 | error | FamilyMemberHistory | Can have age[x] or born[x], but not both | `age.empty() or born.empty()`
fhs-2 | error | FamilyMemberHistory | Can only have estimatedAge if age[x] is present | `age.exists() or estimatedAge.empty()`

This structure is derived from FamilyMemberHistory

Summary

Structures

This structure refers to these other structures:

- QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement|5.2.0-ballot
- http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity|5.2.0-ballot

Maturity: 4

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date | Σ | 0..1 | dateTime | (QI) When history was recorded or last updated
relationship | Σ | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
age[x] | Σ C | 0..1 |  | (QI) (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
deceased[x] | Σ | 0..1 |  | (QI) Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | FamilyMemberHistory | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fhs-1 | error | FamilyMemberHistory | Can have age[x] or born[x], but not both | `age.empty() or born.empty()`
fhs-2 | error | FamilyMemberHistory | Can only have estimatedAge if age[x] is present | `age.exists() or estimatedAge.empty()`

Differential View

This structure is derived from FamilyMemberHistory

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory |  | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient
patient |  | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date |  | 0..1 | dateTime | (QI) When history was recorded or last updated
relationship |  | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
age[x] |  | 0..1 | Age, Range, string | (QI) (approximate) age
deceased[x] |  | 0..1 | boolean, Age, Range, date, string | (QI) Dead? How old/when?
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 | Age, Range, Period, string | When condition first manifested
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​condition.extension:condition-severity<br/>[CanonicalType[http://hl7.​org/fhir/StructureDefinition/familymemberhistory-severity|5.​2.0-ballot]] | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Id(s) for this record
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
dataAbsentReason | Σ | 0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.
patient | Σ | 1..1 | Reference(QICore Patient) | (QI) Patient history is about
date | Σ | 0..1 | dateTime | (QI) When history was recorded or last updated
name | Σ | 0..1 | string | The family member described
relationship | Σ | 1..1 | CodeableConcept | (QI) Relationship to the subject Binding: FamilyMember (preferred)
sex | Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.
born[x] | C | 0..1 |  | (approximate) date of birth
bornPeriod |  |  | Period |
bornDate |  |  | date |
bornString |  |  | string |
age[x] | Σ C | 0..1 |  | (QI) (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
estimatedAge | Σ C | 0..1 | boolean | Age is estimated?
deceased[x] | Σ | 0..1 |  | (QI) Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
reasonCode | Σ | 0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.
reasonReference | Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed?
note |  | 0..* | Annotation | General note about related person
condition |  | 0..* | BackboneElement | Condition that the related person had
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (QI) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
outcome |  | 0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (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] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
note |  | 0..* | Annotation | Extra information about condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | FamilyMember | 📦3.0.0 | THO v6.5
FamilyMemberHistory.​sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.
FamilyMemberHistory.​condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | FamilyMemberHistory | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | FamilyMemberHistory | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | FamilyMemberHistory | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
fhs-1 | error | FamilyMemberHistory | Can have age[x] or born[x], but not both | `age.empty() or born.empty()`
fhs-2 | error | FamilyMemberHistory | Can only have estimatedAge if age[x] is present | `age.exists() or estimatedAge.empty()`

This structure is derived from FamilyMemberHistory

Summary

Structures

This structure refers to these other structures:

- QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement|5.2.0-ballot
- http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity|5.2.0-ballot

Maturity: 4

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