FHIR CI-Build

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions icon

8.37 Resource PersonalRelationship - Content

Patient Administration icon Work GroupMaturity Level: 0 DraftSecurity Category: Patient Compartments: Patient, RelatedPerson

The details of a direct relationship between two individuals. It does not contain information about the individuals themselves, just the relationship itself.

8.37.1 Scope and Usage

This is not the right relationship for short-term, highly transient relationships. Marriage, for example, is usually a longer term relationship, so this resource is appropriate.
Such as:

  • Represent relationship between two members
  • Represent the certainty of the relationship
  • Represent the temporal nature of the relationship
    (e.g., father/daughter is mostly persistent, but resident in household is very transient).

A short term relationship such as "sat next to in a meeting" is not appropriate for this resource.
This is not the right resource for living arrangements. That may be group instead?
This is not for tracking relationship between care team and the patient. For example, the social worker would be a Practitioner on your Care Team.
This is not for tracking caregivers that are performing actions. For example, the lady taking you to church would be a RelatedPerson. But if that lady is your neighbor, then the neighbor relationship may be represented in this resource, though not used in tracking care.
PersonalRelationship is not to be used to represent the relationship of "provides care for". That should be in CareTeam.
This is not the right resource to represent the role of the person within a group (e.g., the head of the household is the decision maker), that would be recorded in the Group.member.involvement element.

8.37.1.1 Potential use cases:

  • Public Health
    • Isolation
    • Contact tracing
    • WIC programs
    • Congregate housing
    • 2/15/2024 - Public Health WG has indicated they are interested, and wants to be kept up to date.
  • Social Care
    • Gravity
    • Administration for Children and Families (ACF)
  • Occupational Health
  • Shared exposures or environments
    • Military Health (for representing units)
    • First responders
  • Research

8.37.2 Boundaries and Relationships

Boundaries between this and RelatedPerson
The RelatedPerson resource specifically represents a person, along with their relationship to the patient.
It contains the details of both the individual, and the relationship. In contrast to this PersonalRelationship resource which purely represents the relationship between two individuals.

Boundaries between this and FamilyMemberHistory
Although there is a relationship within the family member history, it is not the same as the relationship. It intends to provide the details of the family member's health history that could be relevant to the patient, not the relationship itself.

Boundaries between this and CareTeam
PersonalRelationship is not to be used to represent the relationship of "provides care for". That should be in CareTeam.

Boundaries between this and Group
A group contains all the members and the involvement property indicates the member's relationship to the group, not to the other individuals withing the group.

8.37.3 References to this Resource

No references for this Resource.

8.37.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. PersonalRelationship D DomainResource A relationship between two indiduals

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... source Σ 1..1 Reference(Patient | RelatedPerson | Person) The individual that is the the source of the relationship
... relationshipType Σ 1..1 CodeableConcept The relationship between the source and the target individuals
Binding: Personal Relationship Type (Preferred)
... target Σ 1..1 Reference(Patient | RelatedPerson | Person) The individual that is the the target of the relationship
... confidence Σ 0..1 CodeableConcept The confidence level of this relationship
Binding: Confidence (Example)
... asserter 0..1 Reference(Patient | RelatedPerson | Practitioner | Organization) Who has asserted the details of the relationship
... group Σ 0..* Reference(Group) This relationship is applicable to the referenced group(s)


doco Documentation for this format icon

See the Extensions for this resource

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

8.37.4.1 Terminology Bindings

Path ValueSet Type Documentation
PersonalRelationship.relationshipType PersonalRelationshipType Preferred

A set of codes that can be used to indicate the relationship between a PersonalRelationship's focus and target.
PersonalRelationship.confidence Example

8.37.5 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
patient reference The patient this related person is related to PersonalRelationship.source.where(resolve() is Patient) | PersonalRelationship.target.where(resolve() is Patient)
(Patient, Person, RelatedPerson)
relationship token The personal relationship between the patient and the PersonalRelationship PersonalRelationship.relationshipType
source reference The source of the relationship PersonalRelationship.source
(Patient, Person, RelatedPerson)
target reference The target of the relationship PersonalRelationship.target
(Patient, Person, RelatedPerson)