{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fiwg"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/patientcare"}]}],"date":"2026-04-06T21:41:19+00:00","derivation":"specialization","description":"Significant health conditions for a person related to the patient relevant in the context of care for the patient.","differential":{"element":[{"constraint":[{"expression":"age.exists() or estimatedAge.empty()","human":"Can only have estimatedAge if age[x] is present","key":"fhs-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"},{"expression":"age.empty() or deceased.empty()","human":"Can have age[x] or deceased[x], but not both","key":"fhs-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"},{"expression":"age.empty() or born.empty()","human":"Can have age[x] or born[x], but not both","key":"fhs-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"}],"definition":"Significant health conditions for a person related to the patient relevant in the context of care for the patient.","id":"FamilyMemberHistory","isModifier":false,"mapping":[{"identity":"workflow","map":"Event"},{"identity":"w5","map":"clinical.general"},{"identity":"v2","map":"Not in scope for v2"},{"identity":"rim","map":"Observation[classCode=OBS, moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory","short":"Information about patient's relatives, relevant for patient"},{"comment":"This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","definition":"Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","id":"FamilyMemberHistory.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":"id"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.identifier","requirements":"Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.","short":"External Id(s) for this record","type":[{"code":"Identifier"}]},{"binding":{"description":"A code that identifies the status of the family history record.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/history-status|6.0.0-ballot4"},"comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","definition":"A code specifying the status of the record of the family history of a specific family member.","id":"FamilyMemberHistory.status","isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.status","short":"partial | completed | entered-in-error | health-unknown","type":[{"code":"code"}]},{"binding":{"description":"Codes describing the reason why a family member's history is not available.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryAbsentReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/history-absent-reason"},"definition":"Describes why the family member's history is not available.","id":"FamilyMemberHistory.dataAbsentReason","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".reasonCode"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.dataAbsentReason","requirements":"This is a separate element to allow it to have a distinct binding from reasonCode.","short":"subject-unknown | withheld | unable-to-obtain | deferred","type":[{"code":"CodeableConcept"}]},{"alias":["Proband"],"comment":"This is not the family member.","definition":"The person who this history concerns.","id":"FamilyMemberHistory.patient","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"rim","map":"participation[typeCode=SBJ].role"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.patient","short":"Patient history is about","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]},{"comment":"This should be captured even if the same as the date on the List aggregating the full family history.","definition":"The date (and possibly time) when the family member history was recorded or last updated.","id":"FamilyMemberHistory.date","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":"participation[typeCode=AUT].time"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.date","requirements":"Allows determination of how current the summary is.","short":"When history was recorded or last updated","type":[{"code":"dateTime"}]},{"definition":"Individual who recorded the record and takes responsibility for its content.","id":"FamilyMemberHistory.recorder","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.recorder","short":"Who recorded the family member history","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"definition":"Individual or device that is making the family member history statement.","id":"FamilyMemberHistory.asserter","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"REL-7.1 identifier + REL-7.12 type code"},{"identity":"rim","map":".participation[typeCode=INF].role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.asserter","short":"Person or device that asserts this family member history","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"definition":"This will either be a name or a description; e.g. \"Aunt Susan\", \"my cousin with the red hair\".","id":"FamilyMemberHistory.name","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"name"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.name","requirements":"Allows greater ease in ensuring the same person is being talked about.","short":"The family member described","type":[{"code":"string"}]},{"binding":{"description":"The nature of the relationship between the patient and the related person being described in the family member history.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilialRelationship"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v3-FamilyMember"},"definition":"The type of relationship this person has to the patient (father, mother, brother etc.).","id":"FamilyMemberHistory.relationship","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"code"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.relationship","short":"Relationship to the subject","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Codes describing the sex assigned at birth as documented on the birth registration.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Sex"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"comment":"This element should ideally reflect whether the individual is genetically male or female. However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate. E.g. 'Aunt Sue' might be XY rather than XX. Questions soliciting this information should be phrased to encourage capture of genetic sex where known. However, systems performing analysis should also allow for the possibility of imprecision with this element.","definition":"The birth sex of the family member.","id":"FamilyMemberHistory.sex","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.sex","requirements":"Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.","short":"male | female | other | unknown","type":[{"code":"CodeableConcept"}]},{"condition":["fhs-1"],"definition":"The actual or approximate date of birth of the relative.","id":"FamilyMemberHistory.born[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.born[x]","requirements":"Allows calculation of the relative's age.","short":"(approximate) date of birth","type":[{"code":"Period"},{"code":"date"},{"code":"string"}]},{"comment":"use estimatedAge to indicate whether the age is actual or not.","condition":["fhs-2","fhs-1","fhs-3"],"definition":"The age of the relative at the time the family member history is recorded.","id":"FamilyMemberHistory.age[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code=\"age\"].value"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.age[x]","requirements":"While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.","short":"(approximate) age","type":[{"code":"Age"},{"code":"Range"},{"code":"string"}]},{"comment":"This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.","condition":["fhs-2"],"definition":"If true, indicates that the age value specified is an estimated value.","id":"FamilyMemberHistory.estimatedAge","isModifier":false,"isSummary":true,"max":"1","meaningWhenMissing":"It is unknown whether the age is an estimate or not","min":0,"mustSupport":false,"path":"FamilyMemberHistory.estimatedAge","requirements":"Clinicians often prefer to specify an estimaged age rather than an age range.","short":"Age is estimated?","type":[{"code":"boolean"}]},{"condition":["fhs-3"],"definition":"Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.","id":"FamilyMemberHistory.deceased[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.deceased[x]","short":"Dead? How old/when?","type":[{"code":"boolean"},{"code":"Age"},{"code":"Range"},{"code":"date"},{"code":"string"}]},{"binding":{"description":"Codes indicating why the family member history was done.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"comment":"Textual reasons can be captured using reasonCode.text.","definition":"Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.","id":"FamilyMemberHistory.reason","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.reason","short":"Why was family member history performed?","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/AllergyIntolerance","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}]},{"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.","id":"FamilyMemberHistory.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.note","short":"General note about related person","type":[{"code":"Annotation"}]},{"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.","id":"FamilyMemberHistory.condition","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"FamilyMemberHistory.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.","id":"FamilyMemberHistory.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"},"comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"FamilyMemberHistory.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","id":"FamilyMemberHistory.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"FamilyMemberHistory.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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.","id":"FamilyMemberHistory.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"FamilyMemberHistory.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.identifier"},"comment":"This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server.","id":"FamilyMemberHistory.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"rim","map":"id"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.identifier","requirements":"Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.","short":"External Id(s) for this record","type":[{"code":"Identifier"}]},{"base":{"max":"1","min":1,"path":"FamilyMemberHistory.status"},"binding":{"description":"A code that identifies the status of the family history record.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/history-status|6.0.0-ballot4"},"comment":"This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A code specifying the status of the record of the family history of a specific family member.","id":"FamilyMemberHistory.status","isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.status","short":"partial | completed | entered-in-error | health-unknown","type":[{"code":"code"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.dataAbsentReason"},"binding":{"description":"Codes describing the reason why a family member's history is not available.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryAbsentReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/history-absent-reason"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Describes why the family member's history is not available.","id":"FamilyMemberHistory.dataAbsentReason","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".reasonCode"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.dataAbsentReason","requirements":"This is a separate element to allow it to have a distinct binding from reasonCode.","short":"subject-unknown | withheld | unable-to-obtain | deferred","type":[{"code":"CodeableConcept"}]},{"alias":["Proband"],"base":{"max":"1","min":1,"path":"FamilyMemberHistory.patient"},"comment":"This is not the family member.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The person who this history concerns.","id":"FamilyMemberHistory.patient","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"rim","map":"participation[typeCode=SBJ].role"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.patient","short":"Patient history is about","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.date"},"comment":"This should be captured even if the same as the date on the List aggregating the full family history.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The date (and possibly time) when the family member history was recorded or last updated.","id":"FamilyMemberHistory.date","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.recorded"},{"identity":"rim","map":"participation[typeCode=AUT].time"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.date","requirements":"Allows determination of how current the summary is.","short":"When history was recorded or last updated","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.recorder"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Individual who recorded the record and takes responsibility for its content.","id":"FamilyMemberHistory.recorder","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.author"},{"identity":"rim","map":".participation[typeCode=AUT].role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.recorder","short":"Who recorded the family member history","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.asserter"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Individual or device that is making the family member history statement.","id":"FamilyMemberHistory.asserter","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.source"},{"identity":"v2","map":"REL-7.1 identifier + REL-7.12 type code"},{"identity":"rim","map":".participation[typeCode=INF].role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.asserter","short":"Person or device that asserts this family member history","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.name"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This will either be a name or a description; e.g. \"Aunt Susan\", \"my cousin with the red hair\".","id":"FamilyMemberHistory.name","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"name"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.name","requirements":"Allows greater ease in ensuring the same person is being talked about.","short":"The family member described","type":[{"code":"string"}]},{"base":{"max":"1","min":1,"path":"FamilyMemberHistory.relationship"},"binding":{"description":"The nature of the relationship between the patient and the related person being described in the family member history.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilialRelationship"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v3-FamilyMember"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The type of relationship this person has to the patient (father, mother, brother etc.).","id":"FamilyMemberHistory.relationship","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"code"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.relationship","short":"Relationship to the subject","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.sex"},"binding":{"description":"Codes describing the sex assigned at birth as documented on the birth registration.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Sex"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"extensible","valueSet":"http://hl7.org/fhir/ValueSet/administrative-gender"},"comment":"This element should ideally reflect whether the individual is genetically male or female. However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate. E.g. 'Aunt Sue' might be XY rather than XX. Questions soliciting this information should be phrased to encourage capture of genetic sex where known. However, systems performing analysis should also allow for the possibility of imprecision with this element.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The birth sex of the family member.","id":"FamilyMemberHistory.sex","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.sex","requirements":"Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.","short":"male | female | other | unknown","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.born[x]"},"condition":["fhs-1"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The actual or approximate date of birth of the relative.","id":"FamilyMemberHistory.born[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.born[x]","requirements":"Allows calculation of the relative's age.","short":"(approximate) date of birth","type":[{"code":"Period"},{"code":"date"},{"code":"string"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.age[x]"},"comment":"use estimatedAge to indicate whether the age is actual or not.","condition":["fhs-2","fhs-1","fhs-3"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The age of the relative at the time the family member history is recorded.","id":"FamilyMemberHistory.age[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code=\"age\"].value"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.age[x]","requirements":"While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.","short":"(approximate) age","type":[{"code":"Age"},{"code":"Range"},{"code":"string"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.estimatedAge"},"comment":"This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.","condition":["fhs-2"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"If true, indicates that the age value specified is an estimated value.","id":"FamilyMemberHistory.estimatedAge","isModifier":false,"isSummary":true,"max":"1","meaningWhenMissing":"It is unknown whether the age is an estimate or not","min":0,"mustSupport":false,"path":"FamilyMemberHistory.estimatedAge","requirements":"Clinicians often prefer to specify an estimaged age rather than an age range.","short":"Age is estimated?","type":[{"code":"boolean"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.deceased[x]"},"condition":["fhs-3"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.","id":"FamilyMemberHistory.deceased[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.deceased[x]","short":"Dead? How old/when?","type":[{"code":"boolean"},{"code":"Age"},{"code":"Range"},{"code":"date"},{"code":"string"}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.reason"},"binding":{"description":"Codes indicating why the family member history was done.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"FamilyHistoryReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"comment":"Textual reasons can be captured using reasonCode.text.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.","id":"FamilyMemberHistory.reason","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"rim","map":".reasonCode"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.reason","short":"Why was family member history performed?","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/AllergyIntolerance","http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.note"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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.","id":"FamilyMemberHistory.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.note","short":"General note about related person","type":[{"code":"Annotation"}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.condition"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children or both","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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.","id":"FamilyMemberHistory.condition","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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.","id":"FamilyMemberHistory.condition.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"FamilyMemberHistory.condition.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"FamilyMemberHistory.condition.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"FamilyMemberHistory.condition.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"FamilyMemberHistory.condition.code"},"binding":{"description":"Identification of the Condition or diagnosis.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/condition-code"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The actual condition, allergy, or intolerance 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.","id":"FamilyMemberHistory.condition.code","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".value"}],"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.condition.code","short":"Condition, allergy, or intolerance suffered by relation","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.condition.outcome"},"binding":{"description":"The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConditionOutcome"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/condition-outcome"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation.","id":"FamilyMemberHistory.condition.outcome","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].value"}],"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.condition.outcome","short":"deceased | permanent disability | etc","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.condition.contributedToDeath"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.","id":"FamilyMemberHistory.condition.contributedToDeath","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.condition.contributedToDeath","short":"Whether the condition contributed to the cause of death","type":[{"code":"boolean"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.condition.onset[x]"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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.","id":"FamilyMemberHistory.condition.onset[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"Subject Age at measurement\", value id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"An area where general notes can be placed about this specific condition.","id":"FamilyMemberHistory.condition.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value"}],"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.condition.note","short":"Extra information about condition","type":[{"code":"Annotation"}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.procedure"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children or both","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The significant Procedures (or procedure) that the family member had. This is a repeating section to allow a system to represent more than one procedure per resource, though there is nothing stopping multiple resources - one per procedure.","id":"FamilyMemberHistory.procedure","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.procedure","short":"Procedures that the related person had","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"FamilyMemberHistory.procedure.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"FamilyMemberHistory.procedure.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, 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.","id":"FamilyMemberHistory.procedure.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"FamilyMemberHistory.procedure.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"FamilyMemberHistory.procedure.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"FamilyMemberHistory.procedure.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"FamilyMemberHistory.procedure.code"},"binding":{"description":"A code to identify a specific procedure.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/procedure-code"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The actual procedure specified. Could be a coded procedure or a less specific string depending on how much is known about the procedure and the capabilities of the creating system.","id":"FamilyMemberHistory.procedure.code","isModifier":false,"isSummary":false,"max":"1","min":1,"mustSupport":false,"path":"FamilyMemberHistory.procedure.code","short":"Procedures performed on the related person","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.procedure.outcome"},"binding":{"description":"The result of the procedure; e.g. death, permanent disability, temporary disability, etc.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcedureOutcome"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/clinical-findings"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Indicates what happened following the procedure. If the procedure resulted in death, deceased date is captured on the relation.","id":"FamilyMemberHistory.procedure.outcome","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.procedure.outcome","short":"What happened following the procedure","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.procedure.contributedToDeath"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This procedure contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.","id":"FamilyMemberHistory.procedure.contributedToDeath","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.procedure.contributedToDeath","short":"Whether the procedure contributed to the cause of death","type":[{"code":"boolean"}]},{"base":{"max":"1","min":0,"path":"FamilyMemberHistory.procedure.performed[x]"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.","id":"FamilyMemberHistory.procedure.performed[x]","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"FamilyMemberHistory.procedure.performed[x]","short":"When the procedure was performed","type":[{"code":"Age"},{"code":"Range"},{"code":"Period"},{"code":"string"},{"code":"dateTime"}]},{"base":{"max":"*","min":0,"path":"FamilyMemberHistory.procedure.note"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"An area where general notes can be placed about this specific procedure.","id":"FamilyMemberHistory.procedure.note","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"FamilyMemberHistory.procedure.note","short":"Extra information about the procedure","type":[{"code":"Annotation"}]}]},"status":"active","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" FamilyMemberHistory NDomainResourceInformation about patient's relatives, relevant for patient
+ Rule: Can have age[x] or born[x], but not both
+ Rule: Can only have estimatedAge if age[x] is present
+ Rule: Can have age[x] or deceased[x], but not both

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" identifier Σ0..*IdentifierExternal Id(s) for this record

\".\"\".\"\".\" status ?!Σ1..1codepartial | completed | entered-in-error | health-unknown
Binding: Family History Status (Required)
\".\"\".\"\".\" dataAbsentReason Σ0..1CodeableConceptsubject-unknown | withheld | unable-to-obtain | deferred
Binding: Family History Absent Reason (Example)
\".\"\".\"\".\" patient Σ1..1Reference(Patient)Patient history is about
\".\"\".\"\".\" date Σ0..1dateTimeWhen history was recorded or last updated
\".\"\".\"\".\" recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization | CareTeam | Group)Who recorded the family member history
\".\"\".\"\".\" asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization | CareTeam | Device | Group)Person or device that asserts this family member history
\".\"\".\"\".\" name Σ0..1stringThe family member described
\".\"\".\"\".\" relationship Σ1..1CodeableConceptRelationship to the subject
Binding: FamilyMember (Example)
\".\"\".\"\".\" sex Σ0..1CodeableConceptmale | female | other | unknown
Binding: AdministrativeGender (Extensible)
\".\"\".\"\".\" born[x] C0..1(approximate) date of birth
\".\"\".\"\".\"\".\" bornPeriodPeriod
\".\"\".\"\".\"\".\" bornDatedate
\".\"\".\"\".\"\".\" bornStringstring
\".\"\".\"\".\" age[x] ΣC0..1(approximate) age
\".\"\".\"\".\"\".\" ageAgeAge
\".\"\".\"\".\"\".\" ageRangeRange
\".\"\".\"\".\"\".\" ageStringstring
\".\"\".\"\".\" estimatedAge ΣC0..1booleanAge is estimated?
\".\"\".\"\".\" deceased[x] ΣC0..1Dead? How old/when?
\".\"\".\"\".\"\".\" deceasedBooleanboolean
\".\"\".\"\".\"\".\" deceasedAgeAge
\".\"\".\"\".\"\".\" deceasedRangeRange
\".\"\".\"\".\"\".\" deceasedDatedate
\".\"\".\"\".\"\".\" deceasedStringstring
\".\"\".\"\".\" reason Σ0..*CodeableReference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference)Why was family member history performed?
Binding: SNOMED CT Clinical Findings (Example)

\".\"\".\"\".\" note 0..*AnnotationGeneral note about related person

\".\"\".\"\".\" condition Σ0..*BackboneElementCondition that the related person had

\".\"\".\"\".\"\".\" code Σ1..1CodeableConceptCondition, allergy, or intolerance suffered by relation
Binding: Condition/Problem/Diagnosis Codes (Example)
\".\"\".\"\".\"\".\" outcome 0..1CodeableConceptdeceased | permanent disability | etc
Binding: Condition Outcome Codes (Example)
\".\"\".\"\".\"\".\" contributedToDeath 0..1booleanWhether the condition contributed to the cause of death
\".\"\".\"\".\"\".\" onset[x] 0..1When condition first manifested
\".\"\".\"\".\"\".\"\".\" onsetAgeAge
\".\"\".\"\".\"\".\"\".\" onsetRangeRange
\".\"\".\"\".\"\".\"\".\" onsetPeriodPeriod
\".\"\".\"\".\"\".\"\".\" onsetStringstring
\".\"\".\"\".\"\".\" note 0..*AnnotationExtra information about condition

\".\"\".\"\".\" procedure 0..*BackboneElementProcedures that the related person had

\".\"\".\"\".\"\".\" code 1..1CodeableConceptProcedures performed on the related person
Binding: Procedure Codes (SNOMED CT) (Example)
\".\"\".\"\".\"\".\" outcome 0..1CodeableConceptWhat happened following the procedure
Binding: SNOMED CT Clinical Findings (Example)
\".\"\".\"\".\"\".\" contributedToDeath 0..1booleanWhether the procedure contributed to the cause of death
\".\"\".\"\".\"\".\" performed[x] 0..1When the procedure was performed
\".\"\".\"\".\"\".\"\".\" performedAgeAge
\".\"\".\"\".\"\".\"\".\" performedRangeRange
\".\"\".\"\".\"\".\"\".\" performedPeriodPeriod
\".\"\".\"\".\"\".\"\".\" performedStringstring
\".\"\".\"\".\"\".\"\".\" performedDateTimedateTime
\".\"\".\"\".\"\".\" note 0..*AnnotationExtra information about the procedure


\"doco\" Documentation for this format
","status":"generated"},"type":"FamilyMemberHistory","url":"http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory","version":"6.0.0-ballot4"}