HealthSense Implementation Guide (Taltech)
0.1.0 - ci-build

HealthSense Implementation Guide (Taltech), published by Taltech. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/e-medlab/healthsense/ and changes regularly. See the Directory of published versions

Resource Profile: Family Member History

Official URL: https://healthsense.e-medlab.com/StructureDefinition/hs-family-member-history Version: 0.1.0
Draft as of 2025-12-30 Computable Name: HsFamilyMemberHistory

Perekondlik anamnees

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 ?!SΣ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.
... condition S 0..* BackboneElement Varasemad diagnoosid
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.
.... onset[x] S 0..1 Millal diagnoositi? (Aasta)
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string

doco 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 example FamilyMember 📦3.0.0 THO v7.0
FamilyMemberHistory.​condition.code Base example 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... status S 1..1 code partial | completed | entered-in-error | health-unknown
... patient S 1..1 Reference(Patient) Patient history is about
... relationship S 1..1 CodeableConcept Relationship to the subject
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
.... onset[x] S 0..1 Age, Range, Period, string Millal diagnoositi? (Aasta)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 ?!SΣ 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 SΣ 1..1 Reference(Patient) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.
... 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] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 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 S 0..* BackboneElement Varasemad diagnoosid
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
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] S 0..1 Millal diagnoositi? (Aasta)
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco 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 example FamilyMember 📦3.0.0 THO v7.0
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 example 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

Must-Support: 7 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 ?!SΣ 1..1 code partial | completed | entered-in-error | health-unknown
Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.
... condition S 0..* BackboneElement Varasemad diagnoosid
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.
.... onset[x] S 0..1 Millal diagnoositi? (Aasta)
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string

doco 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 example FamilyMember 📦3.0.0 THO v7.0
FamilyMemberHistory.​condition.code Base example 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()

Differential View

This structure is derived from FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
... status S 1..1 code partial | completed | entered-in-error | health-unknown
... patient S 1..1 Reference(Patient) Patient history is about
... relationship S 1..1 CodeableConcept Relationship to the subject
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
.... onset[x] S 0..1 Age, Range, Period, string Millal diagnoositi? (Aasta)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 ?!SΣ 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 SΣ 1..1 Reference(Patient) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship SΣ 1..1 CodeableConcept Relationship to the subject
Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history.
... 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] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 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 S 0..* BackboneElement Varasemad diagnoosid
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Haigus RHK10 või SNOMED kodeeringus
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
.... outcome S 0..1 CodeableConcept Haiguse lõpe tunnus
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] S 0..1 Millal diagnoositi? (Aasta)
..... onsetAge Age
..... onsetRange Range
..... onsetPeriod Period
..... onsetString string
.... note 0..* Annotation Extra information about condition

doco 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 example FamilyMember 📦3.0.0 THO v7.0
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 example 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

Must-Support: 7 elements

 

Other representations of profile: CSV, Excel, Schematron