This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory | Version: 0.5.0 | ||||
| Active as of 2026-06-05 | Computable Name: USQualityCoreFamilyMemberHistory | ||||
Profile of Family Member History for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.
The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.
USCDI+ Quality Elements:
The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. |
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about |
![]() ![]() |
Σ | 0..1 | dateTime | When history was recorded or last updated |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) |
![]() ![]() |
ΣC | 0..1 | (approximate) age | |
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
Σ | 0..1 | Dead? How old/when? | |
![]() ![]() ![]() |
boolean | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
date | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |
![]() ![]() ![]() |
0..1 | When condition first manifested | ||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
string | |||
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient | |
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | Patient history is about | |
![]() ![]() |
0..1 | dateTime | When history was recorded or last updated | |
![]() ![]() |
1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) | |
![]() ![]() |
0..1 | Age, Range, string | (approximate) age | |
![]() ![]() |
0..1 | boolean, Age, Range, date, string | Dead? How old/when? | |
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |
![]() ![]() ![]() |
0..1 | Age, Range, Period, string | When condition first manifested | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.condition.extension:condition-severity<br/>[CanonicalType[http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity]] | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | External Id(s) for this record | ||||
![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() |
?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. | ||||
![]() ![]() |
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. | ||||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about | ||||
![]() ![]() |
Σ | 0..1 | dateTime | When history was recorded or last updated | ||||
![]() ![]() |
Σ | 0..1 | string | The family member described | ||||
![]() ![]() |
Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) | ||||
![]() ![]() |
Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration. | ||||
![]() ![]() |
C | 0..1 | (approximate) date of birth | |||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
ΣC | 0..1 | (approximate) age | |||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
ΣC | 0..1 | boolean | Age is estimated? | ||||
![]() ![]() |
Σ | 0..1 | Dead? How old/when? | |||||
![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. | ||||
![]() ![]() |
Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed? | ||||
![]() ![]() |
0..* | Annotation | General note about related person | |||||
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc. | |||||
![]() ![]() ![]() |
0..1 | boolean | Whether the condition contributed to the cause of death | |||||
![]() ![]() ![]() |
0..1 | When condition first manifested | ||||||
![]() ![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() |
0..* | Annotation | Extra information about condition | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. |
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about |
![]() ![]() |
Σ | 0..1 | dateTime | When history was recorded or last updated |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) |
![]() ![]() |
ΣC | 0..1 | (approximate) age | |
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
Σ | 0..1 | Dead? How old/when? | |
![]() ![]() ![]() |
boolean | |||
![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() |
date | |||
![]() ![]() ![]() |
string | |||
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |
![]() ![]() ![]() |
0..1 | When condition first manifested | ||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
string | |||
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient | |
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | Patient history is about | |
![]() ![]() |
0..1 | dateTime | When history was recorded or last updated | |
![]() ![]() |
1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) | |
![]() ![]() |
0..1 | Age, Range, string | (approximate) age | |
![]() ![]() |
0..1 | boolean, Age, Range, date, string | Dead? How old/when? | |
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |
![]() ![]() ![]() |
1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |
![]() ![]() ![]() |
0..1 | Age, Range, Period, string | When condition first manifested | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.condition.extension:condition-severity<br/>[CanonicalType[http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity]] | Base | preferred | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | External Id(s) for this record | ||||
![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | ||||
![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() |
?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. | ||||
![]() ![]() |
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. | ||||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about | ||||
![]() ![]() |
Σ | 0..1 | dateTime | When history was recorded or last updated | ||||
![]() ![]() |
Σ | 0..1 | string | The family member described | ||||
![]() ![]() |
Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred) | ||||
![]() ![]() |
Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration. | ||||
![]() ![]() |
C | 0..1 | (approximate) date of birth | |||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
ΣC | 0..1 | (approximate) age | |||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
ΣC | 0..1 | boolean | Age is estimated? | ||||
![]() ![]() |
Σ | 0..1 | Dead? How old/when? | |||||
![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() |
Age | |||||||
![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() |
date | |||||||
![]() ![]() ![]() |
string | |||||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. | ||||
![]() ![]() |
Σ | 0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed? | ||||
![]() ![]() |
0..* | Annotation | General note about related person | |||||
![]() ![]() |
0..* | BackboneElement | Condition that the related person had | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement | |||||
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0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis. | |||||
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0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc. | |||||
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0..1 | boolean | Whether the condition contributed to the cause of death | |||||
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0..1 | When condition first manifested | ||||||
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Age | |||||||
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Range | |||||||
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Period | |||||||
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string | |||||||
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0..* | Annotation | Extra information about condition | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std. |
| FamilyMemberHistory.sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std. |
| 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()
|
Other representations of profile: CSV, Excel, Schematron