2026 US Quality Core Implementation Guide
0.5.0 - release

2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

## Resource Profile: US Quality Core FamilyMemberHistory

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory | Version: 0.5.0 | Highlight text changes?
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.

### USCDI+ Quality Element Support Expectations

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:

- condition.code: (USCDI+ Quality) Condition suffered by relation

The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.

Usages:

- Refer to this Profile: US Quality Core AdverseEvent
- Examples for this Profile: FamilyMemberHistory/example
- CapabilityStatements using this Profile: US Quality Core Client CapabilityStatement and US Quality Core Server CapabilityStatement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
patient | Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about
date | Σ | 0..1 | dateTime | When history was recorded or last updated
relationship | Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
age[x] | Σ C | 0..1 |  | (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
deceased[x] | Σ | 0..1 |  | Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory |  | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient
patient |  | 1..1 | Reference(US Quality Core Patient) | Patient history is about
date |  | 0..1 | dateTime | When history was recorded or last updated
relationship |  | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
age[x] |  | 0..1 | Age, Range, string | (approximate) age
deceased[x] |  | 0..1 | boolean, Age, Range, date, string | Dead? How old/when?
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 | Age, Range, Period, string | When condition first manifested
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​relationship | Base | preferred | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Id(s) for this record
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
dataAbsentReason | Σ | 0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.
patient | Σ | 1..1 | Reference(US Quality Core 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 | Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
sex | Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.
born[x] | C | 0..1 |  | (approximate) date of birth
bornPeriod |  |  | Period |
bornDate |  |  | date |
bornString |  |  | string |
age[x] | Σ C | 0..1 |  | (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
estimatedAge | Σ C | 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 |  | 0..* | BackboneElement | Condition that the related person had
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
outcome |  | 0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.
contributedToDeath |  | 0..1 | boolean | Whether the condition contributed to the cause of death
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
note |  | 0..* | Annotation | Extra information about condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | 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.

#### 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()`

Summary

Structures

This structure refers to these other structures:

- US Quality Core Patient (http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient)

Extensions

This structure refers to these extensions:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
patient | Σ | 1..1 | Reference(US Quality Core Patient) | Patient history is about
date | Σ | 0..1 | dateTime | When history was recorded or last updated
relationship | Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
age[x] | Σ C | 0..1 |  | (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
deceased[x] | Σ | 0..1 |  | Dead? How old/when?
deceasedBoolean |  |  | boolean |
deceasedAge |  |  | Age |
deceasedRange |  |  | Range |
deceasedDate |  |  | date |
deceasedString |  |  | string |
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | V3 Value SetFamilyMember | 📦2014-03-26 | FHIR Std.
FamilyMemberHistory.​condition.code | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std.

#### Constraints

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

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory |  | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient
patient |  | 1..1 | Reference(US Quality Core Patient) | Patient history is about
date |  | 0..1 | dateTime | When history was recorded or last updated
relationship |  | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
age[x] |  | 0..1 | Age, Range, string | (approximate) age
deceased[x] |  | 0..1 | boolean, Age, Range, date, string | Dead? How old/when?
condition |  | 0..* | BackboneElement | Condition that the related person had
Slices for extension |  |  |  | Content/Rules for all slices
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
onset[x] |  | 0..1 | Age, Range, Period, string | When condition first manifested
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​relationship | Base | preferred | 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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
FamilyMemberHistory | C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Id(s) for this record
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
status | ?!Σ | 1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record.
dataAbsentReason | Σ | 0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available.
patient | Σ | 1..1 | Reference(US Quality Core 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 | Σ | 1..1 | CodeableConcept | Relationship to the subject Binding: V3 Value SetFamilyMember (preferred)
sex | Σ | 0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration.
born[x] | C | 0..1 |  | (approximate) date of birth
bornPeriod |  |  | Period |
bornDate |  |  | date |
bornString |  |  | string |
age[x] | Σ C | 0..1 |  | (approximate) age
ageAge |  |  | Age |
ageRange |  |  | Range |
ageString |  |  | string |
estimatedAge | Σ C | 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 |  | 0..* | BackboneElement | Condition that the related person had
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:condition-abatement |  | 0..1 | date, Age, boolean | When (or if) the family member's condition resolved URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-abatement
extension:condition-severity |  | 0..1 | CodeableConcept | The seriousness of the family member condition URL: http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity Binding: Condition/DiagnosisSeverity (example): A subjective assessment of the severity of the condition as evaluated by the clinician.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | CodeableConcept | (USCDI+ Quality) Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (extensible): Identification of the Condition or diagnosis.
outcome |  | 0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.
contributedToDeath |  | 0..1 | boolean | Whether the condition contributed to the cause of death
onset[x] |  | 0..1 |  | When condition first manifested
onsetAge |  |  | Age |
onsetRange |  |  | Range |
onsetPeriod |  |  | Period |
onsetString |  |  | string |
note |  | 0..* | Annotation | Extra information about condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
FamilyMemberHistory.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std.
FamilyMemberHistory.​relationship | Base | preferred | 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.

#### 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()`

Summary

Structures

This structure refers to these other structures:

- US Quality Core Patient (http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient)

Extensions

This structure refers to these extensions:

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

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