This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: 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

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Resource Profile: FamilyMemberHistory

This profile sets minimum expectations for the FamilyMemberHistory resource for searching and fetching significant health conditions of a person related to the patient in the context of care.

Usage:

• Refer to this Resource Profile: DischargeSummaryRecord and OPConsultRecord
• Examples for this Resource Profile: FamilyMemberHistory/example-01

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory	C	0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management fhs-1: Can have age[x] or born[x], but not both fhs-2: Can only have estimatedAge if age[x] is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Patient)	Patient history is about ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed? ele-1: All FHIR elements must have a @value or children
condition	S	1..*	BackboneElement	Condition that the related person had ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
FamilyMemberHistory.status	required	FamilyHistoryStatus http://hl7.org/fhir/ValueSet/history-status|4.0.1 from the FHIR Standard
FamilyMemberHistory.relationship	example	FamilyMember http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
FamilyMemberHistory.condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory			FamilyMemberHistory
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
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed?
condition	S	1..*	BackboneElement	Condition that the related person had
code	S	1..1	CodeableConcept	Condition suffered by relation
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory	C	0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient fhs-1: Can have age[x] or born[x], but not both fhs-2: Can only have estimatedAge if age[x] is present
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
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed?
note		0..*	Annotation	General note about related person
condition	S	1..*	BackboneElement	Condition that the related person had
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	Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
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	Conformance	ValueSet	URI
FamilyMemberHistory.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
FamilyMemberHistory.status	required	FamilyHistoryStatus http://hl7.org/fhir/ValueSet/history-status|4.0.1 from the FHIR Standard
FamilyMemberHistory.dataAbsentReason	example	FamilyHistoryAbsentReason http://hl7.org/fhir/ValueSet/history-absent-reason from the FHIR Standard
FamilyMemberHistory.relationship	example	FamilyMember http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.sex	extensible	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
FamilyMemberHistory.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
FamilyMemberHistory.condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
FamilyMemberHistory.condition.outcome	example	ConditionOutcomeCodes http://hl7.org/fhir/ValueSet/condition-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Mandatory: 1 element(9 nested mandatory elements)
Must-Support: 11 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• AllergyIntolerance (https://nrces.in/ndhm/fhir/r4/StructureDefinition/AllergyIntolerance)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory	C	0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management fhs-1: Can have age[x] or born[x], but not both fhs-2: Can only have estimatedAge if age[x] is present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
patient	SΣ	1..1	Reference(Patient)	Patient history is about ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed? ele-1: All FHIR elements must have a @value or children
condition	S	1..*	BackboneElement	Condition that the related person had ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
FamilyMemberHistory.status	required	FamilyHistoryStatus http://hl7.org/fhir/ValueSet/history-status|4.0.1 from the FHIR Standard
FamilyMemberHistory.relationship	example	FamilyMember http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
FamilyMemberHistory.condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory			FamilyMemberHistory
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
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed?
condition	S	1..*	BackboneElement	Condition that the related person had
code	S	1..1	CodeableConcept	Condition suffered by relation
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
FamilyMemberHistory	C	0..*	FamilyMemberHistory	Information about patient's relatives, relevant for patient fhs-1: Can have age[x] or born[x], but not both fhs-2: Can only have estimatedAge if age[x] is present
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
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(QuestionnaireResponse | Condition | Observation | AllergyIntolerance | DiagnosticReportLab | DiagnosticReportImaging | DocumentReference)	Why was family member history performed?
note		0..*	Annotation	General note about related person
condition	S	1..*	BackboneElement	Condition that the related person had
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	Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
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	Conformance	ValueSet	URI
FamilyMemberHistory.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
FamilyMemberHistory.status	required	FamilyHistoryStatus http://hl7.org/fhir/ValueSet/history-status|4.0.1 from the FHIR Standard
FamilyMemberHistory.dataAbsentReason	example	FamilyHistoryAbsentReason http://hl7.org/fhir/ValueSet/history-absent-reason from the FHIR Standard
FamilyMemberHistory.relationship	example	FamilyMember http://terminology.hl7.org/ValueSet/v3-FamilyMember
FamilyMemberHistory.sex	extensible	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
FamilyMemberHistory.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
FamilyMemberHistory.condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
FamilyMemberHistory.condition.outcome	example	ConditionOutcomeCodes http://hl7.org/fhir/ValueSet/condition-outcome from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Mandatory: 1 element(9 nested mandatory elements)
Must-Support: 11 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• AllergyIntolerance (https://nrces.in/ndhm/fhir/r4/StructureDefinition/AllergyIntolerance)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)

Other representations of profile: CSV, Excel, Schematron