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Resource FamilyHistory - Content 4.4

Significant health events and conditions for people related to the subject relevant in the context of care for the subject.

The resource name as it appears in a RESTful URL is [root]/familyhistory/

This resource records significant health events and conditions for people related to the subject. This information can be known to different levels of accuracy. Sometimes the exact condition ('asthma') is known, and sometimes it is less precise ('some sort of cancer'). Equally, sometimes the person can be identified ('my aunt agatha') and sometimes all that is known is that the person was an uncle.

The entire family history for an individual is stored in a single resource.

Resource Content 4.4.1

FamilyHistory (Resource)The person who this history concernssubject : Resource(Patient) 1..1Conveys information about family history not specific to individual relationsnote : string 0..1RelationThis will either be a name or a description. E.g. "Aunt Susan", "my cousin with the red hair"name : string 0..1The type of relationship this person has to the patient (father, mother, brother etc.) At the moment this is a code linking to a fixed set of values. I'm not sure if there is an international standard for this. A fixed (possibly extensible) set of codes feels better than a codeable concept for something like this..relationship : CodeableConcept 1..1 <<The nature of the relationship between the patient and the person with the condition. Based on the HL7v3 RoleCode: OID: 2.16.840.1.113883.5.111 with some inappropriate items removedFamilialRelationship>>If this resource is indicating that the related person is deceased, then an indicator of whether the person is deceased (yes) or not (no) or the age or age range or description of age at death - can be indicated here. If the reason for death is known, then it can be indicated in the outcome code of the condition - in this case the deceased property should still be setdeceased[x] : boolean|Age|Range|string 0..1This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possiblenote : string 0..1ConditionThe actual condition specified. Could be a coded condition (like MI or Diabetes) or a less specific string like 'cancer' depending on how much is known about the condition and the capabilities of the creating systemtype : CodeableConcept 1..1Indicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relationoutcome : CodeableConcept 0..1Either the age of onset, range of approximate age or descriptive string can be recordedonset[x] : Age|Range|string 0..1An area where general notes can be placed about this specific conditionnote : string 0..1The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per conditioncondition0..*The related person. Each FamilyHistory resource contains the entire family history for a single personrelation0..* 
<FamilyHistory xmlns="http://hl7.org/fhir">
 <!-- from Resource: extension, narrative, and contained -->
 <subject><!-- 1..1 Resource(Patient) Subject of this history § --></subject>
 <note value="[string]"/><!-- 0..1 Additional details -->
 <relation>  <!-- 0..* The relation -->
  <name value="[string]"/><!-- 0..1 The family member who had the condition § -->
  <relationship><!-- 1..1 CodeableConcept Relationship to the subject § --></relationship>
  <deceased[x]><!-- 0..1 boolean|Age|Range|string Is the person deceased --></deceased[x]>
  <note value="[string]"/><!-- 0..1 General note about the related person -->
  <condition>  <!-- 0..* The Condition that the related person had -->
   <type><!-- 1..1 CodeableConcept The condition --></type>
   <outcome><!-- 0..1 CodeableConcept deceased | permanent disability | etc. --></outcome>
   <onset[x]><!-- 0..1 Age|Range|string How old the person was when the condition manifested --></onset[x]>
   <note value="[string]"/><!-- 0..1 General notes -->
  </condition>
 </relation>
</FamilyHistory>

Alternate definitions: Schema/Schematron, Resource Profile

Terminology Bindings 4.4.1.1

PathDefinitionTypeReference
FamilyHistory.relation.relationship The nature of the relationship between the patient and the person with the condition. Based on the HL7v3 RoleCode: OID: 2.16.840.1.113883.5.111 with some inappropriate items removedFixedhttp://hl7.org/fhir/familial-relationship
FamilyHistory.relation.condition.outcome The result of the condition for the patient. E.g. death, permanent disability, temporary disability, etc.UnknownNo details provided yet

Genetic Family History 4.4.2

This resource represents a "bare bones" Family History as typically supported simple clinical systems. A more elaborate version incorporating more detailed information as appropriate for genetic councilling will be developed as a profile on this resource.

Search Parameters 4.4.3

Search Parameters for RESTful searches. The standard parameters also apply. See Searching for more information.

Name / TypeDescriptionPaths
_id : tokenThe logical resource id associated with the resource (must be supported by all servers)
subject : referenceThe identity of a subject to list family history items forFamilyHistory.subject