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Patient Care Work GroupMaturity Level: 2 Trial Use Compartments: Patient

Подробное описание элементов ресурса FamilyMemberHistory.

FamilyMemberHistory
Element IdFamilyMemberHistory
Definition

Значимые события и состояния в здоровье человека, связанного с пациентом, существенные в контексте ухода за пациентом.

Control0..*
TypeDomainResource
Invariants
Defined on this element
fhs-1Rule Можно указать либо age[x], либо birth[x], но не оба элемента одновременноage.empty() or born.empty()
fhs-2Rule Can only have estimatedAge if age[x] is presentage.exists() or estimatedAge.empty()
FamilyMemberHistory.identifier
Element IdFamilyMemberHistory.identifier
Definition

Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.

Summarytrue
Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

FamilyMemberHistory.instantiatesCanonical
Element IdFamilyMemberHistory.instantiatesCanonical
Definition

The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.

Control0..*
Typecanonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)
Summarytrue
FamilyMemberHistory.instantiatesUri
Element IdFamilyMemberHistory.instantiatesUri
Definition

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.

Control0..*
Typeuri
Summarytrue
Comments

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

FamilyMemberHistory.status
Element IdFamilyMemberHistory.status
Definition

A code specifying the status of the record of the family history of a specific family member.

Control1..1
Terminology BindingFamilyHistoryStatus (Required)
Typecode
Is Modifiertrue (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summarytrue
Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

FamilyMemberHistory.dataAbsentReason
Element IdFamilyMemberHistory.dataAbsentReason
Definition

Describes why the family member's history is not available.

Control0..1
Terminology BindingFamilyHistoryAbsentReason (Example)
TypeCodeableConcept
Requirements

This is a separate element to allow it to have a distinct binding from reasonCode.

Summarytrue
FamilyMemberHistory.patient
Element IdFamilyMemberHistory.patient
Definition

Человек, для которого собирается этот анамнез.

Control1..1
TypeReference(Patient)
Alternate NamesProband
Summarytrue
FamilyMemberHistory.date
Element IdFamilyMemberHistory.date
Definition

The date (and possibly time) when the family member history was recorded or last updated.

Control0..1
TypedateTime
Requirements

Позволяет определить, насколько актуален анамнез.

Summarytrue
Comments

Эту дату необходимо вводить, даже если она совпадает с датой в ресурсе List, агрегирующем весь семейный анамнез.

FamilyMemberHistory.name
Element IdFamilyMemberHistory.name
Definition

This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair".

Control0..1
Typestring
Requirements

Позволяет с большой лёгкостью гарантировать, что речь идет именно об этом человеке.

Summarytrue
FamilyMemberHistory.relationship
Element IdFamilyMemberHistory.relationship
Definition

Тип родственной связи между этим человеком и пациентом (отец, мать, брат и т. п.).

Control1..1
Terminology BindingV3 Value SetFamilyMember (Example)
TypeCodeableConcept
Summarytrue
FamilyMemberHistory.sex
Element IdFamilyMemberHistory.sex
Definition

The birth sex of the family member.

Control0..1
Terminology BindingSex :
TypeCodeableConcept
Requirements

Не всякий тип родственной связи подразумевает пол, в то же время пол родственника может иметь значение при выполнении оценки риска.

Summarytrue
Comments

This element should ideally reflect whether the individual is genetically male or female. However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate. E.g. 'Aunt Sue' might be XY rather than XX. Questions soliciting this information should be phrased to encourage capture of genetic sex where known. However, systems performing analysis should also allow for the possibility of imprecision with this element.

FamilyMemberHistory.born[x]
Element IdFamilyMemberHistory.born[x]
Definition

Фактическая или приблизительная дата рождения родственника.

Control0..1
TypePeriod|date|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Позволяет подсчитать возраст родственника.

Invariants
Affect this element
fhs-1Rule Можно указать либо age[x], либо birth[x], но не оба элемента одновременноage.empty() or born.empty()
FamilyMemberHistory.age[x]
Element IdFamilyMemberHistory.age[x]
Definition

The age of the relative at the time the family member history is recorded.

Control0..1
TypeAge|Range|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Хотя возраст и можно подсчитать через дату рождения, иногда запись непосредственно возраста больше подходит клиницистам.

Summarytrue
Comments

use estimatedAge to indicate whether the age is actual or not.

Invariants
Affect this element
fhs-1Rule Можно указать либо age[x], либо birth[x], но не оба элемента одновременноage.empty() or born.empty()
FamilyMemberHistory.estimatedAge
Element IdFamilyMemberHistory.estimatedAge
Definition

If true, indicates that the age value specified is an estimated value.

Control0..1
Typeboolean
Meaning if MissingIt is unknown whether the age is an estimate or not
Requirements

Clinicians often prefer to specify an estimaged age rather than an age range.

Summarytrue
Comments

This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.

Invariants
Affect this element
fhs-2Rule Can only have estimatedAge if age[x] is presentage.exists() or estimatedAge.empty()
FamilyMemberHistory.deceased[x]
Element IdFamilyMemberHistory.deceased[x]
Definition

Можно указать точный или приблизительный возраст родственника на момент смерти для семейного анамнеза.

Control0..1
Typeboolean|Age|Range|date|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summarytrue
FamilyMemberHistory.reasonCode
Element IdFamilyMemberHistory.reasonCode
Definition

Describes why the family member history occurred in coded or textual form.

Control0..*
Terminology BindingSNOMED CT Clinical Findings (Example)
TypeCodeableConcept
Summarytrue
Comments

Textual reasons can be captured using reasonCode.text.

FamilyMemberHistory.reasonReference
Element IdFamilyMemberHistory.reasonReference
Definition

Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.

Control0..*
TypeReference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference)
Summarytrue
FamilyMemberHistory.note
Element IdFamilyMemberHistory.note
Definition

Это свойство позволяет делать не относящиеся к состоянию заметки о родственнике. В идеале такие примечания должны быть в свойстве condition, но это не всегда возможно.

Control0..*
TypeAnnotation
FamilyMemberHistory.condition
Element IdFamilyMemberHistory.condition
Definition

Существенные состояния (или состояние), которые были у члена семьи. Это повторяющаяся секция, чтобы система могла показать больше одного состояния в ресурсе, хотя ничто не мешает создать несколько ресурсов - по одному на каждое состояние.

Control0..*
FamilyMemberHistory.condition.code
Element IdFamilyMemberHistory.condition.code
Definition

Указанное фактическое состояние. Может быть кодированным состоянием (например MI или Diabetes) или менее конкретным описанием, как "рак", в зависимости от того, насколько много известно об этом состоянии, и возможностей записывающей системы.

Control1..1
Terminology BindingCondition/Problem/Diagnosis Codes (Example)
TypeCodeableConcept
FamilyMemberHistory.condition.outcome
Element IdFamilyMemberHistory.condition.outcome
Definition

Обозначает, что случилось в результате этого состояния. Если исходом состояния была смерть, записывается дата смерти.

Control0..1
Terminology BindingCondition Outcome Codes (Example)
TypeCodeableConcept
FamilyMemberHistory.condition.contributedToDeath
Element IdFamilyMemberHistory.condition.contributedToDeath
Definition

This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.

Control0..1
Typeboolean
FamilyMemberHistory.condition.onset[x]
Element IdFamilyMemberHistory.condition.onset[x]
Definition

Здесь можно записать либо возраст, когда началось, приблизительный диапазон возрастов или описание. Для состояний, которые могут наступать несколько раз, здесь описывается известный момент первого проявления.

Control0..1
TypeAge|Range|Period|string
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Зная возраст, в котором проявилось состояние у родственников, можно прогнозировать риск для пациента.

FamilyMemberHistory.condition.note
Element IdFamilyMemberHistory.condition.note
Definition

Область, куда можно поместить общие записи об этом конкретном состоянии.

Control0..*
TypeAnnotation