{ "resourceType": "StructureDefinition", "id": "HdBe-FamilyHistory", "language": "en-US", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod", "valuePeriod": { "start": "2020-08-31T22:00:00+00:00" } } ], "url": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FamilyHistory", "name": "HdBeFamilyHistory", "_name": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "HdBeFamilieanamnese" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "title": "HdBe FamilyHistory", "status": "draft", "date": "2022-07-07T15:04:03.2592055+00:00", "publisher": "Healthdata.be (Sciensano)", "contact": [ { "name": "Service portal – healthdata.be", "telecom": [ { "system": "url", "value": "https://sciensano.service-now.com/sp", "use": "work" } ] } ], "description": "The family history describes any health problems of biological relatives that may be relevant. The family history contains information on the medical disorders of the family member and the biological relationship between the patient and the described family member.\r\n#### Purpose\r\nRecording the patient’s family members’ health problems. This component can be relevant in estimating the risk of these health problems occurring in the patient. This component can also partially influence the decision determining which diagnostics are or are not to be run: a high-risk patient might be more likely to receive extensive diagnostics, while a simpler test could suffice for a low-risk patient.\r\n\r\n\r\n#### Instructions\r\nThe age at which a family member developed a disorder or the age at which the family member died can be included in the ‘explanation’ field if desired. \r\n\r\nThe value list *BiologicalRelationshipCodeList* contains a number of concepts which can be used for both biological and non-biological relatives: a step-father’s brother can be listed as an uncle for lack of specific codes for step-uncle and real uncles. Therefore, when compiling the family history, make sure that only the biological relatives are considered.", "_description": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De familieanamnese beschrijft de gezondheidsproblemen van biologische verwanten die relevant zijn. De familieanamnese bevat informatie over de medische aandoeningen van het familielid en de biologische relatie tussen de patiënt en het beschreven familielid.\r\n#### Purpose\r\nHet vastleggen van gezondheidsproblemen bij familieleden van de patiënt. Dit gegeven kan relevant zijn bij het inschatten van het risico op het optreden van deze gezondheidsproblemen bij patiënt zelf. Ook kan dit gegeven mede van invloed zijn op de keuze welke diagnostiek wel of niet gedaan hoeft te worden: bij een hoog-risico patiënt zal bijvoorbeeld eerder uitgebreide diagnostiek gedaan worden, terwijl bij een laag-risico patiënt volstaan kan worden met een eenvoudigere test.\r\n\r\n\r\n#### Instructions\r\nDe leeftijd waarop een familielid een aandoening heeft gekregen of de leeftijd bij overlijden kan indien gewenst in het 'toelichting' veld vermeld worden.\r\n\r\nDe waardelijst *BiologischeRelatieCodelijst* bevat een aantal concepten die zowel voor biologische als voor niet biologische relaties gebruikt kunnen worden: een broer van een stiefvader zal bijvoorbeeld als oom vermeld staan bij gebrek aan specifieke codes voor stiefoom en echte oom. Bij het opstellen van de familieanamnese zal er dus op toegezien moeten worden dat uitsluitend de biologische relaties beschouwd worden." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "fhirVersion": "4.0.1", "kind": "logical", "abstract": true, "type": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/FamilyHistory", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "FamilyHistory", "path": "FamilyHistory", "short": "FamilyHistory", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Familieanamnese" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen Familieanamnese. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Familieanamnese." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "base": { "path": "FamilyHistory", "min": 0, "max": "*" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.id", "path": "FamilyHistory.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.extension", "path": "FamilyHistory.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "FamilyHistory.Date", "path": "FamilyHistory.Date", "short": "Date", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Datum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Date on which the family history was entered. A ‘vague’ date is permitted.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Datum van afname van de familieanamnese. Een vage datum is toegestaan." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "base": { "path": "FamilyHistory.Date", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember", "path": "FamilyHistory.FamilyMember", "short": "FamilyMember", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Familielid" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Container van het concept familielid. Deze container bevat alle gegevenselementen van het concept familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "*", "base": { "path": "FamilyHistory.FamilyMember", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.id", "path": "FamilyHistory.FamilyMember.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.extension", "path": "FamilyHistory.FamilyMember.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "FamilyHistory.FamilyMember.modifierExtension", "path": "FamilyHistory.FamilyMember.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "FamilyHistory.FamilyMember.BiologicalRelationship", "path": "FamilyHistory.FamilyMember.BiologicalRelationship", "short": "BiologicalRelationship", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "BiologischeRelatie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Indicates the biological relationship of the family member to the patient.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Geeft de biologische relatie van het familielid tot de patiënt." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 1, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.BiologicalRelationship", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "strength": "extensible", "description": "BiologicalRelationship codes", "valueSet": "https://fhir.healthdata.be/ValueSet/BiologischeRelatie" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "FamilyHistory.FamilyMember.Comment", "path": "FamilyHistory.FamilyMember.Comment", "short": "Comment", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Comment with information on the family member which might be relevant to the family history.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting met, voor de familieanamnese relevante, informatie betreffende het familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.Comment", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.DeathIndicator", "path": "FamilyHistory.FamilyMember.DeathIndicator", "short": "DeathIndicator", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "OverlijdensIndicator" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "An indication stating whether the family member has died.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Indicator die aangeeft of het familielid overleden is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.DeathIndicator", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.AgeAtDeath", "path": "FamilyHistory.FamilyMember.AgeAtDeath", "short": "AgeAtDeath", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "LeeftijdBijOverlijden" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The age at which the family member died.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De leeftijd waarop het familielid overleden is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "min": 0, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.AgeAtDeath", "min": 0, "max": "1" }, "type": [ { "code": "Count" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "qty-3", "severity": "error", "human": "If a code for the unit is present, the system SHALL also be present", "expression": "code.empty() or system.exists()", "xpath": "not(exists(f:code)) or exists(f:system)", "source": "http://hl7.org/fhir/StructureDefinition/Quantity" }, { "key": "cnt-3", "severity": "error", "human": "There SHALL be a code with a value of \"1\" if there is a value and it SHALL be an expression of length. If system is present, it SHALL be UCUM. If present, the value SHALL a whole number.", "expression": "(code or value.empty()) and (system.empty() or system = %ucum) and (code.empty() or code = '1') and (value.empty() or value.toString().contains('.').not())", "xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or (f:system/@value='http://unitsofmeasure.org' and f:code/@value='1')) and not(contains(f:value/@value, '.'))", "source": "http://hl7.org/fhir/StructureDefinition/Count" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "SN (see also Range) or CQ" }, { "identity": "rim", "map": "PQ, IVL, MO, CO, depending on the values" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder", "path": "FamilyHistory.FamilyMember.Disorder", "short": "Disorder", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Aandoening" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Container of the Disorder concept. This container contains all data elements of the Disorder concept.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Container van het concept Aandoening. Deze container bevat alle gegevenselementen van het concept Aandoening." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "*", "base": { "path": "FamilyHistory.FamilyMember.Disorder", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.id", "path": "FamilyHistory.FamilyMember.Disorder.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.extension", "path": "FamilyHistory.FamilyMember.Disorder.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.modifierExtension", "path": "FamilyHistory.FamilyMember.Disorder.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.Problem", "path": "FamilyHistory.FamilyMember.Disorder.Problem", "short": "Problem", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Probleem" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The health problem of the family member in question, which is recorded for the family history.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Het gezondheidsprobleem van het betreffende familielid dat in het kader van de familieanamnese wordt vastgelegd." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 1, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.Disorder.Problem", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.IsCauseOfDeath", "path": "FamilyHistory.FamilyMember.Disorder.IsCauseOfDeath", "short": "IsCauseOfDeath", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "IsDoodsoorzaak" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Indication stating whether the described health problem was the cause of death of the family member.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Aanduiding of het beschreven gezondheidsprobleem de doodsoorzaak is van het familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "base": { "path": "FamilyHistory.FamilyMember.Disorder.IsCauseOfDeath", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] } ] }, "differential": { "element": [ { "id": "FamilyHistory", "path": "FamilyHistory", "short": "FamilyHistory", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Familieanamnese" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Rootconcept van de bouwsteen Familieanamnese. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Familieanamnese." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*" }, { "id": "FamilyHistory.Date", "path": "FamilyHistory.Date", "short": "Date", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Datum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Date on which the family history was entered. A ‘vague’ date is permitted.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Datum van afname van de familieanamnese. Een vage datum is toegestaan." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "FamilyHistory.FamilyMember", "path": "FamilyHistory.FamilyMember", "short": "FamilyMember", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Familielid" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Container van het concept familielid. Deze container bevat alle gegevenselementen van het concept familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "id": "FamilyHistory.FamilyMember.BiologicalRelationship", "path": "FamilyHistory.FamilyMember.BiologicalRelationship", "short": "BiologicalRelationship", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "BiologischeRelatie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Indicates the biological relationship of the family member to the patient.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Geeft de biologische relatie van het familielid tot de patiënt." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "extensible", "description": "BiologicalRelationship codes", "valueSet": "https://fhir.healthdata.be/ValueSet/BiologischeRelatie" } }, { "id": "FamilyHistory.FamilyMember.Comment", "path": "FamilyHistory.FamilyMember.Comment", "short": "Comment", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Comment with information on the family member which might be relevant to the family history.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Toelichting met, voor de familieanamnese relevante, informatie betreffende het familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "string" } ] }, { "id": "FamilyHistory.FamilyMember.DeathIndicator", "path": "FamilyHistory.FamilyMember.DeathIndicator", "short": "DeathIndicator", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "OverlijdensIndicator" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "An indication stating whether the family member has died.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Indicator die aangeeft of het familielid overleden is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "boolean" } ] }, { "id": "FamilyHistory.FamilyMember.AgeAtDeath", "path": "FamilyHistory.FamilyMember.AgeAtDeath", "short": "AgeAtDeath", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "LeeftijdBijOverlijden" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The age at which the family member died.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "De leeftijd waarop het familielid overleden is." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "Count" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder", "path": "FamilyHistory.FamilyMember.Disorder", "short": "Disorder", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Aandoening" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Container of the Disorder concept. This container contains all data elements of the Disorder concept.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Container van het concept Aandoening. Deze container bevat alle gegevenselementen van het concept Aandoening." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.Problem", "path": "FamilyHistory.FamilyMember.Disorder.Problem", "short": "Problem", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Probleem" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "The health problem of the family member in question, which is recorded for the family history.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Het gezondheidsprobleem van het betreffende familielid dat in het kader van de familieanamnese wordt vastgelegd." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Problem" ] } ] }, { "id": "FamilyHistory.FamilyMember.Disorder.IsCauseOfDeath", "path": "FamilyHistory.FamilyMember.Disorder.IsCauseOfDeath", "short": "IsCauseOfDeath", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "IsDoodsoorzaak" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Indication stating whether the described health problem was the cause of death of the family member.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "nl-NL" }, { "url": "content", "valueMarkdown": "Aanduiding of het beschreven gezondheidsprobleem de doodsoorzaak is van het familielid." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "boolean" } ] } ] } }