<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="email" /> <value value="geboortezorg@nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A FamilyMemberHistory profile as defined by BabyConnect describing the relevant family history of a pregnant woman. * FamilyMemberHistory.patient points to the woman Patient * FamilyMemberHistory.relationship describes the relation (e.g. father or sister) of the family member to the woman Patient * FamilyMemberHistory.condition points to the (significant) condition(s) of the family member. The optional contributedToDeath extension can be used to indicate if a specific condition caused death * FamilyMemberHistory.deceased[x] indicates whether the family member has deceased. This can either be a boolean (true/false) or more specific information can be provided like age. If an age is present, it implies that the family member is deceased and in this case the boolean value should be left out." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="gebz-peri-v3.2" /> <uri value="https://decor.nictiz.nl/art-decor/decor-datasets-\-peri20-?id=2.16.840.1.113883.2.4.3.11.60.90.77.1.6&effectiveDate=2016-09-08T00%3A00%3A00&conceptId=2.16.840.1.113883.2.4.3.11.60.90.77.2.6.4&conceptEffectiveDate=2016-09-08T00%3A00%3A00" /> <name value="Geboortezorg 3.2" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="FamilyMemberHistory" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" /> <derivation value="constraint" /> <snapshot> <element id="FamilyMemberHistory"> <path value="FamilyMemberHistory" /> <short value="Information about patient's relatives, relevant for patient" /> <definition value="Significant health events and conditions for a person related to the patient relevant in the context of care for the patient." /> <min value="0" /> <max value="*" /> <base> <path value="Resource" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-1" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" /> <expression value="contained.text.empty()" /> <xpath value="not(parent::f:contained and f:text)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" /> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()" /> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="fhs-2" /> <severity value="error" /> <human value="Can only have estimatedAge if age[x] is present" /> <expression value="age.exists() or estimatedAge.empty()" /> <xpath value="exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))" /> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" /> </constraint> <constraint> <key value="fhs-3" /> <severity value="error" /> <human value="Not Done Reason can only be specified if NotDone is "true"" /> <expression value="notDone or notDoneReason.exists().not()" /> <xpath value="f:notDone/@value=true() or not(exists(f:notDoneReason))" /> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" /> </constraint> <constraint> <key value="fhs-1" /> <severity value="error" /> <human value="Can have age[x] or born[x], but not both" /> <expression value="age.empty() or born.empty()" /> <xpath value="not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])" /> <source value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="v2" /> <map value="Not in scope for v2" /> </mapping> <mapping> <identity value="rim" /> <map value="Observation[classCode=OBS, moodCode=EVN]" /> </mapping> <mapping> <identity value="w5" /> <map value="clinical.general" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1112" /> <comment value="Familieanamnese" /> </mapping> </element> <element id="FamilyMemberHistory.id"> <path value="FamilyMemberHistory.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="id" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.meta"> <path value="FamilyMemberHistory.meta" /> <short value="Metadata about the resource" /> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.implicitRules"> <path value="FamilyMemberHistory.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." /> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.language"> <path value="FamilyMemberHistory.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages" /> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="extensible" /> <description value="A human language." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.text"> <path value="FamilyMemberHistory.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." /> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </type> <condition value="ele-1" /> <condition value="dom-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="FamilyMemberHistory.contained"> <path value="FamilyMemberHistory.contained" /> <short value="Contained, inline Resources" /> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." /> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.extension"> <path value="FamilyMemberHistory.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. 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 value="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 value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.modifierExtension"> <path value="FamilyMemberHistory.modifierExtension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Extensions that cannot be ignored" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, 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 value="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 value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.identifier"> <path value="FamilyMemberHistory.identifier" /> <short value="External Id(s) for this record" /> <definition value="This records identifiers associated with this family member history record that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)." /> <requirements value="Need to allow connection to a wider workflow." /> <min value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="w5" /> <map value="id" /> </mapping> </element> <element id="FamilyMemberHistory.definition"> <path value="FamilyMemberHistory.definition" /> <short value="Instantiates protocol or definition" /> <definition value="A protocol or questionnaire that was adhered to in whole or in part by this event." /> <comment value="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 value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.definition" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="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 value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=DEFN].target" /> </mapping> </element> <element id="FamilyMemberHistory.status"> <path value="FamilyMemberHistory.status" /> <short value="partial | completed | entered-in-error | health-unknown" /> <definition value="A code specifying the status of the record of the family history of a specific family member." /> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." /> <min value="1" /> <max value="1" /> <base> <path value="FamilyMemberHistory.status" /> <min value="1" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryStatus" /> </extension> <strength value="required" /> <description value="A code that identifies the status of the family history record." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/history-status" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="status" /> </mapping> </element> <element id="FamilyMemberHistory.notDone"> <path value="FamilyMemberHistory.notDone" /> <short value="The taking of a family member's history did not occur" /> <definition value="If true, indicates the taking of an individual family member's history did not occur. The notDone element should not be used to document negated conditions, such as a family member that did not have a condition." /> <comment value="This element is labeled as a modifier because it marks the family member history as a family member history that did not occur. The more attributes are populated, the more constrained the negated statement is. This notDone element is being evaluated and will likely be removed in a subsequent release." /> <requirements value="Creating a FamilyMemberHistory where notDone is true is intended for situations where there's a need for a specific statement in the record about something not being done. If the need is merely to indicate that a request wasn't fulfilled, that should be handled using Task." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.notDone" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <defaultValueBoolean value="false" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value=".actionNegationInd" /> </mapping> </element> <element id="FamilyMemberHistory.notDoneReason"> <path value="FamilyMemberHistory.notDoneReason" /> <short value="subject-unknown | withheld | unable-to-obtain | deferred" /> <definition value="Describes why the family member's history is absent." /> <comment value="This notDoneReason element is being evaluated and will likely be replaced in a subsequent release (e.g. dataAbsentReason)." /> <requirements value="This is a separate element to allow it to have a distinct binding from reasonCode." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.notDoneReason" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <condition value="fhs-3" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryNotDoneReason" /> </extension> <strength value="example" /> <description value="Codes describing the reason why a family member history was not done." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/history-not-done-reason" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".reasonCode" /> </mapping> </element> <element id="FamilyMemberHistory.patient"> <path value="FamilyMemberHistory.patient" /> <short value="Patient history is about" /> <definition value="The person who this history concerns." /> <comment value="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." /> <alias value="Proband" /> <min value="1" /> <max value="1" /> <base> <path value="FamilyMemberHistory.patient" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/bc-Woman" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="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 value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value="participation[typeCode=SBJ].role" /> </mapping> <mapping> <identity value="w5" /> <map value="who.focus" /> </mapping> </element> <element id="FamilyMemberHistory.date"> <path value="FamilyMemberHistory.date" /> <short value="When history was captured/updated" /> <definition value="The date (and possibly time) when the family member history was taken." /> <comment value="This should be captured even if the same as the date on the List aggregating the full family history." /> <requirements value="Allows determination of how current the summary is." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.date" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="participation[typeCode=AUT].time" /> </mapping> <mapping> <identity value="w5" /> <map value="when.recorded" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1113" /> <comment value="Datum" /> </mapping> </element> <element id="FamilyMemberHistory.name"> <path value="FamilyMemberHistory.name" /> <short value="The family member described" /> <definition value="This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair"." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <requirements value="Allows greater ease in ensuring the same person is being talked about." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.name" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> </element> <element id="FamilyMemberHistory.relationship"> <path value="FamilyMemberHistory.relationship" /> <short value="Relationship to the subject" /> <definition value="The type of relationship this person has to the patient (father, mother, brother etc.)." /> <comment value="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 value="1" /> <max value="1" /> <base> <path value="FamilyMemberHistory.relationship" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilialRelationship" /> </extension> <strength value="extensible" /> <description value="Type_BiologischeRelatie" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.275--20200513143542" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value="code" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1114" /> <comment value="Familielid" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1115" /> <comment value="BiologischeRelatie" /> </mapping> </element> <element id="FamilyMemberHistory.gender"> <path value="FamilyMemberHistory.gender" /> <short value="male | female | other | unknown" /> <definition value="Administrative Gender - the gender that the relative is considered to have for administration and record keeping purposes." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <requirements value="Not all relationship codes imply gender and the relative's gender can be relevant for risk assessments." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.gender" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <strength value="required" /> <description value="The gender of a person used for administrative purposes." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/administrative-gender" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.born[x]"> <path value="FamilyMemberHistory.born[x]" /> <short value="(approximate) date of birth" /> <definition value="The actual or approximate date of birth of the relative." /> <requirements value="Allows calculation of the relative's age." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.born[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Period" /> </type> <type> <code value="date" /> </type> <type> <code value="string" /> </type> <condition value="ele-1" /> <condition value="fhs-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)" /> </mapping> </element> <element id="FamilyMemberHistory.age[x]"> <path value="FamilyMemberHistory.age[x]" /> <short value="(approximate) age" /> <definition value="The age of the relative at the time the family member history is recorded." /> <comment value="use estimatedAge to indicate whether the age is actual or not." /> <requirements value="While age can be calculated from date of birth, sometimes recording age directly is more natureal for clinicians." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.age[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Age" /> </type> <type> <code value="Range" /> </type> <type> <code value="string" /> </type> <condition value="ele-1" /> <condition value="fhs-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code="age"].value" /> </mapping> </element> <element id="FamilyMemberHistory.estimatedAge"> <path value="FamilyMemberHistory.estimatedAge" /> <short value="Age is estimated?" /> <definition value="If true, indicates that the age value specified is an estimated value." /> <comment value="This element is labeled as a modifier because the fact tha age is estimated can/should change the results of any algorithm that calculates based on the specified age." /> <requirements value="Clinicians often prefer to specify an estimaged age rather than an age range." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.estimatedAge" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <meaningWhenMissing value="It is unknown whether the age is an estimate or not" /> <condition value="ele-1" /> <condition value="fhs-2" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.deceased[x]"> <path value="FamilyMemberHistory.deceased[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="Dead? How old/when?" /> <definition value="Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record." /> <comment value="FHIR allows only one instance of this element, so only one data type can be used. The boolean value of this element is implicitly true if one of the other data types is used. For example, when age is known this is sent with the Age data type and the boolean value should be left blank." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="Age" /> </type> <type> <code value="Range" /> </type> <type> <code value="date" /> </type> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role" /> </mapping> </element> <element id="FamilyMemberHistory.deceased[x]:deceasedBoolean"> <path value="FamilyMemberHistory.deceased[x]" /> <sliceName value="deceasedBoolean" /> <short value="Dead? How old/when?" /> <definition value="Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1117" /> <comment value="OverlijdensIndicator" /> </mapping> </element> <element id="FamilyMemberHistory.deceased[x]:deceasedAge"> <path value="FamilyMemberHistory.deceased[x]" /> <sliceName value="deceasedAge" /> <short value="Dead? How old/when?" /> <definition value="Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Age" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1118" /> <comment value="LeeftijdBijOverlijden" /> </mapping> </element> <element id="FamilyMemberHistory.reasonCode"> <path value="FamilyMemberHistory.reasonCode" /> <short value="Why was family member history performed?" /> <definition value="Describes why the family member history occurred in coded or textual form." /> <comment value="Textual reasons can be caprued using reasonCode.text." /> <min value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.reasonCode" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="FamilyHistoryReason" /> </extension> <strength value="example" /> <description value="Codes indicating why the family member history was done." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/clinical-findings" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".reasonCode" /> </mapping> <mapping> <identity value="w5" /> <map value="why" /> </mapping> </element> <element id="FamilyMemberHistory.reasonReference"> <path value="FamilyMemberHistory.reasonReference" /> <short value="Why was family member history performed?" /> <definition value="Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event." /> <comment value="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 value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.reasonReference" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" /> <xpath value="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 value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value=".outboundRelationship[typeCode=RSON].target" /> </mapping> <mapping> <identity value="w5" /> <map value="why" /> </mapping> </element> <element id="FamilyMemberHistory.note"> <path value="FamilyMemberHistory.note" /> <short value="General note about related person" /> <definition value="This 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 possible." /> <comment value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)." /> <min value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act" /> </mapping> <mapping> <identity value="rim" /> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1116" /> <comment value="Toelichting" /> </mapping> </element> <element id="FamilyMemberHistory.condition"> <path value="FamilyMemberHistory.condition" /> <short value="Condition that the related person had" /> <definition value="The 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 condition." /> <comment value="If none of the conditions listed have an outcome of "death" specified, that indicates that none of the specified conditions are known to have been the primary cause of death." /> <min value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.condition" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value<Diagnosis]" /> </mapping> </element> <element id="FamilyMemberHistory.condition.id"> <path value="FamilyMemberHistory.condition.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="FamilyMemberHistory.condition.extension"> <path value="FamilyMemberHistory.condition.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="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 value="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 value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.condition.extension:contributedToDeath"> <path value="FamilyMemberHistory.condition.extension" /> <sliceName value="contributedToDeath" /> <short value="Optional Extensions Element" /> <definition value="Optional Extension Element - found in all resources." /> <comment value="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 value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="1" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-familymemberhistory-contributedToDeath" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.condition.modifierExtension"> <path value="FamilyMemberHistory.condition.modifierExtension" /> <short value="Extensions that cannot be ignored" /> <definition value="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 value="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 value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="true" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="FamilyMemberHistory.condition.code"> <path value="FamilyMemberHistory.condition.code" /> <short value="Condition suffered by relation" /> <definition value="The 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 system." /> <comment value="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 value="1" /> <max value="1" /> <base> <path value="FamilyMemberHistory.condition.code" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCode" /> </extension> <strength value="extensible" /> <description value="ProbleemNaam_InfectiesGezin" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.358--20220117155944" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value=".value" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1119" /> <comment value="Aandoening" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-10556" /> <comment value="Probleem infectieziekte(n) Gezin" /> </mapping> </element> <element id="FamilyMemberHistory.condition.outcome"> <path value="FamilyMemberHistory.condition.outcome" /> <short value="deceased | permanent disability | etc." /> <definition value="Indicates what happened as a result of this condition. If the condition resulted in death, deceased date is captured on the relation." /> <comment value="Use the code deceased| If the condition is the cause of death" /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.condition.outcome" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionOutcome" /> </extension> <strength value="example" /> <description value="The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-outcome" /> </valueSetReference> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="rim" /> <map value="outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].value" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1122" /> <comment value="IsDoodsoorzaak" /> </mapping> </element> <element id="FamilyMemberHistory.condition.onset[x]"> <path value="FamilyMemberHistory.condition.onset[x]" /> <short value="When condition first manifested" /> <definition value="Either the age of onset, range of approximate age or descriptive string can be recorded. For conditions with multiple occurrences, this describes the first known occurrence." /> <requirements value="Age of onset of a condition in relatives is predictive of risk for the patient." /> <min value="0" /> <max value="1" /> <base> <path value="FamilyMemberHistory.condition.onset[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Age" /> </type> <type> <code value="Range" /> </type> <type> <code value="Period" /> </type> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="Subject Age at measurement", value<Diagnosis].value[@xsi:typeCode='TS' or 'IVL_TS'] Use originalText for string" /> </mapping> </element> <element id="FamilyMemberHistory.condition.note"> <path value="FamilyMemberHistory.condition.note" /> <short value="Extra information about condition" /> <definition value="An area where general notes can be placed about this specific condition." /> <comment value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)." /> <min value="0" /> <max value="*" /> <base> <path value="FamilyMemberHistory.condition.note" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Annotation" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="N/A" /> </mapping> <mapping> <identity value="rim" /> <map value="Act" /> </mapping> <mapping> <identity value="rim" /> <map value="inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value" /> </mapping> </element> </snapshot> <differential> <element id="FamilyMemberHistory"> <path value="FamilyMemberHistory" /> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1112" /> <comment value="Familieanamnese" /> </mapping> </element> <element id="FamilyMemberHistory.patient"> <path value="FamilyMemberHistory.patient" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/bc-Woman" /> </type> </element> <element id="FamilyMemberHistory.date"> <path value="FamilyMemberHistory.date" /> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1113" /> <comment value="Datum" /> </mapping> </element> <element id="FamilyMemberHistory.relationship"> <path value="FamilyMemberHistory.relationship" /> <binding> <strength value="extensible" /> <description value="Type_BiologischeRelatie" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.90.77.11.275--20200513143542" /> </valueSetReference> </binding> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1114" /> <comment value="Familielid" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1115" /> <comment value="BiologischeRelatie" /> </mapping> </element> <element id="FamilyMemberHistory.deceased[x]"> <path value="FamilyMemberHistory.deceased[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <comment value="FHIR allows only one instance of this element, so only one data type can be used. The boolean value of this element is implicitly true if one of the other data types is used. For example, when age is known this is sent with the Age data type and the boolean value should be left blank." /> </element> <element id="FamilyMemberHistory.deceased[x]:deceasedBoolean"> <path value="FamilyMemberHistory.deceased[x]" /> <sliceName value="deceasedBoolean" /> <type> <code value="boolean" /> </type> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1117" /> <comment value="OverlijdensIndicator" /> </mapping> </element> <element id="FamilyMemberHistory.deceased[x]:deceasedAge"> <path value="FamilyMemberHistory.deceased[x]" /> <sliceName value="deceasedAge" /> <type> <code value="Age" /> </type> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1118" /> <comment value="LeeftijdBijOverlijden" /> </mapping> </element> <element id="FamilyMemberHistory.note"> <path value="FamilyMemberHistory.note" /> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1116" /> <comment value="Toelichting" /> </mapping> </element> <element id="FamilyMemberHistory.condition.extension:contributedToDeath"> <path value="FamilyMemberHistory.condition.extension" /> <sliceName value="contributedToDeath" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/bc-familymemberhistory-contributedToDeath" /> </type> <isModifier value="false" /> </element> <element id="FamilyMemberHistory.condition.code"> <path value="FamilyMemberHistory.condition.code" /> <binding> <strength value="extensible" /> <description value="ProbleemNaam_InfectiesGezin" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.358--20220117155944" /> </valueSetReference> </binding> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1119" /> <comment value="Aandoening" /> </mapping> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-10556" /> <comment value="Probleem infectieziekte(n) Gezin" /> </mapping> </element> <element id="FamilyMemberHistory.condition.outcome"> <path value="FamilyMemberHistory.condition.outcome" /> <comment value="Use the code deceased| If the condition is the cause of death" /> <mapping> <identity value="gebz-peri-v3.2" /> <map value="peri32-dataelement-1122" /> <comment value="IsDoodsoorzaak" /> </mapping> </element> </differential> </StructureDefinition>