Copy of 'GP Connect Data Model | FHIR STU3 Representation'

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Reference

Canonical URI: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1

The canonical URI is the stable FHIR identifier for this profile and is not currently available as a browsable web page.

Related links

CareConnect-FamilyMemberHistory

Data model element usage

extension(recorder)

Usage Mandatory

Guidance The person who entered the record on the system. The table below outlines requester and recorder combinations for clarity.

Scenario Requester Recorder Prescibing clinician Fred is requesting new medication Fred Fred Prescibing clinician Fred is re-ordering previous medication he previously prescribed Fred Fred Prescibing clinician Jane is re-ordering previous medication, without any clinical changes, that Fred previously prescribed Fred Jane Prescibing clinician Jane is re-ordering previous medication that Fred previously prescribed, with clinical changes Jane Jane Nurse Rodger is ordering medication prescribed by Fred Fred Rodger Pharmacy technical Sally is re-ordering medication prescribed by Fred Fred Sally Example

<recorder>
    <identifier>
        <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
        <value value="0054272" />
    </identifier>
 </recorder>

extension(encounter)

Usage

Optional

Guidance

Reference to the Encounter profile providing the context for the consultation (Date/Doctor/Place ….)

The Encounter reference is provided by all Lists in the structure rather than the top-level List(Consultation) only.

Example

<encounter>
    <reference value="encounter-12iaq" />
</encounter>

identifier

Usage

Required

Guidance

External Id(s) for this record

Example

<identifier>
    <system value="https://foo.bar/id/familymemberhistory" />
    <value value="fef26348-ccd1-440b-940e-ba1ec058cf21" />
</identifier>

definition

Usage

Mandatory

Guidance

A protocol or questionnaire that was adhered to in whole or in part by this event.

Reference ( PlanDefinition | Questionnaire )

Example

<patient>
    <reference value="questionnaire-9929ppp" />
</patient>

status

Usage

Optional

Guidance

The status of the family history

e.g. partial | completed | entered-in-error | health-unknown.

Example

    <status>
        <code value="completed" />
        <display value="completed " />
    </status>

notDone

Usage

Optional

Guidance

The taking of a family member's history did not occur - Boolean - True | False

Example

        <notDone value="True" />

notDoneReason

Usage

Optional

Guidance

The status of the family history

e.g. subject-unknown | withheld | unable-to-obtain | deferred. obtai

Example

    <status>
        <code value="withheld" />
        <display value="withheld " />
    </status>

patient

Usage

Mandatory

Guidance

A reference to the patient who the Family History relates to

Example

<patient>
    <reference value="patient-9929alp" />
</patient>

date

Usage

Optional

Guidance

The date element should contain the date the family history was taken.

name

Usage

Optional

Guidance

The family member described

Example

<name>
    <family value="Black"/>
    <given value="Sarah"/>
    <prefix value="Mrs"/>
</name>

relationship

Usage

Mandatory

Guidance

<code>
    <coding>
        <system value="http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype" />
        <code value="SONFOST" />
        <display value="foster son" />
    </coding>
</code>

gender

Usage

Optional

Guidance

This element should be populated where available.

Example

<gender value="female"/>

born[x]

Usage

Required

Guidance

(approximate) date of birth.

Example

<bornPeriod>
    <start value="2022-10-28T13:38:00+00:00" />
    <end value="2024-10-28T13:38:00+00:00" />
</bornPeriod>
<bornDate value="2024-10-28T13:38:00+00:00" />
<bornString value="28th October 22/23/24?" />

age[x]

Usage

Required

Guidance

(approximate) age

Example

<age value="88" />
<Range>
    <low value="84" />
    <high value="92" />
</Range>

<String value="Suspected to be 88" />

estimatedAge

Usage

Optional

Guidance

Age is estimate ? - Boolean - True | False

Example

        <estimatedAge value="True" />

deceased[x]

Usage

Optional

Guidance

Patient is deceased - Boolean - True | False

Example

         <deceasedBoolean value="false"/> 

reasonCode

Usage

Optional

Guidance

The reasonCode describes why the family member history occurred in coded or textual form.

Example

<reasonCode>
    <coding>
        <system value="http://snomed.info/sct" />
        <code value="195967001" />
        <display value="Asthma (disorder)" />
    </coding>
</reasonCode>

reasonReference

Usage

Optional

Guidance

Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse)	

Example

<reasonReference>
    <reference value="condition--00f39ds" />
</reasonReference>

note

Usage

Required

Guidance

Any notes relating to the specified specimen.

Example

<note>
    <author>
        <reference value="practitioner-948392" />
    </author>
    <time value="2022-10-13T16:59:00Z" />
    <text>
        Free text... R4 of the FHIR standard supports GitHub Flavoured Markdown (GFM).
    </text>
</note>

condition

Usage

Optional

Guidance

The date element should contain the date the family history was taken.

Example

  <condition> 
    <code> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="22298006"/> 
        <display value="Myocardial Infarction"/> 
      </coding> 
      <text value="Heart Attack"/> 
    </code> 
    <contributedToDeath value="true"/> 
    <onsetAge> 
      <value value="74"/> 
      <unit value="yr"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="a"/> 
    </onsetAge>
    ```

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