<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASFamilyMemberHistory" />
  <name value="UNICASFamilyMemberHistory" />
  <title value="FamilyMemberHistory Antecedente Familiar ÚNICAS" />
  <status value="draft" />
  <description value="Este profile define las restricciones del recurso FamilyMemberHistory para representar el registro de un antecedente familiar en el contexto del caso de uso de ÚNICAS." />
  <fhirVersion value="5.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="FamilyMemberHistory" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" />
  <derivation value="constraint" />
  <differential>
    <element id="FamilyMemberHistory.identifier">
      <path value="FamilyMemberHistory.identifier" />
      <short value="Identificador único" />
      <definition value="External Id(s) for this record. Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.identifier.system">
      <path value="FamilyMemberHistory.identifier.system" />
      <short value="Sistema para identificar el origen" />
      <definition value="Formato: urn:regcess:[CódigoREGCESS]&#xD;&#xA;Debe incluir el código REGCESS después de urn:regcess:" />
      <min value="1" />
      <constraint>
        <key value="regcess-system" />
        <severity value="warning" />
        <human value="system debe comenzar por urn:regcess: seguido del identificador del sistema." />
        <expression value="matches('^urn:regcess:[A-Za-z0-9]+$')" />
      </constraint>
    </element>
    <element id="FamilyMemberHistory.identifier.value">
      <path value="FamilyMemberHistory.identifier.value" />
      <short value="Identificador interno del sistema para el antecedente familiar" />
      <definition value="Debe indicar el ID interno del sistema de origen utilizado para el antecedente familiar." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.patient">
      <path value="FamilyMemberHistory.patient" />
      <short value="Referencia al paciente" />
      <definition value="Patient history is about. The person who this history concerns." />
      <type>
        <code value="Reference" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient" />
      </type>
    </element>
    <element id="FamilyMemberHistory.patient.reference">
      <path value="FamilyMemberHistory.patient.reference" />
      <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" />
      <definition value="Formato: [base]/Patient?identifier=[OID registro de número de CIP-SNS]|[Número CIP-SNS]" />
    </element>
    <element id="FamilyMemberHistory.patient.type">
      <path value="FamilyMemberHistory.patient.type" />
      <short value="Tipo de recurso FHIR" />
      <definition value="Type the reference refers to (e.g. &quot;Patient&quot;) - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.&#xD;&#xA;&#xD;&#xA;The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. &quot;Patient&quot; is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.patient.identifier">
      <path value="FamilyMemberHistory.patient.identifier" />
      <short value="Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS" />
      <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.patient.identifier.type">
      <path value="FamilyMemberHistory.patient.identifier.type" />
      <short value="Tipos de documentos de identificación para persona ÚNICAS" />
      <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" />
      </binding>
    </element>
    <element id="FamilyMemberHistory.patient.identifier.type.coding.system">
      <path value="FamilyMemberHistory.patient.identifier.type.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="FamilyMemberHistory.patient.identifier.type.coding.code">
      <path value="FamilyMemberHistory.patient.identifier.type.coding.code" />
      <short value="Código del identificador" />
    </element>
    <element id="FamilyMemberHistory.patient.identifier.type.coding.display">
      <path value="FamilyMemberHistory.patient.identifier.type.coding.display" />
      <short value="Decripción del identificador" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="FamilyMemberHistory.patient.identifier.system">
      <path value="FamilyMemberHistory.patient.identifier.system" />
      <short value="OID registro de número de CIP-SNS" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="FamilyMemberHistory.patient.identifier.value">
      <path value="FamilyMemberHistory.patient.identifier.value" />
      <short value="Número CIP-SNS" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="FamilyMemberHistory.patient.display">
      <path value="FamilyMemberHistory.patient.display" />
      <short value="Nombre completo del paciente" />
      <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." />
    </element>
    <element id="FamilyMemberHistory.relationship">
      <path value="FamilyMemberHistory.relationship" />
      <short value="Relación de parentesco entre el paciente y el familiar con enfermedad hereditaria (Grado de parentesco)" />
      <definition value="Relationship to the subject. The type of relationship this person has to the patient (father, mother, brother etc.)." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Tipos de relaciones de parentesco entre el paciente y el familiar con enfermedades hereditarias en ÚNICAS (Grados de parentesco)" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/GradosParentescoHereditario" />
      </binding>
    </element>
    <element id="FamilyMemberHistory.relationship.coding.system">
      <path value="FamilyMemberHistory.relationship.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el grado de parentesco y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS con descendientes del familiar consanguíneo: http://snomed.info/sct/900000001000122104" />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.relationship.coding.code">
      <path value="FamilyMemberHistory.relationship.coding.code" />
      <short value="Código del grado de parentesco" />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.relationship.coding.display">
      <path value="FamilyMemberHistory.relationship.coding.display" />
      <short value="Decripción del grado de parentesco" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.condition">
      <path value="FamilyMemberHistory.condition" />
      <short value="Enfermedad familiar hereditaria" />
      <definition value="Condition that the related person had. 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." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.condition.code">
      <path value="FamilyMemberHistory.condition.code" />
      <short value="Enfermedad" />
      <definition value="Condition suffered by relation. 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." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Enfermedades" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/Enfermedades" />
      </binding>
    </element>
    <element id="FamilyMemberHistory.condition.code.coding.system">
      <path value="FamilyMemberHistory.condition.code.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA" />
      <definition value="Posibles URLs y/o OIDs de terminologías utilizadas para indicar la enfermedad y su descripción correspondiente:&#xD;&#xA;&#xA;- SNOMED CT. Extensión para España del SNS con filtro aplicado al eje hallazgo: http://snomed.info/sct/900000001000122104&#xA;- CIE-10-ES. Diagnósticos: urn:oid:2.16.724.4.21.5.29&#xD;&#xA;- ORPHA: urn:oid:2.16.724.4.21.5.22" />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.condition.code.coding.code">
      <path value="FamilyMemberHistory.condition.code.coding.code" />
      <short value="Código del enfermedad" />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.condition.code.coding.display">
      <path value="FamilyMemberHistory.condition.code.coding.display" />
      <short value="Descripción del enfermedad" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
      <min value="1" />
    </element>
    <element id="FamilyMemberHistory.condition.code.text">
      <path value="FamilyMemberHistory.condition.code.text" />
      <short value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="FamilyMemberHistory.condition.onset[x]">
      <path value="FamilyMemberHistory.condition.onset[x]" />
      <short value="Fecha de inicio" />
      <definition value="When condition first manifested. 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." />
    </element>
  </differential>
</StructureDefinition>