---
type: "resource"
title: "FamilyMemberHistory"
resource: "FamilyMemberHistory"
---
# FamilyMemberHistory
## Introduction
## Scope and Usage
FamilyMemberHistory is one of the [event](workflow#event) resources in the FHIR [workflow](workflow) specification.
This resource records significant health conditions for a particular individual related to the subject. This information can be known to different levels of accuracy. Sometimes the exact condition ('asthma') is known, and sometimes it is less precise ('some sort of cancer'). Equally, sometimes the person can be identified ('my aunt Agatha') and sometimes all that is known is that the person was an uncle.
This resource represents a simple structure used to capture an 'elementary' family history for a particular family member. However, it can also be the basis for capturing a more rigorous history useful for genetic and other analysis - refer to the [Genetic Pedigree](familymemberhistory-genetic) profile for an example.
The entire family history for an individual can be represented by combining references to **FamilyMemberHistory** instances into a [List](list) resource instance.
## Notes
### Processing information about the Family Member History
The Family Member History [List](list) may contain other than FamilyMemberHistory resources. For example, a full Family History could be a [List](list) that might include a mixture of FamilyMemberHistory records as well as [Observation](observation) records of things like "maternal family history of breast cancer", "number of siblings", "number of female family members with breast cancer" etc.
The [List](list) representing a patient's "family history" can include [Condition](condition) and [Observation](observation) records that capture "family-history" relevant assertions about the patient themselves that would typically be captured as part of a family history.
### No Known Patient History, No Known Problems, and Negated Conditions
**Not Reviewed, Not Asked**
When a sending system does not have family history about any family members or the statement is about family history not yet being asked, then the [List](list) resource should be used to indicate the List.emptyReason="notasked".
**Reviewed, None Identified for Family**
After reasonable investigation that there are no known items for the family member history list, then the [List](list) resource should be used to indicate the List.emptyReason="nilknown". The List.emptyReason represents a statement about the full scope of the list (i.e. the patient or patient's agent/guardian has asserted that there are no conditions or significant events for any family members to record).
**Reviewed, No Information Available for a Family Member**
When an individual family member's history is not available, FamilyMemberHistory.dataAbsentReason can be used to indicate why that family member's history is not available (e.g. subject unknown).
**Reviewed, No Known Problems or Negated Condition for a Family Member**
The FamilyMemberHistory.condition.code can be used to capture "No Known Problems" or negated conditions, such as "No history of malignant tumor of breast", for an individual family member.
## StructureDefinition
### Elements (Simplified)
- **[FamilyMemberHistory](/familymemberhistory-definitions#FamilyMemberHistory)** [0..*]: - Information about patient's relatives, relevant for patient
- **[FamilyMemberHistory.identifier](/familymemberhistory-definitions#FamilyMemberHistory.identifier)** [0..*]: [Identifier](/Identifier) External Id(s) for this record
- **[FamilyMemberHistory.status](/familymemberhistory-definitions#FamilyMemberHistory.status)** [1..1]: [code](/code) required:[history-status](/valueset-history-status) partial | completed | entered-in-error | health-unknown
- **[FamilyMemberHistory.dataAbsentReason](/familymemberhistory-definitions#FamilyMemberHistory.dataAbsentReason)** [0..1]: [CodeableConcept](/CodeableConcept) example:[history-absent-reason](/valueset-history-absent-reason) subject-unknown | withheld | unable-to-obtain | deferred
- **[FamilyMemberHistory.patient](/familymemberhistory-definitions#FamilyMemberHistory.patient)** [1..1]: Reference([Patient](/Patient)) Patient history is about
- **[FamilyMemberHistory.date](/familymemberhistory-definitions#FamilyMemberHistory.date)** [0..1]: [dateTime](/dateTime) When history was recorded or last updated
- **[FamilyMemberHistory.recorder](/familymemberhistory-definitions#FamilyMemberHistory.recorder)** [0..1]: [Reference(Practitioner](/Reference(Practitioner), [PractitionerRole](/PractitionerRole), [Patient](/Patient), [RelatedPerson](/RelatedPerson), [Organization](/Organization), [CareTeam](/CareTeam), [Group)](/Group)) Who recorded the family member history
- **[FamilyMemberHistory.asserter](/familymemberhistory-definitions#FamilyMemberHistory.asserter)** [0..1]: [Reference(Practitioner](/Reference(Practitioner), [PractitionerRole](/PractitionerRole), [Patient](/Patient), [RelatedPerson](/RelatedPerson), [Organization](/Organization), [CareTeam](/CareTeam), [Device](/Device), [Group)](/Group)) Person or device that asserts this family member history
- **[FamilyMemberHistory.name](/familymemberhistory-definitions#FamilyMemberHistory.name)** [0..1]: [string](/string) The family member described
- **[FamilyMemberHistory.relationship](/familymemberhistory-definitions#FamilyMemberHistory.relationship)** [1..1]: [CodeableConcept](/CodeableConcept) example:[v3-FamilyMember](/valueset-v3-FamilyMember) Relationship to the subject
- **[FamilyMemberHistory.sex](/familymemberhistory-definitions#FamilyMemberHistory.sex)** [0..1]: [CodeableConcept](/CodeableConcept) extensible:[administrative-gender](/valueset-administrative-gender) male | female | other | unknown
- **[FamilyMemberHistory.born[x]](/familymemberhistory-definitions#FamilyMemberHistory.born%5Bx%5D)** [0..1]: [Period](/Period), [date](/date), [string](/string) (approximate) date of birth
- **[FamilyMemberHistory.age[x]](/familymemberhistory-definitions#FamilyMemberHistory.age%5Bx%5D)** [0..1]: [Age](/Age), [Range](/Range), [string](/string) (approximate) age
- **[FamilyMemberHistory.estimatedAge](/familymemberhistory-definitions#FamilyMemberHistory.estimatedAge)** [0..1]: [boolean](/boolean) Age is estimated?
- **[FamilyMemberHistory.deceased[x]](/familymemberhistory-definitions#FamilyMemberHistory.deceased%5Bx%5D)** [0..1]: [boolean](/boolean), [Age](/Age), [Range](/Range), [date](/date), [string](/string) Dead? How old/when?
- **[FamilyMemberHistory.reason](/familymemberhistory-definitions#FamilyMemberHistory.reason)** [0..*]: [CodeableReference](/CodeableReference) example:[clinical-findings](/valueset-clinical-findings) Why was family member history performed?
- **[FamilyMemberHistory.note](/familymemberhistory-definitions#FamilyMemberHistory.note)** [0..*]: [Annotation](/Annotation) General note about related person
- **[FamilyMemberHistory.condition](/familymemberhistory-definitions#FamilyMemberHistory.condition)** [0..*]: [BackboneElement](/BackboneElement) Condition that the related person had
- **[FamilyMemberHistory.condition.code](/familymemberhistory-definitions#FamilyMemberHistory.condition.code)** [1..1]: [CodeableConcept](/CodeableConcept) example:[condition-code](/valueset-condition-code) Condition, allergy, or intolerance suffered by relation
- **[FamilyMemberHistory.condition.outcome](/familymemberhistory-definitions#FamilyMemberHistory.condition.outcome)** [0..1]: [CodeableConcept](/CodeableConcept) example:[condition-outcome](/valueset-condition-outcome) deceased | permanent disability | etc
- **[FamilyMemberHistory.condition.contributedToDeath](/familymemberhistory-definitions#FamilyMemberHistory.condition.contributedToDeath)** [0..1]: [boolean](/boolean) Whether the condition contributed to the cause of death
- **[FamilyMemberHistory.condition.onset[x]](/familymemberhistory-definitions#FamilyMemberHistory.condition.onset%5Bx%5D)** [0..1]: [Age](/Age), [Range](/Range), [Period](/Period), [string](/string) When condition first manifested
- **[FamilyMemberHistory.condition.note](/familymemberhistory-definitions#FamilyMemberHistory.condition.note)** [0..*]: [Annotation](/Annotation) Extra information about condition
- **[FamilyMemberHistory.procedure](/familymemberhistory-definitions#FamilyMemberHistory.procedure)** [0..*]: [BackboneElement](/BackboneElement) Procedures that the related person had
- **[FamilyMemberHistory.procedure.code](/familymemberhistory-definitions#FamilyMemberHistory.procedure.code)** [1..1]: [CodeableConcept](/CodeableConcept) example:[procedure-code](/valueset-procedure-code) Procedures performed on the related person
- **[FamilyMemberHistory.procedure.outcome](/familymemberhistory-definitions#FamilyMemberHistory.procedure.outcome)** [0..1]: [CodeableConcept](/CodeableConcept) example:[clinical-findings](/valueset-clinical-findings) What happened following the procedure
- **[FamilyMemberHistory.procedure.contributedToDeath](/familymemberhistory-definitions#FamilyMemberHistory.procedure.contributedToDeath)** [0..1]: [boolean](/boolean) Whether the procedure contributed to the cause of death
- **[FamilyMemberHistory.procedure.performed[x]](/familymemberhistory-definitions#FamilyMemberHistory.procedure.performed%5Bx%5D)** [0..1]: [Age](/Age), [Range](/Range), [Period](/Period), [string](/string), [dateTime](/dateTime) When the procedure was performed
- **[FamilyMemberHistory.procedure.note](/familymemberhistory-definitions#FamilyMemberHistory.procedure.note)** [0..*]: [Annotation](/Annotation) Extra information about the procedure
## Mappings
- [FamilyMemberHistory Mappings](/familymemberhistory-mappings) — 35 mapping entries
## Implementation Guide
### implementationguide-FamilyMemberHistory-core.xml
```xml
```
## Resource Packs
### list-FamilyMemberHistory-packs.xml
```xml
-
```
## Search Parameters
- [code](/familymemberhistory-search#code) — **token** — A search by a condition code — `FamilyMemberHistory.condition.code`
- [date](/familymemberhistory-search#date) — **date** — When history was recorded or last updated — `FamilyMemberHistory.date`
- [identifier](/familymemberhistory-search#identifier) — **token** — A search by a record identifier — `FamilyMemberHistory.identifier`
- [patient](/familymemberhistory-search#patient) — **reference** — The identity of a subject to list family member history items for — `FamilyMemberHistory.patient`
- [relationship](/familymemberhistory-search#relationship) — **token** — A search by a relationship type — `FamilyMemberHistory.relationship`
- [sex](/familymemberhistory-search#sex) — **token** — A search by a sex code of a family member — `FamilyMemberHistory.sex`
- [status](/familymemberhistory-search#status) — **token** — partial | completed | entered-in-error | health-unknown — `FamilyMemberHistory.status`
[Full Search Parameters](/familymemberhistory-search)
## Examples
- [familymemberhistory-example](/familymemberhistory-example-familymemberhistory-example) — familymemberhistory-example
- [familymemberhistory-example-mother](/familymemberhistory-example-familymemberhistory-example-mother) — familymemberhistory-example-mother
- [familymemberhistory-example-negation](/familymemberhistory-example-familymemberhistory-example-negation) — familymemberhistory-example-negation
- [familymemberhistory-examples-header](/familymemberhistory-example-familymemberhistory-examples-header) — familymemberhistory-examples-header
- [father](/familymemberhistory-example-father) — familymemberhistory-example — Basic Example. Describes the fathers death at age 74 from a heart attack
- [mother](/familymemberhistory-example-mother) — familymemberhistory-example-mother — Mother died from a stroke aged 56. Brother with diabetes.
- [negation](/familymemberhistory-example-negation) — familymemberhistory-example-negation — Mother has no history of malignant tumor of breast
[Full Examples](/familymemberhistory-examples)
## Mapping Exceptions
### familymemberhistory-event-mapping-exceptions.xml
### Divergent Elements
- **Event.identifier** → **FamilyMemberHistory.identifier**
- shortUnmatched | reason=Unknown | pattern=Business identifier for family member history | resource=External Id(s) for this record
- definitionUnmatched | reason=Unknown | pattern=Business identifiers assigned to this family member history by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server. | resource=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.
- commentsUnmatched | reason=Unknown | pattern=Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. | resource=This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
- **Event.status** → **FamilyMemberHistory.status**
- shortUnmatched | reason=Unknown | pattern=preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown | resource=partial | completed | entered-in-error | health-unknown
- definitionUnmatched | reason=Unknown | pattern=The current state of the family member history. | resource=A code specifying the status of the record of the family history of a specific family member.
- commentsUnmatched | reason=Unknown | pattern=A nominal state-transition diagram can be found in the (Event pattern documentation
Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. | resource=This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
- **Event.subject** → **FamilyMemberHistory.patient**
- missingTypes | reason=Unknown | pattern=Reference(Group)
- shortUnmatched | reason=Unknown | pattern=Individual service was done for/to | resource=Patient history is about
- definitionUnmatched | reason=Unknown | pattern=The individual or set of individuals the action is being or was performed on. | resource=The person who this history concerns.
- requirementsUnmatched | reason=Unknown | pattern=Links the family member history to the Patient context. May also affect access control.
- **Event.reason** → **FamilyMemberHistory.reason**
- definitionUnmatched | reason=Unknown | pattern=Describes why the family member history occurred in coded or textual form or Indicates another resource whose existence justifies this family member history. | resource=Describes why the family member history occurred in coded or textual form, or Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.
- **Event.note** → **FamilyMemberHistory.note**
- shortUnmatched | reason=Unknown | pattern=Comments made about the event | resource=General note about related person
- definitionUnmatched | reason=Unknown | pattern=Comments made about the family member history by the performer, subject or other participants. | resource=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.
### Unmapped Elements
- **Event.partOf** — Unknown
- **Event.reported** — Unknown
- **Event.relevantHistory** — Unknown
- **Event.code** — Unknown
- **Event.location** — Unknown
- **Event.statusReason** — Unknown
- **Event.performer.actor** — Unknown
- **Event.performer.function** — Unknown
- **Event.category** — Unknown
- **Event.encounter** — Unknown
- **Event.recorded** — Unknown
- **Event.occurrence** — Unknown
- **Event.product** — Unknown
- **Event.performer** — Unknown
### familymemberhistory-fivews-mapping-exceptions.xml
### Unmapped Elements
- **FiveWs.what** — Unknown
- **FiveWs.actor** — Unknown
- **FiveWs.cause** — Unknown
- **FiveWs.version** — Unknown
- **FiveWs.witness** — Unknown
- **FiveWs.class** — Unknown
- **FiveWs.where** — Unknown
- **FiveWs.context** — Unknown
- **FiveWs.init** — Unknown
- **FiveWs.who** — Unknown
- **FiveWs.grade** — Unknown
- **FiveWs.planned** — Unknown
- **FiveWs.done** — Unknown