{
  "description": "**CHR:** Family history is recorded in the **Health Profile → Family History** section of the patient chart via the Family History modal, which captures family member relationships and associated conditions.",
  "_filename": "StructureDefinition-profile-DwFamilyMemberHistory.json",
  "package_name": "telus.dw.emr.extract-1-1-21",
  "date": "2026-05-29",
  "derivation": "constraint",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2024-05-03T21:14:05.6825598+00:00"
  },
  "publisher": "TELUS Health",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "CA",
      "system": "urn:iso:std:iso:3166",
      "display": "Canada"
    } ]
  } ],
  "name": "DwFamilyMemberHistory",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "copyright": "Copyright © 2026 TELUS Health. All rights reserved.",
  "type": "FamilyMemberHistory",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.1.21",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        } ],
        "expression": "text.`div`.exists()"
      }, {
        "key": "fhs-1",
        "human": "Can have age[x] or born[x], but not both",
        "xpath": "not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])",
        "source": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
        "severity": "error",
        "expression": "age.empty() or born.empty()"
      }, {
        "key": "fhs-2",
        "human": "Can only have estimatedAge if age[x] is present",
        "xpath": "exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))",
        "source": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
        "severity": "error",
        "expression": "age.exists() or estimatedAge.empty()"
      } ],
      "path": "FamilyMemberHistory",
      "min": 0,
      "definition": "Significant health conditions for a person related to the patient relevant in the context of care for the patient.",
      "isModifier": false,
      "short": "Information about patient's relatives, relevant for patient",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Event",
        "identity": "workflow"
      }, {
        "map": "Not in scope for v2",
        "identity": "v2"
      }, {
        "map": "Observation[classCode=OBS, moodCode=EVN]",
        "identity": "rim"
      } ],
      "max": "*",
      "id": "FamilyMemberHistory",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory"
      },
      "isSummary": false
    }, {
      "path": "FamilyMemberHistory.id",
      "min": 0,
      "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "isModifier": false,
      "short": "Logical id of this artifact",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "id"
        } ]
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.id",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nThe only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
      "isModifier": false,
      "short": "Metadata about the resource",
      "type": [ {
        "code": "Meta"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.implicitRules",
      "comment": "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "isModifier": false,
      "short": "Language of the resource content",
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        } ],
        "description": "A human language."
      },
      "max": "1",
      "id": "FamilyMemberHistory.language",
      "comment": "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).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource and can 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.",
      "isModifier": false,
      "short": "Text summary of the resource, for human interpretation",
      "mapping": [ {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "FamilyMemberHistory.text",
      "comment": "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 information is added later.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      },
      "isSummary": false
    }, {
      "path": "FamilyMemberHistory.contained",
      "min": 0,
      "definition": "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.",
      "isModifier": false,
      "short": "Contained, inline Resources",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "FamilyMemberHistory.contained",
      "comment": "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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.identifier",
      "requirements": "Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.",
      "min": 0,
      "definition": "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.",
      "isModifier": false,
      "short": "External Id(s) for this record",
      "mapping": [ {
        "map": "Event.identifier",
        "identity": "workflow"
      }, {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": "id",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.identifier",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: identifier.system = urn:telus:emr:chr:{region}:{accountId}:FamilyMemberHistory",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.instantiatesCanonical",
      "min": 0,
      "definition": "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.",
      "isModifier": false,
      "short": "Instantiates FHIR protocol or definition",
      "mapping": [ {
        "map": "Event.instantiatesCanonical",
        "identity": "workflow"
      }, {
        "map": ".outboundRelationship[typeCode=DEFN].target",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "canonical",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1", "http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1", "http://hl7.org/fhir/StructureDefinition/Measure|4.0.1", "http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1" ]
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.instantiatesCanonical",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.instantiatesCanonical"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.instantiatesUri",
      "min": 0,
      "definition": "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.",
      "isModifier": false,
      "short": "Instantiates external protocol or definition",
      "mapping": [ {
        "map": "Event.instantiatesUri",
        "identity": "workflow"
      }, {
        "map": ".outboundRelationship[typeCode=DEFN].target",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.instantiatesUri",
      "comment": "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.instantiatesUri"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.status",
      "min": 1,
      "definition": "A code specifying the status of the record of the family history of a specific family member.",
      "isModifier": true,
      "short": "partial | completed | entered-in-error | health-unknown",
      "mapping": [ {
        "map": "Event.status",
        "identity": "workflow"
      }, {
        "map": "FiveWs.status",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/history-status|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "FamilyHistoryStatus"
        } ],
        "description": "A code that identifies the status of the family history record."
      },
      "max": "1",
      "id": "FamilyMemberHistory.status",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Status derived from archived flag and confirmation state — entered-in-error when archived, completed when confirmed, partial when not yet confirmed.\r\nMA/PSS: EMR status mapped to FHIR history-status values.\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "FamilyMemberHistory.status"
      },
      "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.dataAbsentReason",
      "requirements": "This is a separate element to allow it to have a distinct binding from reasonCode.",
      "min": 0,
      "definition": "Describes why the family member's history is not available.",
      "isModifier": false,
      "short": "subject-unknown | withheld | unable-to-obtain | deferred",
      "mapping": [ {
        "map": ".reasonCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/history-absent-reason|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "FamilyHistoryAbsentReason"
        } ],
        "description": "Codes describing the reason why a family member's history is not available."
      },
      "max": "1",
      "id": "FamilyMemberHistory.dataAbsentReason",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.dataAbsentReason"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.patient",
      "min": 1,
      "definition": "The person who this history concerns.",
      "isModifier": false,
      "short": "Patient history is about",
      "mapping": [ {
        "map": "Event.subject",
        "identity": "workflow"
      }, {
        "map": "FiveWs.subject[x]",
        "identity": "w5"
      }, {
        "map": "participation[typeCode=SBJ].role",
        "identity": "rim"
      }, {
        "map": "FiveWs.subject",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ]
      } ],
      "mustSupport": true,
      "alias": [ "Proband" ],
      "max": "1",
      "id": "FamilyMemberHistory.patient",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known",
      "base": {
        "max": "1",
        "min": 1,
        "path": "FamilyMemberHistory.patient"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.date",
      "requirements": "Allows determination of how current the summary is.",
      "min": 0,
      "definition": "The date (and possibly time) when the family member history was recorded or last updated.",
      "isModifier": false,
      "short": "When history was recorded or last updated",
      "mapping": [ {
        "map": "FiveWs.recorded",
        "identity": "w5"
      }, {
        "map": "participation[typeCode=AUT].time",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "FamilyMemberHistory.date",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.date"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.name",
      "requirements": "Allows greater ease in ensuring the same person is being talked about.",
      "min": 0,
      "definition": "This will either be a name or a description; e.g. \"Aunt Susan\", \"my cousin with the red hair\".",
      "isModifier": false,
      "short": "The family member described",
      "mapping": [ {
        "map": "name",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.name",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.name"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.relationship",
      "min": 1,
      "definition": "The type of relationship this person has to the patient (father, mother, brother etc.).",
      "isModifier": false,
      "short": "Relationship to the subject",
      "mapping": [ {
        "map": "code",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/familymemberrelationshipcode"
      },
      "max": "1",
      "id": "FamilyMemberHistory.relationship",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Coded to SNOMED CT.\r\nPS Suite: May be present as discrete data, but is commonly part of a string.  Will be provided when available.\r\nMedAccess: May be present as discrete data.  Will be provided when available.\r\n\r\nNot 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.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "FamilyMemberHistory.relationship"
      },
      "isSummary": true
    }, {
      "path": "FamilyMemberHistory.relationship.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "FamilyMemberHistory.relationship.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.relationship.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.relationship.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.relationship.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "isModifier": false,
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "FamilyMemberHistory.relationship.coding",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: SNOMED CT coding (http://snomed.info/sct).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.relationship.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "isModifier": false,
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.relationship.text",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Display text from the SNOMED relationship mapping.\r\nMA - Concatenate Relation and maternal/paternal fields together\r\nPSS - Family member field if documented in structured format. Otherwise provide full short description \r\n\r\nVery often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.sex",
      "requirements": "Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.",
      "min": 0,
      "definition": "The birth sex of the family member.",
      "isModifier": false,
      "short": "male | female | other | unknown",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Sex"
        } ],
        "description": "Codes describing the sex assigned at birth as documented on the birth registration."
      },
      "max": "1",
      "id": "FamilyMemberHistory.sex",
      "comment": "This element should ideally reflect whether the individual is genetically male or female.  However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate.  E.g. 'Aunt Sue' might be XY rather than XX.  Questions soliciting this information should be phrased to encourage capture of genetic sex where known.  However, systems performing analysis should also allow for the possibility of imprecision with this element.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.sex"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.born[x]",
      "requirements": "Allows calculation of the relative's age.",
      "min": 0,
      "definition": "The actual or approximate date of birth of the relative.",
      "isModifier": false,
      "short": "(approximate) date of birth",
      "mapping": [ {
        "map": "player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Period"
      }, {
        "code": "date"
      }, {
        "code": "string"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.born[x]",
      "condition": [ "fhs-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.born[x]"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.age[x]",
      "requirements": "While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.",
      "min": 0,
      "definition": "The age of the relative at the time the family member history is recorded.",
      "isModifier": false,
      "short": "(approximate) age",
      "mapping": [ {
        "map": "participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code=\"age\"].value",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Age"
      }, {
        "code": "Range"
      }, {
        "code": "string"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.age[x]",
      "condition": [ "fhs-1" ],
      "comment": "use estimatedAge to indicate whether the age is actual or not.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.age[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.estimatedAge",
      "requirements": "Clinicians often prefer to specify an estimaged age rather than an age range.",
      "min": 0,
      "definition": "If true, indicates that the age value specified is an estimated value.",
      "isModifier": false,
      "short": "Age is estimated?",
      "type": [ {
        "code": "boolean"
      } ],
      "meaningWhenMissing": "It is unknown whether the age is an estimate or not",
      "max": "1",
      "id": "FamilyMemberHistory.estimatedAge",
      "condition": [ "fhs-2" ],
      "comment": "This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.estimatedAge"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.deceased[x]",
      "min": 0,
      "definition": "Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.",
      "isModifier": false,
      "short": "Dead? How old/when?",
      "mapping": [ {
        "map": "player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)  For age, you'd hang an observation off the role",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "Age"
      }, {
        "code": "Range"
      }, {
        "code": "date"
      }, {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "FamilyMemberHistory.deceased[x]",
      "comment": "**EMR Support:**\n- CHR: 🔴 Not Supported\n- MA: 🔴 Not Supported\n- PSS: 🟢 populate-if-known\n\nPS Suite: Available when entered as structured data Depending on documentation could be sent as deceasedBoolean or deceasedstring\r\nMed Access: N/A",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.deceased[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.reasonCode",
      "min": 0,
      "definition": "Describes why the family member history occurred in coded or textual form.",
      "isModifier": false,
      "short": "Why was family member history performed?",
      "mapping": [ {
        "map": "Event.reasonCode",
        "identity": "workflow"
      }, {
        "map": "FiveWs.why[x]",
        "identity": "w5"
      }, {
        "map": ".reasonCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "FamilyHistoryReason"
        } ],
        "description": "Codes indicating why the family member history was done."
      },
      "max": "*",
      "id": "FamilyMemberHistory.reasonCode",
      "comment": "Textual reasons can be captured using reasonCode.text.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.reasonCode"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.reasonReference",
      "min": 0,
      "definition": "Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.",
      "isModifier": false,
      "short": "Why was family member history performed?",
      "mapping": [ {
        "map": "Event.reasonReference",
        "identity": "workflow"
      }, {
        "map": "FiveWs.why[x]",
        "identity": "w5"
      }, {
        "map": ".outboundRelationship[typeCode=RSON].target",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1", "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1", "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance|4.0.1", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1", "http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1" ]
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.reasonReference",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.reasonReference"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.note",
      "min": 0,
      "definition": "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.",
      "isModifier": false,
      "short": "General note about related person",
      "mapping": [ {
        "map": "Event.note",
        "identity": "workflow"
      }, {
        "map": "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Annotation"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "FamilyMemberHistory.note",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Notes field from the family history record. Only emitted when a diagnosis is present.\r\nMA: May concatenate age/paternal/maternal context with the note text.\r\nPSS: Note text from the family history record.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.note"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition",
      "min": 0,
      "definition": "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.",
      "isModifier": false,
      "short": "Condition that the related person had",
      "mapping": [ {
        "map": "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value,
        "identity": "rim"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "FamilyMemberHistory.condition",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: One FamilyMemberHistory resource is generated per diagnosis; condition is always populated when a diagnosis exists.\r\nMA: Available when family history has a coded diagnosis.\r\nPSS: Available when family history is coded.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.condition"
      },
      "isSummary": false
    }, {
      "path": "FamilyMemberHistory.condition.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.condition.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.condition.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.code",
      "min": 1,
      "definition": "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.",
      "isModifier": false,
      "short": "Condition suffered by relation",
      "mapping": [ {
        "map": ".value",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.telus.com/health/fhir/dwemrextract/ValueSet/combined-condition-codes"
      },
      "max": "1",
      "id": "FamilyMemberHistory.condition.code",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Coded to ICD-9, ICD-10, SNOMED, or ENCODE based on the diagnosis template.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "FamilyMemberHistory.condition.code"
      },
      "isSummary": false
    }, {
      "path": "FamilyMemberHistory.condition.code.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.code.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.condition.code.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.code.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.code.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "isModifier": false,
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.code.coding",
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.code.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "isModifier": false,
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.code.text",
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.outcome",
      "min": 0,
      "definition": "Indicates what happened following the condition.  If the condition resulted in death, deceased date is captured on the relation.",
      "isModifier": false,
      "short": "deceased | permanent disability | etc.",
      "mapping": [ {
        "map": "outboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].value",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/condition-outcome|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ConditionOutcome"
        } ],
        "description": "The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc."
      },
      "max": "1",
      "id": "FamilyMemberHistory.condition.outcome",
      "comment": "**EMR Support:**\n- CHR: 🔴 Not Supported\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nPS Suite: Available when entered as structured data\r\nMed Access: Available when documented \r\n\r\nNot 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.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.condition.outcome"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.contributedToDeath",
      "min": 0,
      "definition": "This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.",
      "isModifier": false,
      "short": "Whether the condition contributed to the cause of death",
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.contributedToDeath",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.condition.contributedToDeath"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.onset[x]",
      "requirements": "Age of onset of a condition in relatives is predictive of risk for the patient.",
      "min": 0,
      "definition": "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.",
      "isModifier": false,
      "short": "When condition first manifested",
      "mapping": [ {
        "map": "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"Subject Age at measurement\", value,
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Age"
      }, {
        "code": "Range"
      }, {
        "code": "Period"
      }, {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "FamilyMemberHistory.condition.onset[x]",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: onsetAge when an age at onset is recorded, onsetString for a life stage (when no age), onsetPeriod from start and end dates (when no age or life stage).\r\nMA: onset date.\r\nPSS: onset string, onset period start, or onset age.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "FamilyMemberHistory.condition.onset[x]"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.note",
      "min": 0,
      "definition": "An area where general notes can be placed about this specific condition.",
      "isModifier": false,
      "short": "Extra information about condition",
      "mapping": [ {
        "map": "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Annotation"
      } ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.note",
      "base": {
        "max": "*",
        "min": 0,
        "path": "FamilyMemberHistory.condition.note"
      },
      "isSummary": false
    }, {
      "path": "FamilyMemberHistory.condition.note.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.note.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "FamilyMemberHistory.condition.note.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "FamilyMemberHistory.condition.note.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.note.author[x]",
      "min": 0,
      "definition": "The individual responsible for making the annotation.",
      "isModifier": false,
      "short": "Individual responsible for the annotation",
      "mapping": [ {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Act.participant[typeCode=AUT].role",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1", "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1", "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ]
      }, {
        "code": "string"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.note.author[x]",
      "comment": "Organization is used when there's no need for specific attribution as to who made the comment.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Annotation.author[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.note.time",
      "min": 0,
      "definition": "Indicates when this particular annotation was made.",
      "isModifier": false,
      "short": "When the annotation was made",
      "mapping": [ {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Act.effectiveTime",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.note.time",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Annotation.time"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "FamilyMemberHistory.condition.note.text",
      "min": 1,
      "definition": "The text of the annotation in markdown format.",
      "isModifier": false,
      "short": "The annotation  - text content (as markdown)",
      "mapping": [ {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Act.text",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "markdown"
      } ],
      "max": "1",
      "id": "FamilyMemberHistory.condition.note.text",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Treatment note, shared across all diagnoses within a family member record.\r\nMA: Note on condition within family member history.\r\nPSS: Condition note.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Annotation.text"
      },
      "isSummary": true
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
      "valueString": "4.0.1"
    } ]
  },
  "status": "draft",
  "id": "2efb2047-e99b-4a14-8b25-2a019e655a65",
  "kind": "resource",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwFamilyMemberHistory",
  "version": "2.0.0",
  "differential": {
    "element": [ {
      "id": "FamilyMemberHistory",
      "path": "FamilyMemberHistory"
    }, {
      "id": "FamilyMemberHistory.id",
      "path": "FamilyMemberHistory.id",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nThe only time that a resource does not have an id is when it is being submitted to the server using a create operation."
    }, {
      "id": "FamilyMemberHistory.identifier",
      "path": "FamilyMemberHistory.identifier",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: identifier.system = urn:telus:emr:chr:{region}:{accountId}:FamilyMemberHistory",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "FamilyMemberHistory.status",
      "path": "FamilyMemberHistory.status",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Status derived from archived flag and confirmation state — entered-in-error when archived, completed when confirmed, partial when not yet confirmed.\r\nMA/PSS: EMR status mapped to FHIR history-status values.\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.patient",
      "path": "FamilyMemberHistory.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ]
      } ],
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.date",
      "path": "FamilyMemberHistory.date",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.relationship",
      "path": "FamilyMemberHistory.relationship",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/familymemberrelationshipcode"
      },
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Coded to SNOMED CT.\r\nPS Suite: May be present as discrete data, but is commonly part of a string.  Will be provided when available.\r\nMedAccess: May be present as discrete data.  Will be provided when available.\r\n\r\nNot 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.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.relationship.coding",
      "path": "FamilyMemberHistory.relationship.coding",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: SNOMED CT coding (http://snomed.info/sct).",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.relationship.text",
      "path": "FamilyMemberHistory.relationship.text",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Display text from the SNOMED relationship mapping.\r\nMA - Concatenate Relation and maternal/paternal fields together\r\nPSS - Family member field if documented in structured format. Otherwise provide full short description \r\n\r\nVery often the text is the same as a displayName of one of the codings.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.deceased[x]",
      "path": "FamilyMemberHistory.deceased[x]",
      "comment": "**EMR Support:**\n- CHR: 🔴 Not Supported\n- MA: 🔴 Not Supported\n- PSS: 🟢 populate-if-known\n\nPS Suite: Available when entered as structured data Depending on documentation could be sent as deceasedBoolean or deceasedstring\r\nMed Access: N/A",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.note",
      "path": "FamilyMemberHistory.note",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Notes field from the family history record. Only emitted when a diagnosis is present.\r\nMA: May concatenate age/paternal/maternal context with the note text.\r\nPSS: Note text from the family history record.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.condition",
      "path": "FamilyMemberHistory.condition",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: One FamilyMemberHistory resource is generated per diagnosis; condition is always populated when a diagnosis exists.\r\nMA: Available when family history has a coded diagnosis.\r\nPSS: Available when family history is coded.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.condition.code",
      "path": "FamilyMemberHistory.condition.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.telus.com/health/fhir/dwemrextract/ValueSet/combined-condition-codes"
      },
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Coded to ICD-9, ICD-10, SNOMED, or ENCODE based on the diagnosis template.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.condition.code.coding",
      "code": [ {
        "system": "http://hl7.org/fhir/sid/icd9"
      }, {
        "system": "http://snomed.info/sct"
      }, {
        "system": "http://hl7.org/fhir/sid/icd-9-cm"
      } ],
      "path": "FamilyMemberHistory.condition.code.coding"
    }, {
      "id": "FamilyMemberHistory.condition.outcome",
      "path": "FamilyMemberHistory.condition.outcome",
      "comment": "**EMR Support:**\n- CHR: 🔴 Not Supported\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nPS Suite: Available when entered as structured data\r\nMed Access: Available when documented \r\n\r\nNot 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."
    }, {
      "id": "FamilyMemberHistory.condition.onset[x]",
      "path": "FamilyMemberHistory.condition.onset[x]",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: onsetAge when an age at onset is recorded, onsetString for a life stage (when no age), onsetPeriod from start and end dates (when no age or life stage).\r\nMA: onset date.\r\nPSS: onset string, onset period start, or onset age.",
      "mustSupport": true
    }, {
      "id": "FamilyMemberHistory.condition.note.text",
      "path": "FamilyMemberHistory.condition.note.text",
      "comment": "**EMR Support:**\n- CHR: 🟢 populate-if-known\n- MA: 🟢 populate-if-known\n- PSS: 🟢 populate-if-known\n\nCHR: Treatment note, shared across all diagnoses within a family member record.\r\nMA: Note on condition within family member history.\r\nPSS: Condition note."
    } ]
  },
  "contact": [ {
    "name": "TELUS Health",
    "telecom": [ {
      "value": "https://www.telus.com/health",
      "system": "url"
    } ]
  }, {
    "name": "TELUS Health",
    "telecom": [ {
      "value": "https://www.telus.com/health",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
}