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  1. FHIR Specification Feedback
  2. FHIR-8781

FamilyMemberHistory Should be Patient, not Relative Centric

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Details

    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • DSTU1
    • Patient Care
    • FamilyMemberHistory
    • Hide

      Add a note similar to Condition's "No Known Problems and Negated Conditions" to draw attention to using *List.emptyReason *to represent No Known Patient History.

      Refer to GF#8782 to address negation for a specific relative.

      Show
      Add a note similar to Condition's "No Known Problems and Negated Conditions" to draw attention to using *List.emptyReason *to represent No Known Patient History. Refer to GF#8782 to address negation for a specific relative.
    • Danielle/Marten: 6-0-0
    • Enhancement
    • Non-substantive
    • DSTU2

    Description

      In DSTU1, FamilyHistory [1] was tied to a patient, with the resource returning an array of relatives, each with an array of problems. In DSTU2, FamilyMemberHistory is scoped to the relative level, meaning that a single resource contains problems relating to a single relative. This breaks the structure of EHR systems that model family history similar to other history information which is scoped to the patient level and without discrete modeling of relationships. Suggest that the DSTU1 model be re-adopted.

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            dfriend Danielle Friend
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              Created:
              Updated:
              Resolved: