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Family History Organizer

[Organizer: templateId 2.16.840.1.113883.10.20.22.4.45]

The Family History Oranizer associates a set of observations with a family member. For example, the Family History Organizer can group a set of observations about the patient's father.

  1. SHALL contain exactly one [1..1] templateId ( CONF:10497 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.45"
  2. SHALL contain exactly one [1..1] @classCode="CLUSTER" (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8600)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8601)
  4. Contains exactly one [1..1] statusCode
  5. SHALL contain at least one [1..*] component (CONF:8607, CONF:16888)
    1. Contains exactly one [1..1] Family History Observation (templateId: 2.16.840.1.113883.10.20.22.4.46)
  6. SHALL contain zero or one [0..1] subject (CONF:8609)
    1. This subject SHALL contain exactly one [1..1] relatedSubject (CONF:15244)
      1. This relatedSubject SHALL contain zero or one [0..1] @classCode="PRS" (CONF:15245)
      2. This relatedSubject SHALL contain exactly one [1..1] code (CONF:15246), where the @code SHOULD be selected from ValueSet FamilyHistoryRelatedSubjectCode 2.16.840.1.113883.1.11.19579 STATIC 1 (CONF:15247)
      3. This relatedSubject SHOULD contain zero or one [0..1] subject (CONF:15248)
        1. This subject SHALL contain exactly one [1..1] administrativeGenderCode (CONF:15974), where the @code SHALL be selected from ValueSet Administrative Gender (HL7 V3) 2.16.840.1.113883.1.11.1 DYNAMIC (CONF:15975)
        2. This subject SHOULD contain zero or one [0..1] birthTime (CONF:15976)
        3. This subject MAY contain zero or one [0..1] sDTCDeceasedInd (CONF:15981)

          The prefix sdtc: SHALL be bound to the namespace "urn:hl7-org:sdtc". The use of the namespace provides a necessary extension to CDA R2 for the use of the deceasedInd element.

        4. This subject MAY contain zero or one [0..1] sDTCDeceasedTime (CONF:15982)

          The prefix sdtc: SHALL be bound to the namespace "urn:hl7-org:sdtc". The use of the namespace provides a necessary extension to CDA R2 for the use of the deceasedTime element.

        5. This subject SHOULD contain zero or more [0..*] sDTCId (CONF:15249)

          The prefix sdtc: SHALL be bound to the namespace "urn:hl7-org:sdtc". The use of the namespace provides a necessary
          extension to CDA R2 for the use of the id element.

        6. This subject age of a relative at the time of a family history observation SHOULD be inferred by comparing RelatedSubject/subject/birthTime with Observation/effectiveTime (CONF:15983)
        7. This subject age of a relative at the time of death MAY be inferred by comparing RelatedSubject/subject/birthTime with RelatedSubject/subject/sdwg:deceasedTime (CONF:8632)

Family History Organizer example

<organizer xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="1049900427"/>
  <statusCode code="completed"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <subject>
    <relatedSubject classCode="PRS">
      <code codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode"/>
      <subject>
        <administrativeGenderCode codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGenderCode"/>
      </subject>
    </relatedSubject>
  </subject>
  <component>
    <observation>
      <id root="MDHT" extension="1773218960"/>
      <code code="903327131"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1601786227"/>
          <code code="337463159"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="2098572163"/>
          <code code="1419698961"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
    </observation>
  </component>
</organizer>