Significant health conditions for a person related to the patient relevant in the context of care for the patient.

患者の診療に関連する、患者家族の疾患に関する情報。

A code specifying the status of the record of the family history of a specific family member.

家族歴の記録のステータス。記録が部分的なものか完全なものかなど。

Describes why the family member's history is not available.

1)subject-unknown:患者が対象の家族のことを知らない（例:患者は養子のため実親を知らない）

2)withheld:患者が家族歴の共有を拒否

3)unable-to-obtain:患者から聞き取れない（例：患者が意識不明）

4)deferred:患者は今は知らないが、後日共有するつもりである

The person who this history concerns.

この家族歴を有する患者。

The date (and possibly time) when the family member history was recorded or last updated.

この家族歴の最終更新日。

This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair".

対象の家族の呼び名。例えば「スーザンおばさん」「赤毛のいとこ」。

The type of relationship this person has to the patient (father, mother, brother etc.).

この家族が患者とどのような関係か（父、母、兄弟など）

The birth sex of the family member.

この家族の出生時の性別。

Codes describing the sex assigned at birth as documented on the birth registration.

出生届に記載される出生時に割り当てられた性別。

The actual or approximate date of birth of the relative.

家族の実際もしくはおおよその生年月日。

The age of the relative at the time the family member history is recorded.

家族歴が記録された時点でのこの家族の年齢。

While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.

年齢は生年月日から計算できるが、臨床医にとっては年齢を直接記録する方が自然な場合もある。

If true, indicates that the age value specified is an estimated value.

Trueである場合この年齢は推定値である。

Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.

死亡したかどうかのフラグ/家族の死亡時の実年齢/おおよその年齢。

Describes why the family member history occurred in coded or textual form.

家族歴を聴取する契機となった患者の疾患をコードもしくはテキストで記述（CodeableConcept)

Indicates a JP_Condition, JP_Observation, JP_AllergyIntolerance, or JP_QuestionnaireResponse JP_Observation_Common, or JP_DiagnosticReport_Common that justifies this family member history event.

この家族歴が聴取されたきっかけとなったFHIRリソースへの参照。

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.

この家族に関するメモ。

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.

この家族が持っていた疾患。

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.

この疾患について知られている程度や作成システムの能力に応じて、コード化された状態（MIや糖尿病など）、または「がん」のようなあまり特定されない文字列になる可能性がある。

Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation.

その状態の後に何が起こったかを示す。その結果、死亡した場合は、死亡した日付が関連に記録される。

This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.

この疾患が家族の死亡に寄与したかどうかのフラグ。入力されていない場合は、不明である。

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.

発症年齢、おおよその年齢範囲、記述文字列のいずれかを記録する。複数回発生する疾患については、最初に知られている発生を記述する。

An area where general notes can be placed about this specific condition.

この疾患についての一般的なメモ。

Significant health conditions for a person related to the patient relevant in the context of care for the patient.

患者の診療に関連する、患者家族の疾患に関する情報。

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.

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.

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.

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.

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

A code specifying the status of the record of the family history of a specific family member.

家族歴の記録のステータス。記録が部分的なものか完全なものかなど。

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

A code that identifies the status of the family history record.

Describes why the family member's history is not available.

1)subject-unknown:患者が対象の家族のことを知らない（例:患者は養子のため実親を知らない）

2)withheld:患者が家族歴の共有を拒否

3)unable-to-obtain:患者から聞き取れない（例：患者が意識不明）

4)deferred:患者は今は知らないが、後日共有するつもりである

Codes describing the reason why a family member's history is not available.

This is a separate element to allow it to have a distinct binding from reasonCode.

The person who this history concerns.

この家族歴を有する患者。

The date (and possibly time) when the family member history was recorded or last updated.

この家族歴の最終更新日。

This should be captured even if the same as the date on the List aggregating the full family history.

Allows determination of how current the summary is.

This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair".

対象の家族の呼び名。例えば「スーザンおばさん」「赤毛のいとこ」。

Allows greater ease in ensuring the same person is being talked about.

The type of relationship this person has to the patient (father, mother, brother etc.).

この家族が患者とどのような関係か（父、母、兄弟など）

The nature of the relationship between the patient and the related person being described in the family member history.

The birth sex of the family member.

この家族の出生時の性別。

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.

Codes describing the sex assigned at birth as documented on the birth registration.

出生届に記載される出生時に割り当てられた性別。

Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.

The actual or approximate date of birth of the relative.

家族の実際もしくはおおよその生年月日。

Allows calculation of the relative's age.

The age of the relative at the time the family member history is recorded.

家族歴が記録された時点でのこの家族の年齢。

use estimatedAge to indicate whether the age is actual or not.

While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.

年齢は生年月日から計算できるが、臨床医にとっては年齢を直接記録する方が自然な場合もある。

If true, indicates that the age value specified is an estimated value.

Trueである場合この年齢は推定値である。

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.

Clinicians often prefer to specify an estimaged age rather than an age range.

Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.

死亡したかどうかのフラグ/家族の死亡時の実年齢/おおよその年齢。

Describes why the family member history occurred in coded or textual form.

家族歴を聴取する契機となった患者の疾患をコードもしくはテキストで記述（CodeableConcept)

Textual reasons can be captured using reasonCode.text.

Codes indicating why the family member history was done.

Indicates a JP_Condition, JP_Observation, JP_AllergyIntolerance, or JP_QuestionnaireResponse JP_Observation_Common, or JP_DiagnosticReport_Common that justifies this family member history event.

この家族歴が聴取されたきっかけとなったFHIRリソースへの参照。

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.

この家族に関するメモ。

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.

この家族が持っていた疾患。

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

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.

この疾患について知られている程度や作成システムの能力に応じて、コード化された状態（MIや糖尿病など）、または「がん」のようなあまり特定されない文字列になる可能性がある。

Identification of the Condition or diagnosis.

Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation.

その状態の後に何が起こったかを示す。その結果、死亡した場合は、死亡した日付が関連に記録される。

The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.

この疾患が家族の死亡に寄与したかどうかのフラグ。入力されていない場合は、不明である。

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.

発症年齢、おおよその年齢範囲、記述文字列のいずれかを記録する。複数回発生する疾患については、最初に知られている発生を記述する。

Age of onset of a condition in relatives is predictive of risk for the patient.

An area where general notes can be placed about this specific condition.

この疾患についての一般的なメモ。

Significant health conditions for a person related to the patient relevant in the context of care for the patient.

患者の診療に関連する、患者家族の疾患に関する情報。

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

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.

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.

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.

The base language in which the resource is written.

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).

A human language.

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.

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.

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.

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.

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.

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.

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

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.

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.

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.

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.

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

A code specifying the status of the record of the family history of a specific family member.

家族歴の記録のステータス。記録が部分的なものか完全なものかなど。

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

A code that identifies the status of the family history record.

Describes why the family member's history is not available.

1)subject-unknown:患者が対象の家族のことを知らない（例:患者は養子のため実親を知らない）

2)withheld:患者が家族歴の共有を拒否

3)unable-to-obtain:患者から聞き取れない（例：患者が意識不明）

4)deferred:患者は今は知らないが、後日共有するつもりである

Codes describing the reason why a family member's history is not available.

This is a separate element to allow it to have a distinct binding from reasonCode.

The person who this history concerns.

この家族歴を有する患者。

The date (and possibly time) when the family member history was recorded or last updated.

この家族歴の最終更新日。

This should be captured even if the same as the date on the List aggregating the full family history.

Allows determination of how current the summary is.

This will either be a name or a description; e.g. "Aunt Susan", "my cousin with the red hair".

対象の家族の呼び名。例えば「スーザンおばさん」「赤毛のいとこ」。

Allows greater ease in ensuring the same person is being talked about.

The type of relationship this person has to the patient (father, mother, brother etc.).

この家族が患者とどのような関係か（父、母、兄弟など）

The nature of the relationship between the patient and the related person being described in the family member history.

The birth sex of the family member.

この家族の出生時の性別。

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.

Codes describing the sex assigned at birth as documented on the birth registration.

出生届に記載される出生時に割り当てられた性別。

Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.

The actual or approximate date of birth of the relative.

家族の実際もしくはおおよその生年月日。

Allows calculation of the relative's age.

The age of the relative at the time the family member history is recorded.

家族歴が記録された時点でのこの家族の年齢。

use estimatedAge to indicate whether the age is actual or not.

While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.

年齢は生年月日から計算できるが、臨床医にとっては年齢を直接記録する方が自然な場合もある。

If true, indicates that the age value specified is an estimated value.

Trueである場合この年齢は推定値である。

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.

Clinicians often prefer to specify an estimaged age rather than an age range.

Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.

死亡したかどうかのフラグ/家族の死亡時の実年齢/おおよその年齢。

Describes why the family member history occurred in coded or textual form.

家族歴を聴取する契機となった患者の疾患をコードもしくはテキストで記述（CodeableConcept)

Textual reasons can be captured using reasonCode.text.

Codes indicating why the family member history was done.

Indicates a JP_Condition, JP_Observation, JP_AllergyIntolerance, or JP_QuestionnaireResponse JP_Observation_Common, or JP_DiagnosticReport_Common that justifies this family member history event.

この家族歴が聴取されたきっかけとなったFHIRリソースへの参照。

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.

この家族に関するメモ。

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.

この家族が持っていた疾患。

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

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.

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.

この疾患について知られている程度や作成システムの能力に応じて、コード化された状態（MIや糖尿病など）、または「がん」のようなあまり特定されない文字列になる可能性がある。

Identification of the Condition or diagnosis.

Indicates what happened following the condition. If the condition resulted in death, deceased date is captured on the relation.

その状態の後に何が起こったかを示す。その結果、死亡した場合は、死亡した日付が関連に記録される。

The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc.

This condition contributed to the cause of death of the related person. If contributedToDeath is not populated, then it is unknown.

この疾患が家族の死亡に寄与したかどうかのフラグ。入力されていない場合は、不明である。

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.

発症年齢、おおよその年齢範囲、記述文字列のいずれかを記録する。複数回発生する疾患については、最初に知られている発生を記述する。

Age of onset of a condition in relatives is predictive of risk for the patient.

An area where general notes can be placed about this specific condition.

この疾患についての一般的なメモ。