Traditionally, a family is defined as a group of people of one or more adults who carry responsibility for caring for and raising one or more children.
Currently, the term is used more broadly for all forms of cohabitation which form a recognizable social unit, of people who are or who are not related and who have long-lasting, affective bonds and provide each other with support and care.
Purpose
Information on the patient’s family situation is important in determining the extent to which the patient receives and can receive care and support. For example, the age of the patient’s children partially determines whether they can play a role in caregiving.
It is also important to know whether the patient needs support for daycare and/or care for dependent family members.
Situations in which this information is important include for example being discharged from the hospital or nursing home.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:7.13.1
FamilySituation
Root concept of the FamilySituation information model. This concept contains all data elements of the FamilySituation information model.
365470003 Family details and household composition - finding
The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children.
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
Gezinssituatie
Gezinssamenstelling
Woont samen met familie
Zorgtaak
Heeft zorg voor vader die in huis woont.
AantalKinderen
3
AantalKinderenInwonend
2
Kind
Leeftijd
12
Inwonend
Ja
Kind
Leeftijd
20
Inwonend
Ja
Kind
Leeftijd
22
Inwonend
Nee
BurgerlijkeStaat
BurgerlijkeStaat
Ongehuwd
Toelichting
Beide inwonende kinderen zijn zeer zelfstandig.
Instructions
Care for family members who depend on the patient is described in the Care Responsibility concept.
Family members who can provide the patient with care as a caregiver are entered as a caregiver in the HelpFromOthers information model.
Because of KOPP policy (Kinderen van Ouders met Psychiatrische Problemen, or Children of Parents with Psychiatric Problems) mental healthcare facilities require a record stating whether there are children in the family. This means that in a mental healthcare situation, the number of children (living at home) must be recorded, with information per individual child or as a total number.
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
FamilySituation
MaritalStatus
or as spreadsheet 