2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## : FamilyMemberHistory example - XML Representation

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    <FamilyMemberHistory xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: FamilyMemberHistory example</b></p><a name="example"> </a><a name="hcexample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-familymemberhistory.html">US Quality Core FamilyMemberHistory</a></p></div><p><b>status</b>: Completed</p><p><b>patient</b>: <a href="Patient-example.html">Peter Patient</a></p><p><b>date</b>: 2011-03-18 17:49:10+0000</p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode FTH}">FATHER</span></p><h3>Conditions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Code</b></td><td><b>Outcome</b></td><td><b>Onset[x]</b></td><td><b>Note</b></td></tr><tr><td style="display: none">*</td><td/><td><span title="Codes:{http://snomed.info/sct 315619001}">Family history of myocardial infarction in male relative of first degree, age known (situation)</span></td><td><span title="Codes:{http://snomed.info/sct 520004}">Congenital bent nose</span></td><td>74 yr<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></td><td><blockquote><div><p>Was fishing at the time. At least he went doing something he loved.</p>
    </div></blockquote></td></tr></table></div>
      </text>
      <status value="completed"/>
      <patient>🔗
        <reference value="Patient/example"/>
        <display value="Peter Patient"/>
      </patient>
      <date value="2011-03-18T17:49:10+00:00"/>
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="FTH"/>
          <display value="FATHER"/>
        </coding>
      </relationship>
      <condition>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="399166001"/>
              <display value="Fatal"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="315619001"/>
            <display
                     value="Family history of myocardial infarction in male relative of first degree, age known (situation)"/>
          </coding>
          <text
                value="Family history of myocardial infarction in male relative of first degree, age known (situation)"/>
        </code>
        <outcome>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="520004"/>
            <display value="Congenital bent nose"/>
          </coding>
        </outcome>
        <onsetAge>
          <value value="74"/>
          <unit value="yr"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetAge>
        <note>
          <text
                value="Was fishing at the time. At least he went doing something he loved."/>
        </note>
      </condition>
    </FamilyMemberHistory>