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 - JSON Representation

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    {
      "resourceType" : "FamilyMemberHistory",
      "id" : "example",
      "meta" : {
        "profile" : [
          🔗 "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-familymemberhistory"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>\n</div></blockquote></td></tr></table></div>"
      },
      "status" : "completed",
      "patient" : {
        🔗 "reference" : "Patient/example",
        "display" : "Peter Patient"
      },
      "date" : "2011-03-18T17:49:10+00:00",
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
            "code" : "FTH",
            "display" : "FATHER"
          }
        ]
      },
      "condition" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/familymemberhistory-severity",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "399166001",
                    "display" : "Fatal"
                  }
                ]
              }
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "315619001",
                "display" : "Family history of myocardial infarction in male relative of first degree, age known (situation)"
              }
            ],
            "text" : "Family history of myocardial infarction in male relative of first degree, age known (situation)"
          },
          "outcome" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "520004",
                "display" : "Congenital bent nose"
              }
            ]
          },
          "onsetAge" : {
            "value" : 74,
            "unit" : "yr",
            "system" : "http://unitsofmeasure.org",
            "code" : "a"
          },
          "note" : [
            {
              "text" : "Was fishing at the time. At least he went doing something he loved."
            }
          ]
        }
      ]
    }