臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions
| Official URL: https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/familymemberhistory-twcm | Version: 0.1.0 | |||
| Draft as of 2026-10-29 | Computable Name: FamilyMemberHistoryTWCM | |||
此家族史(FamilyMemberHistory TWCM)Profile說明本IG如何進一步定義FHIR的FamilyMemberHistory Resource以呈現中醫門診單之家族史(直系血親之家族遺傳性疾病紀錄)的詳細資料。
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  FamilyMemberHistory |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. Required Pattern: partial (extensions allowed) | |
 patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |
 relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history. | |
 note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | example | FamilyMember | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from FamilyMemberHistory
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| FamilyMemberHistory |
FamilyMemberHistory | |||
 status |
1..1 | code | partial | completed | entered-in-error | health-unknown Required Pattern: partial (extensions allowed) | |
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |
| relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 | |
| note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| FamilyMemberHistory |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Id(s) for this record | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| status |
1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. Required Pattern: partial (extensions allowed) | |||||
| dataAbsentReason |
0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available. | |||||
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |||||
| date |
0..1 | dateTime | When history was recorded or last updated | |||||
| name |
0..1 | string | The family member described | |||||
| relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history. | |||||
| sex |
0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration. | |||||
  born[x] |
C | 0..1 | (approximate) date of birth | |||||
 bornPeriod |
Period | |||||||
| bornDate |
date | |||||||
| bornString |
string | |||||||
| age[x] |
C | 0..1 | (approximate) age | |||||
| ageAge |
Age | |||||||
| ageRange |
Range | |||||||
| ageString |
string | |||||||
| estimatedAge |
C | 0..1 | boolean | Age is estimated? | ||||
| deceased[x] |
0..1 | Dead? How old/when? | ||||||
| deceasedBoolean |
boolean | |||||||
| deceasedAge |
Age | |||||||
| deceasedRange |
Range | |||||||
| deceasedDate |
date | |||||||
| deceasedString |
string | |||||||
| reasonCode |
0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed? | |||||
| note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |||||
 condition |
0..* | BackboneElement | Condition that the related person had | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| outcome |
0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc. | |||||
| contributedToDeath |
0..1 | boolean | Whether the condition contributed to the cause of death | |||||
| onset[x] |
0..1 | When condition first manifested | ||||||
| onsetAge |
Age | |||||||
| onsetRange |
Range | |||||||
| onsetPeriod |
Period | |||||||
| onsetString |
string | |||||||
| note |
0..* | Annotation | Extra information about condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | example | FamilyMember | 📦3.0.0 | THO v7.5 |
| FamilyMemberHistory.sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from FamilyMemberHistory
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| FamilyMemberHistory |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. Required Pattern: partial (extensions allowed) | |
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |
| relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history. | |
| note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | example | FamilyMember | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from FamilyMemberHistory
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| FamilyMemberHistory |
FamilyMemberHistory | |||
| status |
1..1 | code | partial | completed | entered-in-error | health-unknown Required Pattern: partial (extensions allowed) | |
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |
| relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 | |
| note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| FamilyMemberHistory |
C | 0..* | FamilyMemberHistory | Information about patient's relatives, relevant for patient Constraints: fhs-1, fhs-2 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Id(s) for this record | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| status |
1..1 | code | partial | completed | entered-in-error | health-unknown Binding: FamilyHistoryStatus (required): A code that identifies the status of the family history record. Required Pattern: partial (extensions allowed) | |||||
| dataAbsentReason |
0..1 | CodeableConcept | subject-unknown | withheld | unable-to-obtain | deferred Binding: FamilyHistoryAbsentReason (example): Codes describing the reason why a family member's history is not available. | |||||
| patient |
1..1 | Reference(病人資料(Patient TWCM)) | Patient history is about | |||||
| date |
0..1 | dateTime | When history was recorded or last updated | |||||
| name |
0..1 | string | The family member described | |||||
| relationship |
1..1 | CodeableConcept | 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親 Binding: FamilyMember (example): The nature of the relationship between the patient and the related person being described in the family member history. | |||||
| sex |
0..1 | CodeableConcept | male | female | other | unknown Binding: AdministrativeGender (extensible): Codes describing the sex assigned at birth as documented on the birth registration. | |||||
| born[x] |
C | 0..1 | (approximate) date of birth | |||||
| bornPeriod |
Period | |||||||
| bornDate |
date | |||||||
| bornString |
string | |||||||
| age[x] |
C | 0..1 | (approximate) age | |||||
| ageAge |
Age | |||||||
| ageRange |
Range | |||||||
| ageString |
string | |||||||
| estimatedAge |
C | 0..1 | boolean | Age is estimated? | ||||
| deceased[x] |
0..1 | Dead? How old/when? | ||||||
| deceasedBoolean |
boolean | |||||||
| deceasedAge |
Age | |||||||
| deceasedRange |
Range | |||||||
| deceasedDate |
date | |||||||
| deceasedString |
string | |||||||
| reasonCode |
0..* | CodeableConcept | Why was family member history performed? Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) | Why was family member history performed? | |||||
| note |
1..1 | Annotation | 家族遺傳性疾病紀錄。[應填入中醫門診單之家族史Family History] | |||||
| condition |
0..* | BackboneElement | Condition that the related person had | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Condition suffered by relation Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis. | |||||
| outcome |
0..1 | CodeableConcept | deceased | permanent disability | etc. Binding: ConditionOutcomeCodes (example): The result of the condition for the patient; e.g. death, permanent disability, temporary disability, etc. | |||||
| contributedToDeath |
0..1 | boolean | Whether the condition contributed to the cause of death | |||||
| onset[x] |
0..1 | When condition first manifested | ||||||
| onsetAge |
Age | |||||||
| onsetRange |
Range | |||||||
| onsetPeriod |
Period | |||||||
| onsetString |
string | |||||||
| note |
0..* | Annotation | Extra information about condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| FamilyMemberHistory.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.status | Base | required | FamilyHistoryStatus | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.dataAbsentReason | Base | example | FamilyHistoryAbsentReason | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.relationship | Base | example | FamilyMember | 📦3.0.0 | THO v7.5 |
| FamilyMemberHistory.sex | Base | extensible | AdministrativeGender | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.reasonCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| FamilyMemberHistory.condition.outcome | Base | example | Condition Outcome Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from FamilyMemberHistory
Other representations of profile: CSV, Excel, Schematron