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

Resource Profile: 家族史(FamilyMemberHistory TWCM)

Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/familymemberhistory-twcm Version: 0.1.0
Draft as of 2026-09-28 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

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
Constraints: fhs-1, fhs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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
... relationship SΣ 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 S 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]

doco Documentation for this format

Terminology Bindings

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 v7.4

Constraints

Id Grade Path(s) Description Expression

This structure is derived from FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory FamilyMemberHistory
... status 1..1 code partial | completed | entered-in-error | health-unknown
Required Pattern: partial
... patient S 1..1 Reference(病人資料(Patient TWCM)) Patient history is about
... relationship S 1..1 CodeableConcept 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
Constraints: fhs-1, fhs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 Σ 0..* Identifier External Id(s) for this record
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... status ?!Σ 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
... dataAbsentReason Σ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship SΣ 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 Σ 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] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode Σ 0..* CodeableConcept Why was family member history performed?
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.
... reasonReference Σ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note S 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 ?!Σ 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

doco Documentation for this format

Terminology Bindings

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 v7.4
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.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from FamilyMemberHistory

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
Constraints: fhs-1, fhs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 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
... relationship SΣ 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 S 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]

doco Documentation for this format

Terminology Bindings

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 v7.4

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from FamilyMemberHistory

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory FamilyMemberHistory
... status 1..1 code partial | completed | entered-in-error | health-unknown
Required Pattern: partial
... patient S 1..1 Reference(病人資料(Patient TWCM)) Patient history is about
... relationship S 1..1 CodeableConcept 與病人之關係，如父、母、祖父母、兄弟姊妹等直系血親

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. FamilyMemberHistory C 0..* FamilyMemberHistory Information about patient's relatives, relevant for patient
Constraints: fhs-1, fhs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 Σ 0..* Identifier External Id(s) for this record
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... status ?!Σ 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
... dataAbsentReason Σ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Patient history is about
... date Σ 0..1 dateTime When history was recorded or last updated
... name Σ 0..1 string The family member described
... relationship SΣ 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 Σ 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] ΣC 0..1 (approximate) age
.... ageAge Age
.... ageRange Range
.... ageString string
... estimatedAge ΣC 0..1 boolean Age is estimated?
... deceased[x] Σ 0..1 Dead? How old/when?
.... deceasedBoolean boolean
.... deceasedAge Age
.... deceasedRange Range
.... deceasedDate date
.... deceasedString string
... reasonCode Σ 0..* CodeableConcept Why was family member history performed?
Binding: SNOMEDCTClinicalFindings (example): Codes indicating why the family member history was done.
... reasonReference Σ 0..* Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference) Why was family member history performed?
... note S 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 ?!Σ 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

doco Documentation for this format

Terminology Bindings

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 v7.4
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.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from FamilyMemberHistory

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron