New 
Family. Navigate to the Imperial or Metric template directory and select the Structural Trusses.rft family template file. Click the Open button to open a new family file. 
Properties panel
Family Types. In the Family Types dialog, click New and provide a name for this truss type. Repeat this step for each planned type of this truss family. Click OK to close the dialog. 
Load from Library panel
Load Framing Family. In order to specify structural framing families for the truss layout family to use, you must load them in your truss layout family. Navigate to the Imperial or Metric family directory and select the structural framing families for chords and webs. These must be structural framing families or generic annotation families. Repeat this step to specify for each type of truss.
Properties panel
Family Types. For each truss family type, select the desired framing type for top chord, bottom chord, vertical webs and diagonal webs. Click OK to close the dialog. 
Save As. Provide a name for the new truss family and click Save.