Submitted By: Al Taylor
/ ONC
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Data Element Information |
Use Case Description(s) |
Use Case Description |
Family Health History is an element of patient health data capturing relevant coded health data of a patient's family. The ONC certification criteria "§170.315(a)(12) Family health history" is already established to capture this data element using SNOMED CT. |
Estimate the breadth of applicability of the use case(s) for this data element
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Current users of 552 products of health information technology certified to the ONC 2015 or Cures Update to 2015 certification criteria has access to the capability to capture, use and exchange this data element. |
Link to use case project page |
https://www.healthit.gov/test-method/family-health-history |
Healthcare Aims |
- Improving patient experience of care (quality and/or satisfaction)
- Improving the health of populations
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Maturity of Use and Technical Specifications for Data Element |
Applicable Standard(s) |
SNOMED CT is the baseline standard to capture this data element, although health IT developers are allowed to use other standards, such as LOINC, to capture elements of family health history
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Additional Specifications |
N/A |
Current Use |
This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders |
Supporting Artifacts |
Based on certification of 552 out of 921 products certified to any 2015 or 2015 Cures Update criteria are certified to §170.315(a)(12) Family health history.
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Extent of exchange
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5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders. |
Supporting Artifacts |
https://www.hl7.org/fhir/familymemberhistory.html
Family History Section (V3) of CCDA R2.1 (2.16.840.1.113883.10.20.22.2.15:2015-08-01)
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Potential Challenges |
Restrictions on Standardization (e.g. proprietary code) |
None. |
Restrictions on Use (e.g. licensing, user fees) |
None |
Privacy and Security Concerns |
No unique P&S concerns |
Estimate of Overall Burden |
This data element is already fully implemented in the majority of certified health IT products under the §170.315(a)(12) Family health history certification criteris |
Submitted by Steven.Lane on 2023-09-20
Support for Family Health History in USCDI
Family Health History information is critical to clinicians' ability to personalize care based on individual risk factors and to understand a patient in the context of their family system. While some clinicians will add diagnoses corresponding to specific items related to family health history or circumstances to a patient's problem list, this is done inconsistently and not all relevant items exist in the ICD hierarchy. Also, as the industry moves increasingly toward utilizing and analyzing EHI with new analytical tools, such as AI and ML, the value of codified family health history to inform actionable insights will continue to increase.