HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot

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## : PH.2.5.8 Maintain Family History (Function) - XML Representation

Page standards status: Informative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="PHRSFMR2-PH.2.5.8"/>
      <meta>
        <profile
                 value="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
        <span id="description"><b>Statement <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b> <div><p>Manage the PHR Account Holder's Family Health History.</p>
    </div></span>

        <span id="purpose"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>The family history traditionally imparts the PHR Account Holder with certain risks and probabilities of illnesses that have a familial component. The major illnesses and cause of death of primary family members should be captured and displayed. For some illnesses of the PHR Account Holder a negative family history is also pertinent such as for cancer.</p>
    </div></span>

        <span id="actors"><b>Actors:</b><br/> ehr</span>

        <span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>

        <table id="statements" class="grid dict">

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.2.5.8#01</span>

                </td>
                <td style="padding-left: 4px;">

                    <i>dependent</i>

                    <span>SHALL</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>The system SHALL provide the ability to manage family history according to organizational policy and/or jurisdictional law.</p>
    </div></span>

                    Satisfied by:<ol>

                        <li><a href="https://www.hl7.org/fhir/familymemberhistory.html">https://www.hl7.org/fhir/familymemberhistory.html</a></li>

                    </ol>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.2.5.8#02</span>

                </td>
                <td style="padding-left: 4px;">

                    <span>SHOULD</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>The system SHOULD provide the ability to capture, maintain, and transmit a request-for-correction to family history that was captured from an external source. Note: There could be multiple types of errors, both unintentional and intentional; the errors could also reside in multiple storage locations (primary, secondary, and intermediary); the errors could also reside in current records or in archived records; there could also be multiple sources (author, custodian-of-record, transcriptionist).</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.2.5.8#03</span>

                </td>
                <td style="padding-left: 4px;">

                    <span>SHOULD</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>The system SHOULD provide the ability for the PHR Account Holder to annotate the family history with text comments (e.g., &quot;Great-grandmother Alice was lost at sea” and that &quot;Uncle Robert disagrees with the cause-of-death attributed to great-grandmother Alice&quot;.)</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.2.5.8#04</span>

                </td>
                <td style="padding-left: 4px;">

                    <span>SHALL</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>The system SHALL provide the ability to enter missing information regarding the family history.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.2.5.8#05</span>

                </td>
                <td style="padding-left: 4px;">

                    <i>dependent</i>

                    <span>MAY</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>The system MAY provide the ability to exchange family history entries with the PHR Accounts of other family members according to user preference and/or consent, user role, organizational policy, and/or jurisdictional law.</p>
    </div></span>

                </td>
            </tr>

        </table>
    </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="ehr"/>
      </extension>
      <url
           value="http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.2.5.8"/>
      <version value="2.0.1-ballot"/>
      <name value="PH_2_5_8_Maintain_Family_History"/>
      <title value="PH.2.5.8 Maintain Family History (Function)"/>
      <status value="active"/>
      <date value="2025-04-04T11:42:51+11:00"/>
      <publisher value="EHR WG"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/ehr"/>
        </telecom>
      </contact>
      <description
                   value="Manage the PHR Account Holder's Family Health History."/>
      <purpose
               value="The family history traditionally imparts the PHR Account Holder with certain risks and probabilities of illnesses that have a familial component. The major illnesses and cause of death of primary family members should be captured and displayed. For some illnesses of the PHR Account Holder a negative family history is also pertinent such as for cancer."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="true"/>
        </extension>
        <key value="PHRSFMR2-PH.2.5.8-01"/>
        <label value="PH.2.5.8#01"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL provide the ability to manage family history according to organizational policy and/or jurisdictional law."/>
        <satisfiedBy value="https://www.hl7.org/fhir/familymemberhistory.html"/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.2.5.8-02"/>
        <label value="PH.2.5.8#02"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to capture, maintain, and transmit a request-for-correction to family history that was captured from an external source. Note: There could be multiple types of errors, both unintentional and intentional; the errors could also reside in multiple storage locations (primary, secondary, and intermediary); the errors could also reside in current records or in archived records; there could also be multiple sources (author, custodian-of-record, transcriptionist)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.2.5.8-03"/>
        <label value="PH.2.5.8#03"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability for the PHR Account Holder to annotate the family history with text comments (e.g., &quot;Great-grandmother Alice was lost at sea” and that &quot;Uncle Robert disagrees with the cause-of-death attributed to great-grandmother Alice&quot;.)"/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.2.5.8-04"/>
        <label value="PH.2.5.8#04"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL provide the ability to enter missing information regarding the family history."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="true"/>
        </extension>
        <key value="PHRSFMR2-PH.2.5.8-05"/>
        <label value="PH.2.5.8#05"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="The system MAY provide the ability to exchange family history entries with the PHR Accounts of other family members according to user preference and/or consent, user role, organizational policy, and/or jurisdictional law."/>
      </statement>
    </Requirements>