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U.S. Data Access Framework (DAF) FamilyHistory Profile (Profile)

Scope and Usage

This profile sets expectations for use of the FamilyHistory resource to record summary of relationships and their conditions for a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements,extensions,vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Meaningful Use Data Element Mapping

The DAF FamilyHistory profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Family Health History
	Family Member Name	FamilyHistory.relation.name
	Family Member Date of Birth	FamilyHistory.relation.age[x]
	Family Member Relationship to Patient	FamilyHistory.relation.relationship
	Family Member Medical Condition	FamilyHistory.relation.condition.type
	Family Member Medical Condition onsetAge	FamilyHistory.relation.condition.age[x]

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Family Health History

Family Member Name

FamilyHistory.relation.name

Family Member Date of Birth

FamilyHistory.relation.age[x]

Family Member Relationship to Patient

FamilyHistory.relation.relationship

Family Member Medical Condition

FamilyHistory.relation.condition.type

Family Member Medical Condition onsetAge

FamilyHistory.relation.condition.age[x]

Boundaries and Relationships

This profile relies on the following other profiles:

FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

Profile Details

Profiles:
DAFFamilyHistory	Defines constraints and extensions on the FamilyHistory resource for use in querying and retrieving patient's family history information.

Search Parameters

Search parameters defined by this package. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Paths	Source
familyhistorycondition	token	Search for a history of a particular condition within a patient's family.	f:FamilyHistory/f:relation/f:condition/f:type	XML / JSON
relationship	token	Search for family history of members based on relationship	f:FamilyHistory/f:relation/f:relationship	XML / JSON

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

Example Usage Scenarios

The following are example usage scenarios for the DAFFamilyHistory profile:

Query for family history of a patient
Query for all patients whose family history has a particular medical condition
Query for family history based on patients relationship with family member

Profile specific implementation guidance

There is no additional profile specific implementation guidance, please refer to DAF FHIR IG for implementation guidance common to all profiles.