Family History Exchange: Difference between revisions

Latest revision as of 09:08, 15 October 2007

1. Proposed Profile: Family History Exchange

Proposal Editor: Kboone
Profile Editor: TBD
Date: N/A (Wiki keeps history)
Version: N/A (Wiki keeps history)
Domain: PCC

2. The Problem

As advances in Clinical Genomics move forward, there becomes more and more patient health information that resides in health records other than their own. This information is in the form of health information of their family members. As PHR systems advance, it is expected that this health information will be able to be shared between family members. We would like to ensure that there is a uniform way to exchange this information between systems.

3. Key Use Case

A 35-year-old female patient sees her provider, requesting genetic screening for breast cancer. Due to her age, the provider suggests that this screening is not necessary. Six months and another provider later, the patient requests the same from her new provider. The healthcare provider takes a detailed health history, and learns that the patient's mother, two sisters, and two maternal aunts were all diagnosed with breast cancer, several at an early age. Genetic screening is performed, and the patient is diagnosed with a mutation in the BRCA1 gene, which is a risk for breast cancer. Additional cancer screening is recommended.

The patient has a 10-year-old daugter, and has been maintaining a personal health record for her, as well for herself. She records a copy of her genetic screening results in her daughers PHR, and copies the breast-cancer related history also.

4. Standards & Systems

Systems

EHR Systems
PHR Systesm

Standards

HL7 Version 2
HL7 Version 3
SNOMED CT
LOINC
ASTM/HL7 Continuity of Care Document
HL7 CDA Release 2.0

5. Discussion

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-:''<Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>''
-:''<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>''
-:''<What are some of the risks or open issues to be addressed?>''
-''<This is the brief proposal.  Try to keep it to 1 or at most 2 pages>''
-''<Delete this Category Templates line since your specific Profile Proposal page is no longer a template.>'' [[Category:Profile Proposals]]