title: Profiling Fast Healthcare Interoperability Resources (FHIR) of Family Health History based on the Clinical Element Models.
abstract: In this study we developed a Fast Healthcare Interoperability Resources (FHIR) profile to support exchanging a full pedigree based family health history (FHH) information across multiple systems and applications used by clinicians, patients, and researchers. We used previously developed clinical element models (CEMs) that are capable of representing the FHH information, and derived essential data elements including attributes, constraints, and value sets. We analyzed gaps between the FHH CEM elements and existing FHIR resources. Based on the analysis, we developed a profile that consists of 1) FHIR resources for essential FHH data elements, 2) extensions for additional elements that were not covered by the resources, and 3) a structured definition to integrate patient and family member information in a FHIR message. We implemented the profile using an open-source based FHIR framework and validated it using patient-entered FHH data that was captured through a locally developed FHH tool.
authors.affiliation: Intermountain Healthcare, Murray, UT.
authors.forename: Jaehoon
authors.initials: J
authors.lastname: Lee
authors.affiliation: Intermountain Healthcare, Murray, UT; Department of Biomedical Informatics, University of Utah, Salt Lake City, UT.
authors.forename: Nathan C
authors.initials: NC
authors.lastname: Hulse
authors.affiliation: Intermountain Healthcare, Murray, UT.
authors.forename: Grant M
authors.initials: GM
authors.lastname: Wood
authors.affiliation: Intermountain Healthcare, Murray, UT.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Oniki
authors.affiliation: Intermountain Healthcare, Murray, UT; Department of Biomedical Informatics, University of Utah, Salt Lake City, UT.
authors.forename: Stanley M
authors.initials: SM
authors.lastname: Huff
mesh_terms: D057286:Electronic Health Records; D005192:Family Health; D057208:Health Level Seven; D006801:Humans; D020407:Internet; D008487:Medical History Taking / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D010375:Pedigree; D012984:Software; D018511:Systems Integration; D014589:Utah