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

HL7 Personal Health Record System Functional Model, Release 2, published by EHR WG. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phrsfm-ig/ and changes regularly. See the Directory of published versions

: 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="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="2025-08-29T14:03:44+00:00"/>
  <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>