Technical outcome – The health IT permits users to record, change, and access a patient’s family health history according to the SNOMED CT®, U.S. Edition, March 2022 Release.
Clarifications:
- Health IT Modules can present for certification to a more recent version of SNOMED CT®, U.S. Edition than the standard outlined in regulation per ONC’s policy that permits certification to a more recent version of certain vocabulary standards. [see also 80 FR 62612, 89 FR 1224]
- ONC provides the following object identifier (OID) to assist developers in the proper identification and exchange of health information coded to certain vocabulary standards.
- The SNOMED CT® OID: 2.16.840.1.113883.6.96. [see also 80 FR 62612]
- Health IT developers have the discretion to code associated family health history questions in the manner they choose (e.g., including but not limited to LOINC®). [see also 80 FR 62624]
- At a minimum, the health IT must enable a user to record, change, and access information about a patient’s first degree relative within the said patient’s record. However, health IT does not need be able to access the records of the patient’s first degree relatives for certification. [see also 77 FR 54174]
- ONC's intent with “familial concepts and expressions” is to focus on the first degree relative’s diagnosis. For testing and certification, at a minimum, a system must be able to demonstrate that it can record, change, and access this diagnosis and the familial relationship in a codified manner using SNOMED CT®. The developer has the flexibility to determine how the system will represent the codified familial relationship, pre- or post-coordinated.
