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Stage 2 Menu Measure 4

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Objective:Record patient family health history as structured data.
Measure: More than 20 percent of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives.
Exclusion:Any EP who has no office visits during the EHR reporting period.

CMS Specification Sheet

TennCare Notes
This objective and measure do not correspond with any criterion of Stage 1 Meaningful Use.

The definition of first degree relative is that of the National Human Genome Research Project: a family member who shared about 50 percent of their genes with a particular individual in a family. Parents, siblings, and offspring are typically included in this definition. For patients who do not know their family history, such as adoptees, the provider can still record the "structured data" required by the measure by indicating that the history is unknown.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(k)(2)(ii) see objective, measure and exclusion above

Standards and Certification Final Rule

§ 170.314(a)(13) Family health history. Enable a user to electronically record, change, and access a patient’s family health history according to:
    (i) At a minimum, the version of the standard specified in § 170.207(a)(3); or
    (ii) The standard specified in § 170.207(j).
Depending on the type of certification issued to the EHR technology, it will also have been certified to the certification criterion adopted at 45 CFR 170.314 (g)(1), (g)(2), or both, in order to assist in the calculation of this meaningful use measure.

§ 170.207(a)(3) IHTSDO SNOMED CT® International Release July 2012 (incorporated by reference in § 170.299) and US Extension to SNOMED CT® March 2012 Release (incorporated by reference in § 170.299).

§ 170.207(j) Family health history. HL7 Version 3 Standard: Clinical Genomics; Pedigree, (incorporated by reference in § 170.299).