LAUSR

Key Points Question What is the availability and comprehensiveness of family history information in electronic health records (EHRs) and how are these associated with clinical decision support algorithms? Findings In this EHR quality improvement study that included 522 105 primary care patients, significant differences were found in family history availability and comprehensiveness based on sex, race and ethnicity, and language preference. Meaning These findings suggest inadvertent exclusion of patients in historically medically underserved groups from identification by clinical decision support tools that depend on family history input, potentially further exacerbating or creating new health care disparities.