ARCHETYPE Family History (openEHR-EHR-EVALUATION.family_history.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.family_history.v1
ConceptFamily History
DescriptionSummary information about the problems and/or diagnoses found in genetic relatives.
UseUse to record a summary of information about problems or diagnoses found in genetic relatives. This information may be used as the basis for assessment of risk to the individual from potentially inheritable conditions or initiation of preventive health activities. Additional detail about a genetic relative's specific problem or diagnosis can be captured using the EVALUATION.problem_diagnosis archetype and specifying the 'Subject of Care' as the relative. Use this archetype as the basis for a Family Pedigree chart of health problems/diagnoses. It may be necessary to identify each Genetic Relative specifically and not just by the relationship to the patient. For example, while there will be only one maternal grandmother, there may be many female maternal cousins. This will ensure that a pedigree chart is accurate and allow for additional problems/diagnoses to be added, or existing records to be updated, for each identified genetic relative. If the record is private and will not be shared, for reasons of clarity it may be preferable to record the relative's name. If the record is to be shared, the genetic relative should be identified by a unique label or alias.
MisuseNot to be used to record family health or social factors which may impart risk to the individual, but are not heritable or genetically based, for example, parental tobacco use. This information will be recorded using other archetypes. Not to be used to record information about the risk of developing a condition due to a family history of a condition - use the EVALUATION.risk family of archetypes.
PurposeTo record information about the problems or diagnoses (as defined in the Problem/Diagnosis archetype) found in genetic relatives.
ReferencesHL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1. ANSI/HL7 V3 CGPED, R1-2007. Published 2007 May 07.
Copyright© National E-Health Transition Authority
AuthorsAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2010-12-15
Other Details LanguageAuthor name: Sam Heard
Organisation: Ocean Informatics
Email: sam.heard@oceaninformatics.com
Date originally authored: 2010-12-15
OtherDetails Language Independent{references=HL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1. ANSI/HL7 V3 CGPED, R1-2007. Published 2007 May 07., MD5-CAM-1.0.1=0074A03F125EAEFA8BEE39CBAF7EE3A0}
Keywordsfamily, history, health, condition, problem, diagnosis, genetic, pedigree
LifecycleAuthorDraft
Language useden
Citeable Identifier1051.32.229
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary information about the problems and/or diagnoses found in genetic relatives., archetypeConceptComment=null, otherContributors=Rita Apelt, Department of Health,NT, Australia
John Bennett, NEHTA, Australia
Stephen Chu, NEHTA, Australia
David Evans, Queensland Health, Australia
Tim Garden, NTG Department of Health, Australia
Jacquie Garton-Smith, Royal Perth Hospital and DoHWA, Australia
Andrew Goodchild, NEHTA, Australia
Sam Heard, Ocean Informatics, Australia (Editor)
Mary Kelaher, NEHTA, Australia
Robert L'egan, NEHTA, Australia
Heather Leslie, Ocean Informatics, Australia (Editor)
Hugh Leslie, Ocean Informatics, Australia
Mike Martyn, The Hobart Anaesthetic Group, Australia
Ian McNicoll, Ocean Informatics UK, United Kingdom
Chris Mitchell, RACGP, Australia
Stewart Morrison, NEHTA, Australia
Jeremy Oats, NT Health, Australia
Lynne Parsons, Primary and Community Health Services, Australia
Jodie Pycroft, Adelaide Northern Division of General Practice Ltd, Australia
Robyn Richards, NEHTA - Clinical Terminology, Australia
Elizabeth Stanick, Hobart Anaesthetic Group, Australia
John Taylor, NEHTA, Australia
Gordon Tomes, Australian Institute of Health and Welfare, Australia
Richard Townley-O'Neill, NEHTA, Australia
Donna Truran, ACCTI-UoW, Australia
Jo Wright, NT Dept of Health, Australia (Editor), originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={content=[], description=[], details=[], source=[], capabilities=[], other_participations=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0026], code=at0026, itemType=ELEMENT, level=2, text=Last updated, description=Date that thisFamily History Summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], provider=[], activities=[], state=[], events=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Summary, description=Textual description about the problems, diagnoses, and genetic markers found in genetic relatives. 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For example, the label to distinguish one specific sister from three known sisters might be 'eldest sister' or 'sister #1'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=Relationship, description=The relationship of the genetic relative to the individual., comment=Coding of the relationship with a terminology is preferred, where possible and including specification of maternal and paternal as required., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Date of Birth, description=Date of birth of the genetic relative., comment=At least a partial date will be useful to calculate an age. For example, current age of relative in a pedigree chart., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Deceased?, description=Is the genetic relative is deceased?, comment=Record as 'True' if genetic relative is deceased., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Age at Death, description=Age of the genetic relative at death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0008], code=at0008, itemType=CLUSTER, level=3, text=Medical History, description=Detail about problems or diagnoses for the genetic relative., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0008]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Problem/Diagnosis, description=Identification of the genetic relative's problem or diagnosis., comment=Coding of the problem or diagnosis with a terminology is preferred, where possible. May link from this data element to a detailed record of a Problem/Diagnosis using the EVALUATION.problem_diagnosis archetype with the Subject of Care set to the genetic relative, not to the patient., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0008]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Clinical Description, description=Narrative description or comments about clinical aspects of the genetic relative's problem/diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0008]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Age at Onset, description=Estimated or actual age of the genetic relative when the problem/diagnosis was clinically recognised., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0008]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Cause of Death?, description=True if the problem/diagnosis was a direct cause of death in this genetic relative., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0024], code=at0024, itemType=CLUSTER, level=3, text=Genetic Markers, description=Detailed genetic marker information for the genetic relative., comment=Note: More data elements will be needed in future to record detailed genetic marker information., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0024]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Marker Description, description=Description of risk-related genetic markers identified in this genetic relative., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0024]/items[at0027], code=at0027, itemType=SLOT, level=4, text=Genetic Marker Details, description=Details about the relative's genetic markers., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER and ELEMENT, bindings=null, values=Include:
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