What is the correct usage to capture FH ? We typically use the Family History archetype to capture these details, along with SNOMED CT disorder codes . Essentially using Post Coordination through the information model and the FH archetype to capture this data . i.e a disorder code of Diabetes Me…

[image] siljelb: […] both the precoordinated “fh of disorder” and the basic “disorder” terms can be used in the “Family history” archetype. […] I think it is semantically safe to do like this, but also that mixing “fh of disorder” and “disorder” concepts in a “Family history” archetype would …

Super quick response, I think we’ve discussed in the past that both the precoordinated “fh of disorder” and the basic “disorder” terms can be used in the “Family history” archetype. But the “fh of disorder” terms should never be used in the “Problem/diagnosis” archetype. I don’t think we’ve document…

Totally agree. The archetype has been designed to avoid the need for pre-coordination, but that doesn’t mean you can’t use it, especially for integration purposes. I have always designed for the principle that if we can design a high-quality value set for all conditions, then they can be reused in…

[image] heather.leslie: Pre-coordination is almost always problematic in my experience as part of the desired value set usually missing. That said pre-coordination is brilliant for body-site/anatomical location as there is a fixed number of sites and it is a pain to select laterality and site ev…

ahhh i was just starting to read that topic! Thank you so much for sharing will review, i’m sure it will provide valuable insight!

Thanks for this. Agreed. Technically I guess we could be actually asserting a family history of a ‘fh of disorder’ to use those concepts within a FHx archetype, which then potentially requires further processing :rofl: However, we will come across “Family history of clinical finding” concepts duri…

All (or at least close to all) “Family history of clinical finding” is modelled using the same pattern with a relationship of type |Associated finding| that points out the related “Clinical finding” concept for the “Family history of clinical finding” concept. (See an example with the concepts 1603…

[image] mikael: mixing “fh of disorder” and “disorder” concepts in a “Family history” archetype would probably only complicate things. I certainly agree, and using the “Associated finding” relationship of any “family history of …” terms encountered would probably make for better quality data.…

[image] siljelb: But the “fh of disorder” terms should never be used in the “Problem/diagnosis” archetype. And if you ask the SNOMED CT designers they probably would say the opposite. :slight_smile: I think that we need to have a commonly agreed implementation guide here.

Family history and the Pre-coordination/Post Coordination Discussion

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joostholslag (Joost Holslag) 3 October 2023 11:29 4

Thanks for bringing this up (again). It remains a highly relevant topic. Just wanted to share this related topic from time ago. Where @mikael taught me about snomed ct default context. Semi structured narrative data - #31 by joostholslag

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Family history and the Pre-coordination/Post Coordination Discussion

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