Stream: implementers
Topic: Pertinent Negatives (FamHx)
Sean Moore (Jul 18 2016 at 20:47):
Hey all, in our system, a clinician can document that a given patient can have no known pertinent negatives of a specific condition. I.e., the patient's family has no known history, or a verified lack of history, in their familial tree. Looking at the FamilyMemberHistory specification, there doesn't appear to be a way to describe this standardly. 1) do others agree, and 2) should there be?
Grahame Grieve (Jul 18 2016 at 21:06):
is this in scope for family history? isn't it just a condition on the patient?
Sean Moore (Jul 18 2016 at 21:09):
It isn't really a statement about the patient, but rather the patient's relatives. It's the distinction between Patient has no known diabetes and Family going back 3 generations has no known history of diabetes.
Jonathan Holt (Jul 18 2016 at 22:50):
@Sean Moore there lies the rub. Is three generations the cut-off? There is also a problem with scope within an ontology. If the patient states there is no family history of cancer, but has a relative with esophageal adenocarcinoma and the patient don't realize that is a 'cancer'.
Lloyd McKenzie (Jul 19 2016 at 00:50):
There are two different things you can do. You can put an observation on the patient - "No family history of breast cancer". Or you can do a contained observation pointed to by the relative (there's an extension for that purpose)
Last updated: Apr 12 2022 at 19:14 UTC
