Family history
Form from HIS OpenVistA

  1. StudyEvent: HIS
    1. HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Maternal Family History
C0424914 (UMLS CUI-1)
Mother alive
Item
Mother living
boolean
C2321272 (UMLS CUI [1])
Hypertension
Item
Hypertensive disease
boolean
C0020538 (UMLS CUI)
38341003 (SNOMED CT 2010_0731)
10020772 (MedDRA 13.1)
MTHU020789 (LOINC Version 232)
I10 (ICD-10-CM Version 2010)
997.91 (ICD-9-CM Version 2011)
E13785 (CTCAE Version 4.03)
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI)
191044006 (SNOMED CT 2010_0731)
Stroke
Item
Stroke
boolean
C0038454 (UMLS CUI)
230690007 (SNOMED CT 2010_0731)
10042244 (MedDRA 13.1)
I63.9 (ICD-10-CM Version 2010)
E12826 (CTCAE Version 4.03)
Myocardial Infarction (MI)
Item
Heart infarction
boolean
C0027051 (UMLS CUI)
22298006 (SNOMED CT 2010_0731)
10028596 (MedDRA 13.1)
MTHU035551 (LOINC Version 232)
I21-I22 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
E10152 (CTCAE Version 4.03)
Premature coronary artery disease
Item
Early Coronary Vascular Disease
boolean
C1867743 (UMLS CUI [1])
Breast Cancer
Item
Breast Carcinoma
boolean
C0678222 (UMLS CUI)
254838004 (SNOMED CT 2010_0731)
10006204 (MedDRA 13.1)
Colon Cancer
Item
Colon Carcinoma
boolean
C0699790 (UMLS CUI)
269533000 (SNOMED CT 2010_0731)
10009957 (MedDRA 13.1)
Other
Item
Other
text
age of death mother
Item
Mother's age at death
integer
C1720406 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
cause of death mother
Item
Mother's Cause of Death
text
184305005 (SNOMED CT 2010_0731)
MTHU010441 (LOINC Version 232)
C0007465 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
comment
Item
comment
text
C0947611 (UMLS CUI [1])
Item Group
Paternal Family History
C0424909 (UMLS CUI-1)
Father living
Item
Father living
boolean
Hypertension
Item
Hypertensive disease
boolean
C0020538 (UMLS CUI)
38341003 (SNOMED CT 2010_0731)
10020772 (MedDRA 13.1)
MTHU020789 (LOINC Version 232)
I10 (ICD-10-CM Version 2010)
997.91 (ICD-9-CM Version 2011)
E13785 (CTCAE Version 4.03)
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI)
191044006 (SNOMED CT 2010_0731)
Stroke
Item
Stroke
boolean
C0038454 (UMLS CUI)
230690007 (SNOMED CT 2010_0731)
10042244 (MedDRA 13.1)
I63.9 (ICD-10-CM Version 2010)
E12826 (CTCAE Version 4.03)
Myocardial Infarction (MI)
Item
Heart infarction
boolean
C0027051 (UMLS CUI)
22298006 (SNOMED CT 2010_0731)
10028596 (MedDRA 13.1)
MTHU035551 (LOINC Version 232)
I21-I22 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
E10152 (CTCAE Version 4.03)
Early Coronary Vascular Disease
Item
Early Coronary Vascular Disease
boolean
C1867743 (UMLS CUI [1])
Prostate Cancer
Item
Prostate carcinoma
boolean
C0600139 (UMLS CUI)
254900004 (SNOMED CT 2010_0731)
10036921 (MedDRA 13.1)
Colon Cancer
Item
Colon Carcinoma
boolean
C0699790 (UMLS CUI)
269533000 (SNOMED CT 2010_0731)
10009957 (MedDRA 13.1)
Other
Item
Other
text
age of death father
Item
Father's age at death
integer
C1720406 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
cause of death father
Item
Father's cause of death
text
184305005 (SNOMED CT 2010_0731)
MTHU010441 (LOINC Version 232)
C0007465 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
comment
Item
comment
text
C0947611 (UMLS CUI [1])
Item Group
Siblings Family History
C0241889 (UMLS CUI-1)
C0037047 (UMLS CUI-2)
Siblings without significant disease
Item
Siblings without significant disease
text
C0037047 (UMLS CUI [1,1])
C0497153 (UMLS CUI [1,2])
Siblings with significant disease
Item
Siblings with significant disease
boolean
C0037047 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
Hypertension
Item
Hypertensive disease
boolean
C0020538 (UMLS CUI)
38341003 (SNOMED CT 2010_0731)
10020772 (MedDRA 13.1)
MTHU020789 (LOINC Version 232)
I10 (ICD-10-CM Version 2010)
997.91 (ICD-9-CM Version 2011)
E13785 (CTCAE Version 4.03)
Stroke
Item
Stroke
boolean
C0038454 (UMLS CUI)
230690007 (SNOMED CT 2010_0731)
10042244 (MedDRA 13.1)
I63.9 (ICD-10-CM Version 2010)
E12826 (CTCAE Version 4.03)
Myocardial Infarction (MI)
Item
Heart infarction
boolean
C0027051 (UMLS CUI)
22298006 (SNOMED CT 2010_0731)
10028596 (MedDRA 13.1)
MTHU035551 (LOINC Version 232)
I21-I22 (ICD-10-CM Version 2010)
410 (ICD-9-CM Version 2011)
E10152 (CTCAE Version 4.03)
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI)
191044006 (SNOMED CT 2010_0731)
Early Coronary Vascular Disease
Item
Early Coronary Vascular Disease
boolean
C1867743 (UMLS CUI [1])
Colon Cancer
Item
Colon Carcinoma
boolean
C0699790 (UMLS CUI)
269533000 (SNOMED CT 2010_0731)
10009957 (MedDRA 13.1)
Other
Item
Other
text
C0205394 (UMLS CUI [1])