Table 4:
Element | Adult Family History Form | Cancer Family Tree | Colon Cancer Risk Assessment | Does It Run in the Family? Toolkit | Family Health History Toolkit | Family Health Link | Family Healthware | My Family Health Portrait |
---|---|---|---|---|---|---|---|---|
(19) | (10) | (9) | (19) | (14) | (10) | (11) | (22) | |
Family member | ||||||||
Side of family | ○ | ○ | • | ○ | ○ | ○ | ○ | |
Family member | • | • | • | • | • | • | • | • |
Genetic relationship | ○ | • | ○ | |||||
Half relationship | • | • | ○ | ○ | ○ | |||
Step relationship | • | |||||||
Adoptive status | • | • | ||||||
Foster status | • | |||||||
Multiple birth status | • | |||||||
Name | • | • | • | • | • | • | ||
Sex | • | |||||||
Gender | • | • | • | |||||
Place of birth | • | • | • | |||||
Date of birth | • | • | • | • | ||||
Current age | • | • | • | • | • | |||
Race | • | • | ||||||
Ethnicity | • | • | • | |||||
Ancestry | • | • | • | |||||
Living status | • | • | • | • | ||||
Date of death | • | • | • | |||||
Age at death | • | • | • | • | ||||
Cause of death | • | • | • | • | ||||
Quantity of family member | • | • | • | |||||
Observation | ||||||||
Observation | • | • | • | • | • | • | • | • |
Observation type | ○ | ○ | ○ | ○ | ○ | ○ | ○ | ○ |
Age at onset | • | • | • | • | • | • | • | |
Certainty of observation | • | • | • | • | • | |||
Negation of observation | • | • | • | • | • | • | • | |
Quantity of observation | • | • | ||||||
Temporality of observation | • |
Elements for family members of patient only; some may also be collected for the patient in addition to other patient-specific elements.
(n) indicates total number of elements; • indicates explicit element; ○ indicates included due to values for Family Member or Observation.
FHH, family health history.