Curate family history with pedigree detail

This recipe is part of Advanced Data Curation: capturing facts that do not exist in OMOP.

User goal
Structure family-history narrative, including relative, condition, age at onset, and genetic results.

When to use this
Use for hereditary-risk stratification, genetic-counseling referral worklists, or research cohorts that depend on family history.

Required inputs/data

Dataset built from a cohort or ingestion results (see the "Build a dataset" recipe reference in Scenario: S3 to cohort to dataset to Data Curation) for patients with social or family-history documentation
Note types such as H&P, new-patient/intake notes, genetics notes, and oncology notes
A custom registry defining the family-history fields

Custom registry fields (illustrative)

relative
condition
age_at_onset
vital_status
genetic_test_result

Patient Journey Intelligence features involved

Dataset Builder / Explorer
Data Curation Studio
Custom Registries
Curation Results and evidence review
Medical Terminology
Result export

Step-by-step workflow

Build a dataset of patients with family-history documentation.
Define a custom registry with the family-history fields, one row per relative-condition pair.
Run the curation job.
Review extracted relationships, conditions, and ages against evidence spans.
Normalize condition terms where needed; correct and validate values.
Export the structured family-history table for risk scoring or cohort building.

Expected output

Structured family-history records
Evidence-linked, reviewed values
Exportable table supporting hereditary-risk workflows

Edge cases / limitations

A single sentence can describe several relatives and conditions; model one record per relative-condition pair.
Negated history, such as "no family history of cancer," must not be captured as positive history.
Relationship terms can be ambiguous; preserve the source phrasing.
Self-reported family history is unverified and should be labeled accordingly for downstream use.

User value

Converts buried family-history prose into structured risk signals for screening, referral, and research.

Next step​

Next step