Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of...
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![Page 1: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/1.jpg)
Documenting the Family History:An Overview of Available Tools
Kristin Peterson, MS, CGC
Office of Genomics and Disease Prevention
Centers for Disease Control and Prevention
![Page 2: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/2.jpg)
Overview
• Collecting family history information– Who, How, What and Why
• Overview of different approaches and formats
• Examples of available tools
![Page 3: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/3.jpg)
Collecting Family History
• Who? – Providers, Insurers, Employers, Individuals,
Genealogists, Courts, Social Services, Researchers
• How?– Pedigree, table or chart, questionnaire,
narrative
![Page 4: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/4.jpg)
Collecting Family History
• What?– Medical and health info in families, social
and cultural traditions, behaviors and habits that impact health, environmental exposures
• Why?– Provide care, assess risks, provide
anticipatory guidance, disease prevention, adoption, social services, genealogy, research
![Page 5: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/5.jpg)
![Page 6: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/6.jpg)
Family History Tools: Multi-Generation Pedigree
• The gold standard– Captures large quantities of information – Compact, standardized format– Amenable to analysis– A living document
However……
![Page 7: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/7.jpg)
Family History Tools: Multi-Generation Pedigree
• Requires training and skill for maximal effectiveness
• Time consuming to collect
• Usefulness as screening tool?
![Page 8: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/8.jpg)
So many tools, so little time…
• Many tools available
• Common purpose– Diagnosis of a present medical condition– Risk assessment to prevent a medical
condition
• Several formats
• Several sources
![Page 9: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/9.jpg)
Descriptive Evaluation Criteria
• Tool Format: Pedigree, table, questionnaire • Degree of relationship: 1st, 2nd or 3rd degree• Length of tool: <2 pgs, >2 pgs• Source of tool: Med or pop lit, gov, advocacy or
professional org, social services• Types of questions: Broad, focused, disease-specific,
non-prescribed• Information collected: Genetic, exposures, medical,
cultural, behavioral, social• Intended use(s): Diagnosis, risk assessment, planning,
prevention, research
![Page 10: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/10.jpg)
Descriptive Evaluation Criteria: Screening Pedigree
• Tool Format: Pedigree• Degree of relationship: 2nd degree• Length of tool: <2 pgs• Source of tool: advocacy organization• Types of questions: focused, disease-
specific (colon ca)• Information collected: genetic, medical • Intended use(s): risk assessment,
prevention
![Page 11: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/11.jpg)
![Page 12: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/12.jpg)
Descriptive Evaluation Criteria: Primary Care Screening Tool
• Tool Format: Table• Degree of relationship: 1st degree plus• Length of tool: <2 pgs• Source of tool: Medical group (Fox Valley Family
Practice)• Types of questions: Broad, disease-specific• Information collected: Genetic, medical• Intended use(s): Risk assessment, prevention
![Page 13: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/13.jpg)
![Page 14: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/14.jpg)
Descriptive Evaluation Criteria: Family History Table
• Tool Format: Table• Degree of relationship: 2nd degree
(grandparents)• Length of tool: <2 pgs• Source of tool: Internet (Mactopia)• Types of questions: Disease specific, broad• Information collected: Genetic, medical• Intended use(s): Risk assessment, prevention
![Page 15: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/15.jpg)
Family Medical History
Name:
Last modified:
Family
Member Health Status Arthritis Cancer Diabetes
Heart Condition
Lung Disease
Mental Illness
Stroke Other Cause of Death Age at Death
Father
Mother
Siblings
Grandparents
Children
Spouse
![Page 16: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/16.jpg)
Descriptive Evaluation Criteria: Cancer Fam Hx Questionnaire
• Tool Format: Table, questionnaire• Degree of relationship: 3rd degree• Length of tool: <2 pgs• Source of tool: Medical org (ACMG), government
(NYS DOH• Types of questions: Broad, disease-specific• Information collected: Genetic, medical• Intended use(s): Risk assessment, prevention
![Page 17: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/17.jpg)
![Page 18: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/18.jpg)
Popular Literature
Family HistoryTools in the
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Summary
• Family history info collected in many ways– Many tools, many formats, many approaches,
varying degrees of detail and emphasis
• Primary purposes are diagnosis, risk assessment, and prevention
• Family history may be a useful tool for disease prevention
![Page 20: Documenting the Family History: An Overview of Available Tools Kristin Peterson, MS, CGC Office of Genomics and Disease Prevention Centers for Disease.](https://reader035.fdocuments.in/reader035/viewer/2022070417/56649db15503460f94a9f9cf/html5/thumbnails/20.jpg)