Dot Phrase Template for Creating a Simple Family History Record in a Patient's EMR Chart
Create a complete list of a patient's family history with a few simple clicks.
Copy templates to use them anywhere:
Family History Template
Collecting a patient's family history is crucial for healthcare providers as it helps identify potential genetic predispositions or hereditary conditions that may increase the patient's risk of certain diseases. This information allows doctors to personalize and tailor medical care, implement preventive measures, and recommend appropriate screenings or genetic testing when necessary.
The following snippet makes it possible to generate a detailed report of the patient’s family history of colon cancer.
Colon Cancer Family History
Number of family members with a history of Colon Cancer:
{note: trim=left} {formtext: name=familymembers; default=1}
{endnote: trim=right}
{repeat: for i in (seq(1, familymembers) if familymembers > 0 else [])}
Family Member {=i}
{note}Select Family Member: {endnote: trim=yes}{formmenu: values={=relative}; name=member}
Age at diagnosis of CRC: {formmenu: values={=agegroup}; name=age}
{endrepeat}
{note: trim=left; preview=no}
Lists:
Relatives: {relative=["", "Father", "Mother", "Older Brother", "Younger Brother", "Older Sister", "Younger Sister","Grandparent", "Maternal Grandfather", "Paternal Grandfather", "Maternal Grandmother", "Paternal Grandmother", "Maternal Aunt", "Paternal Aunt", "Maternal Uncle", "Paternal Uncle", "Maternal Cousin", "Paternal Cousin", "Maternal Nephew", "Paternal Nephew", "Maternal Niece", "Paternal Niece"]}
Age Group: {ageGroup=["", "in their 20s", "20", "21", "22", "23", "24", "25", "26", "27", "28", "29", "in their 30s", "30", "31", "32", "33", "34", "35", "36", "37", "38", "39", "in their 40s", "40", "41", "42", "43", "44", "45", "46", "47", "48", "49", "in their early 50s", "50", "51", "52", "53", "54", "55","in their late 50s", "56", "57", "58", "59", "in their 60s", "60", "61", "62", "63", "64", "65", "66", "67", "68", "69", "in their 70s", "70", "71", "72", "73", "74", "75", "76", "77", "78", "79", "in their 80s", "80", "81", "82", "83", "84", "85", "86", "87", "88", "89", "in their 90s"]}{=agegroup01}
{endnote: trim=right}
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This example is focused on colon cancer, but can easily be recreated for any condition or a host of conditions. Click the "Copy to Text Blaze" button at the top of the example below to add it to your account, and then customize as needed.
This snippet uses the Form Text command and drop-down menus.
