How do I install the Family History skill?

Run npx skillmds@latest add majiayu000/family-history in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Family History safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Family History?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Family History free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Family History?

majiayu000 (@majiayu000) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Family History by majiayu000 — Agent Skill

Name: Family History
Rating: 4.5 (4 reviews)
Author: majiayu000

Family History

Generate FamilyMemberHistory resources with family relationships, heritable conditions, age of onset, and deceased status. Use when user mentions family history, hereditary, genetic risk, family member, parent, sibling, cancer history, heart disease in family, or FamilyMemberHistory.

majiayu000 Updated Sep 9, 2026 567 repo stars

File contents

Family Member History

Generate FamilyMemberHistory resources linking patients to heritable conditions in relatives.

Relationship Codes

Use http://terminology.hl7.org/CodeSystem/v3-RoleCode:

Parents: FTH (father), MTH (mother), NFTH (natural father), NMTH (natural mother), STPFTH (stepfather), STPMTH (stepmother), ADOPTF (adoptive father), ADOPTM (adoptive mother).
Siblings: BRO (brother), SIS (sister), HBRO (half-brother), HSIS (half-sister), TWIN (twin), TWINBRO (twin brother), TWINSIS (twin sister).
Grandparents: GRFTH (grandfather), GRMTH (grandmother), PGRFTH (paternal grandfather), MGRMTH (maternal grandmother).
Children: SON, DAU, NCHILD (natural child), STPSON, STPDAU.
Extended: UNCLE, AUNT, COUSN (cousin), NEPHEW, NIECE.

Common Heritable Conditions

Include realistic condition codes (SNOMED CT / ICD-10):

Cardiovascular: Coronary artery disease (53741008), Hypertension (38341003), Stroke (230690007), Cardiomyopathy (85898001).
Oncology: Breast cancer (254837009), Colon cancer (93761005), Prostate cancer (399068003), Lung cancer (93880001), Ovarian cancer (363443007), Melanoma (372244006).
Metabolic: Type 2 diabetes (44054006), Hyperlipidemia (55822004), Obesity (414916001).
Neurological: Alzheimer's (26929004), Parkinson's (49049000), Huntington's (58756001), Epilepsy (84757009).
Genetic syndromes: BRCA1/BRCA2 positive (412734009), Lynch syndrome (315058005), Sickle cell trait (16402000), Cystic fibrosis carrier (401150006), Hemophilia carrier (50536004).
Mental health: Major depression (73867007), Bipolar disorder (13746004), Schizophrenia (58214004), Alcohol use disorder (7200002).
Autoimmune: Rheumatoid arthritis (69896004), Lupus (55464009), Type 1 diabetes (46635009), Celiac disease (396331005).

Status

partial, completed, entered-in-error, health-unknown.
Use health-unknown for adopted patients or unknown family members.

Age and Deceased

age: Use Age data type (e.g., onset at age 55) or ageRange.
deceasedBoolean / deceasedAge / deceasedDate: Include for deceased relatives. Common pattern: father deceased at age 62 from MI.
bornDate: Include approximate birth year when relevant.

Clinical Patterns

Three-generation history: Include parents + grandparents + siblings minimum.
Cancer clustering: Multiple first-degree relatives with same cancer type → suggest genetic testing referral.
Cardiovascular family: Father MI at 55, paternal grandfather stroke at 60, brother hypertension at 40.
Diabetes family: Mother T2DM, maternal grandmother T2DM, sibling pre-diabetes.
Unknown history: Adopted patients — use status "health-unknown".

References

FamilyMemberHistory.patient → Reference(Patient/{id}) — required.
FamilyMemberHistory.reasonReference → Reference(Condition/{id}) — why documented.

---name: family-historydescription: Generate FamilyMemberHistory resources with family relationships, heritable conditions, age of onset, and deceased status. Use when user mentions family history, hereditary, genetic risk, family member, parent, sibling, cancer history, heart disease in family, or FamilyMemberHistory.--- # Family Member History Generate FamilyMemberHistory resources linking patients to heritable conditions in relatives. ## Relationship Codes Use http://terminology.hl7.org/CodeSystem/v3-RoleCode: - **Parents**: FTH (father), MTH (mother), NFTH (natural father), NMTH (natural mother), STPFTH (stepfather), STPMTH (stepmother), ADOPTF (adoptive father), ADOPTM (adoptive mother). - **Siblings**: BRO (brother), SIS (sister), HBRO (half-brother), HSIS (half-sister), TWIN (twin), TWINBRO (twin brother), TWINSIS (twin sister). - **Grandparents**: GRFTH (grandfather), GRMTH (grandmother), PGRFTH (paternal grandfather), MGRMTH (maternal grandmother). - **Children**: SON, DAU, NCHILD (natural child), STPSON, STPDAU. - **Extended**: UNCLE, AUNT, COUSN (cousin), NEPHEW, NIECE. ## Common Heritable Conditions Include realistic condition codes (SNOMED CT / ICD-10): - **Cardiovascular**: Coronary artery disease (53741008), Hypertension (38341003), Stroke (230690007), Cardiomyopathy (85898001). - **Oncology**: Breast cancer (254837009), Colon cancer (93761005), Prostate cancer (399068003), Lung cancer (93880001), Ovarian cancer (363443007), Melanoma (372244006). - **Metabolic**: Type 2 diabetes (44054006), Hyperlipidemia (55822004), Obesity (414916001). - **Neurological**: Alzheimer's (26929004), Parkinson's (49049000), Huntington's (58756001), Epilepsy (84757009). - **Genetic syndromes**: BRCA1/BRCA2 positive (412734009), Lynch syndrome (315058005), Sickle cell trait (16402000), Cystic fibrosis carrier (401150006), Hemophilia carrier (50536004). - **Mental health**: Major depression (73867007), Bipolar disorder (13746004), Schizophrenia (58214004), Alcohol use disorder (7200002). - **Autoimmune**: Rheumatoid arthritis (69896004), Lupus (55464009), Type 1 diabetes (46635009), Celiac disease (396331005). ## Status - partial, completed, entered-in-error, health-unknown. - Use **health-unknown** for adopted patients or unknown family members. ## Age and Deceased - **age**: Use Age data type (e.g., onset at age 55) or ageRange. - **deceasedBoolean** / **deceasedAge** / **deceasedDate**: Include for deceased relatives. Common pattern: father deceased at age 62 from MI. - **bornDate**: Include approximate birth year when relevant. ## Clinical Patterns - **Three-generation history**: Include parents + grandparents + siblings minimum. - **Cancer clustering**: Multiple first-degree relatives with same cancer type → suggest genetic testing referral. - **Cardiovascular family**: Father MI at 55, paternal grandfather stroke at 60, brother hypertension at 40. - **Diabetes family**: Mother T2DM, maternal grandmother T2DM, sibling pre-diabetes. - **Unknown history**: Adopted patients — use status "health-unknown". ## References - FamilyMemberHistory.patient → Reference(Patient/{id}) — required. - FamilyMemberHistory.reasonReference → Reference(Condition/{id}) — why documented.

Frequently asked questions