Currently here is the recommendation:
RECOMMENDATION
If we have a matching concept in SNOMED, then use the respective observation_ concept_id. If we do NOT have a matching SNOMED code, then observation_concept_id should be ‘4210989 Family history with explicit context’ and value_as_concept_id should be the related procedure, condition etc.
ACTION
Add as a convention under the OBSERVATION page.
There is no connection from the disease to the “family history of”. Check that all relationships exist. If they do not, then talk to SNOMED. Next step is to add SNOMED extension
I do want to bring up the WIKI has this on it:
Note that the value of value_as_concept_id may be provided through mapping from a source Concept which contains the content of the Observation. In those situations, the CONCEPT_RELATIONSHIP table in addition to the “Maps to” record contains a second record with the relationship_id set to “Maps to value”. For example, ICD9CM V17.5 concept_id 44828510 “Family history of asthma” has a “Maps to” relationship to 4167217 “Family history of clinical finding” as well as a “Maps to value” record to 317009 “Asthma”.
@aostropolets, we would still do this when we have an mapped OBSERVATION_CONCEPT_ID?