<?xml version="1.0" encoding="UTF-8"?><List xmlns="http://hl7.org/fhir">
  <id value="example-double-cousin-relationship"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <contained>
    <FamilyMemberHistory>
      <id value="1"/>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Mary"/>
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="NMTH"/>
          <display value="natural mother"/>
        </coding>
        <text value="natural mother"/>
      </relationship>
      <deceasedBoolean value="true"/>
      <condition>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="73211009"/>
            <display value="Diabetes mellitus"/>
          </coding>
          <text value="Diabetes mellitus"/>
        </code>
        <onsetAge>
          <value value="45"/>
          <unit value="yr"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetAge>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="2"/>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Bob"/>
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="PUNCLE"/>
          <display value="paternal uncle"/>
        </coding>
        <text value="paternal uncle"/>
      </relationship>
      <condition>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1481000119100"/>
            <display value="Diabetes mellitus type 2 without retinopathy"/>
          </coding>
          <text value="Diabetes mellitus type 2 without retinopathy"/>
        </code>
        <onsetAge>
          <value value="35"/>
          <unit value="yr"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetAge>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="3"/>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Jon"/>
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="MUNCLE"/>
          <display value="maternal uncle"/>
        </coding>
        <text value="maternal uncle"/>
      </relationship>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="4"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="NSIS"/>
              <display value="natural sister"/>
            </coding>
            <text value="natural sister"/>
          </valueCodeableConcept>
        </extension>
        <extension url="reference">
          <valueReference>
            <!-- It is fake. -->
            <reference value="FamilyMemberHistory/mother"/>
            <display value="paternal grandmother"/>
          </valueReference>
        </extension>
      </extension>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Alica"/>
      <!-- This is a new relationship that here is a maternal grandmother who is paternal grandmonther's sibling -->
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="MGRMTH"/>
          <display value="maternal grandmother"/>
        </coding>
        <text value="maternal grandmother"/>
      </relationship>
      <ageAge>
        <value value="70"/>
        <unit value="yr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageAge>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="5"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="MTH"/>
              <display value="mother"/>
            </coding>
            <text value="mother"/>
          </valueCodeableConcept>
        </extension>
        <extension url="reference">
          <valueReference>
            <reference value="FamilyMemberHistory/147146"/>
            <display value="maternal grandmother"/>
          </valueReference>
        </extension>
      </extension>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Aunt with Parent ID"/>
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="MAUNT"/>
          <display value="maternal aunt"/>
        </coding>
        <text value="maternal aunt"/>
      </relationship>
      <sex>
        <coding>
          <system value="http://hl7.org/fhir/administrative-gender"/>
          <code value="female"/>
          <display value="Female"/>
        </coding>
      </sex>
      <ageAge>
        <value value="55"/>
        <unit value="yr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageAge>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="6"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="NBRO"/>
              <display value="natural brother"/>
            </coding>
            <text value="natural brother"/>
          </valueCodeableConcept>
        </extension>
        <extension url="reference">
          <valueReference>
            <!-- It is fake. -->
            <reference value="FamilyMemberHistory/father"/>
            <display value="maternal grandfather"/>
          </valueReference>
        </extension>
      </extension>
      <status value="completed"/>
      <patient>
        <reference value="Patient/example"/>
        <display value="Pam Taylor"/>
      </patient>
      <name value="Paul"/>
      <!-- This is a new relationship that here is a maternal grandmother who is paternal grandmonther's sibling -->
      <relationship>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
          <code value="PGRFTH"/>
          <display value="Paternal grandfather"/>
        </coding>
        <text value="Paternal grandfather"/>
      </relationship>
      <ageAge>
        <value value="74"/>
        <unit value="yr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="b"/>
      </ageAge>
    </FamilyMemberHistory>
  </contained>
  <status value="current"/>
  <mode value="snapshot"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="80738-8"/>
      <display value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/>
    </coding>
    <text value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
    <display value="Pam Taylor"/>
  </subject>
  <entry>
    <item>
      <reference value="#1"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#2"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#3"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#4"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#5"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#6"/>
    </item>
  </entry>
</List>