questionnaireresponse-sdc-example-ussg-fht-answers
type: QuestionnaireResponse
node role: treeRoot
id:
  v: questionnaireresponse-sdc-example-ussg-fht-answers
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse
    link: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse
language:
  v: en
text:
  status:
    v: generated
  div: Generated Narrative: QuestionnaireResponse questionnaireresponse-sdc-example-ussg-fht-answers Language: en Profile: SDC Standard Questionnaire Response LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> questionnaireresponse-sdc-example-ussg-fht-answers Questionnaire:US Surgeon General - Family Health Portrait #xD; 0 #xD; 0.1 Date Done 2008-01-17 #xD; 1 Your health information #xD; 1.1 #xD; 1.1.1 Name Annie Proband #xD; 1.1.2 Gender LOINC LA3-6: Female #xD; 1.1.3 Date of Birth 1966-04-04 #xD; 1.1.4 Were you born a twin? LOINC LA32-8: No #xD; 1.1.5 Were you adopted? LOINC LA32-8: No #xD; 1.1.6 Are your parents related to each other in any way other than marriage? LOINC LA32-8: No #xD; 1.1.7 Height 63 #xD; 1.1.7.1.1 Units UCUM [in_i]: [in_i] #xD; 1.1.8 Weight 127 #xD; 1.1.8.1.1 Units UCUM [lb_av]: [lb_av] #xD; 1.1.9 Body mass index (BMI) [Ratio] 22.5 #xD; 1.1.10 Race LOINC LA4457-3: White #xD; 1.1.11 Ethnicity #xD; 2 Family member health information #xD; 2.1.1 #xD; 2.1.1.1 Relationship to you LOINC LA10405-1: Daughter #xD; 2.1.1.2 Name Susan #xD; 2.1.1.3 Gender LOINC LA3-6: Female #xD; 2.1.1.4 Living? LOINC LA33-6: Yes #xD; 2.1.1.4.2 #xD; 2.1.1.4.2.2 Age 17 #xD; 2.1.1.5 Was this person born a twin? LOINC LA32-8: No #xD; 2.1.1.6 Was this person adopted? LOINC LA32-8: No #xD; 2 Family member health information #xD; 2.1.1 #xD; 2.1.1.1 Relationship to you LOINC LA10415-0: Brother #xD; 2.1.1.2 Name Brian #xD; 2.1.1.3 Gender LOINC LA2-8: Male #xD; 2.1.1.4 Living? LOINC LA33-6: Yes #xD; 2.1.1.4.2 #xD; 2.1.1.4.2.2 Age 32 #xD; 2.1.1.5 Was this person born a twin? LOINC LA32-8: No #xD; 2.1.1.6 Was this person adopted? LOINC LA32-8: No #xD; 2.1.2 This family member's history of disease #xD; 2.1.2.1 Disease or Condition LOINC LA14284-6: Other Cancer #xD; 2.1.2.2 Age at Diagnosis LOINC LA10397-0: 30-39 #xD; 2 Family member health information #xD; 2.1.1 #xD; 2.1.1.1 Relationship to you LOINC LA10418-4: Sister #xD; 2.1.1.2 Name Janet #xD;…
questionnaire:
  v: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-ussg-fht|4.0.0-ballot
  link: 4.0
  link: .0
status:
  v: in-progress
subject:
  link: http://hl7.org/fhir/Patient/proband
  reference:
    v: http://hl7.org/fhir/Patient/proband
authored:
  v: 2008-01-17
item:
  link id:
    v: 0
  item:
    link id:
      v: 0.1
    text:
      v: Date Done
    answer:
      value: date
        v: 2008-01-17
item:
  link id:
    v: 1
  text:
    v: Your health information
  item:
    link id:
      v: 1.1
    item:
      link id:
        v: 1.1.1
      text:
        v: Name
      answer:
        value: string
    item:
      link id:
        v: 1.1.2
      text:
        v: Gender
      answer:
        value: Coding
    item:
      link id:
        v: 1.1.3
      text:
        v: Date of Birth
      answer:
        value: date
    item:
      link id:
        v: 1.1.4
      text:
        v: Were you born a twin?
      answer:
        value: Coding
    item:
      link id:
        v: 1.1.5
      text:
        v: Were you adopted?
      answer:
        value: Coding
    item:
      link id:
        v: 1.1.6
      text:
        v: Are your parents related to each other in any way other than marriage?
      answer:
        value: Coding
    item:
      link id:
        v: 1.1.7
      text:
        v: Height
      answer:
        value: decimal
    item:
      link id:
        v: 1.1.8
      text:
        v: Weight
      answer:
        value: decimal
    item:
      link id:
        v: 1.1.9
      text:
        v: Body mass index (BMI) [Ratio]
      answer:
        value: decimal
    item:
      link id:
        v: 1.1.10
      text:
        v: Race
      answer:
        value: Coding
    item:
      link id:
        v: 1.1.11
      text:
        v: Ethnicity
      answer:
        value: Coding
      answer:
        value: Coding
item:
  link id:
    v: 2
  text:
    v: Family member health information
  item:
    link id:
      v: 2.1.1
    item:
      link id:
        v: 2.1.1.1
      text:
        v: Relationship to you
      answer:
        value: Coding
    item:
      link id:
        v: 2.1.1.2
      text:
        v: Name
      answer:
        value: string
    item:
      link id:
        v: 2.1.1.3
      text:
        v: Gender
      answer:
        value: Coding
    item:
      link id:
        v: 2.1.1.4
      text:
        v: Living?
      answer:
        value: Coding
    item:
      link id:
        v: 2.1.1.5
      text:
        v: Was this person born a twin?
      answer:
        value: Coding
    item:
      link id:
        v: 2.1.1.6
      text:
        v: Was this person adopted?
      answer:
        value: Coding
item:
  link id:
    v: 2
  text:
    v: Family member health information
  item:
    link id:
      v: 2.1.1
    item:
      link id:
        v: 2.1.1.1
      text:
        v: Relationship to you
      answer:
        value: Coding
    item:
      link id:
        v: 2.1.1.2
      text:
        v: Name
      answer:
        value: string
    item:
      link id:
        v: 2.1.1.3
      text:
        v: Gender
      answer:
        value: Coding

string
v: Annie Proband

Coding
type: LA3-6
system:
  v: http://loinc.org
code:
  v: LA3-6
display:
  v: Female

date
v: 1966-04-04

Coding
type: LA32-8
system:
  v: http://loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA32-8
system:
  v: http://loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA32-8
system:
  v: http://loinc.org
code:
  v: LA32-8
display:
  v: No

decimal
v: 63

link id:
  v: 1.1.7.1.1
text:
  v: Units
answer:
  value: Coding
    system:
      v: http://unitsofmeasure.org
    code:
      v: [in_i]
    display:
      v: [in_i]

decimal
v: 127

link id:
  v: 1.1.8.1.1
text:
  v: Units
answer:
  value: Coding
    system:
      v: http://unitsofmeasure.org
    code:
      v: [lb_av]
    display:
      v: [lb_av]

decimal
v: 22.5

Coding
type: LA4457-3
system:
  v: http://loinc.org
code:
  v: LA4457-3
display:
  v: White

Coding
type: LA4611-5
system:
  v: http://loinc.org
code:
  v: LA4611-5
display:
  v: Mexican

Coding
type: LA10606-4
system:
  v: http://loinc.org
code:
  v: LA10606-4
display:
  v: South American

Coding
type: LA10405-1
system:
  v: http://loinc.org
code:
  v: LA10405-1
display:
  v: Daughter

string
v: Susan

Coding
type: LA3-6
system:
  v: http://loinc.org
code:
  v: LA3-6
display:
  v: Female

Coding
type: LA33-6
system:
  v: http://loinc.org
code:
  v: LA33-6
display:
  v: Yes

link id:
  v: 2.1.1.4.2
item:
  link id:
    v: 2.1.1.4.2.2
  text:
    v: Age
  answer:
    value: decimal
      v: 17

Coding
type: LA32-8
system:
  v: http://loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA32-8
system:
  v: http://loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA10415-0
system:
  v: http://loinc.org
code:
  v: LA10415-0
display:
  v: Brother

string
v: Brian

Coding
type: LA2-8
system:
  v: http://loinc.org
code:
  v: LA2-8
display:
  v: Male

link id:
  v: 2.1.1.4
text:
  v: Living?
answer:
  value: Coding
    type: LA33-6
    system:
      v: http://loinc.org
    code:
      v: LA33-6
    display:
      v: Yes
  item:
    link id:
      v: 2.1.1.4.2
    item:
      link id:
        v: 2.1.1.4.2.2
      text:
        v: Age
      answer:
        value: decimal

decimal
v: 32

link id:
  v: 2.1.1.5
text:
  v: Was this person born a twin?
answer:
  value: Coding
    type: LA32-8
    system:
      v: http://loinc.org
    code:
      v: LA32-8
    display:
      v: No

link id:
  v: 2.1.1.6
text:
  v: Was this person adopted?
answer:
  value: Coding
    type: LA32-8
    system:
      v: http://loinc.org
    code:
      v: LA32-8
    display:
      v: No

link id:
  v: 2.1.2
text:
  v: This family member's history of disease
item:
  link id:
    v: 2.1.2.1
  text:
    v: Disease or Condition
  answer:
    value: Coding
      type: LA14284-6
      system:
        v: http://loinc.org
      code:
        v: LA14284-6
      display:
        v: Other Cancer
item:
  link id:
    v: 2.1.2.2
  text:
    v: Age at Diagnosis
  answer:
    value: Coding
      type: LA10397-0
      system:
        v: http://loinc.org
      code:
        v: LA10397-0
      display:
        v: 30-39

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10418-4
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Janet
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA14283-8
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10397-0

v: LA10418-4

v: Sister

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 36

v: LA32-8

v: No

v: LA32-8

v: No

v: LA14283-8

v: Breast Cancer

v: LA10397-0

v: 30-39

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10419-2
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Ian
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10419-2

v: Nephew

v: LA2-8

v: Male

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 16

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10420-0
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Helen
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10420-0

v: Niece

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 15

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10416-8
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Donald
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10416-8

v: Father

v: LA2-8

v: Male

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 52

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10425-9
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Eric
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10425-9

v: Paternal Uncle

v: LA2-8

v: Male

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 56

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10421-8
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Fiona
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA10543-9

v: LA10421-8

v: Paternal Aunt

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 57

v: LA32-8

v: No

v: LA32-8

v: No

v: LA10543-9

v: Skin Cancer

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10423-4
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Bob
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA10537-1
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10400-2

v: LA10423-4

v: Paternal Grandfather

v: LA2-8

v: Male

v: LA32-8

v: No

v: 2.1.1.4.1

link id:
  v: 2.1.1.4.1.1
text:
  v: Cause of Death
answer:
  value: Coding
    type: LA10537-1
    system:
      v: http://loinc.org
    code:
      v: LA10537-1
    display:
      v: Colon Cancer

link id:
  v: 2.1.1.4.1.2
text:
  v: Age at Death
answer:
  value: Coding
    type: LA10400-2
    system:
      v: http://loinc.org
    code:
      v: LA10400-2
    display:
      v: OVER 60

v: LA32-8

v: No

v: LA32-8

v: No

v: LA10537-1

v: Colon Cancer

v: LA10400-2

v: OVER 60

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10424-2
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Claire
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10424-2

v: Paternal Grandmother

v: LA3-6

v: Female

v: LA32-8

v: No

v: 2.1.1.4.1

link id:
  v: 2.1.1.4.1.1
text:
  v: Cause of Death
answer:
  value: Coding
    type: LA10589-2
    system:
      v: http://loinc.org
    code:
      v: LA10589-2
    display:
      v: Other/Unexpected
  item:
    link id:
      v: 2.1.1.4.1.1.1
    text:
      v: Please specify
    answer:
      value: string
        v: Lou Gehrigs

link id:
  v: 2.1.1.4.1.2
text:
  v: Age at Death
answer:
  value: Coding
    type: LA10400-2
    system:
      v: http://loinc.org
    code:
      v: LA10400-2
    display:
      v: OVER 60

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10417-6
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Harriet
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA15682-0
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10398-8

v: LA10417-6

v: Mother

v: LA3-6

v: Female

v: LA32-8

v: No

v: 2.1.1.4.1

link id:
  v: 2.1.1.4.1.1
text:
  v: Cause of Death
answer:
  value: Coding
    type: LA15682-0
    system:
      v: http://loinc.org
    code:
      v: LA15682-0
    display:
      v: Ovarian Cancer

link id:
  v: 2.1.1.4.1.2
text:
  v: Age at Death
answer:
  value: Coding
    type: LA10399-6
    system:
      v: http://loinc.org
    code:
      v: LA10399-6
    display:
      v: 50-59

v: LA32-8

v: No

v: LA32-8

v: No

v: LA15682-0

v: Ovarian Cancer

v: LA10398-8

v: 40-49

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10414-3
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Rudy
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10414-3

v: Maternal Uncle

v: LA2-8

v: Male

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 60

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10410-1
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Julie
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10410-1

v: Maternal Aunt

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 57

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10412-7
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Ian
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA2-8
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10412-7

v: Maternal Grandfather

v: LA2-8

v: Male

v: LA32-8

v: No

v: 2.1.1.4.1

link id:
  v: 2.1.1.4.1.1
text:
  v: Cause of Death
answer:
  value: Coding
    type: LA16286-9
    system:
      v: http://loinc.org
    code:
      v: LA16286-9
    display:
      v: Heart attack

link id:
  v: 2.1.1.4.1.2
text:
  v: Age at Death
answer:
  value: Coding
    type: LA10400-2
    system:
      v: http://loinc.org
    code:
      v: LA10400-2
    display:
      v: OVER 60

v: LA32-8

v: No

v: LA32-8

v: No

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10413-5
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Gladys
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA14283-8
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10399-6
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA16982-3
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10395-4

v: LA10413-5

v: Maternal Grandmother

v: LA3-6

v: Female

v: LA32-8

v: No

v: 2.1.1.4.1

link id:
  v: 2.1.1.4.1.1
text:
  v: Cause of Death
answer:
  value: Coding
    type: LA10589-2
    system:
      v: http://loinc.org
    code:
      v: LA10589-2
    display:
      v: Other/Unexpected

link id:
  v: 2.1.1.4.1.2
text:
  v: Age at Death
answer:
  value: Coding
    type: LA10400-2
    system:
      v: http://loinc.org
    code:
      v: LA10400-2
    display:
      v: OVER 60

v: LA32-8

v: No

v: LA32-8

v: No

v: LA14283-8

v: Breast Cancer

v: LA10399-6

v: 50-59

v: LA16982-3

v: Asthma

v: LA10395-4

v: Childhood

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10411-9
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Karren
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8
item:
  link id:
    v: 2.1.2
  text:
    v: This family member's history of disease
  item:
    link id:
      v: 2.1.2.1
    text:
      v: Disease or Condition
    answer:
      value: Coding
        type: LA14283-8
  item:
    link id:
      v: 2.1.2.2
    text:
      v: Age at Diagnosis
    answer:
      value: Coding
        type: LA10397-0

v: LA10411-9

v: Maternal Cousin

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 30

v: LA32-8

v: No

v: LA32-8

v: No

v: LA14283-8

v: Breast Cancer

v: LA10397-0

v: 30-39

link id:
  v: 2
text:
  v: Family member health information
item:
  link id:
    v: 2.1.1
  item:
    link id:
      v: 2.1.1.1
    text:
      v: Relationship to you
    answer:
      value: Coding
        type: LA10411-9
  item:
    link id:
      v: 2.1.1.2
    text:
      v: Name
    answer:
      value: string
        v: Mary
  item:
    link id:
      v: 2.1.1.3
    text:
      v: Gender
    answer:
      value: Coding
        type: LA3-6
  item:
    link id:
      v: 2.1.1.4
    text:
      v: Living?
    answer:
      value: Coding
        type: LA33-6
  item:
    link id:
      v: 2.1.1.5
    text:
      v: Was this person born a twin?
    answer:
      value: Coding
        type: LA32-8
  item:
    link id:
      v: 2.1.1.6
    text:
      v: Was this person adopted?
    answer:
      value: Coding
        type: LA32-8

v: LA10411-9

v: Maternal Cousin

v: LA3-6

v: Female

v: LA33-6

v: Yes

v: 2.1.1.4.2

link id:
  v: 2.1.1.4.2.2
text:
  v: Age
answer:
  value: decimal
    v: 31

v: LA32-8

v: No

v: LA32-8

v: No