GAO Ballot Package
This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.
Example response to the SDC-LOINC USSG Family History questionnaire
{
"resourceType": "QuestionnaireResponse",
"id": "questionnaireresponse-sdc-example-ussg-fht-answers",
"text": {
"status": "generated",
"div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: questionnaireresponse-sdc-example-ussg-fht-answers</p><p><b>questionnaire</b>: <a>Questionnaire/43127-6</a></p><p><b>status</b>: in-progress</p><p><b>subject</b>: <a>Patient/proband</a></p><p><b>authored</b>: 17/01/2008</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 0</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><p><b>text</b>: Your health information</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>text</b>: Family member health information</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></div>"
},
"questionnaire": {
"reference": "Questionnaire/43127-6"
},
"status": "in-progress",
"subject": {
"reference": "Patient/proband"
},
"authored": "2008-01-17",
"item": [
{
"linkId": "0",
"item": [
{
"linkId": "0.1",
"text": "Date Done",
"answer": [
{
"valueDate": "2008-01-17"
}
]
}
]
},
{
"linkId": "1",
"text": "Your health information",
"item": [
{
"linkId": "1.1",
"item": [
{
"linkId": "1.1.1",
"text": "Name",
"answer": [
{
"valueString": "Annie Proband"
}
]
},
{
"linkId": "1.1.2",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "1.1.3",
"text": "Date of Birth",
"answer": [
{
"valueDate": "1966-04-04"
}
]
},
{
"linkId": "1.1.4",
"text": "Were you born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "1.1.5",
"text": "Were you adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "1.1.6",
"text": "Are your parents related to each other in any way other than marriage?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "1.1.7",
"text": "Height",
"answer": [
{
"valueDecimal": 63,
"item": [
{
"linkId": "1.1.7.1",
"item": [
{
"linkId": "1.1.7.1.1",
"text": "Units",
"answer": [
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "[in_i]",
"display": "inches"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "1.1.8",
"text": "Weight",
"answer": [
{
"valueDecimal": 127,
"item": [
{
"linkId": "1.1.8.1",
"item": [
{
"linkId": "1.1.8.1.1",
"text": "Units",
"answer": [
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "lb",
"display": "pounds"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "1.1.9",
"text": "Body mass index (BMI) [Ratio]",
"answer": [
{
"valueDecimal": 22.5
}
]
},
{
"linkId": "1.1.10",
"text": "Race",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
}
}
]
},
{
"linkId": "1.1.11",
"text": "Ethnicity",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10602-3",
"display": "-- Mexican"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10606-4",
"display": "-- South American"
}
}
]
}
]
}
]
},
{
"linkId": "2",
"text": "Family member health information",
"item": [
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10405-1",
"display": "Daughter"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Susan"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 17
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10415-0",
"display": "Brother"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Brian"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 32
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10550-4",
"display": "-- Other Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10397-0",
"display": "30-39"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10418-4",
"display": "Sister"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Janet"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 36
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10536-3",
"display": "-- Breast Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10397-0",
"display": "30-39"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10419-2",
"display": "Nephew"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Ian"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 16
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10420-0",
"display": "Niece"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Helen"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 15
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10416-8",
"display": "Father"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Donald"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 52
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10425-9",
"display": "Paternal Uncle"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Eric"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 56
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10421-8",
"display": "Paternal Aunt"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Fiona"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 57
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10543-9",
"display": "-- Skin Cancer"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10423-4",
"display": "Paternal Grandfather"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Bob"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
},
"item": [
{
"linkId": "2.1.1.4.1",
"item": [
{
"linkId": "2.1.1.4.1.1",
"text": "Cause of Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10537-1",
"display": "-- Colon Cancer"
}
}
]
},
{
"linkId": "2.1.1.4.1.2",
"text": "Age at Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10400-2",
"display": "OVER 60"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10537-1",
"display": "-- Colon Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10400-2",
"display": "OVER 60"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10424-2",
"display": "Paternal Grandmother"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Claire"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
},
"item": [
{
"linkId": "2.1.1.4.1",
"item": [
{
"linkId": "2.1.1.4.1.1",
"text": "Cause of Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10589-2",
"display": "-- Other/Unexpected"
},
"item": [
{
"linkId": "2.1.1.4.1.1.1",
"item": [
{
"text": "Please specify",
"answer": [
{
"valueString": "Lou Gehrigs"
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.4.1.2",
"text": "Age at Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10400-2",
"display": "OVER 60"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10417-6",
"display": "Mother"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Harriet"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
},
"item": [
{
"linkId": "2.1.1.4.1",
"item": [
{
"linkId": "2.1.1.4.1.1",
"text": "Cause of Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10539-7",
"display": "-- Ovarian Cancer"
}
}
]
},
{
"linkId": "2.1.1.4.1.2",
"text": "Age at Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10399-6",
"display": "50-59"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10539-7",
"display": "-- Ovarian Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10398-8",
"display": "40-49"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10414-3",
"display": "Maternal Uncle"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Rudy"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 60
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10410-1",
"display": "Maternal Aunt"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Julie"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 57
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10412-7",
"display": "Maternal Grandfather"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Ian"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
},
"item": [
{
"linkId": "2.1.1.4.1",
"item": [
{
"linkId": "2.1.1.4.1.1",
"text": "Cause of Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10558-7",
"display": "-- Heart Attack"
}
}
]
},
{
"linkId": "2.1.1.4.1.2",
"text": "Age at Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10400-2",
"display": "OVER 60"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10413-5",
"display": "Maternal Grandmother"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Gladys"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
},
"item": [
{
"linkId": "2.1.1.4.1",
"item": [
{
"linkId": "2.1.1.4.1.1",
"text": "Cause of Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10571-0",
"display": "-- Other/Unknown"
}
}
]
},
{
"linkId": "2.1.1.4.1.2",
"text": "Age at Death",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10400-2",
"display": "OVER 60"
}
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10536-3",
"display": "-- Breast Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10399-6",
"display": "50-59"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10564-5",
"display": "-- Asthma"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10395-4",
"display": "Childhood"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10411-9",
"display": "Maternal Cousin"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Karren"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 30
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2.1.2",
"text": "This family member's history of disease",
"item": [
{
"linkId": "2.1.2.1",
"text": "Disease or Condition",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10536-3",
"display": "-- Breast Cancer"
}
}
]
},
{
"linkId": "2.1.2.2",
"text": "Age at Diagnosis",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10397-0",
"display": "30-39"
}
}
]
}
]
}
]
},
{
"linkId": "2.1",
"item": [
{
"linkId": "2.1.1",
"item": [
{
"linkId": "2.1.1.1",
"text": "Relationship to you",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10411-9",
"display": "Maternal Cousin"
}
}
]
},
{
"linkId": "2.1.1.2",
"text": "Name",
"answer": [
{
"valueString": "Mary"
}
]
},
{
"linkId": "2.1.1.3",
"text": "Gender",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"linkId": "2.1.1.4",
"text": "Living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
},
"item": [
{
"linkId": "2.1.1.4.2",
"item": [
{
"linkId": "2.1.1.4.2.2",
"text": "Age",
"answer": [
{
"valueDecimal": 31
}
]
}
]
}
]
}
]
},
{
"linkId": "2.1.1.5",
"text": "Was this person born a twin?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "2.1.1.6",
"text": "Was this person adopted?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
}
]
}
]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
© HL7.org 2011+. FHIR DSTU2 (v1.1.0-7375) generated on Thu, Dec 3, 2015 10:00+1100.
Links: Search |
Version History |
Table of Contents |
Compare to DSTU1 |
|
Propose a change