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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.
Questionnaireresponse-sdc-example-ussg-fht-answers.xml

Raw XML (canonical form)
Example response to the SDC-LOINC USSG Family History questionnaire (id = "questionnaireresponse-sdc-example-ussg-fht-answers")
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="questionnaireresponse-sdc-example-ussg-fht-answers"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><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></text><questionnaire>
    <reference value="Questionnaire/43127-6"/>
  </questionnaire>
  <status value="in-progress"/>
  <subject>
    <reference value="Patient/proband"/>
  </subject>
  <authored value="2008-01-17"/>
  <item>
    <linkId value="0"/>
    <item>
      <linkId value="0.1"/>
      <text value="Date Done"/>
      <answer>
        <valueDate value="2008-01-17"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="1"/>
    <text value="Your health information"/>
    <item>
      <linkId value="1.1"/>
      <item>
        <linkId value="1.1.1"/>
        <text value="Name"/>
        <answer>
          <valueString value="Annie Proband"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.2"/>
        <text value="Gender"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA3-6"/>
            <display value="Female"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.3"/>
        <text value="Date of Birth"/>
        <answer>
          <valueDate value="1966-04-04"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.4"/>
        <text value="Were you born a twin?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.5"/>
        <text value="Were you adopted?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.6"/>
        <text value="Are your parents related to each other in any way other than marriage?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.7"/>
        <text value="Height"/>
        <answer>
          <valueDecimal value="63"/>
          <item>
            <linkId value="1.1.7.1"/>
            <item>
              <linkId value="1.1.7.1.1"/>
              <text value="Units"/>
              <answer>
                <valueCoding>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="[in_i]"/>
                  <display value="inches"/>
                </valueCoding>
              </answer>
            </item>
          </item>
        </answer>
      </item>
      <item>
        <linkId value="1.1.8"/>
        <text value="Weight"/>
        <answer>
          <valueDecimal value="127"/>
          <item>
            <linkId value="1.1.8.1"/>
            <item>
              <linkId value="1.1.8.1.1"/>
              <text value="Units"/>
              <answer>
                <valueCoding>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="lb"/>
                  <display value="pounds"/>
                </valueCoding>
              </answer>
            </item>
          </item>
        </answer>
      </item>
      <item>
        <linkId value="1.1.9"/>
        <text value="Body mass index (BMI) [Ratio]"/>
        <answer>
          <valueDecimal value="22.5"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.10"/>
        <text value="Race"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA4457-3"/>
            <display value="White"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.11"/>
        <text value="Ethnicity"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA10602-3"/>
            <display value="-- Mexican"/>
          </valueCoding>
        </answer>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA10606-4"/>
            <display value="-- South American"/>
          </valueCoding>
        </answer>
      </item>
    </item>
  </item>
  <item>
    <linkId value="2"/>
    <text value="Family member health information"/>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10405-1"/>
              <display value="Daughter"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Susan"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="17"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10415-0"/>
              <display value="Brother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Brian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="32"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10550-4"/>
              <display value="-- Other Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10418-4"/>
              <display value="Sister"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Janet"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="36"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10419-2"/>
              <display value="Nephew"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Ian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="16"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10420-0"/>
              <display value="Niece"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Helen"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="15"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10416-8"/>
              <display value="Father"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Donald"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="52"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10425-9"/>
              <display value="Paternal Uncle"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Eric"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="56"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10421-8"/>
              <display value="Paternal Aunt"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Fiona"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="57"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10543-9"/>
              <display value="-- Skin Cancer"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10423-4"/>
              <display value="Paternal Grandfather"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Bob"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10537-1"/>
                    <display value="-- Colon Cancer"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
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                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10537-1"/>
              <display value="-- Colon Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10400-2"/>
              <display value="OVER 60"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10424-2"/>
              <display value="Paternal Grandmother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Claire"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10589-2"/>
                    <display value="-- Other/Unexpected"/>
                  </valueCoding>
                  <item>
                    <linkId value="2.1.1.4.1.1.1"/>
                    <item>
                      <text value="Please specify"/>
                      <answer>
                        <valueString value="Lou Gehrigs"/>
                      </answer>
                    </item>
                  </item>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
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                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10417-6"/>
              <display value="Mother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Harriet"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10539-7"/>
                    <display value="-- Ovarian Cancer"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10399-6"/>
                    <display value="50-59"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10539-7"/>
              <display value="-- Ovarian Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10398-8"/>
              <display value="40-49"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10414-3"/>
              <display value="Maternal Uncle"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Rudy"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="60"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10410-1"/>
              <display value="Maternal Aunt"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Julie"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="57"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10412-7"/>
              <display value="Maternal Grandfather"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Ian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10558-7"/>
                    <display value="-- Heart Attack"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10413-5"/>
              <display value="Maternal Grandmother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Gladys"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10571-0"/>
                    <display value="-- Other/Unknown"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
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                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10399-6"/>
              <display value="50-59"/>
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          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10564-5"/>
              <display value="-- Asthma"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10395-4"/>
              <display value="Childhood"/>
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          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10411-9"/>
              <display value="Maternal Cousin"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Karren"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="30"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10411-9"/>
              <display value="Maternal Cousin"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <text value="Name"/>
          <answer>
            <valueString value="Mary"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="31"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
  </item>
</QuestionnaireResponse>
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.