STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

List-example-familyhistory-genetics-profile-annie.xml

Raw XML (canonical form)

Example for risk assessment (id = "prognosis")

<List xmlns="http://hl7.org/fhir">
  <id value="prognosis"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <img alt="Family history diagram for Annie Proband" src="#image"/>
    </div>
  </text>
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    </Binary>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="2"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#4"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#5"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Harriet"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NMTH"/>
          <display value="natural mother"/>
        </coding>
      </relationship>
      <deceasedQuantity>
        <value value="50"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </deceasedQuantity>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C4908"/>
            <display value="Ovarian Carcinoma"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="45"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="3"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#6"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#7"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Donald"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NFTH"/>
          <display value="natural father"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="72"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <deceasedBoolean value="false"/>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="4"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Gladys"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MGRMTH"/>
          <display value="maternal grandmother"/>
        </coding>
      </relationship>
      <deceasedQuantity>
        <value value="77"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </deceasedQuantity>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C4872"/>
            <display value="Breast Carcinoma"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="55"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="5"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Ian"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MGRFTH"/>
          <display value="maternal grandfather"/>
        </coding>
      </relationship>
      <deceasedQuantity>
        <value value="76"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </deceasedQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="6"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Claire"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="PGRMTH"/>
          <display value="paternal grandmother"/>
        </coding>
      </relationship>
      <deceasedQuantity>
        <value value="74"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </deceasedQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="7"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Bob"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="PGRFTH"/>
          <display value="paternal grandfather"/>
        </coding>
      </relationship>
      <deceasedQuantity>
        <value value="73"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </deceasedQuantity>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C2955"/>
            <display value="Colorectal Carcinoma"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="72"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="8"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#2"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#3"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Brian"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NBRO"/>
          <display value="natural brother"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="32"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <deceasedBoolean value="false"/>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C2955"/>
            <display value="Rectal Carcinoma"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="32"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="9"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#2"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#3"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Janet"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NSIS"/>
          <display value="natural sister"/>
        </coding>
      </relationship>
          <!--  Age was 31 in source, but 36 in diagram   -->
    <ageQuantity>
        <value value="36"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <deceasedBoolean value="false"/>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C2924"/>
            <display value="Ductal Carcinoma In Situ of the Breast"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="35"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="10"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="BROINLAW"/>
          <display value="brother-in-law"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="30"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="11"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#9"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#10"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Ian"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NEPHEW"/>
          <display value="Nephew"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="16"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <deceasedBoolean value="false"/>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="12"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#9"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#10"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <name value="Helen"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="NIECE"/>
          <display value="niece"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="15"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <deceasedBoolean value="false"/>
      <condition>
        <code>
          <coding>
           <!--  No system or OID for NCBI Entrez yet   -->
          <code value="657"/>
            <display value="BRCA2"/>
          </coding>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.6.133"/>
            <code value="1101"/>
            <display value="BRCA2"/>
          </coding>
          <text value="BRCA2 breast cancer 2, early onset"/>
        </code>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="13"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="SIGOTHR"/>
          <display value="significant other"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="35"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="14"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#1"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#13"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="DAU"/>
          <display value="natural daughter"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="17"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="15"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#6"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#7"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="PUNCLE"/>
          <display value="paternal uncle"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="56"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="16"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#6"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#7"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="PAUNT"/>
          <display value="paternal aunt"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="57"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
      <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C3224"/>
            <display value="Melanoma"/>
          </coding>
        </code>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="17"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#4"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#5"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MUNCLE"/>
          <display value="maternal uncle"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="60"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="18"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#4"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#5"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MAUNT"/>
          <display value="maternal aunt"/>
        </coding>
      </relationship>
      <ageQuantity>
        <value value="57"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="19"/>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="EXT"/>
          <display value="extended family member"/>
        </coding>
      </relationship>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="20"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#18"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#19"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MCOUSN"/>
          <display value="maternal cousin"/>
        </coding>
      </relationship>
      <gender value="female"/>
      <ageQuantity>
        <value value="30"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    <condition>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.3.26.1.1"/>
            <code value="C4872"/>
            <display value="Breast Carcinoma"/>
          </coding>
        </code>
        <onsetQuantity>
          <value value="30"/>
          <unit value="years"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </onsetQuantity>
      </condition>
    </FamilyMemberHistory>
  </contained>
  <contained>
    <FamilyMemberHistory>
      <id value="21"/>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NMTH"/>
              <display value="natural mother"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#18"/>
          </valueReference>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="parent.type">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/v3/RoleCode"/>
              <code value="NFTH"/>
              <display value="natural father"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="parent.reference">
          <valueReference>
            <reference value="#19"/>
          </valueReference>
        </extension>
      </extension>
      <patient>
        <reference value="Patient/proband"/>
        <display value="Annie Proband, female, born 1966"/>
      </patient>
      <status value="completed"/>
      <relationship>
        <coding>
          <system value="http://hl7.org/fhir/v3/RoleCode"/>
          <code value="MCOUSN"/>
          <display value="maternal cousin"/>
        </coding>
      </relationship>
      <gender value="female"/>
    <ageQuantity>
        <value value="31"/>
        <unit value="years"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </ageQuantity>
    </FamilyMemberHistory>
  </contained>
  <status value="current"/>
  <mode value="snapshot"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="8670-2"/>
      <display value="History of family member diseases"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/proband"/>
    <display value="Annie Proband, female, born 1966"/>
       <!--  Age said 33, but diagram shows 42, so adjusted DOB   -->
  </subject>
  <entry>
    <item>
      <reference value="#2"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#3"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#4"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#5"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#6"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#7"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#8"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#9"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#10"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#11"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#12"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#13"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#14"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#15"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#16"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#17"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#18"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#19"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#20"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="#21"/>
    </item>
  </entry>
</List>

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.