Release 5 Preview #2

This page is part of the FHIR Specification (v4.4.0: R5 Preview #2). 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

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Example for risk assessment (id = "prognosis")

<?xml version="1.0" encoding="UTF-8"?>

<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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  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="1"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#2"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#3"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Annie"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="ONESELF"/> 
          <display value="self"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="42"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <deceasedBoolean value="false"/> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="2"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#4"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#5"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Harriet"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NMTH"/> 
          <display value="natural mother"/> 
        </coding> 
      </relationship> 
      <deceasedAge> 
        <value value="50"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </deceasedAge> 
      <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> 
        <onsetAge> 
          <value value="45"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="3"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#6"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#7"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Donald"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NFTH"/> 
          <display value="natural father"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="72"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <deceasedBoolean value="false"/> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="4"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Gladys"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MGRMTH"/> 
          <display value="maternal grandmother"/> 
        </coding> 
      </relationship> 
      <deceasedAge> 
        <value value="77"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </deceasedAge> 
      <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> 
        <onsetAge> 
          <value value="55"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="5"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Ian"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MGRFTH"/> 
          <display value="maternal grandfather"/> 
        </coding> 
      </relationship> 
      <deceasedAge> 
        <value value="76"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </deceasedAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="6"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Claire"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PGRMTH"/> 
          <display value="paternal grandmother"/> 
        </coding> 
      </relationship> 
      <deceasedAge> 
        <value value="74"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </deceasedAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="7"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Bob"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PGRFTH"/> 
          <display value="paternal grandfather"/> 
        </coding> 
      </relationship> 
      <deceasedAge> 
        <value value="73"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </deceasedAge> 
      <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> 
        <onsetAge> 
          <value value="72"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="8"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#2"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#3"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Brian"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NBRO"/> 
          <display value="natural brother"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="32"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <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> 
        <onsetAge> 
          <value value="32"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="9"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#2"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#3"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Janet"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NSIS"/> 
          <display value="natural sister"/> 
        </coding> 
      </relationship> 
      <!--  Age was 31 in source, but 36 in diagram   -->
      <ageAge> 
        <value value="36"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <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> 
        <onsetAge> 
          <value value="35"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="10"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="BROINLAW"/> 
          <display value="brother-in-law"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="30"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="11"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#9"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#10"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Ian"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NEPHEW"/> 
          <display value="Nephew"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="16"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <deceasedBoolean value="false"/> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="12"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#9"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#10"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Helen"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NIECE"/> 
          <display value="niece"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="15"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <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"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="SIGOTHR"/> 
          <display value="significant other"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="35"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="14"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#1"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#13"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <name value="Susan"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="DAU"/> 
          <display value="natural daughter"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="17"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="15"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#6"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#7"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PUNCLE"/> 
          <display value="paternal uncle"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="56"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="16"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#6"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#7"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PAUNT"/> 
          <display value="paternal aunt"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="57"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <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="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#4"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#5"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MUNCLE"/> 
          <display value="maternal uncle"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="60"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="18"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#4"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#5"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MAUNT"/> 
          <display value="maternal aunt"/> 
        </coding> 
      </relationship> 
      <ageAge> 
        <value value="57"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="19"/> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/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="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#18"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#19"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MCOUSN"/> 
          <display value="maternal cousin"/> 
        </coding> 
      </relationship> 
      <sex> 
    <coding> 
      <system value="http://hl7.org/fhir/administrative-gender"/> 
      <code value="female"/> 
      <display value="Female"/> 
    </coding> 
    </sex> 
      <ageAge> 
        <value value="30"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
      <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> 
        <onsetAge> 
          <value value="30"/> 
          <unit value="years"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="21"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NMTH"/> 
              <display value="natural mother"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#18"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NFTH"/> 
              <display value="natural father"/> 
            </coding> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="#19"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
    <patient> 
        <reference value="Patient/proband"/> 
        <display value="Annie Proband, female, born 1966"/> 
      </patient> 
      
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MCOUSN"/> 
          <display value="maternal cousin"/> 
        </coding> 
      </relationship> 
      <sex> 
    <coding> 
      <system value="http://hl7.org/fhir/administrative-gender"/> 
      <code value="female"/> 
      <display value="Female"/> 
    </coding> 
    </sex> 
      <ageAge> 
        <value value="31"/> 
        <unit value="years"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </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="#image"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#2"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#3"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#4"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#5"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#6"/> 
    </item> 
  </entry> 
  <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.