Release 5 Ballot
FoundationThis page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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
| FHIR Infrastructure Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw XML (canonical form + also see XML Format Specification)
Example response to the SDC-LOINC USSG Family History questionnaire (id = "ussg-fht-answers")
<?xml version="1.0" encoding="UTF-8"?> <QuestionnaireResponse xmlns="http://hl7.org/fhir"> <id value="ussg-fht-answers"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a> <span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/> ussg-fht-answers</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">QuestionnaireResponse</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 0</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 0.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Date Done</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">2008-01-17</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Your health information</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Annie Proband</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Date of Birth</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">1966-04-04</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Were you born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Were you adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Are your parents related to each other in any way other than marriage?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1.1.7</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Height</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">63</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1.7.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.7.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Units</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ucum.html#v3-ucum-.91in_i.93">Unified Code for Units of Measure (UCUM)</a> [in_i]: inches</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1.8</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Weight</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">127</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1.1.8.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.8.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Units</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ucum.html#v3-ucum-.91lb_av.93">Unified Code for Units of Measure (UCUM)</a> [lb_av]: pounds</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.9</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Body mass index (BMI) [Ratio]</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">22.5</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.10</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Race</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA4457-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA4457-3: White</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.11</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ethnicity</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Family member health information</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10405-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10405-1: Daughter</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Susan</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">17</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10415-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10415-0: Brother</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Brian</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">32</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10550-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10550-4: -- Other Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10418-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10418-4: Sister</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Janet</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">36</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10419-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10419-2: Nephew</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ian</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">16</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10420-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10420-0: Niece</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Helen</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">15</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10416-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10416-8: Father</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Donald</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">52</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10425-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10425-9: Paternal Uncle</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Eric</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">56</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10421-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10421-8: Paternal Aunt</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Fiona</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">57</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10543-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10543-9: -- Skin Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10423-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10423-4: Paternal Grandfather</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Bob</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10537-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10537-1: -- Colon Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10537-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10537-1: -- Colon Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10424-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10424-2: Paternal Grandmother</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Claire</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10589-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10589-2: -- Other/Unexpected</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010100.pn g)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Please specify</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Lou Gehrigs</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10417-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10417-6: Mother</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Harriet</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10539-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10539-7: -- Ovarian Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10399-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10399-6: 50-59</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10539-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10539-7: -- Ovarian Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10398-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10398-8: 40-49</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10414-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10414-3: Maternal Uncle</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Rudy</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">60</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10410-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10410-1: Maternal Aunt</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Julie</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">57</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10412-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10412-7: Maternal Grandfather</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ian</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10558-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10558-7: -- Heart Attack</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10413-5">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10413-5: Maternal Grandmother</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gladys</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10571-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10571-0: -- Other/Unknown</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10399-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10399-6: 50-59</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10564-5">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10564-5: -- Asthma</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10395-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10395-4: Childhood</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10411-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10411-9: Maternal Cousin</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Karren</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">30</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA10411-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10411-9: Maternal Cousin</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Mary</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001000.png )"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">31</td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/> <img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span> <span> <a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span> </span> </td> </tr> <tr> <td class="hierarchy" colspan="4"><br/> <a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format</a> </td> </tr> </table> </div> </text> <questionnaire value="http://hl7.org/fhir/Questionnaire/ussg-fht"/> <status value="in-progress"/> <subject> <reference value="http://hl7.org/fhir/Patient/proband"/> <type value="Patient"/> </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"/> <definition value="http://loinc.org/fhir/DataElement/54126-8"/> <text value="Your health information"/> <item> <linkId value="1.1"/> <item> <linkId value="1.1.1"/> <definition value="http://loinc.org/fhir/DataElement/54125-0"/> <text value="Name"/> <answer> <valueString value="Annie Proband"/> </answer> </item> <item> <linkId value="1.1.2"/> <definition value="http://loinc.org/fhir/DataElement/54131-8"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/21112-8"/> <text value="Date of Birth"/> <answer> <valueDate value="1966-04-04"/> </answer> </item> <item> <linkId value="1.1.4"/> <definition value="http://loinc.org/fhir/DataElement/54132-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54128-4"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54135-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/8302-2"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/29463-7"/> <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_av]"/> <display value="pounds"/> </valueCoding> </answer> </item> </item> </answer> </item> <item> <linkId value="1.1.9"/> <definition value="http://loinc.org/fhir/DataElement/39156-5"/> <text value="Body mass index (BMI) [Ratio]"/> <answer> <valueDecimal value="22.5"/> </answer> </item> <item> <linkId value="1.1.10"/> <definition value="http://loinc.org/fhir/DataElement/54134-2"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54133-4"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54114-4"/> <text value="Family member health information"/> <item> <linkId value="2.1"/> <!-- see comment in questionnaire <item> <linkId value="2.1.1"/> --> <item> <linkId value="2.1.1.1"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Susan"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="17"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Brian"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="32"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Janet"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="36"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Ian"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="16"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Helen"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="15"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Donald"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="52"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Eric"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="56"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Fiona"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="57"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Bob"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54112-8"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54113-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Claire"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54112-8"/> <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"/> <text value="Please specify"/> <answer> <valueString value="Lou Gehrigs"/> </answer> </item> </answer> </item> <item> <linkId value="2.1.1.4.1.2"/> <definition value="http://loinc.org/fhir/DataElement/54113-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Harriet"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54112-8"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54113-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Rudy"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="60"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Julie"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="57"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Ian"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54112-8"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54113-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Gladys"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54112-8"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54113-6"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> </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="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"/> </valueCoding> </answer> </item> </item> </item> <item> <linkId value="2.1"/> <item> <linkId value="2.1.1"/> <item> <linkId value="2.1.1.1"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Karren"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="30"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54136-7"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54138-3"/> <text value="Name"/> <answer> <valueString value="Mary"/> </answer> </item> <item> <linkId value="2.1.1.3"/> <definition value="http://loinc.org/fhir/DataElement/54123-5"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54139-1"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54141-7"/> <text value="Age"/> <answer> <valueDecimal value="31"/> </answer> </item> </item> </answer> </item> <item> <linkId value="2.1.1.5"/> <definition value="http://loinc.org/fhir/DataElement/54121-9"/> <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"/> <definition value="http://loinc.org/fhir/DataElement/54122-7"/> <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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Sat, Sep 10, 2022 05:06+1000.
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