This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse/ussg-fht-answers (Narrative)

• Narrative
• XML
• JSON
• TTL

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile QuestionnaireResponse.

LinkId	Text	Definition	Answer
ussg-fht-answers			Questionnaire:http://hl7.org/fhir/Questionnaire/ussg-fht
0
0.1	Date Done		2008-01-17
1	Your health information
1.1
1.1.1	Name		Annie Proband
1.1.2	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
1.1.3	Date of Birth		1966-04-04
1.1.4	Were you born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
1.1.5	Were you adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
1.1.6	Are your parents related to each other in any way other than marriage?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
1.1.7	Height		63
1.1.7.1
1.1.7.1.1	Units		Unified Code for Units of Measure (UCUM) [in_i]: inches
1.1.8	Weight		127
1.1.8.1
1.1.8.1.1	Units		Unified Code for Units of Measure (UCUM) [lb_av]: pounds
1.1.9	Body mass index (BMI) [Ratio]		22.5
1.1.10	Race		Logical Observation Identifiers, Names and Codes (LOINC) LA4457-3: White
1.1.11	Ethnicity
2	Family member health information
2.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10405-1: Daughter
2.1.1.2	Name		Susan
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		17
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10415-0: Brother
2.1.1.2	Name		Brian
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		32
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10550-4: -- Other Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10418-4: Sister
2.1.1.2	Name		Janet
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		36
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10419-2: Nephew
2.1.1.2	Name		Ian
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		16
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10420-0: Niece
2.1.1.2	Name		Helen
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		15
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10416-8: Father
2.1.1.2	Name		Donald
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		52
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10425-9: Paternal Uncle
2.1.1.2	Name		Eric
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		56
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10421-8: Paternal Aunt
2.1.1.2	Name		Fiona
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		57
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10543-9: -- Skin Cancer
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10423-4: Paternal Grandfather
2.1.1.2	Name		Bob
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10537-1: -- Colon Cancer
2.1.1.4.1.2	Age at Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10537-1: -- Colon Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10424-2: Paternal Grandmother
2.1.1.2	Name		Claire
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10589-2: -- Other/Unexpected
2.1.1.4.1.1.1	Please specify		Lou Gehrigs
2.1.1.4.1.2	Age at Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10417-6: Mother
2.1.1.2	Name		Harriet
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10539-7: -- Ovarian Cancer
2.1.1.4.1.2	Age at Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10399-6: 50-59
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10539-7: -- Ovarian Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10398-8: 40-49
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10414-3: Maternal Uncle
2.1.1.2	Name		Rudy
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		60
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10410-1: Maternal Aunt
2.1.1.2	Name		Julie
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		57
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10412-7: Maternal Grandfather
2.1.1.2	Name		Ian
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10558-7: -- Heart Attack
2.1.1.4.1.2	Age at Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10413-5: Maternal Grandmother
2.1.1.2	Name		Gladys
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10571-0: -- Other/Unknown
2.1.1.4.1.2	Age at Death		Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10399-6: 50-59
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10564-5: -- Asthma
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10395-4: Childhood
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10411-9: Maternal Cousin
2.1.1.2	Name		Karren
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		30
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition		Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
2.1.2.2	Age at Diagnosis		Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
2.1
2.1.1
2.1.1.1	Relationship to you		Logical Observation Identifiers, Names and Codes (LOINC) LA10411-9: Maternal Cousin
2.1.1.2	Name		Mary
2.1.1.3	Gender		Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
2.1.1.4	Living?		Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age		31
2.1.1.5	Was this person born a twin?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
2.1.1.6	Was this person adopted?		Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
Documentation for this format

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.