Release 4B
This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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
List-example-double-cousin-relationship-pedigree.xml

FHIR Infrastructure Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Device, Patient, Practitioner
Raw XML (canonical form + also see XML Format Specification)
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Simple genetic pedigree tree example with double cousin replationship (id = "example-double-cousin-relationship")
<?xml version="1.0" encoding="UTF-8"?>

<List xmlns="http://hl7.org/fhir">
  <id value="example-double-cousin-relationship"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table class="clstu"><tr> <td> Mode: snapshotStatus: currentCode: TPMT gene mutations found [Identifier] in Blood or
             Tissue by Sequencing Nominal</td> </tr> <tr> <td> Subject: <a href="patient-example.html">Patient/example: Pam Taylor</a>  &quot;Peter CHALMERS&quot;</td> </tr> </table> <table class="grid"><tr style="backgound-color: #eeeeee"><td> <b> Items</b> </td> </tr> <tr> <td> <a href="#1">#1</a> </td> </tr> <tr> <td> <a href="#2">#2</a> </td> </tr> <tr> <td> <a href="#3">#3</a> </td> </tr> <tr> <td> <a href="#4">#4</a> </td> </tr> <tr> <td> <a href="#5">#5</a> </td> </tr> <tr> <td> <a href="#6">#6</a> </td> </tr> </table> </div> </text> <contained> 
    <FamilyMemberHistory> 
      <id value="1"/> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Mary"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="NMTH"/> 
          <display value="natural mother"/> 
        </coding> 
        <text value="natural mother"/> 
      </relationship> 
      <deceasedBoolean value="true"/> 
      <condition> 
        <code> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="73211009"/> 
            <display value="Diabetes mellitus"/> 
          </coding> 
          <text value="Diabetes mellitus"/> 
        </code> 
        <onsetAge> 
          <value value="45"/> 
          <unit value="yr"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="2"/> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Bob"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PUNCLE"/> 
          <display value="paternal uncle"/> 
        </coding> 
        <text value="paternal uncle"/> 
      </relationship> 
      <condition> 
        <code> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="1481000119100"/> 
            <display value="Diabetes mellitus type 2 without retinopathy"/> 
          </coding> 
          <text value="Diabetes mellitus type 2 without retinopathy"/> 
        </code> 
        <onsetAge> 
          <value value="35"/> 
          <unit value="yr"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </onsetAge> 
      </condition> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="3"/> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Jon"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MUNCLE"/> 
          <display value="maternal uncle"/> 
        </coding> 
        <text value="maternal uncle"/> 
      </relationship> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="4"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NSIS"/> 
              <display value="natural sister"/> 
            </coding> 
            <text value="natural sister"/> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <!--   It is fake.   -->
            <reference value="FamilyMemberHistory/mother"/> 
            <display value="paternal grandmother"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Alica"/> 
      <!--   This is a new relationship that here is a maternal grandmother who is paternal grandmonther's
       sibling    -->
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MGRMTH"/> 
          <display value="maternal grandmother"/> 
        </coding> 
        <text value="maternal grandmother"/> 
      </relationship> 
      <ageAge> 
        <value value="70"/> 
        <unit value="yr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="5"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="MTH"/> 
              <display value="mother"/> 
            </coding> 
            <text value="mother"/> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <reference value="FamilyMemberHistory/147146"/> 
            <display value="maternal grandmother"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Aunt with Parent ID"/> 
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="MAUNT"/> 
          <display value="maternal aunt"/> 
        </coding> 
        <text value="maternal aunt"/> 
      </relationship> 
      <sex> 
    <coding> 
      <system value="http://hl7.org/fhir/administrative-gender"/> 
      <code value="female"/> 
      <display value="Female"/> 
    </coding> 
    </sex> 
      <ageAge> 
        <value value="55"/> 
        <unit value="yr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="a"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <contained> 
    <FamilyMemberHistory> 
      <id value="6"/> 
      <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
        <extension url="type">
          <valueCodeableConcept> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
              <code value="NBRO"/> 
              <display value="natural brother"/> 
            </coding> 
            <text value="natural brother"/> 
          </valueCodeableConcept> 
        </extension> 
        <extension url="reference">
          <valueReference> 
            <!--   It is fake.   -->
            <reference value="FamilyMemberHistory/father"/> 
            <display value="maternal grandfather"/> 
          </valueReference> 
        </extension> 
      </extension> 
      <status value="completed"/> 
      <patient> 
        <reference value="Patient/example"/> 
        <display value="Pam Taylor"/> 
      </patient> 
      <name value="Paul"/> 
      <!--   This is a new relationship that here is a maternal grandmother who is paternal grandmonther's
       sibling    -->
      <relationship> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/> 
          <code value="PGRFTH"/> 
          <display value="Paternal grandfather"/> 
        </coding> 
        <text value="Paternal grandfather"/> 
      </relationship> 
      <ageAge> 
        <value value="74"/> 
        <unit value="yr"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="b"/> 
      </ageAge> 
    </FamilyMemberHistory> 
  </contained> 
  <status value="current"/> 
  <mode value="snapshot"/> 
  <code> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="80738-8"/> 
      <display value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/> 
    </coding> 
    <text value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
    <display value="Pam Taylor"/> 
  </subject> 
  <entry> 
    <item> 
      <reference value="#1"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#2"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#3"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#4"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#5"/> 
    </item> 
  </entry> 
  <entry> 
    <item> 
      <reference value="#6"/> 
    </item> 
  </entry> 
</List>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.