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Questionnaireresponse-example-ussg-fht-answers

Example QuestionnaireResponse/ussg-fht-answers (Narrative)

Maturity Level : N/A
Responsible Owner: FHIR Infrastructure Work Group Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

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

Generated Narrative with Details Narrative: QuestionnaireResponse ussg-fht-answers

id : ussg-fht-answers questionnaire : Questionnaire/ussg-fht subject : http://hl7.org/fhir/Patient/proband Items definition : http://loinc.org/fhir/DataElement/54126-8 text : *
LinkID status : in-progress Text Definition authored : 17/01/2008 Answer item doco linkId : 0
. - . ussg-fht-answers Questionnaire:http://hl7.org/fhir/Questionnaire/ussg-fht
* . . . 0
item . . . linkId : 1 . 0.1 Date Done 2008-01-17
. text : . . 1 Your health information Items
. . . . 1.1 -
* . . . . . 1.1.1 Name Annie Proband
. . . item . . 1.1.2 Gender linkId : 2 definition : http://loinc.org/fhir/DataElement/54114-4 LOINC: LA3-6 (Female)
. . . . . 1.1.3 Date of Birth 1966-04-04
..... 1.1.4 Were you born a twin? LOINC: LA32-8 (No)
..... 1.1.5 Were you adopted? LOINC: LA32-8 (No)
..... 1.1.6 Are your parents related to each other in any way other than marriage? LOINC: LA32-8 (No)
..... 1.1.7 Height 63
...... 1.1.7.1
....... 1.1.7.1.1 Units UCUM: [in_i] (inches)
..... 1.1.8 Weight 127
...... 1.1.8.1
....... 1.1.8.1.1 Units UCUM: [lb_av] (pounds)
..... 1.1.9 Body mass index (BMI) [Ratio] 22.5
..... 1.1.10 Race LOINC: LA4457-3 (White)
..... 1.1.11 Ethnicity
... 2 Family member health information Items
. . . . 2.1 -
. . . . . 2.1.1.1 Relationship to you LOINC: LA10405-1 (Daughter) *
* . . . . . 2.1.1.2 Name Susan
. . . . . 2.1.1.3 Gender LOINC: LA3-6 (Female) *
. . . . . 2.1.1.4 Living? 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? LOINC: LA32-8 (No) *
. . . . . 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No) *
. . . . 2.1 *
. . . . . 2.1.1 *
. . . . . . 2.1.1.1 Relationship to you LOINC: LA10415-0 (Brother) *
* . . . . . . 2.1.1.2 Name Brian
. . . . . . 2.1.1.3 Gender LOINC: LA2-8 (Male) *
. . . . . . 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA14284-6 (Other Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10397-0 (30-39)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10418-4 (Sister)
...... 2.1.1.2 Name Janet
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA14283-8 (-- Breast Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10397-0 (30-39)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10419-2 (Nephew)
...... 2.1.1.2 Name Ian
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10420-0 (Niece)
...... 2.1.1.2 Name Helen
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No) *
. . . . 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10416-8 (Father)
...... 2.1.1.2 Name Donald
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10425-9 (Paternal Uncle)
...... 2.1.1.2 Name Eric
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10421-8 (Paternal Aunt)
...... 2.1.1.2 Name Fiona
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA10543-9 (-- Skin Cancer)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10423-4 (Paternal Grandfather)
...... 2.1.1.2 Name Bob
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? LOINC: LA32-8 (No)
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death LOINC: LA10537-1 (-- Colon Cancer)
........ 2.1.1.4.1.2 Age at Death LOINC: LA10400-2 (OVER 60)
...... 2.1.1.5 Was this person born a twin? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA10537-1 (-- Colon Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10400-2 (OVER 60)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10424-2 (Paternal Grandmother)
...... 2.1.1.2 Name Claire
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? LOINC: LA32-8 (No)
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death 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 LOINC: LA10400-2 (OVER 60)
...... 2.1.1.5 Was this person born a twin? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10417-6 (Mother)
...... 2.1.1.2 Name Harriet
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? LOINC: LA32-8 (No)
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death LOINC: LA15682-0 (-- Ovarian Cancer)
........ 2.1.1.4.1.2 Age at Death LOINC: LA10399-6 (50-59)
...... 2.1.1.5 Was this person born a twin? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA15682-0 (-- Ovarian Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10398-8 (40-49)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10414-3 (Maternal Uncle)
...... 2.1.1.2 Name Rudy
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10410-1 (Maternal Aunt)
...... 2.1.1.2 Name Julie
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10412-7 (Maternal Grandfather)
...... 2.1.1.2 Name Ian
...... 2.1.1.3 Gender LOINC: LA2-8 (Male)
...... 2.1.1.4 Living? LOINC: LA32-8 (No)
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death LOINC: LA16286-9 (-- Heart Attack)
........ 2.1.1.4.1.2 Age at Death LOINC: LA10400-2 (OVER 60)
...... 2.1.1.5 Was this person born a twin? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10413-5 (Maternal Grandmother)
...... 2.1.1.2 Name Gladys
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? LOINC: LA32-8 (No)
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death LOINC: LA19526-5 (-- Other/Unknown)
........ 2.1.1.4.1.2 Age at Death LOINC: LA10400-2 (OVER 60)
...... 2.1.1.5 Was this person born a twin? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA14283-8 (-- Breast Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10399-6 (50-59)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA16982-3 (-- Asthma)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10395-4 (Childhood)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10411-9 (Maternal Cousin)
...... 2.1.1.2 Name Karren
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition LOINC: LA14283-8 (-- Breast Cancer)
...... 2.1.2.2 Age at Diagnosis LOINC: LA10397-0 (30-39)
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you LOINC: LA10411-9 (Maternal Cousin)
...... 2.1.1.2 Name Mary
...... 2.1.1.3 Gender LOINC: LA3-6 (Female)
...... 2.1.1.4 Living? 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? LOINC: LA32-8 (No)
...... 2.1.1.6 Was this person adopted? LOINC: LA32-8 (No)

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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.