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Questionnaireresponse-example-ussg-fht-answers.xml

Example QuestionnaireResponse/ussg-fht-answers (XML)

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

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

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Example response to the SDC-LOINC USSG Family History questionnaire (id = "ussg-fht-answers")

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


  
  
  
  
    
    
  
  
  
    
    
      
      
      
        
      
    
  
  
    
    
    
    
      
      
        
        
        
        
          
        
      
      
        
        
        
        
          
            
            
            
          
        
      
      
        
        
        
        
          
        
      
      
        
        
        
        
          
            
            
            
          
        
      
      
        
        
        
        
          
            
            
            
          
        
      
      
        
        
        
        
          
            
            
            
          
        
      
      
        
        
        
        
          
          
            
            
              
              
              
                
                  
                  
                  
                
              
            
          
        
      
      
        
        
        
        
          
          
            
            
              
              
              
                
                  
                  
                  
                
              
            
          
        
      
      
        
        
        
        
          
        
      
      
        
        
        
        
          
            
            
            
          
        
      
      
        
        
        
        
          
            
            
            
          
        
        
          
            
            
            
          
        
      
    
  
  
    
    
    
    
      
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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="ussg-fht-answers"/> 
  <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="LA4611-5"/> 
            <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>   -->
    <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>       <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="LA14284-6"/>               <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="LA14283-8"/>               <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="LA15682-0"/>                     <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="LA15682-0"/>               <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="LA16286-9"/>                     <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="LA19526-5"/>                     <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="LA14283-8"/>               <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="LA16982-3"/>               <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="LA14283-8"/>               <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.