DSTU2
This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
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
R3
R2
This
resource
has
1
operation
associated
with
it.
it:
| $populate | Populate Questionnaire |
For more information about operations, including how they are invoked, see Operations .
Generates
a
QuestionnaireAnswers
QuestionnaireResponse
instance
based
on
a
specified
Questionnaire
,
filling
in
answers
to
questions
where
possible
based
on
information
provided
as
part
of
the
operation
or
already
known
by
the
server
about
the
subject
of
the
Questionnaire
.
If
the
operation
is
not
called
at
the
instance
level,
one
and
only
one
of
the
identifier
or
identifier,
questionnaire
or
questionnaireRef
'in'
parameters
must
be
provided.
(If
If
called
at
the
instance
level,
these
parameters
will
be
ignored.)
ignored.
The
response
will
contain
a
QuestionnaireAnswers
QuestionnaireResponse
instance
based
on
the
specified
Questionnaire
and/or
an
OperationOutcome
resource
with
errors
or
warnings.
The
QuestionnaireAnswers
QuestionnaireResponse
instance
will
be
populated
with
an
unanswered
set
of
questions
following
the
group
and
question
structure
of
the
specified
Questionnaire
.
If
content
parameters
were
specified
or
the
local
parameter
was
set
to
true,
some
of
the
questions
may
have
answers
filled
in
as
well.
In
the
case
of
repeating
questions
or
groups,
typically
only
one
repetition
will
be
provided
unless
answer
values
exist
that
would
support
populating
multiple
repetitions.
Population
of
the
QuestionnaireAnswers
QuestionnaireResponse
with
appropriate
data
is
dependent
on
the
questions
and/or
groups
in
the
Questionnaire
having
metadata
that
allows
the
server
to
recognize
the
questions.
This
might
be
through
Questionnaire.group.question.code
,
through
extensions
such
as
the
[[http://hl7.org/fhir/StructureDefinition/questionnaire-deReference|deReference]]
http://hl7.org/fhir/StructureDefinition/questionnaire-deReference
extension
or
through
us
use
of
the
[[ConceptMap]]
ConceptMap
resource.
Regardless
of
the
mechanism
used
to
link
the
questions
in
a
questionnaire
to
a
"known"
mapable
mappable
concept,
solutions
using
this
operation
should
ensure
that
the
details
of
the
question
and
associated
linkage
element
are
sufficiently
similar
as
to
safely
allow
auto-population.
I.e.
auto-population;
i.e.
the
question
text
and
context
must
be
sufficiently
the
same,
the
value
set
for
the
question
must
fall
within
the
value
set
for
the
mapped
element,
the
data
types
must
be
the
same
or
convertable,
convertible,
etc.
Formal Definition (as a OperationDefinition ).
URL: [base]/Questionnaire/$populate
URL: [base]/Questionnaire/[id]/$populate
| In Parameters: | |||||
| Name | Cardinality | Type |
| Profile | Documentation |
| identifier | 0..1 | uri |
A logical questionnaire identifier (i.e. ''Questionnaire.identifier''). The server must know the questionnaire or be able to retrieve it from other known repositories. |
||
| questionnaire | 0..1 | Questionnaire |
The Questionnaire is provided directly as part of the request. Servers may choose not to accept questionnaires in this fashion |
||
| questionnaireRef | 0..1 | Reference ( Questionnaire ) | The Questionnaire is provided as a resource reference. Servers may choose not to accept questionnaires in this fashion or may fail if they cannot resolve or access the referenced questionnaire. | ||
| subject | 1..1 | Reference ( Any ) |
The
resource
that
is
to
be
the
|
||
| content | 0..* |
|
Resources
containing
information
to
be
used
to
help
populate
the
|
||
| local | 0..1 | boolean |
If specified and set to 'true' (and the server is capable), the server should use what resources and other knowledge it has about the referenced subject when pre-populating answers to questions. |
||
| Out Parameters: | |||||
| Name | Cardinality | Type |
| Profile | Documentation |
| return | 1..1 |
|
The partially (or fully)-populated set of answers for the specified Questionnaire Note: as this the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource |
||
While
it
is
theoretically
possible
for
a
QuestionnaireAnswers
QuestionnaireResponse
instance
to
be
completely
auto-populated
and
submitted
without
human
review,
the
intention
of
this
transaction
is
merely
to
reduce
redundant
data
entry.
A
client
SHOULD
ensure
that
a
human
submitter
has
an
opportunity
to
review
the
auto-populated
answers
to
confirm
correctness
as
well
as
to
complete
or
expand
on
information
provided
by
the
auto-population
process.
Complex
form
designs
with
conditional
logic
or
tight
constraints
on
cardinalities
may
be
challenging
to
auto-populate.
A
server
MAY
choose
to
traverse
the
questionnaire
as
if
it
were
a
human
respondant,
respondent,
answering
only
those
questions
that
are
enabled
based
on
previously
answered
questions.
However
However,
doing
so
may
result
in
minimal
population.
Alternatively,
systems
may
choose
to
populate
all
known
answers,
independent
of
dependencies
and
other
constraints.
This
may
cause
questions
to
be
answered
that
should
not
be
answered.
It
will
be
up
to
the
client
to
appropriately
prune
the
final
populated
questionnaire
once
human
review
has
taken
place.
Invoking
this
operation
with
the
''content''
parameter
may
involve
the
disclosure
of
personally
identifiable
healthcare
information
to
the
system
which
is
performing
the
population
process.
No
such
disclosures
should
be
made
unless
the
system
on
which
the
operation
is
being
invoked
is
a
"trusted"
system
and
appropriate
agreements
are
in
place
to
protect
the
confidentiality
of
any
information
shared
with
that
system.
Request:
POST [base]/Questionnnaire
[other headers]
<Parameters xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/parameters.xsd">
<parameter>
<name value="questionnaireRef"/>
<valueReference>
<reference value="http://hl7.org/fhir/Questionnaire/questionnaire-sdc-profile-example-ussg-fht"/>
</valueReference>
</parameter>
<parameter>
<name value="subject"/>
<valueReference>
<reference value="http://hl7.org/fhir/Patient/proband"/>
</valueReference>
</parameter>
<parameter>
<name value="local"/>
<valueBoolean value="true"/>
</parameter>
</Parameters>
Response:
HTTP/1.1 200 OK
[other headers]
<?xml version="1.0" encoding="UTF-8"?>
<QuestionnaireResponse xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../publish/questionnaireresponse.xsd">
<id value="questionnaireresponse-sdc-example-ussg-fht-answers"/>
<questionnaire>
<reference value="Questionnaire/43127-6"/>
</questionnaire>
<status value="in-progress"/>
<subject>
<reference value="Patient/proband"/>
</subject>
<authored value="2008-01-17"/>
<group xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<linkId value="root"/>
<title value="US Surgeon General - Family Health Portrait"/>
<group>
<linkId value="0"/>
<question>
<linkId value="0.1"/>
<text value="Date Done"/>
<answer>
<valueDate value="2008-01-17"/>
</answer>
</question>
</group>
<group>
<linkId value="1"/>
<title value="Your health information"/>
<group>
<linkId value="1.1"/>
<question>
<linkId value="1.1.1"/>
<text value="Name"/>
<answer>
<valueString value="Annie Proband"/>
</answer>
</question>
<question>
<linkId value="1.1.2"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="1.1.3"/>
<text value="Date of Birth"/>
<answer>
<valueDate value="1966-04-04"/>
</answer>
</question>
<question>
<linkId value="1.1.4"/>
<text value="Were you born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="1.1.5"/>
<text value="Were you adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="1.1.6"/>
<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>
</question>
<question>
<linkId value="1.1.7"/>
<text value="Height"/>
<answer>
<valueDecimal value="63"/>
<group>
<linkId value="1.1.7.1"/>
<question>
<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>
</question>
</group>
</answer>
</question>
<question>
<linkId value="1.1.8"/>
<text value="Weight"/>
<answer>
<valueDecimal value="127"/>
<group>
<linkId value="1.1.8.1"/>
<question>
<linkId value="1.1.8.1.1"/>
<text value="Units"/>
<answer>
<valueCoding>
<system value="http://unitsofmeasure.org"/>
<code value="lb"/>
<display value="pounds"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="1.1.9"/>
<text value="Body mass index (BMI) [Ratio]"/>
<answer>
<valueDecimal value="22.5"/>
</answer>
</question>
<question>
<linkId value="1.1.10"/>
<text value="Race"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA4457-3"/>
<display value="White"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="1.1.11"/>
<text value="Ethnicity"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10602-3"/>
<display value="-- Mexican"/>
</valueCoding>
</answer>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10606-4"/>
<display value="-- South American"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2"/>
<title value="Family member health information"/>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10405-1"/>
<display value="Daughter"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Susan"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="17"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10415-0"/>
<display value="Brother"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Brian"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="32"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10550-4"/>
<display value="-- Other Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10418-4"/>
<display value="Sister"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Janet"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="36"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10536-3"/>
<display value="-- Breast Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10419-2"/>
<display value="Nephew"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Ian"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="16"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10420-0"/>
<display value="Niece"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Helen"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="15"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10416-8"/>
<display value="Father"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Donald"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="52"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10425-9"/>
<display value="Paternal Uncle"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Eric"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="56"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10421-8"/>
<display value="Paternal Aunt"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Fiona"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="57"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10423-4"/>
<display value="Paternal Grandfather"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Bob"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1"/>
<question>
<linkId value="2.1.1.4.1.1"/>
<text value="Cause of Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10537-1"/>
<display value="-- Colon Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4.1.2"/>
<text value="Age at Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10400-2"/>
<display value="OVER 60"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<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>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10424-2"/>
<display value="Paternal Grandmother"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Claire"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1"/>
<question>
<linkId value="2.1.1.4.1.1"/>
<text value="Cause of Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10589-2"/>
<display value="-- Other/Unexpected"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1.1.1"/>
<question>
<text value="Please specify"/>
<answer>
<valueString value="Lou Gehrigs"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.4.1.2"/>
<text value="Age at Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10400-2"/>
<display value="OVER 60"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10417-6"/>
<display value="Mother"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Harriet"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1"/>
<question>
<linkId value="2.1.1.4.1.1"/>
<text value="Cause of Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10539-7"/>
<display value="-- Ovarian Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4.1.2"/>
<text value="Age at Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10399-6"/>
<display value="50-59"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10539-7"/>
<display value="-- Ovarian Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10414-3"/>
<display value="Maternal Uncle"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Rudy"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="60"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10410-1"/>
<display value="Maternal Aunt"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Julie"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="57"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10412-7"/>
<display value="Maternal Grandfather"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Ian"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA2-8"/>
<display value="Male"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1"/>
<question>
<linkId value="2.1.1.4.1.1"/>
<text value="Cause of Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10558-7"/>
<display value="-- Heart Attack"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4.1.2"/>
<text value="Age at Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10400-2"/>
<display value="OVER 60"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10413-5"/>
<display value="Maternal Grandmother"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Gladys"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.1"/>
<question>
<linkId value="2.1.1.4.1.1"/>
<text value="Cause of Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10571-0"/>
<display value="-- Other/Unknown"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4.1.2"/>
<text value="Age at Death"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10400-2"/>
<display value="OVER 60"/>
</valueCoding>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10536-3"/>
<display value="-- Breast Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10564-5"/>
<display value="-- Asthma"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10411-9"/>
<display value="Maternal Cousin"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Karren"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="30"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
<group>
<linkId value="2.1.2"/>
<title value="This family member's history of disease"/>
<question>
<linkId value="2.1.2.1"/>
<text value="Disease or Condition"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10536-3"/>
<display value="-- Breast Cancer"/>
</valueCoding>
</answer>
</question>
<question>
<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>
</question>
</group>
</group>
<group>
<linkId value="2.1"/>
<group>
<linkId value="2.1.1"/>
<question>
<linkId value="2.1.1.1"/>
<text value="Relationship to you"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA10411-9"/>
<display value="Maternal Cousin"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.2"/>
<text value="Name"/>
<answer>
<valueString value="Mary"/>
</answer>
</question>
<question>
<linkId value="2.1.1.3"/>
<text value="Gender"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA3-6"/>
<display value="Female"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.4"/>
<text value="Living?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA33-6"/>
<display value="Yes"/>
</valueCoding>
<group>
<linkId value="2.1.1.4.2"/>
<question>
<linkId value="2.1.1.4.2.2"/>
<text value="Age"/>
<answer>
<valueDecimal value="31"/>
</answer>
</question>
</group>
</answer>
</question>
<question>
<linkId value="2.1.1.5"/>
<text value="Was this person born a twin?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
<question>
<linkId value="2.1.1.6"/>
<text value="Was this person adopted?"/>
<answer>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA32-8"/>
<display value="No"/>
</valueCoding>
</answer>
</question>
</group>
</group>
</group>
</group>
</QuestionnaireResponse>
©
HL7.org
2011+.
FHIR
DSTU
(v0.4.0-4902)
DSTU2
(v1.0.2-7202)
generated
on
Fri,
Mar
27,
Sat,
Oct
24,
2015
00:23+1100.
07:44+1100.
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