Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Questionnaireresponse-example-ussg-fht-answers

Example QuestionnaireResponse/ussg-fht-answers (Narrative)

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

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

Generated Narrative with Details subject : http://hl7.org/fhir/Patient/proband linkId : 0 definition : http://loinc.org/fhir/DataElement/54126-8 Items linkId : 2 text : Items - *
LinkId id : ussg-fht-answers questionnaire : Questionnaire/ussg-fht Text status : in-progress Definition Answer authored : 17/01/2008 doco item
Items . . ussg-fht-answers QuestionnaireResponse -
* . . . 0
. . . item . 0.1 Date Done linkId : 1 2008-01-17
. . text : . 1 Your health information
. . . . 1.1 -
* . . . . . 1.1.1 Name Annie Proband
. . . item . . 1.1.2 Gender definition : http://loinc.org/fhir/DataElement/54114-4 Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
. . . . . 1.1.3 Date of Birth 1966-04-04
..... 1.1.4 Were you born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 1.1.5 Were you adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 1.1.6 Are your parents related to each other in any way other than marriage? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 1.1.7 Height 63
...... 1.1.7.1
....... 1.1.7.1.1 Units Unified Code for Units of Measure (UCUM) [in_i]: inches
..... 1.1.8 Weight 127
...... 1.1.8.1
....... 1.1.8.1.1 Units Unified Code for Units of Measure (UCUM) [lb_av]: pounds
..... 1.1.9 Body mass index (BMI) [Ratio] 22.5
..... 1.1.10 Race Logical Observation Identifiers, Names and Codes (LOINC) LA4457-3: White
..... 1.1.11 Ethnicity
... 2 Family member health information
. . . . 2.1
. . . . . 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10405-1: Daughter *
* . . . . . 2.1.1.2 Name Susan
. . . . . 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female *
. . . . . 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes *
* . . . . . . 2.1.1.4.2
* . . . . . . . 2.1.1.4.2.2 Age 17
. . . . . 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No *
. . . . . 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No *
. . . . 2.1 *
* . . . . . 2.1.1
. . . . . . 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10415-0: Brother *
* . . . . . . 2.1.1.2 Name Brian
. . . . . . 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male *
. . . . . . 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes *
* . . . . . . . 2.1.1.4.2
* . . . . . . . . 2.1.1.4.2.2 Age 32
. . . . . . 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10550-4: -- Other Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10418-4: Sister
...... 2.1.1.2 Name Janet
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 36
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10419-2: Nephew
...... 2.1.1.2 Name Ian
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 16
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10420-0: Niece
...... 2.1.1.2 Name Helen
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 15
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10416-8: Father
...... 2.1.1.2 Name Donald
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 52
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10425-9: Paternal Uncle
...... 2.1.1.2 Name Eric
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 56
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10421-8: Paternal Aunt
...... 2.1.1.2 Name Fiona
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 57
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10543-9: -- Skin Cancer
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10423-4: Paternal Grandfather
...... 2.1.1.2 Name Bob
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death Logical Observation Identifiers, Names and Codes (LOINC) LA10537-1: -- Colon Cancer
........ 2.1.1.4.1.2 Age at Death Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10537-1: -- Colon Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10424-2: Paternal Grandmother
...... 2.1.1.2 Name Claire
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death Logical Observation Identifiers, Names and Codes (LOINC) LA10589-2: -- Other/Unexpected
......... 2.1.1.4.1.1.1 Please specify Lou Gehrigs
........ 2.1.1.4.1.2 Age at Death Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10417-6: Mother
...... 2.1.1.2 Name Harriet
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death Logical Observation Identifiers, Names and Codes (LOINC) LA10539-7: -- Ovarian Cancer
........ 2.1.1.4.1.2 Age at Death Logical Observation Identifiers, Names and Codes (LOINC) LA10399-6: 50-59
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10539-7: -- Ovarian Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10398-8: 40-49
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10414-3: Maternal Uncle
...... 2.1.1.2 Name Rudy
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 60
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10410-1: Maternal Aunt
...... 2.1.1.2 Name Julie
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 57
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10412-7: Maternal Grandfather
...... 2.1.1.2 Name Ian
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA2-8: Male
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death Logical Observation Identifiers, Names and Codes (LOINC) LA10558-7: -- Heart Attack
........ 2.1.1.4.1.2 Age at Death Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10413-5: Maternal Grandmother
...... 2.1.1.2 Name Gladys
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
....... 2.1.1.4.1
........ 2.1.1.4.1.1 Cause of Death Logical Observation Identifiers, Names and Codes (LOINC) LA10571-0: -- Other/Unknown
........ 2.1.1.4.1.2 Age at Death Logical Observation Identifiers, Names and Codes (LOINC) LA10400-2: OVER 60
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10399-6: 50-59
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10564-5: -- Asthma
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10395-4: Childhood
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10411-9: Maternal Cousin
...... 2.1.1.2 Name Karren
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 30
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
..... 2.1.2 This family member's history of disease
...... 2.1.2.1 Disease or Condition Logical Observation Identifiers, Names and Codes (LOINC) LA10536-3: -- Breast Cancer
...... 2.1.2.2 Age at Diagnosis Logical Observation Identifiers, Names and Codes (LOINC) LA10397-0: 30-39
.... 2.1
..... 2.1.1
...... 2.1.1.1 Relationship to you Logical Observation Identifiers, Names and Codes (LOINC) LA10411-9: Maternal Cousin
...... 2.1.1.2 Name Mary
...... 2.1.1.3 Gender Logical Observation Identifiers, Names and Codes (LOINC) LA3-6: Female
...... 2.1.1.4 Living? Logical Observation Identifiers, Names and Codes (LOINC) LA33-6: Yes
....... 2.1.1.4.2
........ 2.1.1.4.2.2 Age 31
...... 2.1.1.5 Was this person born a twin? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
...... 2.1.1.6 Was this person adopted? Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No

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Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.