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Packagehl7.fhir.uv.sdc
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-questionnaireresponse-sdc-example-ussg-fht-answers.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse questionnaireresponse-sdc-example-ussg-fht-answers

LinkIDTextDefinitionAnswerdoco
.. questionnaireresponse-sdc-example-ussg-fht-answersQuestionnaire:US Surgeon General - Family Health Portrait
... 0
.... 0.1Date Done2008-01-17
... 1Your health information
.... 1.1
..... 1.1.1NameAnnie Proband
..... 1.1.2GenderLOINC: LA3-6 (Female)
..... 1.1.3Date of Birth1966-04-04
..... 1.1.4Were you born a twin?LOINC: LA32-8 (No)
..... 1.1.5Were you adopted?LOINC: LA32-8 (No)
..... 1.1.6Are your parents related to each other in any way other than marriage?LOINC: LA32-8 (No)
..... 1.1.7Height63
...... 1.1.7.1.1UnitsUCUM: [in_i] ([in_i])
..... 1.1.8Weight127
...... 1.1.8.1.1UnitsUCUM: [lb_av] ([lb_av])
..... 1.1.9Body mass index (BMI) [Ratio]22.5
..... 1.1.10RaceLOINC: LA4457-3 (White)
..... 1.1.11Ethnicity
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10405-1 (Daughter)
..... 2.1.1.2NameSusan
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age17
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10415-0 (Brother)
..... 2.1.1.2NameBrian
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age32
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA14284-6 (Other Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10397-0 (30-39)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10418-4 (Sister)
..... 2.1.1.2NameJanet
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age36
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA14283-8 (Breast Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10397-0 (30-39)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10419-2 (Nephew)
..... 2.1.1.2NameIan
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age16
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10420-0 (Niece)
..... 2.1.1.2NameHelen
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age15
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10416-8 (Father)
..... 2.1.1.2NameDonald
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age52
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10425-9 (Paternal Uncle)
..... 2.1.1.2NameEric
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age56
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10421-8 (Paternal Aunt)
..... 2.1.1.2NameFiona
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age57
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA10543-9 (Skin Cancer)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10423-4 (Paternal Grandfather)
..... 2.1.1.2NameBob
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA32-8 (No)
...... 2.1.1.4.1
....... 2.1.1.4.1.1Cause of DeathLOINC: LA10537-1 (Colon Cancer)
....... 2.1.1.4.1.2Age at DeathLOINC: LA10400-2 (OVER 60)
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA10537-1 (Colon Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10400-2 (OVER 60)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10424-2 (Paternal Grandmother)
..... 2.1.1.2NameClaire
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA32-8 (No)
...... 2.1.1.4.1
....... 2.1.1.4.1.1Cause of DeathLOINC: LA10589-2 (Other/Unexpected)
........ 2.1.1.4.1.1.1Please specifyLou Gehrigs
....... 2.1.1.4.1.2Age at DeathLOINC: LA10400-2 (OVER 60)
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10417-6 (Mother)
..... 2.1.1.2NameHarriet
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA32-8 (No)
...... 2.1.1.4.1
....... 2.1.1.4.1.1Cause of DeathLOINC: LA15682-0 (Ovarian Cancer)
....... 2.1.1.4.1.2Age at DeathLOINC: LA10399-6 (50-59)
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA15682-0 (Ovarian Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10398-8 (40-49)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10414-3 (Maternal Uncle)
..... 2.1.1.2NameRudy
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age60
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10410-1 (Maternal Aunt)
..... 2.1.1.2NameJulie
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age57
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10412-7 (Maternal Grandfather)
..... 2.1.1.2NameIan
..... 2.1.1.3GenderLOINC: LA2-8 (Male)
..... 2.1.1.4Living?LOINC: LA32-8 (No)
...... 2.1.1.4.1
....... 2.1.1.4.1.1Cause of DeathLOINC: LA16286-9 (Heart attack)
....... 2.1.1.4.1.2Age at DeathLOINC: LA10400-2 (OVER 60)
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10413-5 (Maternal Grandmother)
..... 2.1.1.2NameGladys
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA32-8 (No)
...... 2.1.1.4.1
....... 2.1.1.4.1.1Cause of DeathLOINC: LA10589-2 (Other/Unexpected)
....... 2.1.1.4.1.2Age at DeathLOINC: LA10400-2 (OVER 60)
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA14283-8 (Breast Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10399-6 (50-59)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA16982-3 (Asthma)
..... 2.1.2.2Age at DiagnosisLOINC: LA10395-4 (Childhood)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10411-9 (Maternal Cousin)
..... 2.1.1.2NameKarren
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age30
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)
.... 2.1.2This family member's history of disease
..... 2.1.2.1Disease or ConditionLOINC: LA14283-8 (Breast Cancer)
..... 2.1.2.2Age at DiagnosisLOINC: LA10397-0 (30-39)
... 2Family member health information
.... 2.1.1
..... 2.1.1.1Relationship to youLOINC: LA10411-9 (Maternal Cousin)
..... 2.1.1.2NameMary
..... 2.1.1.3GenderLOINC: LA3-6 (Female)
..... 2.1.1.4Living?LOINC: LA33-6 (Yes)
...... 2.1.1.4.2
....... 2.1.1.4.2.2Age31
..... 2.1.1.5Was this person born a twin?LOINC: LA32-8 (No)
..... 2.1.1.6Was this person adopted?LOINC: LA32-8 (No)

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "questionnaireresponse-sdc-example-ussg-fht-answers",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-ussg-fht|4.0.0-ballot",
  "status": "in-progress",
  "subject": {
    "reference": "http://example.org/fhir/Patient/proband"
  },
  "authored": "2008-01-17",
  "item": [
    {
      "linkId": "0",
      "item": [
        {
          "linkId": "0.1",
          "text": "Date Done",
          "answer": [
            {
              "valueDate": "2008-01-17"
            }
          ]
        }
      ]
    },
    {
      "linkId": "1",
      "text": "Your health information",
      "item": [
        {
          "linkId": "1.1",
          "item": [
            {
              "linkId": "1.1.1",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Annie Proband"
                }
              ]
            },
            {
              "linkId": "1.1.2",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.3",
              "text": "Date of Birth",
              "answer": [
                {
                  "valueDate": "1966-04-04"
                }
              ]
            },
            {
              "linkId": "1.1.4",
              "text": "Were you born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.5",
              "text": "Were you adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.6",
              "text": "Are your parents related to each other in any way other than marriage?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.7",
              "text": "Height",
              "answer": [
                {
                  "valueDecimal": 63,
                  "item": [
                    {
                      "linkId": "1.1.7.1.1",
                      "text": "Units",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://unitsofmeasure.org",
                            "code": "[in_i]",
                            "display": "[in_i]"
                          }
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "1.1.8",
              "text": "Weight",
              "answer": [
                {
                  "valueDecimal": 127,
                  "item": [
                    {
                      "linkId": "1.1.8.1.1",
                      "text": "Units",
                      "answer": [
                        {
                          "valueCoding": {
                            "system": "http://unitsofmeasure.org",
                            "code": "[lb_av]",
                            "display": "[lb_av]"
                          }
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "1.1.9",
              "text": "Body mass index (BMI) [Ratio]",
              "answer": [
                {
                  "valueDecimal": 22.5
                }
              ]
            },
            {
              "linkId": "1.1.10",
              "text": "Race",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA4457-3",
                    "display": "White"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.11",
              "text": "Ethnicity",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA4611-5",
                    "display": "Mexican"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10606-4",
                    "display": "South American"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10405-1",
                    "display": "Daughter"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Susan"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 17
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10415-0",
                    "display": "Brother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Brian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 32
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA14284-6",
                    "display": "Other Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10397-0",
                    "display": "30-39"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10418-4",
                    "display": "Sister"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Janet"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 36
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA14283-8",
                    "display": "Breast Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10397-0",
                    "display": "30-39"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10419-2",
                    "display": "Nephew"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Ian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 16
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10420-0",
                    "display": "Niece"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Helen"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 15
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10416-8",
                    "display": "Father"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Donald"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 52
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10425-9",
                    "display": "Paternal Uncle"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Eric"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 56
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10421-8",
                    "display": "Paternal Aunt"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Fiona"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 57
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10543-9",
                    "display": "Skin Cancer"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10423-4",
                    "display": "Paternal Grandfather"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Bob"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.1",
                      "item": [
                        {
                          "linkId": "2.1.1.4.1.1",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10537-1",
                                "display": "Colon Cancer"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10537-1",
                    "display": "Colon Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10400-2",
                    "display": "OVER 60"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10424-2",
                    "display": "Paternal Grandmother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Claire"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.1",
                      "item": [
                        {
                          "linkId": "2.1.1.4.1.1",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10589-2",
                                "display": "Other/Unexpected"
                              },
                              "item": [
                                {
                                  "linkId": "2.1.1.4.1.1.1",
                                  "text": "Please specify",
                                  "answer": [
                                    {
                                      "valueString": "Lou Gehrigs"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10417-6",
                    "display": "Mother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Harriet"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.1",
                      "item": [
                        {
                          "linkId": "2.1.1.4.1.1",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA15682-0",
                                "display": "Ovarian Cancer"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10399-6",
                                "display": "50-59"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA15682-0",
                    "display": "Ovarian Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10398-8",
                    "display": "40-49"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10414-3",
                    "display": "Maternal Uncle"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Rudy"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 60
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10410-1",
                    "display": "Maternal Aunt"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Julie"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 57
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10412-7",
                    "display": "Maternal Grandfather"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Ian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.1",
                      "item": [
                        {
                          "linkId": "2.1.1.4.1.1",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA16286-9",
                                "display": "Heart attack"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10413-5",
                    "display": "Maternal Grandmother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Gladys"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.1",
                      "item": [
                        {
                          "linkId": "2.1.1.4.1.1",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10589-2",
                                "display": "Other/Unexpected"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA14283-8",
                    "display": "Breast Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10399-6",
                    "display": "50-59"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA16982-3",
                    "display": "Asthma"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10395-4",
                    "display": "Childhood"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10411-9",
                    "display": "Maternal Cousin"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Karren"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 30
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "2.1.2",
          "text": "This family member's history of disease",
          "item": [
            {
              "linkId": "2.1.2.1",
              "text": "Disease or Condition",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA14283-8",
                    "display": "Breast Cancer"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.2.2",
              "text": "Age at Diagnosis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10397-0",
                    "display": "30-39"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10411-9",
                    "display": "Maternal Cousin"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Mary"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "text": "Living?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA33-6",
                    "display": "Yes"
                  },
                  "item": [
                    {
                      "linkId": "2.1.1.4.2",
                      "item": [
                        {
                          "linkId": "2.1.1.4.2.2",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 31
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}