FHIRsmith: QuestionnaireResponse/QuestionnaireResponse-questionnaireresponse-sdc-example-ussg-fht-answers.json

FHIR IG analytics

Package	hl7.fhir.uv.sdc.r4
Resource Type	QuestionnaireResponse
Id	QuestionnaireResponse-questionnaireresponse-sdc-example-ussg-fht-answers.json
FHIR Version	R4
Resources that use this resource

No resources found
Resources that this resource uses

No resources found
Narrative

Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse questionnaireresponse-sdc-example-ussg-fht-answers
LinkID	Text	Answer
questionnaireresponse-sdc-example-ussg-fht-answers		Questionnaire:US Surgeon General - Family Health Portrait
0
0.1	Date Done	2008-01-17
1	Your health information
1.1
1.1.1	Name	Annie Proband
1.1.2	Gender	LOINC LA3-6: Female
1.1.3	Date of Birth	1966-04-04
1.1.4	Were you born a twin?	LOINC LA32-8: No
1.1.5	Were you adopted?	LOINC LA32-8: No
1.1.6	Are your parents related to each other in any way other than marriage?	LOINC LA32-8: No
1.1.7	Height	63
1.1.7.1.1	Units	UCUM [in_i]: [in_i]
1.1.8	Weight	127
1.1.8.1.1	Units	UCUM [lb_av]: [lb_av]
1.1.9	Body mass index (BMI) [Ratio]	22.5
1.1.10	Race	LOINC LA4457-3: White
1.1.11	Ethnicity
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10405-1: Daughter
2.1.1.2	Name	Susan
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	17
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10415-0: Brother
2.1.1.2	Name	Brian
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	32
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA14284-6: Other Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10397-0: 30-39
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10418-4: Sister
2.1.1.2	Name	Janet
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	36
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA14283-8: Breast Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10397-0: 30-39
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10419-2: Nephew
2.1.1.2	Name	Ian
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	16
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10420-0: Niece
2.1.1.2	Name	Helen
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	15
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10416-8: Father
2.1.1.2	Name	Donald
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	52
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10425-9: Paternal Uncle
2.1.1.2	Name	Eric
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	56
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10421-8: Paternal Aunt
2.1.1.2	Name	Fiona
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	57
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA10543-9: Skin Cancer
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10423-4: Paternal Grandfather
2.1.1.2	Name	Bob
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death	LOINC LA10537-1: Colon Cancer
2.1.1.4.1.2	Age at Death	LOINC LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA10537-1: Colon Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10400-2: OVER 60
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10424-2: Paternal Grandmother
2.1.1.2	Name	Claire
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death	LOINC LA10589-2: Other/Unexpected
2.1.1.4.1.1.1	Please specify	Lou Gehrigs
2.1.1.4.1.2	Age at Death	LOINC LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10417-6: Mother
2.1.1.2	Name	Harriet
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death	LOINC LA15682-0: Ovarian Cancer
2.1.1.4.1.2	Age at Death	LOINC LA10399-6: 50-59
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA15682-0: Ovarian Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10398-8: 40-49
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10414-3: Maternal Uncle
2.1.1.2	Name	Rudy
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	60
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10410-1: Maternal Aunt
2.1.1.2	Name	Julie
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	57
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10412-7: Maternal Grandfather
2.1.1.2	Name	Ian
2.1.1.3	Gender	LOINC LA2-8: Male
2.1.1.4	Living?	LOINC LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death	LOINC LA16286-9: Heart attack
2.1.1.4.1.2	Age at Death	LOINC LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10413-5: Maternal Grandmother
2.1.1.2	Name	Gladys
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA32-8: No
2.1.1.4.1
2.1.1.4.1.1	Cause of Death	LOINC LA10589-2: Other/Unexpected
2.1.1.4.1.2	Age at Death	LOINC LA10400-2: OVER 60
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA14283-8: Breast Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10399-6: 50-59
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA16982-3: Asthma
2.1.2.2	Age at Diagnosis	LOINC LA10395-4: Childhood
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10411-9: Maternal Cousin
2.1.1.2	Name	Karren
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	30
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
2.1.2	This family member's history of disease
2.1.2.1	Disease or Condition	LOINC LA14283-8: Breast Cancer
2.1.2.2	Age at Diagnosis	LOINC LA10397-0: 30-39
2	Family member health information
2.1.1
2.1.1.1	Relationship to you	LOINC LA10411-9: Maternal Cousin
2.1.1.2	Name	Mary
2.1.1.3	Gender	LOINC LA3-6: Female
2.1.1.4	Living?	LOINC LA33-6: Yes
2.1.1.4.2
2.1.1.4.2.2	Age	31
2.1.1.5	Was this person born a twin?	LOINC LA32-8: No
2.1.1.6	Was this person adopted?	LOINC LA32-8: No
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"
    ]
  },
  "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://hl7.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",
      "definition": "http://loinc.org/fhir/DataElement/54126-8",
      "text": "Your health information",
      "item": [
        {
          "linkId": "1.1",
          "item": [
            {
              "linkId": "1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54125-0",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Annie Proband"
                }
              ]
            },
            {
              "linkId": "1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54131-8",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/21112-8",
              "text": "Date of Birth",
              "answer": [
                {
                  "valueDate": "1966-04-04"
                }
              ]
            },
            {
              "linkId": "1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54132-6",
              "text": "Were you born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54128-4",
              "text": "Were you adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54135-9",
              "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",
              "definition": "http://loinc.org/fhir/DataElement/8302-2",
              "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",
              "definition": "http://loinc.org/fhir/DataElement/29463-7",
              "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",
              "definition": "http://loinc.org/fhir/DataElement/39156-5",
              "text": "Body mass index (BMI) [Ratio]",
              "answer": [
                {
                  "valueDecimal": 22.5
                }
              ]
            },
            {
              "linkId": "1.1.10",
              "definition": "http://loinc.org/fhir/DataElement/54134-2",
              "text": "Race",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA4457-3",
                    "display": "White"
                  }
                }
              ]
            },
            {
              "linkId": "1.1.11",
              "definition": "http://loinc.org/fhir/DataElement/54133-4",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10405-1",
                    "display": "Daughter"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Susan"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 17
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10415-0",
                    "display": "Brother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Brian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 32
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10418-4",
                    "display": "Sister"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Janet"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 36
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10419-2",
                    "display": "Nephew"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Ian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 16
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10420-0",
                    "display": "Niece"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Helen"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 15
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10416-8",
                    "display": "Father"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Donald"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 52
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10425-9",
                    "display": "Paternal Uncle"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Eric"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 56
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10421-8",
                    "display": "Paternal Aunt"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Fiona"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 57
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10423-4",
                    "display": "Paternal Grandfather"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Bob"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54112-8",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10537-1",
                                "display": "Colon Cancer"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "definition": "http://loinc.org/fhir/DataElement/54113-6",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10424-2",
                    "display": "Paternal Grandmother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Claire"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54112-8",
                          "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",
                          "definition": "http://loinc.org/fhir/DataElement/54113-6",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10417-6",
                    "display": "Mother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Harriet"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54112-8",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA15682-0",
                                "display": "Ovarian Cancer"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "definition": "http://loinc.org/fhir/DataElement/54113-6",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10399-6",
                                "display": "50-59"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10414-3",
                    "display": "Maternal Uncle"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Rudy"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 60
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10410-1",
                    "display": "Maternal Aunt"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Julie"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 57
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10412-7",
                    "display": "Maternal Grandfather"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Ian"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA2-8",
                    "display": "Male"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54112-8",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA16286-9",
                                "display": "Heart attack"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "definition": "http://loinc.org/fhir/DataElement/54113-6",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10413-5",
                    "display": "Maternal Grandmother"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Gladys"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54112-8",
                          "text": "Cause of Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10589-2",
                                "display": "Other/Unexpected"
                              }
                            }
                          ]
                        },
                        {
                          "linkId": "2.1.1.4.1.2",
                          "definition": "http://loinc.org/fhir/DataElement/54113-6",
                          "text": "Age at Death",
                          "answer": [
                            {
                              "valueCoding": {
                                "system": "http://loinc.org",
                                "code": "LA10400-2",
                                "display": "OVER 60"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10411-9",
                    "display": "Maternal Cousin"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Karren"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 30
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "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",
      "definition": "http://loinc.org/fhir/DataElement/54114-4",
      "text": "Family member health information",
      "item": [
        {
          "linkId": "2.1.1",
          "item": [
            {
              "linkId": "2.1.1.1",
              "definition": "http://loinc.org/fhir/DataElement/54136-7",
              "text": "Relationship to you",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA10411-9",
                    "display": "Maternal Cousin"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.2",
              "definition": "http://loinc.org/fhir/DataElement/54138-3",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Mary"
                }
              ]
            },
            {
              "linkId": "2.1.1.3",
              "definition": "http://loinc.org/fhir/DataElement/54123-5",
              "text": "Gender",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA3-6",
                    "display": "Female"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.4",
              "definition": "http://loinc.org/fhir/DataElement/54139-1",
              "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",
                          "definition": "http://loinc.org/fhir/DataElement/54141-7",
                          "text": "Age",
                          "answer": [
                            {
                              "valueDecimal": 31
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "2.1.1.5",
              "definition": "http://loinc.org/fhir/DataElement/54121-9",
              "text": "Was this person born a twin?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "2.1.1.6",
              "definition": "http://loinc.org/fhir/DataElement/54122-7",
              "text": "Was this person adopted?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://loinc.org",
                    "code": "LA32-8",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}