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QuestionnaireResponse "ussg-fht-answers" Version "1"

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Generated Narrative with Details

id: ussg-fht-answers

questionnaire: Questionnaire/ussg-fht

status: in-progress

subject: http://hl7.org/fhir/Patient/proband

authored: Jan 17, 2008

item

linkId: 0

Items

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*

item

linkId: 1

definition: http://loinc.org/fhir/DataElement/54126-8

text: Your health information

Items

-
*

item

linkId: 2

definition: http://loinc.org/fhir/DataElement/54114-4

text: Family member health information

Items

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "ussg-fht-answers",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.285Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ussg-fht-answers</p><p><b>questionnaire</b>: <a>Questionnaire/ussg-fht</a></p><p><b>status</b>: in-progress</p><p><b>subject</b>: <a>http://hl7.org/fhir/Patient/proband</a></p><p><b>authored</b>: Jan 17, 2008</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 0</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><p><b>definition</b>: <a>http://loinc.org/fhir/DataElement/54126-8</a></p><p><b>text</b>: Your health information</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>definition</b>: <a>http://loinc.org/fhir/DataElement/54114-4</a></p><p><b>text</b>: Family member health information</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "questionnaire" : "Questionnaire/ussg-fht",
  "status" : "in-progress",
  "subject" : {
    "reference" : "http://hl7.org/fhir/Patient/proband",
    "type" : "Patient"
  },
  "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",
                      "item" : [
                        {
                          "linkId" : "1.1.7.1.1",
                          "text" : "Units",
                          "answer" : [
                            {
                              "valueCoding" : {
                                "system" : "http://unitsofmeasure.org",
                                "code" : "[in_i]",
                                "display" : "inches"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "1.1.8",
              "definition" : "http://loinc.org/fhir/DataElement/29463-7",
              "text" : "Weight",
              "answer" : [
                {
                  "valueDecimal" : 127,
                  "item" : [
                    {
                      "linkId" : "1.1.8.1",
                      "item" : [
                        {
                          "linkId" : "1.1.8.1.1",
                          "text" : "Units",
                          "answer" : [
                            {
                              "valueCoding" : {
                                "system" : "http://unitsofmeasure.org",
                                "code" : "[lb_av]",
                                "display" : "pounds"
                              }
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "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" : "LA10602-3",
                    "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",
          "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" : "2.1",
          "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" : "LA10550-4",
                        "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" : "2.1",
          "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" : "LA10536-3",
                        "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "LA10539-7",
                                    "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" : "LA10539-7",
                        "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" : "2.1",
          "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" : "2.1",
          "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" : "2.1",
          "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" : "LA10558-7",
                                    "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" : "2.1",
          "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" : "LA10571-0",
                                    "display" : "-- Other/Unknown"
                                  }
                                }
                              ]
                            },
                            {
                              "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" : "LA10536-3",
                        "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" : "LA10564-5",
                        "display" : "-- Asthma"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "2.1.2.2",
                  "text" : "Age at Diagnosis",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10395-4",
                        "display" : "Childhood"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId" : "2.1",
          "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" : "LA10536-3",
                        "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" : "2.1",
          "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"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

QuestionnaireResponse "gcs" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: gcs

questionnaire: Questionnaire/gcs

status: completed

subject: Peter James Chalmers

authored: Dec 11, 2014 4:44:16 AM

source: Practitioner/f007

item

linkId: 1.1

Answers

-Value[x]
*Confused (Details: LOINC code LA6560-2 = 'Confused', stated as 'Confused')

item

linkId: 1.2

Answers

-Value[x]
*Localizing pain (Details: LOINC code LA6566-9 = 'Localizing pain', stated as 'Localizing pain')

item

linkId: 1.3

Answers

-Value[x]
*Eyes open spontaneously (Details: LOINC code LA6556-0 = 'Eyes open spontaneously', stated as 'Eyes open spontaneously')

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "gcs",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.239Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gcs</p><p><b>questionnaire</b>: <a>Questionnaire/gcs</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>authored</b>: Dec 11, 2014 4:44:16 AM</p><p><b>source</b>: <a>Practitioner/f007</a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.1</p><h3>Answers</h3><table><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Confused (Details: LOINC code LA6560-2 = 'Confused', stated as 'Confused')</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.2</p><h3>Answers</h3><table><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Localizing pain (Details: LOINC code LA6566-9 = 'Localizing pain', stated as 'Localizing pain')</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.3</p><h3>Answers</h3><table><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Eyes open spontaneously (Details: LOINC code LA6556-0 = 'Eyes open spontaneously', stated as 'Eyes open spontaneously')</td></tr></table></blockquote></div>"
  },
  "questionnaire" : "Questionnaire/gcs",
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "authored" : "2014-12-11T04:44:16Z",
  "source" : {
    "reference" : "Practitioner/f007"
  },
  "item" : [
    {
      "linkId" : "1.1",
      "answer" : [
        {
          "valueCoding" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 4
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6560-2",
            "display" : "Confused"
          }
        }
      ]
    },
    {
      "linkId" : "1.2",
      "answer" : [
        {
          "valueCoding" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 5
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6566-9",
            "display" : "Localizing pain"
          }
        }
      ]
    },
    {
      "linkId" : "1.3",
      "answer" : [
        {
          "valueCoding" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 4
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA6556-0",
            "display" : "Eyes open spontaneously"
          }
        }
      ]
    }
  ]
}

QuestionnaireResponse "f201" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f201

status: completed

subject: Roel

authored: Jun 18, 2013 12:00:00 AM

author: Practitioner/f201

source: Practitioner/f201

item

linkId: 1

Items

-
*

item

linkId: 2

text: General questions

Items

-
*
*
*
*

item

linkId: 3

text: Intoxications

Items

-
*
*

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "f201",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.207Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: completed</p><p><b>subject</b>: <a>Roel</a></p><p><b>authored</b>: Jun 18, 2013 12:00:00 AM</p><p><b>author</b>: <a>Practitioner/f201</a></p><p><b>source</b>: <a>Practitioner/f201</a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>text</b>: General questions</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 3</p><p><b>text</b>: Intoxications</p><h3>Items</h3><table><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "authored" : "2013-06-18T00:00:00+01:00",
  "author" : {
    "reference" : "Practitioner/f201"
  },
  "source" : {
    "reference" : "Practitioner/f201"
  },
  "item" : [
    {
      "linkId" : "1",
      "item" : [
        {
          "linkId" : "1.1",
          "text" : "Do you have allergies?",
          "answer" : [
            {
              "valueString" : "I am allergic to house dust"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "2",
      "text" : "General questions",
      "item" : [
        {
          "linkId" : "2.1",
          "text" : "What is your gender?",
          "answer" : [
            {
              "valueString" : "Male"
            }
          ]
        },
        {
          "linkId" : "2.2",
          "text" : "What is your date of birth?",
          "answer" : [
            {
              "valueDate" : "1960-03-13"
            }
          ]
        },
        {
          "linkId" : "2.3",
          "text" : "What is your country of birth?",
          "answer" : [
            {
              "valueString" : "The Netherlands"
            }
          ]
        },
        {
          "linkId" : "2.4",
          "text" : "What is your marital status?",
          "answer" : [
            {
              "valueString" : "married"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "3",
      "text" : "Intoxications",
      "item" : [
        {
          "linkId" : "3.1",
          "text" : "Do you smoke?",
          "answer" : [
            {
              "valueString" : "No"
            }
          ]
        },
        {
          "linkId" : "3.2",
          "text" : "Do you drink alchohol?",
          "answer" : [
            {
              "valueString" : "No, but I used to drink"
            }
          ]
        }
      ]
    }
  ]
}

QuestionnaireResponse "bb" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

        Cathy Jones, female. Birth weight 3.25 kg at 44.3 cm. 
        Injection of Vitamin K given on 1972-11-30 (first dose) and 1972-12-11 (second dose)
        Note: Was able to speak Chinese at birth.
      

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "bb",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.176Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n Cathy Jones, female. Birth weight 3.25 kg at 44.3 cm. \n Injection of Vitamin K given on 1972-11-30 (first dose) and 1972-12-11 (second dose)\n Note: Was able to speak Chinese at birth.\n </pre>\n </div>"
  },
  "status" : "completed",
  "subject" : {
    "reference" : "http://hl7.org/fhir/Patient/1",
    "type" : "Patient"
  },
  "authored" : "2013-02-19T14:15:00+10:00",
  "author" : {
    "reference" : "http://hl7.org/fhir/Practitioner/example",
    "type" : "Practitioner"
  },
  "item" : [
    {
      "linkId" : "birthDetails",
      "text" : "Birth details - To be completed by health professional",
      "item" : [
        {
          "linkId" : "group",
          "item" : [
            {
              "linkId" : "nameOfChild",
              "text" : "Name of child",
              "answer" : [
                {
                  "valueString" : "Cathy Jones"
                }
              ]
            },
            {
              "linkId" : "sex",
              "text" : "Sex",
              "answer" : [
                {
                  "valueCoding" : {
                    "code" : "f"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "neonatalInformation",
          "text" : "Neonatal Information",
          "item" : [
            {
              "linkId" : "birthWeight",
              "text" : "Birth weight (kg)",
              "answer" : [
                {
                  "valueDecimal" : 3.25
                }
              ]
            },
            {
              "linkId" : "birthLength",
              "text" : "Birth length (cm)",
              "answer" : [
                {
                  "valueDecimal" : 44.3
                }
              ]
            },
            {
              "linkId" : "vitaminKgiven",
              "text" : "Vitamin K given",
              "answer" : [
                {
                  "valueCoding" : {
                    "code" : "INJECTION"
                  },
                  "item" : [
                    {
                      "linkId" : "vitaminKgivenDoses",
                      "item" : [
                        {
                          "linkId" : "vitaminKDose1",
                          "text" : "1st dose",
                          "answer" : [
                            {
                              "valueDate" : "1972-11-30"
                            }
                          ]
                        },
                        {
                          "linkId" : "vitaminKDose2",
                          "text" : "2nd dose",
                          "answer" : [
                            {
                              "valueDate" : "1972-12-11"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "hepBgiven",
              "text" : "Hep B given y / n",
              "answer" : [
                {
                  "valueBoolean" : true,
                  "item" : [
                    {
                      "linkId" : "hepBgivenDate",
                      "text" : "Date given",
                      "answer" : [
                        {
                          "valueDate" : "1972-12-04"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "abnormalitiesAtBirth",
              "text" : "Abnormalities noted at birth",
              "answer" : [
                {
                  "valueString" : "Already able to speak Chinese"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

QuestionnaireResponse "3141" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

            Comorbidity? YES
              Cardial Comorbidity? YES
                Angina? YES
                MI? NO
              Vascular Comorbidity?
                (no answers)
              ...
            Histopathology
              Abdominal
                pT category: 1a
              ...
          

{
  "resourceType" : "QuestionnaireResponse",
  "id" : "3141",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.082Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n Comorbidity? YES\n Cardial Comorbidity? YES\n Angina? YES\n MI? NO\n Vascular Comorbidity?\n (no answers)\n ...\n Histopathology\n Abdominal\n pT category: 1a\n ...\n </pre>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Patient",
      "id" : "patsub",
      "identifier" : [
        {
          "system" : "http://cancer.questionnaire.org/systems/id/patientnr",
          "value" : "A34442332"
        },
        {
          "type" : {
            "text" : "Dutch BSN"
          },
          "system" : "urn:oid:2.16.840.1.113883.2.4.6.3",
          "value" : "188912345"
        }
      ],
      "gender" : "male",
      "birthDate" : "1972-11-30"
    },
    {
      "resourceType" : "ServiceRequest",
      "id" : "order",
      "status" : "unknown",
      "intent" : "order",
      "subject" : {
        "reference" : "#patsub"
      },
      "requester" : {
        "reference" : "Practitioner/example"
      }
    },
    {
      "resourceType" : "Practitioner",
      "id" : "questauth",
      "identifier" : [
        {
          "type" : {
            "text" : "AUMC, Den Helder"
          },
          "system" : "http://cancer.questionnaire.org/systems/id/org",
          "value" : "AUMC"
        }
      ]
    }
  ],
  "identifier" : {
    "system" : "http://example.org/fhir/NamingSystem/questionnaire-ids",
    "value" : "Q12349876"
  },
  "basedOn" : [
    {
      "reference" : "#order"
    }
  ],
  "partOf" : [
    {
      "reference" : "Procedure/f201"
    }
  ],
  "status" : "completed",
  "subject" : {
    "reference" : "#patsub"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authored" : "2013-02-19T14:15:00-05:00",
  "author" : {
    "reference" : "#questauth"
  },
  "item" : [
    {
      "linkId" : "1",
      "item" : [
        {
          "linkId" : "1.1",
          "answer" : [
            {
              "valueCoding" : {
                "system" : "http://cancer.questionnaire.org/system/code/yesno",
                "code" : "1",
                "display" : "Yes"
              },
              "item" : [
                {
                  "linkId" : "1.1.1",
                  "item" : [
                    {
                      "linkId" : "1.1.1.1",
                      "answer" : [
                        {
                          "valueCoding" : {
                            "system" : "http://cancer.questionnaire.org/system/code/yesno",
                            "code" : "1"
                          }
                        }
                      ]
                    },
                    {
                      "linkId" : "1.1.1.2",
                      "answer" : [
                        {
                          "valueCoding" : {
                            "system" : "http://cancer.questionnaire.org/system/code/yesno",
                            "code" : "1"
                          }
                        }
                      ]
                    },
                    {
                      "linkId" : "1.1.1.3",
                      "answer" : [
                        {
                          "valueCoding" : {
                            "system" : "http://cancer.questionnaire.org/system/code/yesno",
                            "code" : "0"
                          }
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}