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Resource "ussg-fht-answers" Version "1" (QuestionnaireResponse)

Tags:

XML or JSON representation . provenance for this resource

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

-
*

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

-
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*

{
  "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"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}