Generated Narrative with Details

id: questionnaireresponse-sdc-example-ussg-fht-answers

questionnaire: Questionnaire/43127-6

status: in-progress

subject: Patient/proband

authored: 17/01/2008

group

linkId: root

title: US Surgeon General - Family Health Portrait

Groups

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<group> <linkId value="0" /> <question> <linkId value="0.1" /> <text value="Date Done" /> <answer> <valueDate value="2008-01-17" /> </answer> </question> </group> <group> <linkId value="1" /> <title value="Your health information" /> <group> <linkId value="1.1" /> <question> <linkId value="1.1.1" /> <text value="Name" /> <answer> <valueString value="Annie Proband" /> </answer> </question> <question> <linkId value="1.1.2" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="1.1.3" /> <text value="Date of Birth" /> <answer> <valueDate value="1966-04-04" /> </answer> </question> <question> <linkId value="1.1.4" /> <text value="Were you born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="1.1.5" /> <text value="Were you adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="1.1.6" /> <text value="Are your parents related to each other in any way other than marriage?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="1.1.7" /> <text value="Height" /> <answer> <valueDecimal value="63" /> <group> <linkId value="1.1.7.1" /> <question> <linkId value="1.1.7.1.1" /> <text value="Units" /> <answer> <valueCoding> <system value="http://unitsofmeasure.org/" /> <code value="[in_i]" /> <display value="inches" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="1.1.8" /> <text value="Weight" /> <answer> <valueDecimal value="127" /> <group> <linkId value="1.1.8.1" /> <question> <linkId value="1.1.8.1.1" /> <text value="Units" /> <answer> <valueCoding> <system value="http://unitsofmeasure.org/" /> <code value="lb" /> <display value="pounds" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="1.1.9" /> <text value="Body mass index (BMI) [Ratio]" /> <answer> <valueDecimal value="22.5" /> </answer> </question> <question> <linkId value="1.1.10" /> <text value="Race" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA4457-3" /> <display value="White" /> </valueCoding> </answer> </question> <question> <linkId value="1.1.11" /> <text value="Ethnicity" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10602-3" /> <display value="-- Mexican" /> </valueCoding> </answer> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10606-4" /> <display value="-- South American" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2" /> <title value="Family member health information" /> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10405-1" /> <display value="Daughter" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Susan" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="17" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10415-0" /> <display value="Brother" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Brian" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="32" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10550-4" /> <display value="-- Other Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at Diagnosis" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10397-0" /> <display value="30-39" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10418-4" /> <display value="Sister" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Janet" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="36" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10536-3" /> <display value="-- Breast Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at Diagnosis" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10397-0" /> <display value="30-39" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10419-2" /> <display value="Nephew" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Ian" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="16" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10420-0" /> <display value="Niece" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Helen" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="15" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10416-8" /> <display value="Father" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Donald" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="52" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10425-9" /> <display value="Paternal Uncle" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Eric" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="56" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10421-8" /> <display value="Paternal Aunt" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Fiona" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="57" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10543-9" /> <display value="-- Skin Cancer" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10423-4" /> <display value="Paternal Grandfather" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Bob" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> <group> <linkId value="2.1.1.4.1" /> <question> <linkId value="2.1.1.4.1.1" /> <text value="Cause of Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10537-1" /> <display value="-- Colon Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4.1.2" /> <text value="Age at Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10400-2" /> <display value="OVER 60" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10537-1" /> <display value="-- Colon Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at Diagnosis" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10400-2" /> <display value="OVER 60" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10424-2" /> <display value="Paternal Grandmother" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Claire" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> <group> <linkId value="2.1.1.4.1" /> <question> <linkId value="2.1.1.4.1.1" /> <text value="Cause of Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10589-2" /> <display value="-- Other/Unexpected" /> </valueCoding> <group> <linkId value="2.1.1.4.1.1.1" /> <question> <text value="Please specify" /> <answer> <valueString value="Lou Gehrigs" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.4.1.2" /> <text value="Age at Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10400-2" /> <display value="OVER 60" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10417-6" /> <display value="Mother" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Harriet" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> <group> <linkId value="2.1.1.4.1" /> <question> <linkId value="2.1.1.4.1.1" /> <text value="Cause of Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10539-7" /> <display value="-- Ovarian Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4.1.2" /> <text value="Age at Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10399-6" /> <display value="50-59" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10539-7" /> <display value="-- Ovarian Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at Diagnosis" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10398-8" /> <display value="40-49" /> </valueCoding> </answer> </question> 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</answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10410-1" /> <display value="Maternal Aunt" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Julie" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="57" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10412-7" /> <display value="Maternal Grandfather" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Ian" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA2-8" /> <display value="Male" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> <group> <linkId value="2.1.1.4.1" /> <question> <linkId value="2.1.1.4.1.1" /> <text value="Cause of Death" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10558-7" /> <display value="-- 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value="http://loinc.org/" /> <code value="LA10400-2" /> <display value="OVER 60" /> </valueCoding> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10536-3" /> <display value="-- Breast Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at 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</valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Karren" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="30" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> <group> <linkId value="2.1.2" /> <title value="This family member's history of disease" /> <question> <linkId value="2.1.2.1" /> <text value="Disease or Condition" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10536-3" /> <display value="-- Breast Cancer" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.2.2" /> <text value="Age at Diagnosis" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10397-0" /> <display value="30-39" /> </valueCoding> </answer> </question> </group> </group> <group> <linkId value="2.1" /> <group> <linkId value="2.1.1" /> <question> <linkId value="2.1.1.1" /> <text value="Relationship to you" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA10411-9" /> <display value="Maternal Cousin" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.2" /> <text value="Name" /> <answer> <valueString value="Mary" /> </answer> </question> <question> <linkId value="2.1.1.3" /> <text value="Gender" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA3-6" /> <display value="Female" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.4" /> <text value="Living?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA33-6" /> <display value="Yes" /> </valueCoding> <group> <linkId value="2.1.1.4.2" /> <question> <linkId value="2.1.1.4.2.2" /> <text value="Age" /> <answer> <valueDecimal value="31" /> </answer> </question> </group> </answer> </question> <question> <linkId value="2.1.1.5" /> <text value="Was this person born a twin?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> <question> <linkId value="2.1.1.6" /> <text value="Was this person adopted?" /> <answer> <valueCoding> <system value="http://loinc.org/" /> <code value="LA32-8" /> <display value="No" /> </valueCoding> </answer> </question> </group> </group> </group> </group> </QuestionnaireResponse>