<FamilyMemberHistory xmlns="http://hl7.org/fhir">
  <id value="556a809e-5809-4ab6-ae7f-9a77724ecb19" />
  <meta>
    <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-FamilyMemberHistory|1.1.0" />
  </meta>
  <status value="completed" />
  <patient>
    <reference value="Patient/100" />
    <display value="Daisy Smith" />
  </patient>
  <relationship>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
      <code value="FTH" />
      <display value="father" />
    </coding>
  </relationship>
  <condition>
    <code>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="371041009" />
        <display value="Embolic Stroke" />
      </coding>
      <text value="Stroke" />
    </code>
    <onsetAge>
      <value value="60" />
      <unit value="yr" />
      <system value="http://unitsofmeasure.org" />
      <code value="a" />
    </onsetAge>
  </condition>
</FamilyMemberHistory>