{

"resourceType": "QuestionnaireResponse",
"id": "ussg-fht-answers",
"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><p><b>subject</b>: <a>Patient/pat1</a></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": {
  "reference": "Questionnaire/ussg-fht"
},
"status": "in-progress",
"subject": {
  "reference": "http://hl7.org/fhir/Patient/proband"
},
"authored": "2008-01-17",
"item": [
  {
    "linkId": "0",
    "item": [
      {
        "linkId": "0.1",
        "text": "Date Done",
        "answer": [
          {
            "valueDate": "2008-01-17"
          }
        ]
      }
    ]
  },
  {
    "linkId": "1",
    "definition": "http://loinc.org/fhir/DataElement/54126-8",
    "text": "Your health information",
    "item": [
      {
        "linkId": "1.1",
        "item": [
          {
            "linkId": "1.1.1",
            "definition": "http://loinc.org/fhir/DataElement/54125-0",
            "text": "Name",
            "answer": [
              {
                "valueString": "Annie Proband"
              }
            ]
          },
          {
            "linkId": "1.1.2",
            "definition": "http://loinc.org/fhir/DataElement/54131-8",
            "text": "Gender",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA3-6",
                  "display": "Female"
                }
              }
            ]
          },
          {
            "linkId": "1.1.3",
            "definition": "http://loinc.org/fhir/DataElement/21112-8",
            "text": "Date of Birth",
            "answer": [
              {
                "valueDate": "1966-04-04"
              }
            ]
          },
          {
            "linkId": "1.1.4",
            "definition": "http://loinc.org/fhir/DataElement/54132-6",
            "text": "Were you born a twin?",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA32-8",
                  "display": "No"
                }
              }
            ]
          },
          {
            "linkId": "1.1.5",
            "definition": "http://loinc.org/fhir/DataElement/54128-4",
            "text": "Were you adopted?",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA32-8",
                  "display": "No"
                }
              }
            ]
          },
          {
            "linkId": "1.1.6",
            "definition": "http://loinc.org/fhir/DataElement/54135-9",
            "text": "Are your parents related to each other in any way other than marriage?",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA32-8",
                  "display": "No"
                }
              }
            ]
          },
          {
            "linkId": "1.1.7",
            "definition": "http://loinc.org/fhir/DataElement/8302-2",
            "text": "Height",
            "answer": [
              {
                "valueDecimal": 63,
                "item": [
                  {
                    "linkId": "1.1.7.1",
                    "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",
                              "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",
    "subject": {
      "reference": "Patient/pat1"
    },
    "item": [
      {
        "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": "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"
                    }
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  }
]

}