<?xml version=“1.0” encoding=“UTF-8”?><List xmlns=“hl7.org/fhir”>

<id value="example-double-cousin-relationship"/>
<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-double-cousin-relationship</p><p><b>contained</b>: , , , , , </p><p><b>status</b>: current</p><p><b>mode</b>: snapshot</p><p><b>code</b>: TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal <span>(Details : {LOINC code &#39;80738-8&#39; = &#39;TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal&#39;, given as &#39;TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal&#39;})</span></p><p><b>subject</b>: <a>Pam Taylor</a></p><blockquote><p><b>entry</b></p><p><b>item</b>: id: 1; status: completed; name: Mary; natural mother <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;NMTH&#39; = &#39;natural mother&#39;, given as &#39;natural mother&#39;})</span>; deceased</p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: id: 2; status: completed; name: Bob; paternal uncle <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;PUNCLE&#39; = &#39;paternal uncle&#39;, given as &#39;paternal uncle&#39;})</span></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: id: 3; status: completed; name: Jon; maternal uncle <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;MUNCLE&#39; = &#39;maternal uncle&#39;, given as &#39;maternal uncle&#39;})</span></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: id: 4; status: completed; name: Alica; maternal grandmother <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;MGRMTH&#39; = &#39;maternal grandmother&#39;, given as &#39;maternal grandmother&#39;})</span>; 70 yr<span> (Details: UCUM code a = &#39;a&#39;)</span></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: id: 5; status: completed; name: Aunt with Parent ID; maternal aunt <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;MAUNT&#39; = &#39;maternal aunt&#39;, given as &#39;maternal aunt&#39;})</span>; gender: female; 55 yr<span> (Details: UCUM code a = &#39;a&#39;)</span></p></blockquote><blockquote><p><b>entry</b></p><p><b>item</b>: id: 6; status: completed; name: Paul; Paternal grandfather <span>(Details : {http://hl7.org/fhir/v3/RoleCode code &#39;PGRFTH&#39; = &#39;paternal grandfather&#39;, given as &#39;Paternal grandfather&#39;})</span>; 74 yr<span> (Details: UCUM code b = &#39;b&#39;)</span></p></blockquote></div></text><contained>
  <FamilyMemberHistory>
    <id value="1"/>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Mary"/>
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="NMTH"/>
        <display value="natural mother"/>
      </coding>
      <text value="natural mother"/>
    </relationship>
    <deceasedBoolean value="true"/>
    <condition>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="73211009"/>
          <display value="Diabetes mellitus"/>
        </coding>
        <text value="Diabetes mellitus"/>
      </code>
      <onsetAge>
        <value value="45"/>
        <unit value="yr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </onsetAge>
    </condition>
  </FamilyMemberHistory>
</contained>
<contained>
  <FamilyMemberHistory>
    <id value="2"/>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Bob"/>
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="PUNCLE"/>
        <display value="paternal uncle"/>
      </coding>
      <text value="paternal uncle"/>
    </relationship>
    <condition>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1481000119100"/>
          <display value="Diabetes mellitus type 2 without retinopathy"/>
        </coding>
        <text value="Diabetes mellitus type 2 without retinopathy"/>
      </code>
      <onsetAge>
        <value value="35"/>
        <unit value="yr"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="a"/>
      </onsetAge>
    </condition>
  </FamilyMemberHistory>
</contained>
<contained>
  <FamilyMemberHistory>
    <id value="3"/>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Jon"/>
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="MUNCLE"/>
        <display value="maternal uncle"/>
      </coding>
      <text value="maternal uncle"/>
    </relationship>
  </FamilyMemberHistory>
</contained>
<contained>
  <FamilyMemberHistory>
    <id value="4"/>
    <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/v3/RoleCode"/>
            <code value="NSIS"/>
            <display value="natural sister"/>
          </coding>
          <text value="natural sister"/>
        </valueCodeableConcept>
      </extension>
      <extension url="reference">
        <valueReference>
          <!--  It is fake.  -->
          <reference value="FamilyMemberHistory/mother"/>
          <display value="paternal grandmother"/>
        </valueReference>
      </extension>
    </extension>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Alica"/>
    <!--  This is a new relationship that here is a maternal grandmother who is paternal grandmonther's sibling   -->
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="MGRMTH"/>
        <display value="maternal grandmother"/>
      </coding>
      <text value="maternal grandmother"/>
    </relationship>
    <ageAge>
      <value value="70"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </ageAge>
  </FamilyMemberHistory>
</contained>
<contained>
  <FamilyMemberHistory>
    <id value="5"/>
    <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-parent">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/v3/RoleCode"/>
            <code value="MTH"/>
            <display value="mother"/>
          </coding>
          <text value="mother"/>
        </valueCodeableConcept>
      </extension>
      <extension url="reference">
        <valueReference>
          <reference value="FamilyMemberHistory/147146"/>
          <display value="maternal grandmother"/>
        </valueReference>
      </extension>
    </extension>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Aunt with Parent ID"/>
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="MAUNT"/>
        <display value="maternal aunt"/>
      </coding>
      <text value="maternal aunt"/>
    </relationship>
    <gender value="female"/>
    <ageAge>
      <value value="55"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </ageAge>
  </FamilyMemberHistory>
</contained>
<contained>
  <FamilyMemberHistory>
    <id value="6"/>
    <extension url="http://hl7.org/fhir/StructureDefinition/family-member-history-genetics-sibling">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <code value="NBRO"/>
            <display value="natural brother"/>
          </coding>
          <text value="natural brother"/>
        </valueCodeableConcept>
      </extension>
      <extension url="reference">
        <valueReference>
          <!--  It is fake.  -->
          <reference value="FamilyMemberHistory/father"/>
          <display value="maternal grandfather"/>
        </valueReference>
      </extension>
    </extension>
    <status value="completed"/>
    <patient>
      <reference value="Patient/example"/>
      <display value="Pam Taylor"/>
    </patient>
    <name value="Paul"/>
    <!--  This is a new relationship that here is a maternal grandmother who is paternal grandmonther's sibling   -->
    <relationship>
      <coding>
        <system value="http://hl7.org/fhir/v3/RoleCode"/>
        <code value="PGRFTH"/>
        <display value="Paternal grandfather"/>
      </coding>
      <text value="Paternal grandfather"/>
    </relationship>
    <ageAge>
      <value value="74"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="b"/>
    </ageAge>
  </FamilyMemberHistory>
</contained>
<status value="current"/>
<mode value="snapshot"/>
<code>
  <coding>
    <system value="http://loinc.org"/>
    <code value="80738-8"/>
    <display value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/>
  </coding>
  <text value="TPMT gene mutations found [Identifier] in Blood or Tissue by Sequencing Nominal"/>
</code>
<subject>
  <reference value="Patient/example"/>
  <display value="Pam Taylor"/>
</subject>
<entry>
  <item>
    <reference value="#1"/>
  </item>
</entry>
<entry>
  <item>
    <reference value="#2"/>
  </item>
</entry>
<entry>
  <item>
    <reference value="#3"/>
  </item>
</entry>
<entry>
  <item>
    <reference value="#4"/>
  </item>
</entry>
<entry>
  <item>
    <reference value="#5"/>
  </item>
</entry>
<entry>
  <item>
    <reference value="#6"/>
  </item>
</entry>

</List>