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List-example-double-cousin-relationship-pedigree.xml

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Simple genetic pedigree tree example with double cousin replationship (id = "example-double-cousin-relationship")

<List xmlns="http://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 '80738-8' = 'TPMT gene mutations found [Identifier] in Blood or
           Tissue by Sequencing Nominal', given as 'TPMT gene mutations found [Identifier] in Blood
           or Tissue by Sequencing Nominal'})</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 'NMTH' = 'natural mother', given as 'natural
             mother'})</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 'PUNCLE' = 'paternal uncle', given as
             'paternal uncle'})</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 'MUNCLE' = 'maternal uncle', given as
             'maternal uncle'})</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 'MGRMTH' = 'maternal grandmother', given
             as 'maternal grandmother'})</span>; 70 yr<span> (Details: UCUM code a = 'a')</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 'MAUNT' = 'maternal aunt', given as 'maternal
             aunt'})</span>; gender: female; 55 yr<span> (Details: UCUM code a = 'a')</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 'PGRFTH' = 'paternal grandfather', given
             as 'Paternal grandfather'})</span>; 74 yr<span> (Details: UCUM code b = 'b')</span></p></blockquote></div></text><contained>
    <FamilyMemberHistory>
      <id value="1"/>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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"/>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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"/>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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>
      <patient>
        <reference value="Patient/147051"/>
        <display value="Pam Taylor"/>
      </patient>
      <status value="completed"/>
      <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/147051"/>
    <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>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.