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

<id value="father"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>

<identifier>
      <value value="12345"/>
</identifier>
<instantiatesUri value="http://example.org/family-member-history-questionnaire"/>
<status value="completed"/>
<patient>
  <reference value="Patient/example"/>
  <display value="Peter Patient"/>
</patient>

<date value="2011-03-18"/>

<relationship>
  <coding>
    <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
    <code value="FTH"/>
    <display value="father"/>
  </coding>
</relationship>
<sex>
      <coding>
    <system value="http://hl7.org/fhir/administrative-gender"/>
    <code value="male"/>
    <display value="Male"/>
  </coding>
</sex>
<condition>
  <code>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="315619001"/>
    <display value="Myocardial Infarction"/>
  </coding>
  <text value="Heart Attack"/>
  </code>

      <contributedToDeath value="true"/>
  <onsetAge>
    <value value="74"/>
    <unit value="yr"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="a"/>
  </onsetAge>
  <note>
    <text value="Was fishing at the time. At least he went doing someting he loved."/>
  </note>
</condition>

</FamilyMemberHistory>