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

<id value="example-double-cousin-relationship"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/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://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="MAUNT"/>
        <display value="maternal aunt"/>
      </coding>
      <text value="maternal aunt"/>
    </relationship>
    <sex>
              <coding>
                <system value="http://hl7.org/fhir/administrative-gender"/>
                <code value="female"/>
                <display value="Female"/>
              </coding>
        </sex>
    <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>
            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
            <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://terminology.hl7.org/CodeSystem/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>