<?xml version="1.0" encoding="UTF-8"?><QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="ussg-fht-answers"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The linkId for the item">LinkId</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Text for the item">Text</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Definition</a></th><th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><a href="formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon_q_root.gif" style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot"/> ussg-fht-answers</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">QuestionnaireResponse</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 0</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 0.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Date Done</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">2008-01-17</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Your health information</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Annie Proband</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Date of Birth</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">1966-04-04</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Were you born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Were you adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Are your parents related to each other in any way other than marriage?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1.1.7</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Height</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">63</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1.7.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.7.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Units</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html#v3-ucum-.91in_i.93">Unified Code for Units of Measure (UCUM)</a> [in_i]: inches</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 1.1.8</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Weight</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">127</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 1.1.8.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.8.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Units</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html#v3-ucum-.91lb_av.93">Unified Code for Units of Measure (UCUM)</a> [lb_av]: pounds</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.9</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Body mass index (BMI) [Ratio]</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">22.5</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 1.1.10</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Race</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA4457-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA4457-3: White</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 1.1.11</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ethnicity</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Family member health information</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10405-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10405-1: Daughter</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Susan</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">17</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10415-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10415-0: Brother</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Brian</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">32</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10550-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10550-4: -- Other Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10418-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10418-4: Sister</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Janet</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">36</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10419-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10419-2: Nephew</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ian</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">16</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10420-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10420-0: Niece</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Helen</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">15</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10416-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10416-8: Father</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Donald</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">52</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10425-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10425-9: Paternal Uncle</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Eric</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">56</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10421-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10421-8: Paternal Aunt</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Fiona</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">57</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10543-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10543-9: -- Skin Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10423-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10423-4: Paternal Grandfather</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Bob</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10537-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10537-1: -- Colon Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10537-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10537-1: -- Colon Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10424-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10424-2: Paternal Grandmother</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Claire</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10589-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10589-2: -- Other/Unexpected</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Please specify</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Lou Gehrigs</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10417-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10417-6: Mother</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Harriet</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10539-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10539-7: -- Ovarian Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10399-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10399-6: 50-59</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10539-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10539-7: -- Ovarian Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10398-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10398-8: 40-49</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10414-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10414-3: Maternal Uncle</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Rudy</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">60</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10410-1">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10410-1: Maternal Aunt</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Julie</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">57</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10412-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10412-7: Maternal Grandfather</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Ian</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA2-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA2-8: Male</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10558-7">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10558-7: -- Heart Attack</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10413-5">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10413-5: Maternal Grandmother</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gladys</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Cause of Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10571-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10571-0: -- Other/Unknown</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Death</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10400-2">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10400-2: OVER 60</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10399-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10399-6: 50-59</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10564-5">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10564-5: -- Asthma</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10395-4">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10395-4: Childhood</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10411-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10411-9: Maternal Cousin</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Karren</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01111.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">30</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01110.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">This family member's history of disease</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Disease or Condition</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10536-3">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10536-3: -- Breast Cancer</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age at Diagnosis</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10397-0">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10397-0: 30-39</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.1</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Relationship to you</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA10411-9">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA10411-9: Maternal Cousin</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Name</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Mary</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.3</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Gender</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA3-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA3-6: Female</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00011.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: white; background-color: inherit" title="Group"/> 2.1.1.4</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Living?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA33-6">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA33-6: Yes</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000101.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-group.png" style="background-color: #F7F7F7; background-color: inherit" title="Group"/> 2.1.1.4.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vline.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.4.2.2</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Age</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">31</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: #F7F7F7; background-color: inherit" title="Item"/> 2.1.1.5</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person born a twin?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)"><img alt="." class="hierarchy" src="tbl_spacer.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_blank.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="tbl_vjoin_end.png" style="background-color: inherit"/><img alt="." class="hierarchy" src="icon-q-string.png" style="background-color: white; background-color: inherit" title="Item"/> 2.1.1.6</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px">Was this person adopted?</td><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"/><td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px"><span><span><a href="https://loinc.org/LA32-8">Logical Observation Identifiers, Names and Codes (LOINC)</a> LA32-8: No</span></span></td></tr>
<tr><td class="hierarchy" colspan="4"><br/><a href="formats.html#table" title="Legend for this format"><img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div></text><questionnaire value="http://hl7.org/fhir/Questionnaire/ussg-fht"/>
  <status value="in-progress"/>
  <subject>
    <reference value="http://hl7.org/fhir/Patient/proband"/>
    <type value="Patient"/>
  </subject>
  <authored value="2008-01-17"/>
  <item>
    <linkId value="0"/>
    <item>
      <linkId value="0.1"/>
      <text value="Date Done"/>
      <answer>
        <valueDate value="2008-01-17"/>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="1"/>
    <definition value="http://loinc.org/fhir/DataElement/54126-8"/>
    <text value="Your health information"/>
    <item>
      <linkId value="1.1"/>
      <item>
        <linkId value="1.1.1"/>
        <definition value="http://loinc.org/fhir/DataElement/54125-0"/>
        <text value="Name"/>
        <answer>
          <valueString value="Annie Proband"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.2"/>
        <definition value="http://loinc.org/fhir/DataElement/54131-8"/>
        <text value="Gender"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA3-6"/>
            <display value="Female"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.3"/>
        <definition value="http://loinc.org/fhir/DataElement/21112-8"/>
        <text value="Date of Birth"/>
        <answer>
          <valueDate value="1966-04-04"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.4"/>
        <definition value="http://loinc.org/fhir/DataElement/54132-6"/>
        <text value="Were you born a twin?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.5"/>
        <definition value="http://loinc.org/fhir/DataElement/54128-4"/>
        <text value="Were you adopted?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.6"/>
        <definition value="http://loinc.org/fhir/DataElement/54135-9"/>
        <text value="Are your parents related to each other in any way other than marriage?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.7"/>
        <definition value="http://loinc.org/fhir/DataElement/8302-2"/>
        <text value="Height"/>
        <answer>
          <valueDecimal value="63"/>
          <item>
            <linkId value="1.1.7.1"/>
            <item>
              <linkId value="1.1.7.1.1"/>
              <text value="Units"/>
              <answer>
                <valueCoding>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="[in_i]"/>
                  <display value="inches"/>
                </valueCoding>
              </answer>
            </item>
          </item>
        </answer>
      </item>
      <item>
        <linkId value="1.1.8"/>
        <definition value="http://loinc.org/fhir/DataElement/29463-7"/>
        <text value="Weight"/>
        <answer>
          <valueDecimal value="127"/>
          <item>
            <linkId value="1.1.8.1"/>
            <item>
              <linkId value="1.1.8.1.1"/>
              <text value="Units"/>
              <answer>
                <valueCoding>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="[lb_av]"/>
                  <display value="pounds"/>
                </valueCoding>
              </answer>
            </item>
          </item>
        </answer>
      </item>
      <item>
        <linkId value="1.1.9"/>
        <definition value="http://loinc.org/fhir/DataElement/39156-5"/>
        <text value="Body mass index (BMI) [Ratio]"/>
        <answer>
          <valueDecimal value="22.5"/>
        </answer>
      </item>
      <item>
        <linkId value="1.1.10"/>
        <definition value="http://loinc.org/fhir/DataElement/54134-2"/>
        <text value="Race"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA4457-3"/>
            <display value="White"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="1.1.11"/>
        <definition value="http://loinc.org/fhir/DataElement/54133-4"/>
        <text value="Ethnicity"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA10602-3"/>
            <display value="-- Mexican"/>
          </valueCoding>
        </answer>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA10606-4"/>
            <display value="-- South American"/>
          </valueCoding>
        </answer>
      </item>
    </item>
  </item>
  <item>
    <linkId value="2"/>
    <definition value="http://loinc.org/fhir/DataElement/54114-4"/>
    <text value="Family member health information"/>
    <item>
      <linkId value="2.1"/>
    <!--   see comment in questionnaire     <item>
        <linkId value="2.1.1"/>   -->
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10405-1"/>
              <display value="Daughter"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Susan"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="17"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
          <!--   </item>   -->
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10415-0"/>
              <display value="Brother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Brian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="32"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10550-4"/>
              <display value="-- Other Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10418-4"/>
              <display value="Sister"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Janet"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="36"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10419-2"/>
              <display value="Nephew"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Ian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="16"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10420-0"/>
              <display value="Niece"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Helen"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="15"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10416-8"/>
              <display value="Father"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Donald"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="52"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10425-9"/>
              <display value="Paternal Uncle"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Eric"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="56"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10421-8"/>
              <display value="Paternal Aunt"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Fiona"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="57"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10543-9"/>
              <display value="-- Skin Cancer"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10423-4"/>
              <display value="Paternal Grandfather"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Bob"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <definition value="http://loinc.org/fhir/DataElement/54112-8"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10537-1"/>
                    <display value="-- Colon Cancer"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54113-6"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10537-1"/>
              <display value="-- Colon Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10400-2"/>
              <display value="OVER 60"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10424-2"/>
              <display value="Paternal Grandmother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Claire"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <definition value="http://loinc.org/fhir/DataElement/54112-8"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10589-2"/>
                    <display value="-- Other/Unexpected"/>
                  </valueCoding>
                  <item>
                    <linkId value="2.1.1.4.1.1.1"/>
                    <text value="Please specify"/>
                    <answer>
                      <valueString value="Lou Gehrigs"/>
                    </answer>
                  </item>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54113-6"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10417-6"/>
              <display value="Mother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Harriet"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <definition value="http://loinc.org/fhir/DataElement/54112-8"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10539-7"/>
                    <display value="-- Ovarian Cancer"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54113-6"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10399-6"/>
                    <display value="50-59"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10539-7"/>
              <display value="-- Ovarian Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10398-8"/>
              <display value="40-49"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10414-3"/>
              <display value="Maternal Uncle"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Rudy"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="60"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10410-1"/>
              <display value="Maternal Aunt"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Julie"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="57"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10412-7"/>
              <display value="Maternal Grandfather"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Ian"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <definition value="http://loinc.org/fhir/DataElement/54112-8"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10558-7"/>
                    <display value="-- Heart Attack"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54113-6"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10413-5"/>
              <display value="Maternal Grandmother"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Gladys"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.1"/>
              <item>
                <linkId value="2.1.1.4.1.1"/>
                <definition value="http://loinc.org/fhir/DataElement/54112-8"/>
                <text value="Cause of Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10571-0"/>
                    <display value="-- Other/Unknown"/>
                  </valueCoding>
                </answer>
              </item>
              <item>
                <linkId value="2.1.1.4.1.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54113-6"/>
                <text value="Age at Death"/>
                <answer>
                  <valueCoding>
                    <system value="http://loinc.org"/>
                    <code value="LA10400-2"/>
                    <display value="OVER 60"/>
                  </valueCoding>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10399-6"/>
              <display value="50-59"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10564-5"/>
              <display value="-- Asthma"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10395-4"/>
              <display value="Childhood"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10411-9"/>
              <display value="Maternal Cousin"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Karren"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="30"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
      <item>
        <linkId value="2.1.2"/>
        <text value="This family member's history of disease"/>
        <item>
          <linkId value="2.1.2.1"/>
          <text value="Disease or Condition"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10536-3"/>
              <display value="-- Breast Cancer"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.2.2"/>
          <text value="Age at Diagnosis"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10397-0"/>
              <display value="30-39"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
    <item>
      <linkId value="2.1"/>
      <item>
        <linkId value="2.1.1"/>
        <item>
          <linkId value="2.1.1.1"/>
          <definition value="http://loinc.org/fhir/DataElement/54136-7"/>
          <text value="Relationship to you"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10411-9"/>
              <display value="Maternal Cousin"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.2"/>
          <definition value="http://loinc.org/fhir/DataElement/54138-3"/>
          <text value="Name"/>
          <answer>
            <valueString value="Mary"/>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.3"/>
          <definition value="http://loinc.org/fhir/DataElement/54123-5"/>
          <text value="Gender"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.4"/>
          <definition value="http://loinc.org/fhir/DataElement/54139-1"/>
          <text value="Living?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
            <item>
              <linkId value="2.1.1.4.2"/>
              <item>
                <linkId value="2.1.1.4.2.2"/>
                <definition value="http://loinc.org/fhir/DataElement/54141-7"/>
                <text value="Age"/>
                <answer>
                  <valueDecimal value="31"/>
                </answer>
              </item>
            </item>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.5"/>
          <definition value="http://loinc.org/fhir/DataElement/54121-9"/>
          <text value="Was this person born a twin?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2.1.1.6"/>
          <definition value="http://loinc.org/fhir/DataElement/54122-7"/>
          <text value="Was this person adopted?"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answer>
        </item>
      </item>
    </item>
  </item>
</QuestionnaireResponse>