{

"resourceType": "Questionnaire",
"id": "f201",
"url": "http://hl7.org/fhir/Questionnaire/f201",
"status": "active",
"subjectType": [
  "Patient"
],
"date": "2010",
"code": [
  {
    "system": "http://example.org/system/code/lifelines/nl",
    "code": "VL 1-1, 18-65_1.2.2",
    "display": "Lifelines Questionnaire 1 part 1"
  }
],
"item": [
  {
    "linkId": "1",
    "text": "Do you have allergies?",
    "type": "boolean"
  },
  {
    "linkId": "2",
    "text": "General questions",
    "type": "group",
    "item": [
      {
        "linkId": "2.1",
        "text": "What is your gender?",
        "type": "string"
      },
      {
        "linkId": "2.2",
        "text": "What is your date of birth?",
        "type": "date"
      },
      {
        "linkId": "2.3",
        "text": "What is your country of birth?",
        "type": "string"
      },
      {
        "linkId": "2.4",
        "text": "What is your marital status?",
        "type": "string"
      }
    ]
  },
  {
    "linkId": "3",
    "text": "Intoxications",
    "type": "group",
    "item": [
      {
        "linkId": "3.1",
        "text": "Do you smoke?",
        "type": "boolean"
      },
      {
        "linkId": "3.2",
        "text": "Do you drink alchohol?",
        "type": "boolean"
      }
    ]
  }
]

}