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

<!--  Please not that in this questionnaire, the questions are mostly unnamed, that is, the questions are not identified using the <name> element. It will therefore
  be hard to extract useful information in an automated way from this questionnaire. This is, however, quite often the case when modeling existing questionnaires  -->
<id value="bb"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>

<status value="completed"/>
<subject>
  <reference value="http://hl7.org/fhir/Patient/1"/>
  <type value="Patient"/>
</subject>
<authored value="2013-02-19T14:15:00+10:00"/>
<author>
  <reference value="http://hl7.org/fhir/Practitioner/example"/>
  <type value="Practitioner"/>
</author>
  <!--  Many groups left out of this example  -->
<item>
  <linkId value="birthDetails"/>
  <text value="Birth details - To be completed by health professional"/>
  <item>
        <linkId value="group"/>
    <item>
      <linkId value="nameOfChild"/>
      <text value="Name of child"/>
      <answer>
        <valueString value="Cathy Jones"/>
      </answer>
    </item>
    <item>
      <linkId value="sex"/>
      <text value="Sex"/>
      <answer>
        <valueCoding>
          <code value="f"/>
        </valueCoding>
      </answer>
    </item>
  </item>
  <item>
    <linkId value="neonatalInformation"/>
    <text value="Neonatal Information"/>
    <item>
      <linkId value="birthWeight"/>
      <text value="Birth weight (kg)"/>
      <answer>
        <valueDecimal value="3.25"/>
      </answer>
    </item>
    <item>
      <linkId value="birthLength"/>
      <text value="Birth length (cm)"/>
      <answer>
        <valueDecimal value="44.3"/>
      </answer>
    </item>
    <item>
      <linkId value="vitaminKgiven"/>
      <text value="Vitamin K given"/>
      <answer>
        <valueCoding>
          <code value="INJECTION"/>
        </valueCoding>
        <item>
          <linkId value="vitaminKgivenDoses"/>
          <item>
            <linkId value="vitaminKDose1"/>
            <text value="1st dose"/>
            <answer>
              <valueDate value="1972-11-30"/>
            </answer>
          </item>
          <item>
            <linkId value="vitaminKDose2"/>
            <text value="2nd dose"/>
            <answer>
              <valueDate value="1972-12-11"/>
            </answer>
          </item>
        </item>
      </answer>
    </item>
    <item>
      <linkId value="hepBgiven"/>
      <text value="Hep B given y / n"/>
      <answer>
        <valueBoolean value="true"/>
        <item>
          <linkId value="hepBgivenDate"/>
          <text value="Date given"/>
          <answer>
            <valueDate value="1972-12-04"/>
          </answer>
        </item>
      </answer>
    </item>
    <item>
      <linkId value="abnormalitiesAtBirth"/>
      <text value="Abnormalities noted at birth"/>
      <answer>
        <valueString value="Already able to speak Chinese"/>
      </answer>
    </item>
  </item>
</item>

</QuestionnaireResponse>