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

<id value="f201"/>
  <text>
   <status value="generated"/>
   <div xmlns="http://www.w3.org/1999/xhtml">

<pre>Lifelines Questionnaire 1 part 1

1. Do you have allergies?
2. General Questions:
  2.a) What is your gender?
  2.b) What is your date of birth?
  2.c) What is your country of birth?
  2.d) What is your marital status?
  3. Intoxications:
    3.a) Do you smoke?
    3.b) Do you drink alcohol?</pre>
  </div>
</text>
<status value="published"/>
<date value="2010"/>
<subjectType value="Patient"/>
<group>
  <linkId value="root"/>
  <concept>
    <system value="http://example.org/system/code/lifelines/nl"/>
    <code value="VL 1-1, 18-65_1.2.2"/>
    <display value="Lifelines Questionnaire 1 part 1"/>
  </concept>
  <required value="true"/>
  <group>
    <linkId value="1"/>
    <question>
      <!-- Separate answer -->
      <linkId value="1.1"/>
      <text value="Do you have allergies?"/>
    </question>
  </group>
  <group>
    <!-- Answers to general questions -->
    <linkId value="2"/>
    <text value="General questions"/>
    <question>
      <linkId value="2.1"/>
      <text value="What is your gender?"/>
    </question>
    <question>
      <linkId value="2.2"/>
      <text value="What is your date of birth?"/>
    </question>
    <question>
      <linkId value="2.3"/>
      <text value="What is your country of birth?"/>
    </question>
    <question>
      <linkId value="2.4"/>
      <text value="What is your marital status?"/>
    </question>
  </group>
  <group>
    <linkId value="3"/>
    <!-- Answers to intoxications -->
    <title value="Intoxications"/>
    <question>
      <linkId value="3.1"/>
      <text value="Do you smoke?"/>
    </question>
    <question>
      <linkId value="3.2"/>
      <text value="Do you drink alchohol?"/>
    </question>
  </group>
</group>

</Questionnaire>