<?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>