Real-world lifelines questionnaire response (fictively taken from the patient) (id = "f201")

<?xml version="1.0" encoding="UTF-8"?>

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="f201"/> 
  <questionnaire> 
    <extension url="http://hl7.org/fhir/StructureDefinition/display">
      <valueString value="Lifelines"/> 
    </extension> 
  </questionnaire> 
  <status value="completed"/> 
  <!--  Fictive, only the below answers are non-fictive  -->
  <subject> 
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <authored value="2013-06-18T00:00:00+01:00"/> 
  <author> 
    <reference value="Practitioner/f201"/> 
  </author> 
  <source> 
    <reference value="Practitioner/f201"/> 
  </source> 
  <item> 
    <linkId value="1"/> 
    <text value="Do you have allergies?"/> 
    <answer> 
      <valueBoolean value="true"/> 
    </answer> 
  </item> 
  <item> 
    <!--  Answers to general questions  -->
    <linkId value="2"/> 
    <text value="General questions"/> 
    <item> 
      <linkId value="2.1"/> 
      <text value="What is your gender?"/> 
      <answer> 
        <valueString value="Male"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.2"/> 
      <text value="What is your date of birth?"/> 
      <answer> 
        <valueDate value="1960-03-13"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.3"/> 
      <text value="What is your country of birth?"/> 
      <answer> 
        <valueString value="The Netherlands"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="2.4"/> 
      <text value="What is your marital status?"/> 
      <answer> 
        <valueString value="married"/> 
      </answer> 
    </item> 
  </item> 
  <item> 
    <!--  Answers to intoxications  -->
    <linkId value="3"/> 
    <text value="Intoxications"/> 
    <item> 
      <linkId value="3.1"/> 
      <text value="Do you smoke?"/> 
      <answer> 
        <valueBoolean value="false"/> 
      </answer> 
    </item> 
    <item> 
      <linkId value="3.2"/> 
      <text value="Do you drink alchohol?"/> 
      <answer> 
        <valueBoolean value="false"/> 
      </answer> 
    </item> 
  </item> 
</QuestionnaireResponse>