{
  "resourceType": "QuestionnaireResponse",
  "id": "f201",
  "_questionnaire": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/display",
        "valueString": "Lifelines"
      }
    ]
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"
  },
  "authored": "2013-06-18T00:00:00+01:00",
  "author": {
    "reference": "Practitioner/f201"
  },
  "source": {
    "reference": "Practitioner/f201"
  },
  "item": [
    {
      "linkId": "1",
      "text": "Do you have allergies?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "2",
      "text": "General questions",
      "item": [
        {
          "linkId": "2.1",
          "text": "What is your gender?",
          "answer": [
            {
              "valueString": "Male"
            }
          ]
        },
        {
          "linkId": "2.2",
          "text": "What is your date of birth?",
          "answer": [
            {
              "valueDate": "1960-03-13"
            }
          ]
        },
        {
          "linkId": "2.3",
          "text": "What is your country of birth?",
          "answer": [
            {
              "valueString": "The Netherlands"
            }
          ]
        },
        {
          "linkId": "2.4",
          "text": "What is your marital status?",
          "answer": [
            {
              "valueString": "married"
            }
          ]
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Intoxications",
      "item": [
        {
          "linkId": "3.1",
          "text": "Do you smoke?",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.2",
          "text": "Do you drink alchohol?",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}