Real-world lifelines questionnaire (fictively taken from the patient)

{
  "resourceType": "Questionnaire",
  "id": "f201",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <pre>Lifelines Questionnaire 1 part 1\n  1. Do you have allergies?\n  2. General Questions:\n    2.a) What is your gender?\n    2.b) What is your date of birth?\n    2.c) What is your country of birth?\n    2.d) What is your marital status?\n    3. Intoxications:\n      3.a) Do you smoke?\n      3.b) Do you drink alcohol?</pre>\n    </div>"

  "resourceType" : "Questionnaire",
  "id" : "f201",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      \n      <pre>Lifelines Questionnaire 1 part 1\n  1. Do you have allergies?\n  2. General Questions:\n    2.a) What is your gender?\n    2.b) What is your date of birth?\n    2.c) What is your country of birth?\n    2.d) What is your marital status?\n    3. Intoxications:\n      3.a) Do you smoke?\n      3.b) Do you drink alcohol?</pre>\n    \n    </div>"

  },
  "url": "http://hl7.org/fhir/Questionnaire/f201",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "date": "2010",
  "code": [

  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  }],
  "url" : "http://hl7.org/fhir/Questionnaire/f201",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.20.6"
  }],
  "status" : "active",
  "subjectType" : ["Patient"],
  "date" : "2010",
  "publisher" : "HL7 International / FHIR Infrastructure",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "code" : [{
    "system" : "http://example.org/system/code/lifelines/nl",
    "code" : "VL 1-1, 18-65_1.2.2",
    "display" : "Lifelines Questionnaire 1 part 1"
  }],
  "item" : [{
    "linkId" : "1",
    "text" : "Do you have allergies?",
    "type" : "boolean"
  },
  {
    "linkId" : "2",
    "text" : "General questions",
    "type" : "group",
    "item" : [{
      "linkId" : "2.1",
      "text" : "What is your gender?",
      "type" : "string"
    },

    {
      "system": "http://example.org/system/code/lifelines/nl",
      "code": "VL 1-1, 18-65_1.2.2",
      "display": "Lifelines Questionnaire 1 part 1"
    }
  ],
  "item": [

      "linkId" : "2.2",
      "text" : "What is your date of birth?",
      "type" : "date"
    },

    {
      "linkId": "1",
      "text": "Do you have allergies?",
      "type": "boolean"

      "linkId" : "2.3",
      "text" : "What is your country of birth?",
      "type" : "string"

    },
    {
      "linkId": "2",
      "text": "General questions",
      "type": "group",
      "item": [
        {
          "linkId": "2.1",
          "text": "What is your gender?",
          "type": "string"
        },
        {
          "linkId": "2.2",
          "text": "What is your date of birth?",
          "type": "date"
        },
        {
          "linkId": "2.3",
          "text": "What is your country of birth?",
          "type": "string"
        },
        {
          "linkId": "2.4",
          "text": "What is your marital status?",
          "type": "string"
        }
      ]

      "linkId" : "2.4",
      "text" : "What is your marital status?",
      "type" : "string"
    }]
  },
  {
    "linkId" : "3",
    "text" : "Intoxications",
    "type" : "group",
    "item" : [{
      "linkId" : "3.1",
      "text" : "Do you smoke?",
      "type" : "boolean"

    },
    {
      "linkId": "3",
      "text": "Intoxications",
      "type": "group",
      "item": [
        {
          "linkId": "3.1",
          "text": "Do you smoke?",
          "type": "boolean"
        },
        {
          "linkId": "3.2",
          "text": "Do you drink alchohol?",
          "type": "boolean"
        }
      ]
    }
  ]

      "linkId" : "3.2",
      "text" : "Do you drink alchohol?",
      "type" : "boolean"
    }]
  }]

}