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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "UKCore-QuestionnaireResponse-InpatientSurvey-Example",
  "text": {
    "status": "additional",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": {
    "value": "6d47d8c4-2f05-4dbb-93f8-6863e6d2975b",
    "assigner": {
      "reference": "Organization/UKCore-Organization-LeedsTeachingHospital-Example"
    }
  },
  "questionnaire": "https://example.com/base/Questionnaire/UKCore-Questionnaire-InpatientSurvey-Example",
  "status": "completed",
  "subject": {
    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
  },
  "encounter": {
    "reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
  },
  "authored": "2021-03-18T00:00:00+00:00",
  "author": {
    "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
  },
  "source": {
    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
  },
  "item": [
    {
      "linkId": "1",
      "text": "Do you have allergies?",
      "answer": [
        {
          "valueString": "I am allergic to amoxicillin."
        }
      ]
    },
    {
      "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": "1970-09-11"
            }
          ]
        },
        {
          "linkId": "2.3",
          "text": "What is your country of birth?",
          "answer": [
            {
              "valueString": "The United Kingdom"
            }
          ]
        },
        {
          "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": true
            }
          ]
        },
        {
          "linkId": "3.2",
          "text": "Do you drink alcohol?",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    }
  ]
}