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

Raw JSON

{
  "Questionnaire":{
    "status":{
      "value":"final"
    },
    "authored":{
      "value":"2013-06-18T00:00:00+01:00"
    },
    "subject":{
      "type":{
        "value":"Patient"
      },
      "reference":{
        "value":"patient/@f201"
      },
      "display":{
        "value":"Roel"
      }
    },
    "author":{
      "type":{
        "value":"Practitioner"
      },
      "reference":{
        "value":"practitioner/@f201"
      }
    },
    "source":{
      "type":{
        "value":"Practitioner"
      },
      "reference":{
        "value":"practitioner/@f201"
      }
    },
    "name":{
      "coding":[
        {
          "system":{
            "value":"https://lifelines.nl"
          },
          "code":{
            "value":"VL 1-1, 18-65_1.2.2"
          },
          "display":{
            "value":"Lifelines Questionnaire 1 part 1"
          }
        }
      ]
    },
    "identifier":{
      "use":{
        "value":"temp"
      },
      "label":{
        "value":"Roel's VL 1-1, 18-65_1.2.2"
      }
    },
    "question":[
      {
        "text":{
          "value":"Do you have allergies?"
        },
        "answerString":{
          "value":"I am allergic to house dust"
        }
      }
    ],
    "group":[
      {
        "header":{
          "value":"General questions"
        },
        "question":[
          {
            "text":{
              "value":"What is your gender?"
            },
            "answerString":{
              "value":"Male"
            }
          },
          {
            "name":{
              "text":{
                "value":"What is your date of birth?"
              }
            },
            "answerDate":{
              "value":"1960-03-13"
            }
          },
          {
            "name":{
              "text":{
                "value":"What is your country of birth?"
              }
            },
            "answerString":{
              "value":"The Netherlands"
            }
          },
          {
            "name":{
              "text":{
                "value":"What is your marital status?"
              }
            },
            "answerString":{
              "value":"married"
            }
          }
        ]
      },
      {
        "header":{
          "value":"Intoxications"
        },
        "question":[
          {
            "text":{
              "value":"Do you smoke?"
            },
            "answerString":{
              "value":"No"
            }
          },
          {
            "text":{
              "value":"Do you drink alchohol?"
            },
            "answerString":{
              "value":"No, but I used to drink"
            }
          }
        ]
      }
    ]
  }
}