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  <QuestionItem isUniversallyUnique="true" versionDate="2025-04-17T14:23:54.6376554Z" xmlns="ddi:datacollection:3_3">
    <r:URN>urn:ddi:int.example:6fafbb0b-0417-4c27-a5c5-cd7d6fb3e179:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>6fafbb0b-0417-4c27-a5c5-cd7d6fb3e179</r:ID>
    <r:Version>1</r:Version>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">hlt0018</r:String>
      <r:String xml:lang="en">hlt0018</r:String>
      <r:String xml:lang="en-GB">hlt0018</r:String>
    </QuestionItemName>
    <r:Label>
      <r:Content xml:lang="de">Chronische Krankheit</r:Content>
      <r:Content xml:lang="en">Chronically ill</r:Content>
      <r:Content xml:lang="en-GB">Chronically ill</r:Content>
    </r:Label>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Leiden Sie seit mindestens einem Jahr oder chronisch an bestimmten Beschwerden oder Krankheiten?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Do you suffer from any specific conditions or illnesses that have lasted for at least a year or are chronic?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Do you suffer from any specific conditions or illnesses that have lasted for at least a year or are chronic?</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
  </QuestionItem>
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