<Fragment xmlns:r="ddi:reusable:3_2" xmlns="ddi:instance:3_2">
  <QuestionItem isUniversallyUnique="true" versionDate="2025-04-17T14:23:54.6376554Z" xmlns="ddi:datacollection:3_2">
    <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:UserAttributePair>
      <r:AttributeKey>extension:Label</r:AttributeKey>
      <r:AttributeValue>{"de":"Chronische Krankheit","en":"Chronically ill","en-GB":"Chronically ill"}</r:AttributeValue>
    </r:UserAttributePair>
    <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>
    <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>
</Fragment>