<Fragment xmlns:r="ddi:reusable:3_3" xmlns="ddi:instance:3_3">
  <QuestionItem isUniversallyUnique="true" versionDate="2025-06-05T12:45:14.3876648Z" xmlns="ddi:datacollection:3_3">
    <r:URN>urn:ddi:int.example:bd8b8196-b676-47a0-bce0-80b394474ca4:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>bd8b8196-b676-47a0-bce0-80b394474ca4</r:ID>
    <r:Version>1</r:Version>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">hlt0040</r:String>
      <r:String xml:lang="en">hlt0040</r:String>
      <r:String xml:lang="en-GB">hlt0040</r:String>
    </QuestionItemName>
    <r:Label>
      <r:Content xml:lang="de">Pflegebedürftigkeit in Haushalt</r:Content>
      <r:Content xml:lang="en">Need for care in household</r:Content>
      <r:Content xml:lang="en-GB">Need for care in household</r:Content>
    </r:Label>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Gibt es in Ihrem Haushalt jemand, der aus Alters- oder Krankheitsgründen oder wegen einer Behinderung dauernd hilfe- oder pflegebedürftig ist?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Is there anyone in your household who is permanently in need of help or care due to age, illness, or a disability?</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Is there anyone in your household who is permanently in need of help or care due to age, illness, or a disability?</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
  </QuestionItem>
</Fragment>