<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:c4dce637-c924-4ef8-84cf-ab15793173e2:1</r:URN>
    <r:Agency>int.example</r:Agency>
    <r:ID>c4dce637-c924-4ef8-84cf-ab15793173e2</r:ID>
    <r:Version>1</r:Version>
    <r:UserAttributePair>
      <r:AttributeKey>extension:Label</r:AttributeKey>
      <r:AttributeValue>{"de":"Nutzung alternativer Behandlungsmethoden","en":"Use of alternative medical treatments","en-GB":"Use of alternative medical treatments"}</r:AttributeValue>
    </r:UserAttributePair>
    <r:VersionResponsibility>fdz@dezim-institut.de</r:VersionResponsibility>
    <QuestionItemName>
      <r:String xml:lang="de">hlt0025</r:String>
      <r:String xml:lang="en">hlt0025</r:String>
      <r:String xml:lang="en-GB">hlt0025</r:String>
    </QuestionItemName>
    <QuestionText audienceLanguage="de">
      <LiteralText>
        <Text>Haben Sie im Jahr 2021 alternativ-medizinische Behandlungen genutzt? Als Alternativmedizin werden oftmals Methoden bezeichnet, die als Alternative zur wissenschaftlich begründeten Medizin verstanden werden.</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en">
      <LiteralText>
        <Text>Did you use alternative medical treatments in 2021? Alternative medicine often refers to methods that are seen as alternatives to scientifically based medicine.</Text>
      </LiteralText>
    </QuestionText>
    <QuestionText audienceLanguage="en-GB">
      <LiteralText>
        <Text>Did you use alternative medical treatments in 2021? Alternative medicine often refers to methods that are seen as alternatives to scientifically based medicine.</Text>
      </LiteralText>
    </QuestionText>
    <r:ResponseCardinality minimumResponses="0" maximumResponses="0" />
  </QuestionItem>
</Fragment>