{"date":"2016-11-14","description":"Example questionnaire to assess Zika virus exposure potential.","effectivePeriod":{"start":"2016-11-14"},"id":"zika-virus-exposure-assessment","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.20.1"}],"item":[{"code":[{"code":"CDE: Resident of or Frequent Traveler to Zika Area","system":"http://example.org/questionnaires"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"1","text":"Are you a resident of, or do you travel frequently to, an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Recent Travel to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"1"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"2","text":"Have you recently traveled to an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Time Since Returned From Travel","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":true,"operator":"=","question":"2"}],"linkId":"3","text":"How long has it been since you returned?","type":"quantity"},{"code":[{"code":"CDE: Recent Sexual Encounter with Traveler to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"2"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"4","text":"Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Time Since Sexual Encounter","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":true,"operator":"=","question":"4"}],"linkId":"5","text":"How long has it been since your last condomless sexual encounter?","type":"quantity"},{"code":[{"code":"CDE: Planned Travel to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"4"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"6","text":"Do you plan to travel to an area with active Zika transmission?","type":"boolean"}],"name":"ExampleZikaVirusExposureAssessment","resourceType":"Questionnaire","status":"draft","subjectType":["Patient"],"text":{"div":"

Generated Narrative: Questionnaire

Resource Questionnaire "zika-virus-exposure-assessment"

url: http://example.org/Questionnaire/zika-virus-exposure-assessment

identifier: id:\u00a0urn:oid:2.16.840.1.113883.4.642.20.1

name: ExampleZikaVirusExposureAssessment

title: Example Zika Virus Exposure Assessment

status: draft

subjectType: Patient

date: 2016-11-14

description: Example questionnaire to assess Zika virus exposure potential.

effectivePeriod: 2016-11-14 --> (ongoing)

item

linkId: 1

code: CDE: Resident of or Frequent Traveler to Zika Area (Details: http://example.org/questionnaires code CDE: Resident of or Frequent Traveler to Zika Area = 'CDE: Resident of or Frequent Traveler to Zika Area', stated as 'null')

text: Are you a resident of, or do you travel frequently to, an area with active Zika transmission?

type: boolean

item

linkId: 2

code: CDE: Recent Travel to Zika Area (Details: http://example.org/questionnaires code CDE: Recent Travel to Zika Area = 'CDE: Recent Travel to Zika Area', stated as 'null')

text: Have you recently traveled to an area with active Zika transmission?

type: boolean

EnableWhens

-QuestionOperatorAnswer[x]
*1=false

item

linkId: 3

code: CDE: Time Since Returned From Travel (Details: http://example.org/questionnaires code CDE: Time Since Returned From Travel = 'CDE: Time Since Returned From Travel', stated as 'null')

text: How long has it been since you returned?

type: quantity

EnableWhens

-QuestionOperatorAnswer[x]
*2=true

item

linkId: 4

code: CDE: Recent Sexual Encounter with Traveler to Zika Area (Details: http://example.org/questionnaires code CDE: Recent Sexual Encounter with Traveler to Zika Area = 'CDE: Recent Sexual Encounter with Traveler to Zika Area', stated as 'null')

text: Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?

type: boolean

EnableWhens

-QuestionOperatorAnswer[x]
*2=false

item

linkId: 5

code: CDE: Time Since Sexual Encounter (Details: http://example.org/questionnaires code CDE: Time Since Sexual Encounter = 'CDE: Time Since Sexual Encounter', stated as 'null')

text: How long has it been since your last condomless sexual encounter?

type: quantity

EnableWhens

-QuestionOperatorAnswer[x]
*4=true

item

linkId: 6

code: CDE: Planned Travel to Zika Area (Details: http://example.org/questionnaires code CDE: Planned Travel to Zika Area = 'CDE: Planned Travel to Zika Area', stated as 'null')

text: Do you plan to travel to an area with active Zika transmission?

type: boolean

EnableWhens

-QuestionOperatorAnswer[x]
*4=false
","status":"generated"},"title":"Example Zika Virus Exposure Assessment","url":"http://example.org/Questionnaire/zika-virus-exposure-assessment"}