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

Generated Narrative: Questionnaire

Resource Questionnaire "zika-virus-exposure-assessment"

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

identifier: id: urn: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
- Question Operator Answer[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
- Question Operator Answer[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
- Question Operator Answer[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
- Question Operator Answer[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
- Question Operator Answer[x]
* 4 = false