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Resource "zika-virus-exposure-assessment" Version "1" (Questionnaire)

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XML or JSON representation. Try out the Questionnaire as a web form . provenance for this resource

      

{
  "resourceType" : "Questionnaire",
  "id" : "zika-virus-exposure-assessment",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:49.051Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n </pre>\n </div>"
  },
  "url" : "http://example.org/Questionnaire/zika-virus-exposure-assessment",
  "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" : {
    "start" : "2016-11-14"
  },
  "item" : [
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "1",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Resident of or Frequent Traveler to Zika Area"
        }
      ],
      "text" : "Are you a resident of, or do you travel frequently to, an area with active Zika transmission?",
      "type" : "boolean"
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "2",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Recent Travel to Zika Area"
        }
      ],
      "text" : "Have you recently traveled to an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "1",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    },
    {
      "linkId" : "3",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Time Since Returned From Travel"
        }
      ],
      "text" : "How long has it been since you returned?",
      "type" : "quantity",
      "enableWhen" : [
        {
          "question" : "2",
          "operator" : "=",
          "answerBoolean" : true
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "4",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Recent Sexual Encounter with Traveler to Zika Area"
        }
      ],
      "text" : "Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "2",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    },
    {
      "linkId" : "5",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Time Since Sexual Encounter"
        }
      ],
      "text" : "How long has it been since your last condomless sexual encounter?",
      "type" : "quantity",
      "enableWhen" : [
        {
          "question" : "4",
          "operator" : "=",
          "answerBoolean" : true
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "6",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Planned Travel to Zika Area"
        }
      ],
      "text" : "Do you plan to travel to an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "4",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    }
  ]
}