Questionnaire-zika-virus-exposure-assessment

Generated Narrative

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

item

linkId : 1

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

item

linkId : 2

code : CDE: Recent Travel to Zika Area

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

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

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

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

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

type : boolean

EnableWhens

-	Question	Operator	Answer[x]
*	4	=	false