Release 4 5 Draft Ballot
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Questionnaire-zika-virus-exposure-assessment

FHIR Infrastructure Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any defined compartments

This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile Questionnaire .


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

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.