Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example Questionnaire/zika-virus-exposure-assessment (Narrative)

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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: 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

-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

 

 

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.