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
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: 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
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.