Release 4
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Questionnaire-zika-virus-exposure-assessment.ttl

FHIR Infrastructure Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Not linked to any defined compartments
Raw Turtle (+ also see Turtle/RDF Format Specification)
Example instrument for assessing Zika virus exposure potential
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/zika-virus-exposure-assessment> a fhir:Questionnaire;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "zika-virus-exposure-assessment"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <pre>\n      </pre>\n    </div>"
  ];
  fhir:Questionnaire.url [ fhir:value "http://example.org/Questionnaire/zika-virus-exposure-assessment"];
  fhir:Questionnaire.name [ fhir:value "ExampleZikaVirusExposureAssessment"];
  fhir:Questionnaire.title [ fhir:value "Example Zika Virus Exposure Assessment"];
  fhir:Questionnaire.status [ fhir:value "draft"];
  fhir:Questionnaire.subjectType [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:Questionnaire.date [ fhir:value "2016-11-14"^^xsd:date];
  fhir:Questionnaire.description [ fhir:value "Example questionnaire to assess Zika virus exposure potential."];
  fhir:Questionnaire.effectivePeriod [
     fhir:Period.start [ fhir:value "2016-11-14"^^xsd:date ]
  ];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://example.org/additional-information" ];
       fhir:Extension.valueAttachment [
         fhir:Attachment.url [ fhir:value "http://www.cdc.gov/zika/geo/index.html" ];
         fhir:Attachment.title [ fhir:value "Areas with active Zika virus transmission/exposure risk" ]
       ]
     ];
     fhir:Questionnaire.item.linkId [ fhir:value "1" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Resident of or Frequent Traveler to Zika Area" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Are you a resident of, or do you travel frequently to, an area with active Zika transmission?" ];
     fhir:Questionnaire.item.type [ fhir:value "boolean" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://example.org/additional-information" ];
       fhir:Extension.valueAttachment [
         fhir:Attachment.url [ fhir:value "http://www.cdc.gov/zika/geo/index.html" ];
         fhir:Attachment.title [ fhir:value "Areas with active Zika virus transmission/exposure risk" ]
       ]
     ];
     fhir:Questionnaire.item.linkId [ fhir:value "2" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Recent Travel to Zika Area" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Have you recently traveled to an area with active Zika transmission?" ];
     fhir:Questionnaire.item.type [ fhir:value "boolean" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "1" ];
       fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
       fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "3" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Time Since Returned From Travel" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "How long has it been since you returned?" ];
     fhir:Questionnaire.item.type [ fhir:value "quantity" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "2" ];
       fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
       fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]
     ]
  ], [
     fhir:index 3;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://example.org/additional-information" ];
       fhir:Extension.valueAttachment [
         fhir:Attachment.url [ fhir:value "http://www.cdc.gov/zika/geo/index.html" ];
         fhir:Attachment.title [ fhir:value "Areas with active Zika virus transmission/exposure risk" ]
       ]
     ];
     fhir:Questionnaire.item.linkId [ fhir:value "4" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Recent Sexual Encounter with Traveler to Zika Area" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?" ];
     fhir:Questionnaire.item.type [ fhir:value "boolean" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "2" ];
       fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
       fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 4;
     fhir:Questionnaire.item.linkId [ fhir:value "5" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Time Since Sexual Encounter" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "How long has it been since your last condomless sexual encounter?" ];
     fhir:Questionnaire.item.type [ fhir:value "quantity" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "4" ];
       fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
       fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]
     ]
  ], [
     fhir:index 5;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://example.org/additional-information" ];
       fhir:Extension.valueAttachment [
         fhir:Attachment.url [ fhir:value "http://www.cdc.gov/zika/geo/index.html" ];
         fhir:Attachment.title [ fhir:value "Areas with active Zika virus transmission/exposure risk" ]
       ]
     ];
     fhir:Questionnaire.item.linkId [ fhir:value "6" ];
     fhir:Questionnaire.item.code [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://example.org/questionnaires" ];
       fhir:Coding.code [ fhir:value "CDE: Planned Travel to Zika Area" ]
     ];
     fhir:Questionnaire.item.text [ fhir:value "Do you plan to travel to an area with active Zika transmission?" ];
     fhir:Questionnaire.item.type [ fhir:value "boolean" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "4" ];
       fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
       fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/zika-virus-exposure-assessment.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Questionnaire/zika-virus-exposure-assessment.ttl> .

# -------------------------------------------------------------------------------------
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.