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