This page is part of the FHIR Specification (v3.0.2: STU 3). 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 | Ballot Status: Informative | Compartments: Not linked to any defined compartments |
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.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.subjectType [
fhir:value "Patient";
fhir:index 0
];
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 a 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.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.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.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.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.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://hl7.org/fhir/STU3/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.