{"contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fiwg"}]}],"date":"2016-11-14","description":"Example questionnaire to assess Zika virus exposure potential.","effectivePeriod":{"start":"2016-11-14"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"fhir"}],"id":"zika-virus-exposure-assessment","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.20.1"}],"item":[{"code":[{"code":"CDE: Resident of or Frequent Traveler to Zika Area","system":"http://example.org/questionnaires"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"1","text":"Are you a resident of, or do you travel frequently to, an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Recent Travel to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"1"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"2","text":"Have you recently traveled to an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Time Since Returned From Travel","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":true,"operator":"=","question":"2"}],"linkId":"3","text":"How long has it been since you returned?","type":"quantity"},{"code":[{"code":"CDE: Recent Sexual Encounter with Traveler to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"2"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"4","text":"Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?","type":"boolean"},{"code":[{"code":"CDE: Time Since Sexual Encounter","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":true,"operator":"=","question":"4"}],"linkId":"5","text":"How long has it been since your last condomless sexual encounter?","type":"quantity"},{"code":[{"code":"CDE: Planned Travel to Zika Area","system":"http://example.org/questionnaires"}],"enableWhen":[{"answerBoolean":false,"operator":"=","question":"4"}],"extension":[{"url":"http://example.org/additional-information","valueAttachment":{"title":"Areas with active Zika virus transmission/exposure risk","url":"http://www.cdc.gov/zika/geo/index.html"}}],"linkId":"6","text":"Do you plan to travel to an area with active Zika transmission?","type":"boolean"}],"name":"ExampleZikaVirusExposureAssessment","publisher":"HL7 International / FHIR Infrastructure","resourceType":"Questionnaire","status":"draft","subjectType":["Patient"],"title":"Example Zika Virus Exposure Assessment","url":"http://example.org/Questionnaire/zika-virus-exposure-assessment"}