{

"resourceType": "Questionnaire",
"id": "zika-virus-exposure-assessment",
"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": {
  "start": "2016-11-14"
},
"item": [
  {
    "extension": [
      {
        "url": "http://example.org/additional-information",
        "valueAttachment": {
          "url": "http://www.cdc.gov/zika/geo/index.html",
          "title": "Areas with active Zika virus transmission/exposure risk"
        }
      }
    ],
    "linkId": "1",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "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"
  },
  {
    "extension": [
      {
        "url": "http://example.org/additional-information",
        "valueAttachment": {
          "url": "http://www.cdc.gov/zika/geo/index.html",
          "title": "Areas with active Zika virus transmission/exposure risk"
        }
      }
    ],
    "linkId": "2",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "code": "CDE: Recent Travel to Zika Area"
      }
    ],
    "text": "Have you recently traveled to an area with active Zika transmission?",
    "type": "boolean",
    "enableWhen": [
      {
        "question": "1",
        "operator": "=",
        "answerBoolean": false
      }
    ]
  },
  {
    "linkId": "3",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "code": "CDE: Time Since Returned From Travel"
      }
    ],
    "text": "How long has it been since you returned?",
    "type": "quantity",
    "enableWhen": [
      {
        "question": "2",
        "operator": "=",
        "answerBoolean": true
      }
    ]
  },
  {
    "extension": [
      {
        "url": "http://example.org/additional-information",
        "valueAttachment": {
          "url": "http://www.cdc.gov/zika/geo/index.html",
          "title": "Areas with active Zika virus transmission/exposure risk"
        }
      }
    ],
    "linkId": "4",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "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",
    "enableWhen": [
      {
        "question": "2",
        "operator": "=",
        "answerBoolean": false
      }
    ]
  },
  {
    "linkId": "5",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "code": "CDE: Time Since Sexual Encounter"
      }
    ],
    "text": "How long has it been since your last condomless sexual encounter?",
    "type": "quantity",
    "enableWhen": [
      {
        "question": "4",
        "operator": "=",
        "answerBoolean": true
      }
    ]
  },
  {
    "extension": [
      {
        "url": "http://example.org/additional-information",
        "valueAttachment": {
          "url": "http://www.cdc.gov/zika/geo/index.html",
          "title": "Areas with active Zika virus transmission/exposure risk"
        }
      }
    ],
    "linkId": "6",
    "code": [
      {
        "system": "http://example.org/questionnaires",
        "code": "CDE: Planned Travel to Zika Area"
      }
    ],
    "text": "Do you plan to travel to an area with active Zika transmission?",
    "type": "boolean",
    "enableWhen": [
      {
        "question": "4",
        "operator": "=",
        "answerBoolean": false
      }
    ]
  }
]

}