Questionnaire-Application/questionnaire.json at master · ding25025/Questionnaire-Application · GitHub

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{
    {
        "link":"http://hapi.fhir.org/baseDstu3/Questionnaire"
    },
    {
        "resourceType": "Questionnaire",
        "id": "zika-virus-exposure-assessment",
        "text": {
            "status": "generated",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <pre>\n      </pre>\n    </div>"
        },
        "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
                    }
                ]
            }
        ]
    }
}