<?xml version="1.0" encoding="UTF-8"?><Questionnaire xmlns="http://hl7.org/fhir">
	<id value="zika-virus-exposure-assessment"/>
	<meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Questionnaire</b><a name="zika-virus-exposure-assessment"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Questionnaire "zika-virus-exposure-assessment" </p></div><p><b>url</b>: <code>http://example.org/Questionnaire/zika-virus-exposure-assessment</code></p><p><b>identifier</b>: id: urn:oid:2.16.840.1.113883.4.642.20.1</p><p><b>name</b>: ExampleZikaVirusExposureAssessment</p><p><b>title</b>: Example Zika Virus Exposure Assessment</p><p><b>status</b>: draft</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 2016-11-14</p><p><b>description</b>: Example questionnaire to assess Zika virus exposure potential.</p><p><b>effectivePeriod</b>: 2016-11-14 --&gt; (ongoing)</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><p><b>code</b>: CDE: Resident of or Frequent Traveler to Zika Area (Details: http://example.org/questionnaires code CDE: Resident of or Frequent Traveler to Zika Area = 'CDE: Resident of or Frequent Traveler to Zika Area', stated as 'null')</p><p><b>text</b>: Are you a resident of, or do you travel frequently to, an area with active Zika transmission?</p><p><b>type</b>: boolean</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>code</b>: CDE: Recent Travel to Zika Area (Details: http://example.org/questionnaires code CDE: Recent Travel to Zika Area = 'CDE: Recent Travel to Zika Area', stated as 'null')</p><p><b>text</b>: Have you recently traveled to an area with active Zika transmission?</p><p><b>type</b>: boolean</p><h3>EnableWhens</h3><table class="grid"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>1</td><td>=</td><td>false</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 3</p><p><b>code</b>: CDE: Time Since Returned From Travel (Details: http://example.org/questionnaires code CDE: Time Since Returned From Travel = 'CDE: Time Since Returned From Travel', stated as 'null')</p><p><b>text</b>: How long has it been since you returned?</p><p><b>type</b>: quantity</p><h3>EnableWhens</h3><table class="grid"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>2</td><td>=</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 4</p><p><b>code</b>: CDE: Recent Sexual Encounter with Traveler to Zika Area (Details: http://example.org/questionnaires code CDE: Recent Sexual Encounter with Traveler to Zika Area = 'CDE: Recent Sexual Encounter with Traveler to Zika Area', stated as 'null')</p><p><b>text</b>: Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?</p><p><b>type</b>: boolean</p><h3>EnableWhens</h3><table class="grid"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>2</td><td>=</td><td>false</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 5</p><p><b>code</b>: CDE: Time Since Sexual Encounter (Details: http://example.org/questionnaires code CDE: Time Since Sexual Encounter = 'CDE: Time Since Sexual Encounter', stated as 'null')</p><p><b>text</b>: How long has it been since your last condomless sexual encounter?</p><p><b>type</b>: quantity</p><h3>EnableWhens</h3><table class="grid"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>4</td><td>=</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 6</p><p><b>code</b>: CDE: Planned Travel to Zika Area (Details: http://example.org/questionnaires code CDE: Planned Travel to Zika Area = 'CDE: Planned Travel to Zika Area', stated as 'null')</p><p><b>text</b>: Do you plan to travel to an area with active Zika transmission?</p><p><b>type</b>: boolean</p><h3>EnableWhens</h3><table class="grid"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>4</td><td>=</td><td>false</td></tr></table></blockquote></div></text><url value="http://example.org/Questionnaire/zika-virus-exposure-assessment"/>
	<identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.20.1"/>
  </identifier>
  <name value="ExampleZikaVirusExposureAssessment"/>
	<title value="Example Zika Virus Exposure Assessment"/>
	<status value="draft"/>
	<subjectType value="Patient"/>
	<date value="2016-11-14"/>
	<description value="Example questionnaire to assess Zika virus exposure potential."/>
	<effectivePeriod>
		<start value="2016-11-14"/>
	</effectivePeriod>
	<item>
		<extension url="http://example.org/additional-information">
			<valueAttachment>
				<url value="http://www.cdc.gov/zika/geo/index.html"/>
				<title value="Areas with active Zika virus transmission/exposure risk"/>
			</valueAttachment>
		</extension>
		<linkId value="1"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Resident of or Frequent Traveler to Zika Area"/>
		</code>
		<text value="Are you a resident of, or do you travel frequently to, an area with active Zika transmission?"/>
		<type value="boolean"/>
	</item>
	<item>
		<extension url="http://example.org/additional-information">
			<valueAttachment>
				<url value="http://www.cdc.gov/zika/geo/index.html"/>
				<title value="Areas with active Zika virus transmission/exposure risk"/>
			</valueAttachment>
		</extension>
		<linkId value="2"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Recent Travel to Zika Area"/>
		</code>
		<text value="Have you recently traveled to an area with active Zika transmission?"/>
		<type value="boolean"/>
		<enableWhen>
			<question value="1"/>
			<operator value="="/>
			<answerBoolean value="false"/>
		</enableWhen>
	</item>
	<item>
		<linkId value="3"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Time Since Returned From Travel"/>
		</code>
		<text value="How long has it been since you returned?"/>
		<type value="quantity"/>
		<enableWhen>
			<question value="2"/>
			<operator value="="/>
			<answerBoolean value="true"/>
		</enableWhen>
	</item>
	<item>
		<extension url="http://example.org/additional-information">
			<valueAttachment>
				<url value="http://www.cdc.gov/zika/geo/index.html"/>
				<title value="Areas with active Zika virus transmission/exposure risk"/>
			</valueAttachment>
		</extension>
		<linkId value="4"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Recent Sexual Encounter with Traveler to Zika Area"/>
		</code>
		<text value="Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?"/>
		<type value="boolean"/>
		<enableWhen>
			<question value="2"/>
			<operator value="="/>
			<answerBoolean value="false"/>
		</enableWhen>
	</item>
	<item>
		<linkId value="5"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Time Since Sexual Encounter"/>
		</code>
		<text value="How long has it been since your last condomless sexual encounter?"/>
		<type value="quantity"/>
		<enableWhen>
			<question value="4"/>
			<operator value="="/>
			<answerBoolean value="true"/>
		</enableWhen>
	</item>
	<item>
		<extension url="http://example.org/additional-information">
			<valueAttachment>
				<url value="http://www.cdc.gov/zika/geo/index.html"/>
				<title value="Areas with active Zika virus transmission/exposure risk"/>
			</valueAttachment>
		</extension>
		<linkId value="6"/>
		<code>
			<system value="http://example.org/questionnaires"/>
			<code value="CDE: Planned Travel to Zika Area"/>
		</code>
		<text value="Do you plan to travel to an area with active Zika transmission?"/>
		<type value="boolean"/>
		<enableWhen>
			<question value="4"/>
			<operator value="="/>
			<answerBoolean value="false"/>
		</enableWhen>
	</item>
</Questionnaire>