<status value="draft" />
  <subjectType value="Patient" />
  <date value="2016-11-14" />
  <description value="Assess Zika virus exposure potential" />
  <effectivePeriod>
    <start value="2016-11-14" />
  </effectivePeriod>
  <code>
    <extension url="https://hlth.notion.site/Page-Extension-34cfaf892d3e419b98779dec422a7b19">
      <extension url="1">
        <valueRange>
          <low>
            <value value="1" />
          </low>
          <high>
            <value value="1" />
          </high>
        </valueRange>
      </extension>
      <extension url="2">
        <valueRange>
          <low>
            <value value="4" />
          </low>
          <high>
            <value value="5" />
          </high>
        </valueRange>
      </extension>
      <extension url="3">
        <valueRange>
          <low>
            <value value="6" />
          </low>
          <high>
            <value value="6" />
          </high>
        </valueRange>
      </extension>
    </extension>
    <system value="http://loinc.org" />
    <code value="44249-1" />
    <display value="PHQ-9 quick depression assessment panel:-:Pt:^Patient:-:Report.PHQ-9" />
  </code>
  <item>
    <linkId value="1" />
    <text value="Are you a resident of, or do you travel frequently to, an area with active Zika transmission?" />
    <type value="boolean" />
    <answerValueSet value="options" />
  </item>
  <item>
    <linkId value="2" />
    <code>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1" />
      </extension>
    </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>
    <answerValueSet value="options" />
  </item>
  <item>
    <linkId value="3" />
    <code>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0" />
      </extension>
    </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>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0" />
      </extension>
    </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>
    <answerValueSet value="options" />
  </item>
  <item>
    <linkId value="6" />
    <code>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1" />
      </extension>
    </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>
    <answerValueSet value="options" />
  </item>
</Questionnaire>