Generated Narrative: Questionnaire EntericsInformQuestionnaire

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LinkID	Text	Cardinality	Type	Flags	Description & Constraints $\"doco\"$
$\"\"$ $\"\"$ EntericsInformQuestionnaire	Te Whatu Ora survey of enterics disease symptoms and source locations		Questionnaire		https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/EntericsInformQuestionnaire#1.0.0
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / DiagnosisCode	Diagnosis code	1..1	string	$\"\"/$
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / CareProgrammeEnroleeId	Care Programme Enrollee Id	0..1	string	$\"\"/$
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / PrivacyStatement	Privacy Statement	0..1	group
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / PrivacyStatement / Privacy1	Privacy Statement	0..1	display
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / PrivacyStatement / Privacy5	Please confirm that you understand the information in the privacy statement.	1..1	choice		Options: 2 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / PrivacyStatement / Privacy6	Thank you for your time, we are unable to continue with the questionnaire at this time. Someone may be in touch with you to discuss your illness further.	0..1	display		Enable When: Privacy5 = No (enterics-answer-code#no)
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactDetails	1. Contact Details	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactDetails / ContactDetail1	What is the best phone number to contact you on?	0..1	string
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactDetails / ContactDetail2	What is the best email address to contact you on?	0..1	string
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Occupation	2. Occupation	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Occupation / Occupation1	What is your primary occupation?	1..1	string
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Occupation / Occupation2	Does your work (outside of your home) or activities (e.g. volunteer work) involve any of the following: - Handling unwrapped food that will be eaten raw or without further cooking? - Providing direct, hands on care to unwell people in healthcare facilities? - Providing direct, hands on care to other people at increased risk due to age or disability? - An early childhood service or group, e.g. kindergarten, play centre or day care?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Occupation / Occupation3	Select all the high risk work / volunteer categories that apply:	1..*	choice		Enable When: Occupation2 = true Options: 5 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Occupation / Occupation4	Please avoid any high risk activities until free from all symptoms for 48 hours	0..1	display
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms	4. Symptoms	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom1	Do you currently have or have you experienced any symptoms?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom2	Which of the following symptoms have you experienced? Select all that apply	1..*	choice		Enable When: Symptom1 = true Options: 7 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom4	Provide details of other symptoms	1..1	text		Enable When: Symptom2 = Other Symptoms (option7)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom5	What was your first symptom?	1..1	choice		Enable When: Symptom1 = true Options: 7 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom6	What date did the first symptom appear?	1..1	date		Enable When: Symptom1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom7	What date did the diarrhoea start?	1..1	date		Enable When: Symptom2 = Diarrhoea (option1)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom8	Has the diarrhoea stopped?	1..1	boolean		Enable When: Symptom2 = Diarrhoea (option1)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom9	What date did the diarrhoea stop?	1..1	date		Enable When: Symptom8 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom10	Have all your symptoms stopped?	1..1	boolean		Enable When: Symptom1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / Symptoms / Symptom11	What date did your symptoms stop?	1..1	date		Enable When: Symptom10 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers	5. Source Investigation - Contact with Others	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers1	If you have not experienced any symptoms, use the date you produced the stool (poo) sample to answer all the following questions	0..1	display
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers2	Before you became unwell, did you have contact with a confirmed case?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers3	What was their name?	0..1	string		Enable When: ContactWithOthers2 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers4	Do you know their date of birth or age?	0..1	string		Enable When: ContactWithOthers2 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers5	When did you first have contact with them?	1..1	date		Enable When: ContactWithOthers2 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers6	Where did you last have contact with them?	1..1	text		Enable When: ContactWithOthers2 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers7	Do you have a contact phone number for them?	0..1	string		Enable When: ContactWithOthers2 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers8	Before you became unwell, did you have contact with people with a similar illness?	0..1	boolean		Initial Value: boolean = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers9	What was their name?	0..1	string		Enable When: ContactWithOthers8 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers10	Before you became unwell, did you visit any particular places where you might have been exposed to the illness?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers11	Please provide details of the place / setting and date/s.	1..1	text		Enable When: ContactWithOthers10 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers12	Before you became unwell, did you have any visitors from overseas?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithOthers / ContactWithOthers13	Please provide details of the visitors, including their country of origin and the nature of contact.	1..1	text		Enable When: ContactWithOthers12 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel	6. Source Investigation - International and Domestic Travel	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel1	Before you became unwell, were you overseas?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel2	If usually residing in New Zealand, what date did you leave?	1..1	date		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel3	What date did you arrive in New Zealand?	1..1	date		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel4	Last Country Visited	1..1	choice		Enable When: InternationalAndDomesticTravel1 = true Value Set: Health NZ country code
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel5	What region/city did you visit in this country?	1..1	string		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel7	What date did you enter this country?	1..1	date		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel8	What date did you leave this country?	1..1	date		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel9	Did you visit any other countries?	0..1	boolean		Enable When: InternationalAndDomesticTravel1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel10	2nd Last Country Visited	1..1	choice		Enable When: InternationalAndDomesticTravel9 = true Value Set: Health NZ country code
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel11	What City/Region in that country?	1..1	text		Enable When: InternationalAndDomesticTravel9 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel12	What date did you enter this country?	1..1	date		Enable When: InternationalAndDomesticTravel9 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel14	What date did you leave this country?	1..1	date		Enable When: InternationalAndDomesticTravel9 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel15	Did you visit any additional countries?	1..1	boolean		Enable When: InternationalAndDomesticTravel9 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel16	3rd last Country Visited	1..1	choice		Enable When: InternationalAndDomesticTravel15 = true Value Set: Health NZ country code
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel17	What City/Region in that country?	1..1	text		Enable When: InternationalAndDomesticTravel15 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel18	What date did you enter this country?	1..1	date		Enable When: InternationalAndDomesticTravel15 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel19	What date did you leave this country	1..1	date		Enable When: InternationalAndDomesticTravel15 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel20	Considering that the incubation period (the time between you being exposed to the illness and you developing symptoms) may be longer than 1-10 days in some situations, do you have a history of overseas travel that could explain this infection, even if the travel was not recent?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel22	Please provide details of prior overseas travel	0..1	text		Enable When: InternationalAndDomesticTravel20 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel23	Before you became unwell, did you travel within New Zealand?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / InternationalAndDomesticTravel / InternationalAndDomesticTravel24	Please provide details of your travel within New Zealand	1..1	text		Enable When: InternationalAndDomesticTravel23 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater	7. Source Investigation - Food and Drinking water	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater1	Before you became unwell, did you eat out?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater2	Please provide details of the food you ate out and where it was purchased from	1..1	text		Enable When: FoodAndDrinkingWater1 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4	Before you became unwell, did you purchase, handle or eat any of the following products at home products at home?	0..1	group		Enable When: DiagnosisCode = CAMP
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4 / FoodAtHome_CAMP_RawMeat	Raw or undercooked meats (with pink flesh or unclear juices)?	0..*	choice		Enable When: DiagnosisCode = CAMP Options: 9 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4 / FoodAtHome_CAMP_Seafood	Raw or undercooked seafood?	0..*	choice		Enable When: DiagnosisCode = CAMP Options: 3 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4 / FoodAndDrinkingWater4_CAMP	Please provide details of the food products you ate at home	0..1	string		Enable When: DiagnosisCode = CAMP
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_VTEC	null	0..1	group		Enable When: DiagnosisCode = VTEC
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_VTEC / FoodAndDrinkingWater4_1_VTEC	Raw or undercooked meats (with pink flesh or unclear juices)?	0..*	choice		Enable When: DiagnosisCode = VTEC Options: 9 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_VTEC / FoodAndDrinkingWater4_2_VTECH	Raw or unwashed vegetables/fruit	0..*	choice		Enable When: DiagnosisCode = VTEC Options: 8 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_VTEC / FoodAndDrinkingWater4_3_VTECH	Unpasteurised or fermented Juices	0..*	choice		Enable When: DiagnosisCode = VTEC Options: 3 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_VTEC / FoodAndDrinkingWater4_4_VTEC	Other	0..*	choice		Enable When: DiagnosisCode = VTEC Options: 2 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_SALM	null	0..1	group		Enable When: DiagnosisCode = SALM
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_SALM / FoodAndDrinkingWater4_1_SALM	Raw or undercooked meats (with pink flesh or unclear juices)?	0..*	choice		Enable When: DiagnosisCode = SALM Options: 9 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_SALM / FoodAndDrinkingWater4_2_SALM	Raw or unwashed vegetables/fruit	0..*	choice		Enable When: DiagnosisCode = SALM Options: 8 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_SALM / FoodAndDrinkingWater4_3_SALM	Unpasteurised or fermented Juices	0..*	choice		Enable When: DiagnosisCode = SALM Options: 1 option
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_SALM / FoodAndDrinkingWater4_4_SALM	Other	0..*	choice		Enable When: DiagnosisCode = SALM Options: 5 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_YERS	null	0..1	group		Enable When: DiagnosisCode = YERS
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_YERS / FoodAndDrinkingWater4_1YERS	Raw or undercooked meats (with pink flesh or unclear juices)?	0..*	choice		Enable When: DiagnosisCode = YERS Options: 2 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_YERS / FoodAndDrinkingWater4_2YERS	Raw or unwashed vegetables/fruit	0..*	choice		Enable When: DiagnosisCode = YERS Options: 8 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater4_YERS / DeliFood_YERS	Eat any of the following deli foods?	0..*	choice		Enable When: DiagnosisCode = YERS Options: 6 options
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater5	Before you became unwell, did you consume untreated/raw (unpasteurised) milk or products made with raw milk?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater6	Can you provide details of the untreated/raw (unpasteurised) milk or products you consumed?	1..1	text		Enable When: FoodAndDrinkingWater5 = true
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater7	What is your usual drinking water supply at home? e.g. council supply, bore, rainwater, etc…	1..1	text
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater8	Before you became unwell, did you consume untreated water?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / FoodAndDrinkingWater / FoodAndDrinkingWater9	Can you provide details of the untreated water you've consumed?	1..1	text		Enable When: FoodAndDrinkingWater8 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / RecreationalWater	8. Source Investigation - Recreational Water	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / RecreationalWater / RecreationalWater1	Before you became unwell, did you go swimming or spend time in recreational water?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / RecreationalWater / RecreationalWater2	Please provide details of your recreational contact with water	1..1	text		Enable When: RecreationalWater1 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithAnimals	9. Source Investigation - Contact with Animals	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithAnimals / ContactWithAnimals1	Before you became unwell, did you have contact with any animals or their faeces?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithAnimals / ContactWithAnimals2	Please provide details of the contact you've had with animals or their faeces	1..1	text		Enable When: ContactWithAnimals1 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithFaecalMatter	10. Source Investigation - Contact with Faecal Matter	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithFaecalMatter / ContactWithFaecalMatter1	Before you became unwell, did you have any contact with human sources of faeces?	1..1	boolean
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ContactWithFaecalMatter / ContactWithFaecalMatter2	Please provide details of the contact you've had with human sources of faeces	1..1	text		Enable When: ContactWithFaecalMatter1 = true
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / OtherPotentialSources	11. Source Investigation - Other Potential Sources	0..1	group		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"\"$ $\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / OtherPotentialSources / OtherPotentialSources1	Do you have any ideas about what you think might have made you unwell?	0..1	text
$\"\"$ $\"\"$ $\"\"$ EntericsInformQuestionnaire / ThankYouMessage	Thank you for taking the time to answer these questions that help in the investigation of this disease.	0..1	display		Enable When: Privacy5 = Yes (enterics-answer-code#yes)
$\"doco\"$ Documentation for this format

Options Sets

Answer options for Privacy5

https://standards.digital.health.nz/ns/enterics-answer-code#yes (\"Yes\")
https://standards.digital.health.nz/ns/enterics-answer-code#no (\"No\")

Answer options for Occupation3

null#option1 (\"Food Handler\")
null#option2 (\"Intellectually/physically impaired\")
null#option3 (\"Healthcare/Rest Home worker\")
null#option4 (\"Early Childhood Services/Groups\")
null#option5 (\"Other high risk category\")

Answer options for Symptom2

null#option1 (\"Diarrhoea\")
null#option2 (\"Blood in stool (poo)\")
null#option3 (\"Vomiting\")
null#option4 (\"Nausea\")
null#option5 (\"Stomach Cramps/Abdominal Pain\")
null#option6 (\"Fever\")
null#option7 (\"Other Symptoms\")

Answer options for Symptom5

null#option1 (\"Diarrhoea \")
null#option2 (\"Blood in stool (poo)\")
null#option3 (\"Vomiting\")
null#option4 (\"Nausea\")
null#option5 (\"Stomach Cramps/Abdominal Pain\")
null#option6 (\"Fever\")
null#option7 (\"Other Symptoms\")

Answer options for FoodAtHome_CAMP_RawMeat

null#chicken_poultry (\"Chicken or other poultry\")
null#lamb_hogget_mutton (\"Lamb / Hogget / Mutton\")
null#pork_products (\"Pork or pork products\")
null#beef_products (\"Beef or beef products, e.g. mince, hamburger, cold beef\")
null#home_kill_game (\"Any home kill meats or game meat\")
null#liver_products (\"Liver, e.g. lamb's fry, chicken liver or other liver products (pate)\")
null#deli_meats (\"Salami, pepperoni or other deli meats\")
null#offal (\"Offal, e.g. chicken livers\")
null#pet_food (\"Pet Food\")

Answer options for FoodAtHome_CAMP_Seafood

null#shellfish (\"Shellfish, e.g. oysters, clams, crabs, shrimps or prawns\")
null#sushi_sashimi_ceviche (\"Sushi, sashimi, ceviche\")
null#other_seafood (\"Other seafood\")

Answer options for FoodAndDrinkingWater4_1_VTEC

null#chicken_poultry (\"Chicken or other poultry\")
null#lamb_hogget_mutton (\"Lamb\")
null#pork_products (\"Pork or pork products\")
null#beef_products (\"Beef or beef products, e.g. mince, hamburger, cold beef\")
null#home_kill_game (\"Any home kill meats or game meat\")
null#liver_products (\"Liver, e.g. lamb's fry, chicken liver or other liver products (pate)\")
null#deli_meats (\"Salami, pepperoni or other deli meats\")
null#offal (\"Offal, e.g. chicken livers\")
null#pet_food (\"Pet Food\")

Answer options for FoodAndDrinkingWater4_2_VTECH

null#Tomatoes (\"Tomatoes\")
null#Spring Onions (\"Spring Onions\")
null#Carrots (\"Carrots\")
null#Greens (\"Leafy greens, e.g. Lettuce, Spinach\")
null#Salads (\"Packaged Salad\")
null#Microgreens (\"Sprouts, microgreens \")
null#Fruits (\" Fresh cut fruit, e.g. watermelon or berries\")
null#Berries (\"Berries\")

Answer options for FoodAndDrinkingWater4_3_VTECH

null#VegJuice (\"Vegetable juice/s e.g. carrot juice, beet juice or mixed\")
null#FruitJuice (\" Freshly squeezed juice, e.g. Apple juice\")
null#FermentedJuice (\" Freshly prepared fermented juice, e.g. Kombucha \")

Answer options for FoodAndDrinkingWater4_4_VTEC

null#EggProd (\"Eat uncooked or runny eggs, homemade mayonnaise\")
null#FlourProd (\"Dough/batter, uncooked cake, biscuit mixture\")

Answer options for FoodAndDrinkingWater4_1_SALM

null#chicken_poultry (\"Chicken or other poultry\")
null#lamb_hogget_mutton (\"Lamb\")
null#pork_products (\"Pork or pork products\")
null#beef_products (\"Beef or beef products, e.g. mince, hamburger, cold beef\")
null#home_kill_game (\"Any home kill meats or game meat\")
null#liver_products (\"Liver, e.g. lamb's fry, chicken liver or other liver products (pate)\")
null#deli_meats (\"Salami, pepperoni or other deli meats\")
null#offal (\"Offal, e.g. chicken livers\")
null#pet_food (\"Pet Food\")

Answer options for FoodAndDrinkingWater4_2_SALM

null#Tomatoes (\"Tomatoes\")
null#Spring Onions (\"Spring Onions\")
null#Carrots (\"Carrots\")
null#Greens (\"Leafy greens, e.g. Lettuce, Spinach\")
null#Salads (\"Packaged Salad\")
null#Microgreens (\"Sprouts, microgreens \")
null#Fruits (\" Fresh cut fruit, e.g. watermelon or berries\")
null#Berries (\"Berries\")

Answer options for FoodAndDrinkingWater4_3_SALM

null#VegJuice (\"Vegetable juice/s e.g. carrot juice, beet juice or mixed\")

Answer options for FoodAndDrinkingWater4_4_SALM

null#EggProd (\"Eat uncooked or runny eggs, homemade mayonnaise\")
null#FlourProd (\"Dough/batter, uncooked cake, biscuit mixture\")
null#SeedProd (\" Sesame seed products e.g. bread, buns, salads, pretzels, hummus, tahini, halva\")
null#OtherSeed (\"Other seeds or seed products, e.g. chia, sunflower \")
null#SoyProd (\"Tofu or other soy based products\")

Answer options for FoodAndDrinkingWater4_1YERS

null#pork_products (\"Pork or pork products\")
null#home_kill_game (\"Any home kill meats or game meat\")

Answer options for FoodAndDrinkingWater4_2YERS

null#Tomatoes (\"Tomatoes\")
null#Spring Onions (\"Spring Onions\")
null#Carrots (\"Carrots\")
null#Greens (\"Leafy greens, e.g. Lettuce, Spinach\")
null#Salads (\"Packaged Salad\")
null#Microgreens (\"Sprouts, microgreens \")
null#Fruits (\" Fresh cut fruit, e.g. watermelon or berries\")
null#Berries (\"Berries\")

Answer options for DeliFood_YERS

null#DeliFood1 (\"Sandwiches\")
null#DeliFood2 (\"Prepared salads, e.g. potato salad, chicken salad, or pasta salad\")
null#DeliFood3 (\"Salami, pepperoni or other deli meats\")
null#DeliFood4 (\"Sushi, sashimi\")
null#DeliFood5 (\"Cream filled pastries\")
null#DeliFood5 (\"Freshly prepared dips\")

We may need to share some of your personal information with other agencies for health purposes and to ensure we meet our legal obligations. We may also share information for statistical and research purposes, but no information will be published in a form that could reasonably be expected to identify any individual.

To prevent the spread of disease, we may need to talk to your contacts, and information about where you’ve been and your movements while infectious may need to be shared with others. While we do everything we can to make sure that you remain anonymous, in certain situations more information may need to be given to contacts to prevent or reduce a serious threat to public health – this will always be discussed with you first.

If you would like more information about how your personal information is managed, please go to the Te Whatu Ora website, and look for our 'privacy & security' webpage.

Please note: If you are completing this questionnaire on behalf of someone else (e.g. your child), the 'you/your' refers to the person who was unwell, not the person completing it.