Health New Zealand Te Whatu Ora Shared Care FHIR API
1.4.8 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API
1.4.8 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v1.4.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2023-08-23 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Questionnaire/ActiveMonitoringDay3Survey> a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ActiveMonitoringDay3Survey"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire ActiveMonitoringDay3Survey</b></p><a name=\"ActiveMonitoringDay3Survey\"> </a><a name=\"hcActiveMonitoringDay3Survey\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> ActiveMonitoringDay3Survey</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Te Whatu Ora 3-day post Influenza/Covid-19 booster vaccination survey.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ActiveMonitoringDay3Survey#0.2.2</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.p01-Intro\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p01-Intro</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 01. This is the first of two surveys about your experience with receiving your vaccine. This survey will take approximately five minutes to complete. You will be asked about any reactions you had after your vaccination(s). If you did not have any there is also a section at the end for you to comment on any other parts of your vaccination experience. Your responses are important and will help contribute to the safety monitoring of vaccines in New Zealand. The information you provide is confidential and is protected by the Privacy Act 2020 and data security safeguards. Please remember this is a survey only, your answers will not result in a medical response to your situation. If you have any concerns about your health after your vaccination, call Healthline at 0800 611 116 or speak to your healthcare professional. If you experience any of the following symptoms, you should seek medical help urgently and tell them about your vaccinations: tightness, heaviness, discomfort, pressure or pain in your chest or neck difficulty breathing or catching your breath feeling faint, dizzy, or light-headed fluttering, racing, or pounding heart, or feeling like it’s ‘skipping beats’</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p02-Screening\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p02-Screening</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02. Screening</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p02-q01-VaccineType\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / </span>p02-q01-VaccineType</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 1. Please confirm the vaccine(s) that you or your dependent (e.g., child) received 3 days ago</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p02-q01-VaccineType\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p02-q02-SideEffects\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / </span>p02-q02-SideEffects</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 2. We would like to confirm your answer to the invitation text message. Did you experience any side effects after vaccination?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p02-q02-SideEffects\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck101.png)\" id=\"item.p02-q03-SideEffectsScreening\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / </span>p02-q03-SideEffectsScreening</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 3. null</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.p02-q03.1-WhoReceived\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / p02-q03-SideEffectsScreening / </span>p02-q03.1-WhoReceived</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 3.1. Who received the vaccine?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p02-q03.1-WhoReceived\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.p02-q03.2-WhereReceived\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / p02-q03-SideEffectsScreening / </span>p02-q03.2-WhereReceived</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 3.2. Where did you/they go to receive your/their vaccination?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p02-q03.2-WhereReceived\">6 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" id=\"item.p02-q03.3-Pregnant\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p02-Screening / p02-q03-SideEffectsScreening / </span>p02-q03.3-Pregnant</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 02 question 3.3. Were you/they pregnant/Hapu at the time of your/their vaccination?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p03-EarlyOnsetReactions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p03-EarlyOnsetReactions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03. Early onset reactions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p03-q01-SelectedSideEffects\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p03-EarlyOnsetReactions / </span>p03-q01-SelectedSideEffects</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03 question 1. Did you/they experience any of the following after vaccination? (choose all that apply)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p03-q01-SelectedSideEffects\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p03-q02-AnaphylaxisDelay\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p03-EarlyOnsetReactions / </span>p03-q02-AnaphylaxisDelay</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03 question 2. How long after vaccination did anaphylaxis occur?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p03-q01-SelectedSideEffects\">p03-q01-SelectedSideEffects</a> = Anaphylaxis</span><br/>Options: <a href=\"#opt-item.p03-q02-AnaphylaxisDelay\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p03-q03-SyncopeDelay\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p03-EarlyOnsetReactions / </span>p03-q03-SyncopeDelay</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03 question 3. How long after vaccination did syncope occur?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p03-q01-SelectedSideEffects\">p03-q01-SelectedSideEffects</a> = Syncope (fainting)</span><br/>Options: <a href=\"#opt-item.p03-q03-SyncopeDelay\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p03-q04-SeizureDelay\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p03-EarlyOnsetReactions / </span>p03-q04-SeizureDelay</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03 question 4. How long after vaccination did the seizure/ convulsions occur?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p03-q01-SelectedSideEffects\">p03-q01-SelectedSideEffects</a> = Seizure/ convulsion</span><br/>Options: <a href=\"#opt-item.p03-q04-SeizureDelay\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.p03-q05-SeizureComorbidity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p03-EarlyOnsetReactions / </span>p03-q05-SeizureComorbidity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 03 question 5. Did seizure/ convulsions occur with:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p03-q01-SelectedSideEffects\">p03-q01-SelectedSideEffects</a> = Seizure/ convulsion</span><br/>Options: <a href=\"#opt-item.p03-q05-SeizureComorbidity\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p04-Reactions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p04-Reactions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04. Reactions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q01-ReactionsIntro\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q01-ReactionsIntro</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 1. Please choose all the reactions that you/they experienced, and if yes describe, on a scale from Minor, Mild, Moderate, Serious, to Severe. For your rating take into account levels of pain, how long symptoms lasted and impact on daily life.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q02-InjectionSiteDisorder\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q02-InjectionSiteDisorder</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 2. Injection site reaction (pain, redness, swelling, or itching at or near the injection site)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q03-InjectionSiteSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q03-InjectionSiteSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 3. Injection site reaction severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q02-InjectionSiteDisorder\">p04-q02-InjectionSiteDisorder</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q03-InjectionSiteSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q04-Fever\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q04-Fever</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 4. Fever (a temperature of 38°C or higher)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q05-FeverSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q05-FeverSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 5. Temperature/fever severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q04-Fever\">p04-q04-Fever</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q05-FeverSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q06-Swelling\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q06-Swelling</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 6. Swelling of glands (i.e., lymph nodes)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q07-SwellingLocation\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q07-SwellingLocation</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 7. Where abouts did you experience swelling?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q06-Swelling\">p04-q06-Swelling</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q07-SwellingLocation\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q08-SwellingSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q08-SwellingSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 8. Swelling of glands severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q06-Swelling\">p04-q06-Swelling</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q08-SwellingSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q09-Chills\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q09-Chills</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 9. Chills, shivering, or cold sweats</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q10-ChillsSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q10-ChillsSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 10. Chills/shivering/cold sweats severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q09-Chills\">p04-q09-Chills</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q10-ChillsSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q11-Headaches\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q11-Headaches</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 11. Headaches</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q12-HeadachesSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q12-HeadachesSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 12. Headache severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q11-Headaches\">p04-q11-Headaches</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q12-HeadachesSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q13-Rash\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q13-Rash</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 13. Rash (not at the injection site)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q14-RashSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q14-RashSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 14. Rash severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q13-Rash\">p04-q13-Rash</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q14-RashSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q15-AchesPains\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q15-AchesPains</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 15. Aches and pains</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q16-AchesPainsSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q16-AchesPainsSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 16. Aches and pains severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q15-AchesPains\">p04-q15-AchesPains</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q16-AchesPainsSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q17-DigestiveDisorder\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q17-DigestiveDisorder</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 17. Stomach symptoms (nausea, vomiting, diarrhoea, abdominal pain or loss of appetite)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q18-DigestiveDisorderSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q18-DigestiveDisorderSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 18. Stomach symptoms severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q17-DigestiveDisorder\">p04-q17-DigestiveDisorder</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q18-DigestiveDisorderSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q19-Fatigue\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q19-Fatigue</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 19. Fatigue or tiredness</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q20-FatigueSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q20-FatigueSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 20. Fatigue or tiredness severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q19-Fatigue\">p04-q19-Fatigue</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q20-FatigueSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q21-ChestSymptoms\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q21-ChestSymptoms</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 21. Chest symptoms (chest pain/heaviness/tightness or heart palpitations/pounding/racing)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q22-ChestSymptomsSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q22-ChestSymptomsSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 22. Chest symptoms severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q21-ChestSymptoms\">p04-q21-ChestSymptoms</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q22-ChestSymptomsSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q23-DifficultyBreathing\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q23-DifficultyBreathing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 23. Difficulty breathing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q24-DifficultyBreathingSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q24-DifficultyBreathingSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 24. Difficulty breathing severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q23-DifficultyBreathing\">p04-q23-DifficultyBreathing</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q24-DifficultyBreathingSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q25-Dizziness\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q25-Dizziness</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 25. Dizziness or feeling lightheaded</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q26-DizzinessSeverity\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q26-DizzinessSeverity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 26. Dizziness or lightheaded severity</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q25-Dizziness\">p04-q25-Dizziness</a> = true</span><br/>Options: <a href=\"#opt-item.p04-q26-DizzinessSeverity\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p04-q27-OtherSymptoms\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q27-OtherSymptoms</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 27. Did you/they experience any symptoms that were not listed above?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.p04-q28-OtherSymptomsDetail\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p04-Reactions / </span>p04-q28-OtherSymptomsDetail</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 04 question 28. Please explain</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p04-q27-OtherSymptoms\">p04-q27-OtherSymptoms</a> = true</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p05-DailyImpact\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p05-DailyImpact</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 05. Impact on daily activities</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p05-q01-MissedWork\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p05-DailyImpact / </span>p05-q01-MissedWork</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 05 question 1. Did any of the symptoms that you/they reported cause you/them to miss work, study, or normal daily activities?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.p05-q02-MissedWorkDetail\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p05-DailyImpact / </span>p05-q02-MissedWorkDetail</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 05 question 2. How many days did you miss?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p05-q01-MissedWork\">p05-q01-MissedWork</a> = true</span><br/>Options: <a href=\"#opt-item.p05-q02-MissedWorkDetail\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p06-CareSought\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p06-CareSought</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 06. Medical advice/care sought</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p06-q01-SymptomRelief\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p06-CareSought / </span>p06-q01-SymptomRelief</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 06 question 1. Did any of the symptoms cause you/them to seek advice or care from a healthcare professional?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.p06-q02-SymptomReliefDetail\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p06-CareSought / </span>p06-q02-SymptomReliefDetail</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 06 question 2. Please choose the type of advice or care you/they sought. Please choose all that apply</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p06-q01-SymptomRelief\">p06-q01-SymptomRelief</a> = true</span><br/>Options: <a href=\"#opt-item.p06-q02-SymptomReliefDetail\">8 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.p07-VaccinationExperience\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p07-VaccinationExperience</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 07. Vaccination experience</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p07-q01-OverallExperience\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p07-VaccinationExperience / </span>p07-q01-OverallExperience</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 07 question 1. How would you/they rate the overall experience at the vaccination site? For your rating take into account informed consent process, staff helpfulness, vaccination site cleanliness etc.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.p07-q01-OverallExperience\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.p07-q02-Comments\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p07-VaccinationExperience / </span>p07-q02-Comments</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 07 question 2. Do you/they have any comments about your/their vaccine experience?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.p07-q03-CommentsDetail\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / p07-VaccinationExperience / </span>p07-q03-CommentsDetail</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 07 question 3. Please explain</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.p07-q02-Comments\">p07-q02-Comments</a> = true</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" id=\"item.p08-Thanks\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ActiveMonitoringDay3Survey / </span>p08-Thanks</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">page 08. Thank you for completing the Day 3 post vaccine survey, your answers have been submitted. You will receive your next survey 42 days after your vaccination. The data collected by these surveys will be made available online on the Health NZ website. Survey data provided online are not identifiable and individual responses are confidential.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.p02-q01-VaccineType\"> </a><p><b>Answer options for p02-q01-VaccineType </b></p><ul><li style=\"font-size: 11px\">null#COVID-19 and flu vaccines at the same time (\"COVID-19 and flu vaccines at the same time\")</li><li style=\"font-size: 11px\">null#Only flu vaccine (\"Only flu vaccine\")</li><li style=\"font-size: 11px\">null#Only COVID-19 vaccine (\"Only COVID-19 vaccine\")</li><li style=\"font-size: 11px\">null#Other vaccine (\"Other vaccine\")</li><li style=\"font-size: 11px\">null#Was not vaccinated or do not recall (\"Was not vaccinated or do not recall\")</li></ul><a name=\"opt-item.p02-q02-SideEffects\"> </a><p><b>Answer options for p02-q02-SideEffects </b></p><ul><li style=\"font-size: 11px\">null#Yes (\"Yes\")</li><li style=\"font-size: 11px\">null#No (\"No\")</li><li style=\"font-size: 11px\">null#Can't remember (\"Can't remember\")</li></ul><a name=\"opt-item.p02-q03.1-WhoReceived\"> </a><p><b>Answer options for p02-q03.1-WhoReceived </b></p><ul><li style=\"font-size: 11px\">null#Myself (\"Myself\")</li><li style=\"font-size: 11px\">null#My dependent/whānau member (\"My dependent/whānau member\")</li></ul><a name=\"opt-item.p02-q03.2-WhereReceived\"> </a><p><b>Answer options for p02-q03.2-WhereReceived </b></p><ul><li style=\"font-size: 11px\">null#Community vaccination centre (\"Community vaccination centre\")</li><li style=\"font-size: 11px\">null#General practice (\"General practice\")</li><li style=\"font-size: 11px\">null#Pharmacy (\"Pharmacy\")</li><li style=\"font-size: 11px\">null#Mobile vaccination unit (\"Mobile vaccination unit\")</li><li style=\"font-size: 11px\">null#Hospital or emergency room (\"Hospital or emergency room\")</li><li style=\"font-size: 11px\">null#Other (\"Other\")</li></ul><a name=\"opt-item.p03-q01-SelectedSideEffects\"> </a><p><b>Answer options for p03-q01-SelectedSideEffects </b></p><ul><li style=\"font-size: 11px\">null#Anaphylaxis (\"Anaphylaxis\")</li><li style=\"font-size: 11px\">null#Syncope (fainting) (\"Syncope (fainting)\")</li><li style=\"font-size: 11px\">null#Seizure/ convulsion (\"Seizure/ convulsion\")</li><li style=\"font-size: 11px\">null#I don't know/ unsure (\"I don't know/ unsure\")</li><li style=\"font-size: 11px\">null#None of the above (\"None of the above\")</li></ul><a name=\"opt-item.p03-q02-AnaphylaxisDelay\"> </a><p><b>Answer options for p03-q02-AnaphylaxisDelay </b></p><ul><li style=\"font-size: 11px\">null#0-5 minutes (\"0-5 minutes\")</li><li style=\"font-size: 11px\">null#6-10 minutes (\"6-10 minutes\")</li><li style=\"font-size: 11px\">null#11-15 minutes (\"11-15 minutes\")</li><li style=\"font-size: 11px\">null#16-20 minutes (\"16-20 minutes\")</li><li style=\"font-size: 11px\">null#21+ minutes (\"21+ minutes\")</li></ul><a name=\"opt-item.p03-q03-SyncopeDelay\"> </a><p><b>Answer options for p03-q03-SyncopeDelay </b></p><ul><li style=\"font-size: 11px\">null#0-5 minutes</li><li style=\"font-size: 11px\">null#6-10 minutes (\"6-10 minutes\")</li><li style=\"font-size: 11px\">null#11-15 minutes (\"11-15 minutes\")</li><li style=\"font-size: 11px\">null#16-20 minutes (\"16-20 minutes\")</li><li style=\"font-size: 11px\">null#21+ minutes (\"21+ minutes\")</li></ul><a name=\"opt-item.p03-q04-SeizureDelay\"> </a><p><b>Answer options for p03-q04-SeizureDelay </b></p><ul><li style=\"font-size: 11px\">null#0-5 minutes</li><li style=\"font-size: 11px\">null#6-10 minutes (\"6-10 minutes\")</li><li style=\"font-size: 11px\">null#11-15 minutes (\"11-15 minutes\")</li><li style=\"font-size: 11px\">null#16-20 minutes (\"16-20 minutes\")</li><li style=\"font-size: 11px\">null#21+ minutes (\"21+ minutes\")</li></ul><a name=\"opt-item.p03-q05-SeizureComorbidity\"> </a><p><b>Answer options for p03-q05-SeizureComorbidity </b></p><ul><li style=\"font-size: 11px\">null#Syncope (fainting) (\"Syncope (fainting)\")</li><li style=\"font-size: 11px\">null#Fever (\"Fever\")</li><li style=\"font-size: 11px\">null#Other (\"Other\")</li><li style=\"font-size: 11px\">null#I don't know (\"I don't know\")</li></ul><a name=\"opt-item.p04-q03-InjectionSiteSeverity\"> </a><p><b>Answer options for p04-q03-InjectionSiteSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q05-FeverSeverity\"> </a><p><b>Answer options for p04-q05-FeverSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q07-SwellingLocation\"> </a><p><b>Answer options for p04-q07-SwellingLocation </b></p><ul><li style=\"font-size: 11px\">null#Same arm as vaccination (\"Same arm as vaccination\")</li><li style=\"font-size: 11px\">null#Opposite arm to vaccination (\"Opposite arm to vaccination\")</li><li style=\"font-size: 11px\">null#Other (\"Other\")</li></ul><a name=\"opt-item.p04-q08-SwellingSeverity\"> </a><p><b>Answer options for p04-q08-SwellingSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q10-ChillsSeverity\"> </a><p><b>Answer options for p04-q10-ChillsSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q12-HeadachesSeverity\"> </a><p><b>Answer options for p04-q12-HeadachesSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q14-RashSeverity\"> </a><p><b>Answer options for p04-q14-RashSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q16-AchesPainsSeverity\"> </a><p><b>Answer options for p04-q16-AchesPainsSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q18-DigestiveDisorderSeverity\"> </a><p><b>Answer options for p04-q18-DigestiveDisorderSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q20-FatigueSeverity\"> </a><p><b>Answer options for p04-q20-FatigueSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q22-ChestSymptomsSeverity\"> </a><p><b>Answer options for p04-q22-ChestSymptomsSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q24-DifficultyBreathingSeverity\"> </a><p><b>Answer options for p04-q24-DifficultyBreathingSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p04-q26-DizzinessSeverity\"> </a><p><b>Answer options for p04-q26-DizzinessSeverity </b></p><ul><li style=\"font-size: 11px\">null#Minor (\"Minor\")</li><li style=\"font-size: 11px\">null#Mild (\"Mild\")</li><li style=\"font-size: 11px\">null#Moderate (\"Moderate\")</li><li style=\"font-size: 11px\">null#Serious (\"Serious\")</li><li style=\"font-size: 11px\">null#Severe (\"Severe\")</li></ul><a name=\"opt-item.p05-q02-MissedWorkDetail\"> </a><p><b>Answer options for p05-q02-MissedWorkDetail </b></p><ul><li style=\"font-size: 11px\">null#Less than 1 day (\"Less than 1 day\")</li><li style=\"font-size: 11px\">null#1 day (\"1 day\")</li><li style=\"font-size: 11px\">null#2 days (\"2 days\")</li><li style=\"font-size: 11px\">null#3 or more days (\"3 or more days\")</li></ul><a name=\"opt-item.p06-q02-SymptomReliefDetail\"> </a><p><b>Answer options for p06-q02-SymptomReliefDetail </b></p><ul><li style=\"font-size: 11px\">null#Phone advice from a helpline e.g., Healthline (\"Phone advice from a helpline (e.g., Healthline)\")</li><li style=\"font-size: 11px\">null#Care from a GP clinic including the clinic nurse, a doctor, or a phone call with a person at the GP clinic. (\"Care from a GP clinic (including the clinic nurse, a doctor, or a phone call with a person at the GP clinic).\")</li><li style=\"font-size: 11px\">null#Visit to a hospital emergency department (\"Visit to a hospital emergency department\")</li><li style=\"font-size: 11px\">null#Māori Health Provider (\"Māori Health Provider\")</li><li style=\"font-size: 11px\">null#Rongoā clinic (\"Rongoā clinic\")</li><li style=\"font-size: 11px\">null#Whānau Ora navigator (\"Whānau Ora navigator\")</li><li style=\"font-size: 11px\">null#Pharmacy (\"Pharmacy\")</li><li style=\"font-size: 11px\">null#Other (\"Other\")</li></ul><a name=\"opt-item.p07-q01-OverallExperience\"> </a><p><b>Answer options for p07-q01-OverallExperience </b></p><ul><li style=\"font-size: 11px\">null#Very poor (\"Very poor\")</li><li style=\"font-size: 11px\">null#Poor (\"Poor\")</li><li style=\"font-size: 11px\">null#Average (\"Average\")</li><li style=\"font-size: 11px\">null#Good (\"Good\")</li><li style=\"font-size: 11px\">null#Excellent (\"Excellent\")</li></ul></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/variable" ] ; fhir:Extension.valueExpression [ fhir:Expression.name [ fhir:value "vaccineReceived" ] ; fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%resource.item.where(linkId='p02-Screening').item.first().answer.valueCoding.display" ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/variable" ] ; fhir:Extension.valueExpression [ fhir:Expression.name [ fhir:value "validVaccine" ] ; fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%vaccineReceived = 'COVID-19 and flu vaccines at the same time' or %vaccineReceived = 'Only flu vaccine' or %vaccineReceived = 'Only COVID-19 vaccine'" ] ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/variable" ] ; fhir:Extension.valueExpression [ fhir:Expression.name [ fhir:value "experiencedSideEffects" ] ; fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%resource.item.where(linkId='p02-Screening').item.where(linkId='p02-q02-SideEffects').answer.valueCoding.display = 'Yes' or %resource.item.where(linkId='p02-Screening').item.where(linkId='p02-q02-SideEffects').answer.valueCoding.display = 'Can\\'t remember'" ] ] ] ; fhir:Questionnaire.url [ fhir:value "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/ActiveMonitoringDay3Survey"] ; fhir:Questionnaire.identifier [ fhir:index 0 ; fhir:Identifier.use [ fhir:value "official" ] ; fhir:Identifier.value [ fhir:value "ActiveMonitoringDay3Survey" ] ; fhir:Identifier.period [ fhir:Period.start [ fhir:value "2023-07-19"^^xsd:date ] ] ], [ fhir:index 1 ; fhir:Identifier.use [ fhir:value "temp" ] ; fhir:Identifier.value [ fhir:value "Questionnaire-ActiveMonitoring-Day3SurveyQuestionnaire" ] ; fhir:Identifier.period [ fhir:Period.end [ fhir:value "2023-07-19"^^xsd:date ] ] ] ; fhir:Questionnaire.version [ fhir:value "0.2.2"] ; fhir:Questionnaire.name [ fhir:value "ActiveMonitoringDay3Survey"] ; fhir:Questionnaire.title [ fhir:value "Post Vaccine Symptom Check day 3 survey"] ; fhir:Questionnaire.status [ fhir:value "draft"] ; fhir:Questionnaire.subjectType [ fhir:value "Patient" ; fhir:index 0 ] ; fhir:Questionnaire.date [ fhir:value "2023-08-23T22:13:19+00:00"^^xsd:dateTime] ; fhir:Questionnaire.publisher [ fhir:value "Te Whatu Ora"] ; fhir:Questionnaire.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "Te Whatu Ora" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://www.tewhatuora.govt.nz/" ] ] ], [ fhir:index 1 ; fhir:ContactDetail.name [ fhir:value "Te Whatu Ora Integration Team" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "integration@tewhatuora.govt.nz" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ] ] ; fhir:Questionnaire.description [ fhir:value "Te Whatu Ora 3-day post Influenza/Covid-19 booster vaccination survey."] ; fhir:Questionnaire.useContext [ fhir:index 0 ; fhir:UsageContext.code [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ] ; fhir:Coding.code [ fhir:value "workflow" ] ; fhir:Coding.display [ fhir:value "Workflow Setting" ] ] ; fhir:UsageContext.valueCodeableConcept [ fhir:CodeableConcept.text [ fhir:value "Vaccination Side Effect Questionnaire" ] ] ] ; fhir:Questionnaire.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "NZ" ] ; fhir:Coding.display [ fhir:value "New Zealand" ] ] ] ; fhir:Questionnaire.purpose [ fhir:value "Survey of side effects and overall experience of Influenza/COVID-19 Booster vaccination after 3 days."] ; fhir:Questionnaire.code [ fhir:index 0 ; a sct:293104008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "293104008" ] ; fhir:Coding.display [ fhir:value "Vaccine adverse reaction" ] ] ; fhir:Questionnaire.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "p01-Intro" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 01" ] ; fhir:Questionnaire.item.text [ fhir:value "This is the first of two surveys about your experience with receiving your vaccine. This survey will take approximately five minutes to complete. You will be asked about any reactions you had after your vaccination(s). If you did not have any there is also a section at the end for you to comment on any other parts of your vaccination experience. Your responses are important and will help contribute to the safety monitoring of vaccines in New Zealand. The information you provide is confidential and is protected by the Privacy Act 2020 and data security safeguards. Please remember this is a survey only, your answers will not result in a medical response to your situation. If you have any concerns about your health after your vaccination, call Healthline at 0800 611 116 or speak to your healthcare professional. If you experience any of the following symptoms, you should seek medical help urgently and tell them about your vaccinations: tightness, heaviness, discomfort, pressure or pain in your chest or neck difficulty breathing or catching your breath feeling faint, dizzy, or light-headed fluttering, racing, or pounding heart, or feeling like it’s ‘skipping beats’" ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/rendering-xhtml" ] ; fhir:Extension.valueString [ fhir:value "<p>Kia ora</p><p>This is the first of two surveys about your experience with receiving your recent vaccination(s). This survey will take approximately five minutes to complete. You will be asked about any reactions you had after your vaccination(s). If you did not have any, there is also a section at the end for you to comment on any other parts of your vaccination experience. Your responses are important and will help contribute to the safety monitoring of vaccines in Aotearoa New Zealand. The information you provide is confidential and is protected by the Privacy Act 2020 and data security safeguards.</p><p>Please remember this is a survey only, your answers will not result in a medical response to your situation. If you have any concerns about your health after your vaccination, call Healthline at 0800 611 116 or speak to your healthcare professional.<p>If you experience any of the following symptoms, <u>you should seek medical help urgently</u> and tell them about your vaccinations: <ul><li>tightness, heaviness, discomfort, pressure or pain in your chest or neck</li><li>difficulty breathing or catching your breath</li><li>feeling faint, dizzy, or light-headed</li><li>fluttering, racing, or pounding heart, or feeling like it’s ‘skipping beats’</li></ul></p><p>If you need any help completing your survey you can call 0800 855 066 for assistance.</p>" ] ] ] ; fhir:Questionnaire.item.type [ fhir:value "display" ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "p02-Screening" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02" ] ; fhir:Questionnaire.item.text [ fhir:value "Screening" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ; fhir:CodeableConcept.text [ fhir:value "Drop down" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q01-VaccineType" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "Please confirm the vaccine(s) that you or your dependent (e.g., child) received 3 days ago" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "COVID-19 and flu vaccines at the same time" ] ; fhir:Coding.display [ fhir:value "COVID-19 and flu vaccines at the same time" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Only flu vaccine" ] ; fhir:Coding.display [ fhir:value "Only flu vaccine" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Only COVID-19 vaccine" ] ; fhir:Coding.display [ fhir:value "Only COVID-19 vaccine" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Other vaccine" ] ; fhir:Coding.display [ fhir:value "Other vaccine" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Was not vaccinated or do not recall" ] ; fhir:Coding.display [ fhir:value "Was not vaccinated or do not recall" ] ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q02-SideEffects" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "We would like to confirm your answer to the invitation text message. Did you experience any side effects after vaccination?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Yes" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "No" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Can't remember" ] ; fhir:Coding.display [ fhir:value "Can't remember" ] ] ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine and %experiencedSideEffects" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q03-SideEffectsScreening" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 3" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q03.1-WhoReceived" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 3.1" ] ; fhir:Questionnaire.item.text [ fhir:value "Who received the vaccine?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Myself" ] ; fhir:Coding.display [ fhir:value "Myself" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "My dependent/whānau member" ] ; fhir:Coding.display [ fhir:value "My dependent/whānau member" ] ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q03.2-WhereReceived" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 3.2" ] ; fhir:Questionnaire.item.text [ fhir:value "Where did you/they go to receive your/their vaccination?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Community vaccination centre" ] ; fhir:Coding.display [ fhir:value "Community vaccination centre" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "General practice" ] ; fhir:Coding.display [ fhir:value "General practice" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Pharmacy" ] ; fhir:Coding.display [ fhir:value "Pharmacy" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mobile vaccination unit" ] ; fhir:Coding.display [ fhir:value "Mobile vaccination unit" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Hospital or emergency room" ] ; fhir:Coding.display [ fhir:value "Hospital or emergency room" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Other" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "p02-q03.3-Pregnant" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 3.3" ] ; fhir:Questionnaire.item.text [ fhir:value "Were you/they pregnant/Hapu at the time of your/their vaccination?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ] ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine and %experiencedSideEffects" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-EarlyOnsetReactions" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03" ] ; fhir:Questionnaire.item.text [ fhir:value "Early onset reactions" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "check-box" ] ; fhir:Coding.display [ fhir:value "Check-box" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-q01-SelectedSideEffects" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "Did you/they experience any of the following after vaccination? (choose all that apply)" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Anaphylaxis" ] ; fhir:Coding.display [ fhir:value "Anaphylaxis" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Syncope (fainting)" ] ; fhir:Coding.display [ fhir:value "Syncope (fainting)" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Seizure/ convulsion" ] ; fhir:Coding.display [ fhir:value "Seizure/ convulsion" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "I don't know/ unsure" ] ; fhir:Coding.display [ fhir:value "I don't know/ unsure" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "None of the above" ] ; fhir:Coding.display [ fhir:value "None of the above" ] ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-q02-AnaphylaxisDelay" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "How long after vaccination did anaphylaxis occur?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p03-q01-SelectedSideEffects" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerCoding [ fhir:Coding.display [ fhir:value "Anaphylaxis" ] ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "0-5 minutes" ] ; fhir:Coding.display [ fhir:value "0-5 minutes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "6-10 minutes" ] ; fhir:Coding.display [ fhir:value "6-10 minutes" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "11-15 minutes" ] ; fhir:Coding.display [ fhir:value "11-15 minutes" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "16-20 minutes" ] ; fhir:Coding.display [ fhir:value "16-20 minutes" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "21+ minutes" ] ; fhir:Coding.display [ fhir:value "21+ minutes" ] ] ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-q03-SyncopeDelay" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 3" ] ; fhir:Questionnaire.item.text [ fhir:value "How long after vaccination did syncope occur?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p03-q01-SelectedSideEffects" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerCoding [ fhir:Coding.display [ fhir:value "Syncope (fainting)" ] ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "0-5 minutes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "6-10 minutes" ] ; fhir:Coding.display [ fhir:value "6-10 minutes" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "11-15 minutes" ] ; fhir:Coding.display [ fhir:value "11-15 minutes" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "16-20 minutes" ] ; fhir:Coding.display [ fhir:value "16-20 minutes" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "21+ minutes" ] ; fhir:Coding.display [ fhir:value "21+ minutes" ] ] ] ], [ fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-q04-SeizureDelay" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 4" ] ; fhir:Questionnaire.item.text [ fhir:value "How long after vaccination did the seizure/ convulsions occur?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p03-q01-SelectedSideEffects" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerCoding [ fhir:Coding.display [ fhir:value "Seizure/ convulsion" ] ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "0-5 minutes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "6-10 minutes" ] ; fhir:Coding.display [ fhir:value "6-10 minutes" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "11-15 minutes" ] ; fhir:Coding.display [ fhir:value "11-15 minutes" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "16-20 minutes" ] ; fhir:Coding.display [ fhir:value "16-20 minutes" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "21+ minutes" ] ; fhir:Coding.display [ fhir:value "21+ minutes" ] ] ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p03-q05-SeizureComorbidity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 5" ] ; fhir:Questionnaire.item.text [ fhir:value "Did seizure/ convulsions occur with:" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p03-q01-SelectedSideEffects" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerCoding [ fhir:Coding.display [ fhir:value "Seizure/ convulsion" ] ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Syncope (fainting)" ] ; fhir:Coding.display [ fhir:value "Syncope (fainting)" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Fever" ] ; fhir:Coding.display [ fhir:value "Fever" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Other" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "I don't know" ] ; fhir:Coding.display [ fhir:value "I don't know" ] ] ] ] ], [ fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine and %experiencedSideEffects" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-Reactions" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04" ] ; fhir:Questionnaire.item.text [ fhir:value "Reactions" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q01-ReactionsIntro" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "Please choose all the reactions that you/they experienced, and if yes describe, on a scale from Minor, Mild, Moderate, Serious, to Severe. For your rating take into account levels of pain, how long symptoms lasted and impact on daily life." ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/rendering-xhtml" ] ; fhir:Extension.valueString [ fhir:value "<p>Please choose all the reactions that you/they experienced. If yes, describe the reaction on a scale from minor, mild, moderate, serious, to severe.</p><p>For your rating take into account levels of pain, how long symptoms lasted and impact on daily life</p>" ] ] ] ; fhir:Questionnaire.item.type [ fhir:value "display" ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q02-InjectionSiteDisorder" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:95376002 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "95376002" ] ; fhir:Coding.display [ fhir:value "Injection site disorder" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "Injection site reaction (pain, redness, swelling, or itching at or near the injection site)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q03-InjectionSiteSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 3" ] ; fhir:Questionnaire.item.text [ fhir:value "Injection site reaction severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q02-InjectionSiteDisorder" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q04-Fever" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:386661006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "386661006" ] ; fhir:Coding.display [ fhir:value "Fever or high temperature" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 4" ] ; fhir:Questionnaire.item.text [ fhir:value "Fever (a temperature of 38°C or higher)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q05-FeverSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 5" ] ; fhir:Questionnaire.item.text [ fhir:value "Temperature/fever severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q04-Fever" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q06-Swelling" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 6" ] ; fhir:Questionnaire.item.text [ fhir:value "Swelling of glands (i.e., lymph nodes)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q07-SwellingLocation" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 7" ] ; fhir:Questionnaire.item.text [ fhir:value "Where abouts did you experience swelling?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q06-Swelling" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Same arm as vaccination" ] ; fhir:Coding.display [ fhir:value "Same arm as vaccination" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Opposite arm to vaccination" ] ; fhir:Coding.display [ fhir:value "Opposite arm to vaccination" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Other" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q08-SwellingSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 8" ] ; fhir:Questionnaire.item.text [ fhir:value "Swelling of glands severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q06-Swelling" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 8 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q09-Chills" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:274640006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "274640006" ] ; fhir:Coding.display [ fhir:value "Chills, shivering or feeling cold" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 9" ] ; fhir:Questionnaire.item.text [ fhir:value "Chills, shivering, or cold sweats" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 9 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q10-ChillsSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 10" ] ; fhir:Questionnaire.item.text [ fhir:value "Chills/shivering/cold sweats severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q09-Chills" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 10 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q11-Headaches" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 11" ] ; fhir:Questionnaire.item.text [ fhir:value "Headaches" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 11 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q12-HeadachesSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 12" ] ; fhir:Questionnaire.item.text [ fhir:value "Headache severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q11-Headaches" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 12 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q13-Rash" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 13" ] ; fhir:Questionnaire.item.text [ fhir:value "Rash (not at the injection site)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 13 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q14-RashSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 14" ] ; fhir:Questionnaire.item.text [ fhir:value "Rash severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q13-Rash" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 14 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q15-AchesPains" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 15" ] ; fhir:Questionnaire.item.text [ fhir:value "Aches and pains" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 15 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q16-AchesPainsSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 16" ] ; fhir:Questionnaire.item.text [ fhir:value "Aches and pains severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q15-AchesPains" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 16 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q17-DigestiveDisorder" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:53619000 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "53619000" ] ; fhir:Coding.display [ fhir:value "Disorder of digestive system" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 17" ] ; fhir:Questionnaire.item.text [ fhir:value "Stomach symptoms (nausea, vomiting, diarrhoea, abdominal pain or loss of appetite)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 17 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q18-DigestiveDisorderSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 18" ] ; fhir:Questionnaire.item.text [ fhir:value "Stomach symptoms severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q17-DigestiveDisorder" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 18 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q19-Fatigue" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:84229001 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "84229001" ] ; fhir:Coding.display [ fhir:value "Fatigue" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 19" ] ; fhir:Questionnaire.item.text [ fhir:value "Fatigue or tiredness" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 19 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q20-FatigueSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 20" ] ; fhir:Questionnaire.item.text [ fhir:value "Fatigue or tiredness severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q19-Fatigue" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 20 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q21-ChestSymptoms" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 21" ] ; fhir:Questionnaire.item.text [ fhir:value "Chest symptoms (chest pain/heaviness/tightness or heart palpitations/pounding/racing)" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 21 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q22-ChestSymptomsSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 22" ] ; fhir:Questionnaire.item.text [ fhir:value "Chest symptoms severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q21-ChestSymptoms" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 22 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q23-DifficultyBreathing" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a sct:230145002 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "230145002" ] ; fhir:Coding.display [ fhir:value "Difficulty breathing" ] ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 23" ] ; fhir:Questionnaire.item.text [ fhir:value "Difficulty breathing" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 23 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q24-DifficultyBreathingSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 24" ] ; fhir:Questionnaire.item.text [ fhir:value "Difficulty breathing severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q23-DifficultyBreathing" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 24 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q25-Dizziness" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 25" ] ; fhir:Questionnaire.item.text [ fhir:value "Dizziness or feeling lightheaded" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 25 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q26-DizzinessSeverity" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 26" ] ; fhir:Questionnaire.item.text [ fhir:value "Dizziness or lightheaded severity" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q25-Dizziness" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Minor" ] ; fhir:Coding.display [ fhir:value "Minor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Mild" ] ; fhir:Coding.display [ fhir:value "Mild" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Moderate" ] ; fhir:Coding.display [ fhir:value "Moderate" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Serious" ] ; fhir:Coding.display [ fhir:value "Serious" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Severe" ] ; fhir:Coding.display [ fhir:value "Severe" ] ] ] ], [ fhir:index 26 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q27-OtherSymptoms" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 27" ] ; fhir:Questionnaire.item.text [ fhir:value "Did you/they experience any symptoms that were not listed above?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 27 ; fhir:Questionnaire.item.linkId [ fhir:value "p04-q28-OtherSymptomsDetail" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 04 question 28" ] ; fhir:Questionnaire.item.text [ fhir:value "Please explain" ] ; fhir:Questionnaire.item.type [ fhir:value "string" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p04-q27-OtherSymptoms" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine and %experiencedSideEffects" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p05-DailyImpact" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 05" ] ; fhir:Questionnaire.item.text [ fhir:value "Impact on daily activities" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "p05-q01-MissedWork" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 05 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "Did any of the symptoms that you/they reported cause you/them to miss work, study, or normal daily activities?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ; fhir:Coding.code [ fhir:value "drop-down" ] ; fhir:Coding.display [ fhir:value "Drop down" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p05-q02-MissedWorkDetail" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 05 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "How many days did you miss?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p05-q01-MissedWork" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Less than 1 day" ] ; fhir:Coding.display [ fhir:value "Less than 1 day" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "1 day" ] ; fhir:Coding.display [ fhir:value "1 day" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "2 days" ] ; fhir:Coding.display [ fhir:value "2 days" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "3 or more days" ] ; fhir:Coding.display [ fhir:value "3 or more days" ] ] ] ] ], [ fhir:index 5 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine and %experiencedSideEffects" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p06-CareSought" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 06" ] ; fhir:Questionnaire.item.text [ fhir:value "Medical advice/care sought" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "p06-q01-SymptomRelief" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 06 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "Did any of the symptoms cause you/them to seek advice or care from a healthcare professional?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "p06-q02-SymptomReliefDetail" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 06 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "Please choose the type of advice or care you/they sought. Please choose all that apply" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p06-q01-SymptomRelief" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Phone advice from a helpline e.g., Healthline" ] ; fhir:Coding.display [ fhir:value "Phone advice from a helpline (e.g., Healthline)" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Care from a GP clinic including the clinic nurse, a doctor, or a phone call with a person at the GP clinic." ] ; fhir:Coding.display [ fhir:value "Care from a GP clinic (including the clinic nurse, a doctor, or a phone call with a person at the GP clinic)." ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Visit to a hospital emergency department" ] ; fhir:Coding.display [ fhir:value "Visit to a hospital emergency department" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Māori Health Provider" ] ; fhir:Coding.display [ fhir:value "Māori Health Provider" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Rongoā clinic" ] ; fhir:Coding.display [ fhir:value "Rongoā clinic" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Whānau Ora navigator" ] ; fhir:Coding.display [ fhir:value "Whānau Ora navigator" ] ] ], [ fhir:index 6 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Pharmacy" ] ; fhir:Coding.display [ fhir:value "Pharmacy" ] ] ], [ fhir:index 7 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Other" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ] ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ; fhir:Extension.valueExpression [ fhir:Expression.language [ fhir:value "text/fhirpath" ] ; fhir:Expression.expression [ fhir:value "%validVaccine" ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p07-VaccinationExperience" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 07" ] ; fhir:Questionnaire.item.text [ fhir:value "Vaccination experience" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "p07-q01-OverallExperience" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 07 question 1" ] ; fhir:Questionnaire.item.text [ fhir:value "How would you/they rate the overall experience at the vaccination site? For your rating take into account informed consent process, staff helpfulness, vaccination site cleanliness etc." ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/rendering-xhtml" ] ; fhir:Extension.valueString [ fhir:value "<p>How would you/they rate the overall experience at the vaccination site?</p><p>For your rating take into account informed consent process, staff helpfulness, vaccination site cleanliness, etc.</p>" ] ] ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Very poor" ] ; fhir:Coding.display [ fhir:value "Very poor" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Poor" ] ; fhir:Coding.display [ fhir:value "Poor" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Average" ] ; fhir:Coding.display [ fhir:value "Average" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Good" ] ; fhir:Coding.display [ fhir:value "Good" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.code [ fhir:value "Excellent" ] ; fhir:Coding.display [ fhir:value "Excellent" ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "p07-q02-Comments" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 07 question 2" ] ; fhir:Questionnaire.item.text [ fhir:value "Do you/they have any comments about your/their vaccine experience?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "p07-q03-CommentsDetail" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 07 question 3" ] ; fhir:Questionnaire.item.text [ fhir:value "Please explain" ] ; fhir:Questionnaire.item.type [ fhir:value "text" ] ; fhir:Questionnaire.item.enableWhen [ fhir:index 0 ; fhir:Questionnaire.item.enableWhen.question [ fhir:value "p07-q02-Comments" ] ; fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ; fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.code [ fhir:value "post-submit" ] ] ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "p08-Thanks" ] ; fhir:Questionnaire.item.prefix [ fhir:value "page 08" ] ; fhir:Questionnaire.item.text [ fhir:value "Thank you for completing the Day 3 post vaccine survey, your answers have been submitted. You will receive your next survey 42 days after your vaccination. The data collected by these surveys will be made available online on the Health NZ website. Survey data provided online are not identifiable and individual responses are confidential." ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/rendering-xhtml" ] ; fhir:Extension.valueString [ fhir:value "<p>Thank you for completing the Day 3 post vaccine survey, your answers have been submitted. You will receive your next survey 42 days after your vaccination. The data collected by these surveys will be made available online on the Health NZ website. Survey data provided online are not identifiable and individual responses are confidential.</p><p>Ngā mihi</p><p>Health New Zealand</p>" ] ] ] ; fhir:Questionnaire.item.type [ fhir:value "display" ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Questionnaire/ActiveMonitoringDay3Survey.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Questionnaire/ActiveMonitoringDay3Survey.ttl> .
IG © 2022+ Te Whatu Ora. Package tewhatuora.sharedcare#1.4.8 based on FHIR 4.0.1. Generated 2026-11-04
Links: Table of Contents |
QA Report