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 2023-11-07 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="MeaslesHealthCheckQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire MeaslesHealthCheckQuestionnaire</b></p><a name="MeaslesHealthCheckQuestionnaire"> </a><a name="hcMeaslesHealthCheckQuestionnaire"> </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="Other attributes of the item">Flags</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"/> MeaslesHealthCheckQuestionnaire</td><td style="" class="hierarchy xhtCellBorder1">Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">Questionnaire</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire#1.4.8</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" id="item.p00-MetaSourceEnvironment" 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-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">MeaslesHealthCheckQuestionnaire / </span>p00-MetaSourceEnvironment</td><td style="" class="hierarchy xhtCellBorder1">Source environment</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-string">string</a></td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/extension-questionnaire-hidden.html" title="Is a hidden item"><img src="icon-qi-hidden.png" alt=""/></a><img src="icon-qi-hidden.png" alt=""/></td><td style="" class="hierarchy xhtCellBorder1">Initial Value: string = Placeholder</td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" id="item.p01-Introduction" 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: 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">MeaslesHealthCheckQuestionnaire / </span>p01-Introduction</td><td style="" class="hierarchy xhtCellBorder1">page 1 . Please complete this health check form. If you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111 and tell them you have been in contact with someone with measles.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.p02" 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">MeaslesHealthCheckQuestionnaire / </span>p02</td><td style="" class="hierarchy xhtCellBorder1">page 2. Symptoms</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-Symptoms" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-Symptoms</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1. Do you currently have any measles symptoms? (required) For example: fever, red blotchy rash, cough, runny nose, sore red eyes, tiny white spots inside your mouth.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-1-Symptoms.Which" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-1-Symptoms.Which</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.1. What symptoms do you currently have? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-Symptoms">p02-q01-Symptoms</a> = true</span><br/>Options: <a href="#opt-item.p02-q01-1-Symptoms.Which">7 options</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-1-1-Symptoms.RashFever" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-1-1-Symptoms.RashFever</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.1.1. Did you have a fever when you first noticed the rash? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-1-Symptoms.Which">p02-q01-1-Symptoms.Which</a> = Red blotchy rash</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-1-2--Symptoms.RashWhen" 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-date.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="date" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-1-2--Symptoms.RashWhen</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.1.2. When did the rash appear? (required)</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-date">date</a></td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-1-Symptoms.Which">p02-q01-1-Symptoms.Which</a> = Red blotchy rash</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-1-3-4-Symptoms.RashWhereSpread" 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-text.png" alt="" style="background-color: white; 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-1-3-4-Symptoms.RashWhereSpread</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.1.3. Where on your body did the rash start? If the rash has spread, provide details of where it has spread to? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-1-Symptoms.Which">p02-q01-1-Symptoms.Which</a> = Red blotchy rash</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-1-5-Symptoms.Which.Other" 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-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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-1-5-Symptoms.Which.Other</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.1.4. Provide details of your other symptoms: (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-1-Symptoms.Which">p02-q01-1-Symptoms.Which</a> = Other</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p02-q01-2-Symptoms.Worsened" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-2-Symptoms.Worsened</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.2. Have any of your symptoms worsened since your last health check? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-Symptoms">p02-q01-Symptoms</a> = true</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" id="item.p02-q01-2-1-Symptoms.Worsened.Details" 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">MeaslesHealthCheckQuestionnaire / p02 / </span>p02-q01-2-1-Symptoms.Worsened.Details</td><td style="" class="hierarchy xhtCellBorder1">page 2 question 1.2.1. What are the details of your worsening symptoms? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p02-q01-2-Symptoms.Worsened">p02-q01-2-Symptoms.Worsened</a> = true</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck11.png)" id="item.p03" 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">MeaslesHealthCheckQuestionnaire / </span>p03</td><td style="" class="hierarchy xhtCellBorder1">page 3. Health Context</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" id="item.p03-q01-Contact" 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">MeaslesHealthCheckQuestionnaire / p03 / </span>p03-q01-Contact</td><td style="" class="hierarchy xhtCellBorder1">page 3 question 1. Have you had any new contact with someone with measles since your last health check? (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Options: <a href="#opt-item.p03-q01-Contact">3 options</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" id="item.p03-q01-1-Contact.Details" 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: white; 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">MeaslesHealthCheckQuestionnaire / p03 / </span>p03-q01-1-Contact.Details</td><td style="" class="hierarchy xhtCellBorder1">page 3 question 1.1. Details of contact</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p03-q01-Contact">p03-q01-Contact</a> = Yes</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.p04" 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">MeaslesHealthCheckQuestionnaire / </span>p04</td><td style="" class="hierarchy xhtCellBorder1">page 4. Quarantine</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p04-q01-Visitors" 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-text.png" alt="" style="background-color: white; 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">MeaslesHealthCheckQuestionnaire / p04 / </span>p04-q01-Visitors</td><td style="" class="hierarchy xhtCellBorder1">page 4 question 1. Can you provide details of any visitors who you are not sure of their immunity status? (required)</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" id="item.p04-q01-1-Left.House" 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-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">MeaslesHealthCheckQuestionnaire / p04 / </span>p04-q01-1-Left.House</td><td style="" class="hierarchy xhtCellBorder1">page 4 question 1.1. Have you left the house and met up with anyone? (required)</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" id="item.p04-q02-Quarantine" 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">MeaslesHealthCheckQuestionnaire / p04 / </span>p04-q02-Quarantine</td><td style="" class="hierarchy xhtCellBorder1">page 4 question 2. Do you need any help to continue to quarantine? (required)</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" id="item.p04-q03-1-Quarantine.Help" 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">MeaslesHealthCheckQuestionnaire / p04 / </span>p04-q03-1-Quarantine.Help</td><td style="" class="hierarchy xhtCellBorder1">page 4 question 3. Please tell us what help you need: (required)</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"/><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.p04-q02-Quarantine">p04-q02-Quarantine</a> = true</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck01.png)" id="item.p05" 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-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">MeaslesHealthCheckQuestionnaire / </span>p05</td><td style="" class="hierarchy xhtCellBorder1">page 5. Thank you for completing the daily heath check.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck001.png)" id="item.p05-Container" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.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-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">MeaslesHealthCheckQuestionnaire / p05 / </span>p05-Container</td><td style="" class="hierarchy xhtCellBorder1">page 5 container. 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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck0010.png)" id="item.p05-Remember" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-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">MeaslesHealthCheckQuestionnaire / p05 / p05-Container / </span>p05-Remember</td><td style="" class="hierarchy xhtCellBorder1">page 5 q01. Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck0010.png)" id="item.p05-Healthline" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-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">MeaslesHealthCheckQuestionnaire / p05 / p05-Container / </span>p05-Healthline</td><td style="" class="hierarchy xhtCellBorder1">page 5 q02. Healthline is available 24 hours a day, 7 days a week if you need them. If you need to see your GP or doctor in person, always call before leaving your home to tell them you have been in contact with measles.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck0000.png)" id="item.p05-Close" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-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">MeaslesHealthCheckQuestionnaire / p05 / p05-Container / </span>p05-Close</td><td style="" class="hierarchy xhtCellBorder1">page 5 q03. You may now close this page.</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"/><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr><td colspan="6" 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-q01-1-Symptoms.Which"> </a><p><b>Answer options for p02-q01-1-Symptoms.Which </b></p><ul><li style="font-size: 11px">null#Fever ("Fever ")</li><li style="font-size: 11px">null#Red blotchy rash ("Red blotchy rash")</li><li style="font-size: 11px">null#Cough ("Cough")</li><li style="font-size: 11px">null#Runny nose ("Runny nose")</li><li style="font-size: 11px">null#Sore red eyes ("Sore red eyes")</li><li style="font-size: 11px">null#Tiny white spots inside your mouth ("Tiny white spots inside your mouth")</li><li style="font-size: 11px">null#Other ("Other")</li></ul><a name="opt-item.p03-q01-Contact"> </a><p><b>Answer options for p03-q01-Contact </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#I don't know ("I don't know")</li></ul></div>
</text>
<url
value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/MeaslesHealthCheckQuestionnaire"/>
<identifier>
<use value="official"/>
<value value="MeaslesHealthCheckQuestionnaire"/>
</identifier>
<version value="1.4.8"/>
<name value="MeaslesHealthCheckQuestionnaire"/>
<title value="Measles Daily Health Check"/>
<status value="draft"/>
<experimental value="false"/>
<subjectType value="Patient"/>
<date value="2023-11-07"/>
<publisher value="Te Whatu Ora"/>
<contact>
<name value="Te Whatu Ora"/>
<telecom>
<system value="url"/>
<value value="https://www.tewhatuora.govt.nz/"/>
</telecom>
</contact>
<contact>
<name value="Te Whatu Ora Integration Team"/>
<telecom>
<system value="email"/>
<value value="integration@tewhatuora.govt.nz"/>
<use value="work"/>
</telecom>
</contact>
<description
value="Te Whatu Ora survey of Symptoms, Context and Quarantine informations surrounding Measles Patients"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="workflow"/>
<display value="Workflow Setting"/>
</code>
<valueCodeableConcept>
<text value="Measles Daily Health Check"/>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="NZ"/>
<display value="New Zealand"/>
</coding>
</jurisdiction>
<purpose
value="Survey of Symptoms, Context and Quarantine informations surrounding Measles Patients"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="293104008"/>
<display value="Measles"/>
</code>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
<valueBoolean value="true"/>
</extension>
<linkId value="p00-MetaSourceEnvironment"/>
<text value="Source environment"/>
<type value="string"/>
<initial>
<valueString value="Placeholder"/>
</initial>
</item>
<item>
<linkId value="p01-Introduction"/>
<prefix value="page 1 "/>
<text
value="Please complete this health check form. If you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111 and tell them you have been in contact with someone with measles."/>
<type value="display"/>
</item>
<item>
<linkId value="p02"/>
<prefix value="page 2"/>
<text value="Symptoms"/>
<type value="group"/>
<item>
<linkId value="p02-q01-Symptoms"/>
<prefix value="page 2 question 1"/>
<text
value="Do you currently have any measles symptoms? (required) For example: fever, red blotchy rash, cough, runny nose, sore red eyes, tiny white spots inside your mouth.">
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
<valueString
value="<p>Do you currently have any measles symptoms? (required)</p><p>For example: fever, red blotchy rash, cough, runny nose, sore red eyes, tiny white spots inside your mouth.</p>"/>
</extension>
</text>
<type value="boolean"/>
<required value="true"/>
</item>
<item>
<linkId value="p02-q01-1-Symptoms.Which"/>
<prefix value="page 2 question 1.1"/>
<text value="What symptoms do you currently have? (required)"/>
<type value="choice"/>
<enableWhen>
<question value="p02-q01-Symptoms"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="true"/>
<answerOption>
<valueCoding>
<code value="Fever"/>
<display value="Fever "/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Red blotchy rash"/>
<display value="Red blotchy rash"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Cough"/>
<display value="Cough"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Runny nose"/>
<display value="Runny nose"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Sore red eyes"/>
<display value="Sore red eyes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Tiny white spots inside your mouth"/>
<display value="Tiny white spots inside your mouth"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="Other"/>
<display value="Other"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="p02-q01-1-1-Symptoms.RashFever"/>
<prefix value="page 2 question 1.1.1"/>
<text
value="Did you have a fever when you first noticed the rash? (required)"/>
<type value="boolean"/>
<enableWhen>
<question value="p02-q01-1-Symptoms.Which"/>
<operator value="="/>
<answerCoding>
<display value="Red blotchy rash"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/minValue">
<valueDate value="2024">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="today() - 30 days"/>
</valueExpression>
</extension>
</valueDate>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
<valueDate value="2040">
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
<valueExpression>
<language value="text/fhirpath"/>
<expression value="today()"/>
</valueExpression>
</extension>
</valueDate>
</extension>
<linkId value="p02-q01-1-2--Symptoms.RashWhen"/>
<prefix value="page 2 question 1.1.2"/>
<text value="When did the rash appear? (required)"/>
<type value="date"/>
<enableWhen>
<question value="p02-q01-1-Symptoms.Which"/>
<operator value="="/>
<answerCoding>
<display value="Red blotchy rash"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p02-q01-1-3-4-Symptoms.RashWhereSpread"/>
<prefix value="page 2 question 1.1.3"/>
<text
value="Where on your body did the rash start? If the rash has spread, provide details of where it has spread to? (required)"/>
<type value="text"/>
<enableWhen>
<question value="p02-q01-1-Symptoms.Which"/>
<operator value="="/>
<answerCoding>
<display value="Red blotchy rash"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p02-q01-1-5-Symptoms.Which.Other"/>
<prefix value="page 2 question 1.1.4"/>
<text value="Provide details of your other symptoms: (required)"/>
<type value="text"/>
<enableWhen>
<question value="p02-q01-1-Symptoms.Which"/>
<operator value="="/>
<answerCoding>
<display value="Other"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p02-q01-2-Symptoms.Worsened"/>
<prefix value="page 2 question 1.2"/>
<text
value="Have any of your symptoms worsened since your last health check? (required)"/>
<type value="boolean"/>
<enableWhen>
<question value="p02-q01-Symptoms"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p02-q01-2-1-Symptoms.Worsened.Details"/>
<prefix value="page 2 question 1.2.1"/>
<text
value="What are the details of your worsening symptoms? (required)"/>
<type value="text"/>
<enableWhen>
<question value="p02-q01-2-Symptoms.Worsened"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="p03"/>
<prefix value="page 3"/>
<text value="Health Context"/>
<type value="group"/>
<item>
<linkId value="p03-q01-Contact"/>
<prefix value="page 3 question 1"/>
<text
value="Have you had any new contact with someone with measles since your last health check? (required)"/>
<type value="choice"/>
<required value="true"/>
<repeats value="false"/>
<answerOption>
<valueCoding>
<code value="Yes"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="No"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<code value="I don't know"/>
<display value="I don't know"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="p03-q01-1-Contact.Details"/>
<prefix value="page 3 question 1.1"/>
<text value="Details of contact"/>
<type value="text"/>
<enableWhen>
<question value="p03-q01-Contact"/>
<operator value="="/>
<answerCoding>
<display value="Yes"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
</item>
<item>
<linkId value="p04"/>
<prefix value="page 4"/>
<text value="Quarantine"/>
<type value="group"/>
<item>
<linkId value="p04-q01-Visitors"/>
<prefix value="page 4 question 1"/>
<text
value="Can you provide details of any visitors who you are not sure of their immunity status? (required)"/>
<type value="text"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p04-q01-1-Left.House"/>
<prefix value="page 4 question 1.1"/>
<text
value="Have you left the house and met up with anyone? (required)"/>
<type value="text"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p04-q02-Quarantine"/>
<prefix value="page 4 question 2"/>
<text
value="Do you need any help to continue to quarantine? (required)"/>
<type value="boolean"/>
<required value="true"/>
<repeats value="false"/>
</item>
<item>
<linkId value="p04-q03-1-Quarantine.Help"/>
<prefix value="page 4 question 3"/>
<text value="Please tell us what help you need: (required)"/>
<type value="text"/>
<enableWhen>
<question value="p04-q02-Quarantine"/>
<operator value="="/>
<answerBoolean value="true"/>
</enableWhen>
<enableBehavior value="all"/>
<required value="true"/>
<repeats value="false"/>
</item>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<code value="post-submit"/>
</coding>
</valueCodeableConcept>
</extension>
<linkId value="p05"/>
<prefix value="page 5"/>
<text value="Thank you for completing the daily heath check."/>
<type value="group"/>
<item>
<linkId value="p05-Container"/>
<prefix value="page 5 container"/>
<type value="group"/>
<item>
<linkId value="p05-Remember"/>
<prefix value="page 5 q01"/>
<text
value="Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111.">
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-xhtml">
<valueString
value="<p><b>Remember, if you feel very sick right now contact your doctor or Healthline on 0800 611 116 for medical help. If it is an emergency call 111.</b></p>"/>
</extension>
</text>
<type value="display"/>
</item>
<item>
<linkId value="p05-Healthline"/>
<prefix value="page 5 q02"/>
<text
value="Healthline is available 24 hours a day, 7 days a week if you need them. If you need to see your GP or doctor in person, always call before leaving your home to tell them you have been in contact with measles."/>
<type value="display"/>
</item>
<item>
<linkId value="p05-Close"/>
<prefix value="page 5 q03"/>
<text value="You may now close this page."/>
<type value="display"/>
</item>
</item>
</item>
</Questionnaire>