Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.0 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: COVID19 Public Health History Questionnaire - TTL Representation

Draft as of 2023-07-19

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@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 -------------------------------------------------------------------

 a fhir:Questionnaire ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "COVIDPublicHealthHistoryQuestionnaire"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire COVIDPublicHealthHistoryQuestionnaire</b></p><a name=\"COVIDPublicHealthHistoryQuestionnaire\"> </a><a name=\"hcCOVIDPublicHealthHistoryQuestionnaire\"> </a><a name=\"COVIDPublicHealthHistoryQuestionnaire-en-NZ\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://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 style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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\"/> COVIDPublicHealthHistoryQuestionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questions about a patient's recent COVID-19 history</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://fhir-ig.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire#0.4.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.summary\" class=\"hierarchy\"><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\"/> summary</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questions about a patient's recent COVID-19 history</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.p01\" class=\"hierarchy\"><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\"/> p01</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Public Health History</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q01-PlacesVisitedRecently\" class=\"hierarchy\"><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.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\"/> p01-q01-PlacesVisitedRecently</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 1. Places visited in last 14 days</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q02-PrevPositive\" class=\"hierarchy\"><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.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\"/> p01-q02-PrevPositive</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 2. Previous positive COVID-19 test?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q02-1-PrevPositiveMonth\" class=\"hierarchy\"><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.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\"/> p01-q02-1-PrevPositiveMonth</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 2-1. Month of positive COVID-19 test?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q02-PrevPositive\">p01-q02-PrevPositive</a> = </span><br/>Options: <a href=\"#opt-item.p01-q02-1-PrevPositiveMonth\">12 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q02-2-PrevPositiveYear\" class=\"hierarchy\"><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.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\"/> p01-q02-2-PrevPositiveYear</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 2-2. Year of positive COVID-19 test?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q02-PrevPositive\">p01-q02-PrevPositive</a> = </span><br/>Options: <a href=\"#opt-item.p01-q02-2-PrevPositiveYear\">11 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q03-HighSuspicionOfCOVID\" class=\"hierarchy\"><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.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\"/> p01-q03-HighSuspicionOfCOVID</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 3. High suspicion of prev. COVID-19?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q04-PotentialCloseContact\" class=\"hierarchy\"><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.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\"/> p01-q04-PotentialCloseContact</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 4. Potential close contact with a COVID-19 positive person in the last 14 days?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q05-COVID19Vaccine\" class=\"hierarchy\"><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.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\"/> p01-q05-COVID19Vaccine</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 5. COVID-19 vaccine?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.p01-q05-COVID19Vaccine\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose1-date\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p01-q06-dose1-date</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 1st Dose. Date</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose1-vaccine\" class=\"hierarchy\"><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.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\"/> p01-q06-dose1-vaccine</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 1st Dose. Vaccine given</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose1-date\">p01-q06-dose1-date</a> exists </span><br/>Options: <a href=\"#opt-item.p01-q06-dose1-vaccine\">8 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose1-country\" class=\"hierarchy\"><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.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\"/> p01-q06-dose1-country</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 1st Dose. Country where vaccinated</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose1-date\">p01-q06-dose1-date</a> exists </span><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-iso3166-1-2.html\">Iso 3166 Part 1: 2 Letter Codes</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose2-date\" class=\"hierarchy\"><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.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\"/> p01-q06-dose2-date</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 2nd Dose. Date</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose2-vaccine\" class=\"hierarchy\"><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.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\"/> p01-q06-dose2-vaccine</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 2nd Dose. Vaccine given</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose2-date\">p01-q06-dose2-date</a> exists </span><br/>Options: <a href=\"#opt-item.p01-q06-dose2-vaccine\">8 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose2-country\" class=\"hierarchy\"><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.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\"/> p01-q06-dose2-country</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 2nd Dose. Country where vaccinated</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose2-date\">p01-q06-dose2-date</a> exists </span><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-iso3166-1-2.html\">Iso 3166 Part 1: 2 Letter Codes</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose3-date\" class=\"hierarchy\"><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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p01-q06-dose3-date</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 3rd Dose. Date</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p01-q06-dose3-vaccine\" class=\"hierarchy\"><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.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\"/> p01-q06-dose3-vaccine</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 3rd Dose. Vaccine given</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose3-date\">p01-q06-dose3-date</a> exists </span><br/>Options: <a href=\"#opt-item.p01-q06-dose3-vaccine\">8 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.p01-q06-dose3-country\" class=\"hierarchy\"><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-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p01-q06-dose3-country</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">question 6 - 3rd Dose. Country where vaccinated</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p01-q06-dose3-date\">p01-q06-dose3-date</a> exists </span><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-iso3166-1-2.html\">Iso 3166 Part 1: 2 Letter Codes</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://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.p01-q02-1-PrevPositiveMonth\"> </a><p><b>Answer options for p01-q02-1-PrevPositiveMonth </b></p><ul><li style=\"font-size: 11px\">January</li><li style=\"font-size: 11px\">February</li><li style=\"font-size: 11px\">March</li><li style=\"font-size: 11px\">April</li><li style=\"font-size: 11px\">May</li><li style=\"font-size: 11px\">June</li><li style=\"font-size: 11px\">July</li><li style=\"font-size: 11px\">August</li><li style=\"font-size: 11px\">September</li><li style=\"font-size: 11px\">October</li><li style=\"font-size: 11px\">November</li><li style=\"font-size: 11px\">December</li></ul><a name=\"opt-item.p01-q02-2-PrevPositiveYear\"> </a><p><b>Answer options for p01-q02-2-PrevPositiveYear </b></p><ul><li style=\"font-size: 11px\">2020</li><li style=\"font-size: 11px\">2021</li><li style=\"font-size: 11px\">2022</li><li style=\"font-size: 11px\">2023</li><li style=\"font-size: 11px\">2024</li><li style=\"font-size: 11px\">2025</li><li style=\"font-size: 11px\">2026</li><li style=\"font-size: 11px\">2027</li><li style=\"font-size: 11px\">2028</li><li style=\"font-size: 11px\">2029</li><li style=\"font-size: 11px\">2030</li></ul><a name=\"opt-item.p01-q05-COVID19Vaccine\"> </a><p><b>Answer options for p01-q05-COVID19Vaccine </b></p><ul><li style=\"font-size: 11px\">null#Full (&quot;Full&quot;)</li><li style=\"font-size: 11px\">null#Partial (&quot;Partial&quot;)</li><li style=\"font-size: 11px\">null#Nil (&quot;Nil&quot;)</li></ul><a name=\"opt-item.p01-q06-dose1-vaccine\"> </a><p><b>Answer options for p01-q06-dose1-vaccine </b></p><ul><li style=\"font-size: 11px\">null#207 (&quot;Moderna&quot;)</li><li style=\"font-size: 11px\">null#208 (&quot;Pfizer/BioNtech&quot;)</li><li style=\"font-size: 11px\">null#210 (&quot;AstraZeneca / Covishield&quot;)</li><li style=\"font-size: 11px\">null#211 (&quot;Novavax&quot;)</li><li style=\"font-size: 11px\">null#212 (&quot;Janssen&quot;)</li><li style=\"font-size: 11px\">null#505 (&quot;Sputnik V&quot;)</li><li style=\"font-size: 11px\">null#510 (&quot;Sinopharm&quot;)</li><li style=\"font-size: 11px\">null#511 (&quot;CoronaVac&quot;)</li></ul><a name=\"opt-item.p01-q06-dose2-vaccine\"> </a><p><b>Answer options for p01-q06-dose2-vaccine </b></p><ul><li style=\"font-size: 11px\">null#207 (&quot;Moderna&quot;)</li><li style=\"font-size: 11px\">null#208 (&quot;Pfizer/BioNtech&quot;)</li><li style=\"font-size: 11px\">null#210 (&quot;AstraZeneca / Covishield&quot;)</li><li style=\"font-size: 11px\">null#211 (&quot;Novavax&quot;)</li><li style=\"font-size: 11px\">null#212 (&quot;Janssen&quot;)</li><li style=\"font-size: 11px\">null#505 (&quot;Sputnik V&quot;)</li><li style=\"font-size: 11px\">null#510 (&quot;Sinopharm&quot;)</li><li style=\"font-size: 11px\">null#511 (&quot;CoronaVac&quot;)</li></ul><a name=\"opt-item.p01-q06-dose3-vaccine\"> </a><p><b>Answer options for p01-q06-dose3-vaccine </b></p><ul><li style=\"font-size: 11px\">null#207 (&quot;Moderna&quot;)</li><li style=\"font-size: 11px\">null#208 (&quot;Pfizer/BioNtech&quot;)</li><li style=\"font-size: 11px\">null#210 (&quot;AstraZeneca / Covishield&quot;)</li><li style=\"font-size: 11px\">null#211 (&quot;Novavax&quot;)</li><li style=\"font-size: 11px\">null#212 (&quot;Janssen&quot;)</li><li style=\"font-size: 11px\">null#505 (&quot;Sputnik V&quot;)</li><li style=\"font-size: 11px\">null#510 (&quot;Sinopharm&quot;)</li><li style=\"font-size: 11px\">null#511 (&quot;CoronaVac&quot;)</li></ul></div>"
  ] ; # 
  fhir:url [ fhir:v "https://fhir-ig.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:value [ fhir:v "COVIDRegularHealthCheckQuestionnaire" ] ;
fhir:period [
fhir:start [ fhir:v "2023-07-01"^^xsd:date ]     ]
  ] ) ; # 
  fhir:version [ fhir:v "0.4.0"] ; # 
  fhir:name [ fhir:v "COVIDPublicHealthHistoryQuestionnaire"] ; # 
  fhir:title [ fhir:v "COVID19 Public Health History Questionnaire"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:subjectType ( [ fhir:v "Patient"] ) ; # 
  fhir:date [ fhir:v "2023-07-19"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Te Whatu Ora"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Te Whatu Ora" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.tewhatuora.govt.nz/" ]     ] )
  ] [
fhir:name [ fhir:v "David Grainger" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "david.grainger@middleware.co.nz" ] ;
fhir:use [ fhir:v "work" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Questions about a patient's recent COVID-19 history"] ; # 
  fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "workflow" ] ;
fhir:display [ fhir:v "Workflow Setting" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:text [ fhir:v "COVID Public Health History Questionnaire" ]     ]
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NZ" ] ;
fhir:display [ fhir:v "New Zealand" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "For assessing patient's recent history of COVID-19 for public health purposes"] ; # 
  fhir:code ( [
a sct:292508471000119105 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "292508471000119105" ] ;
fhir:display [ fhir:v "History of disease caused by severe acute respiratory syndrome coronavirus 2 (situation)" ]
  ] ) ; # 
  fhir:item ( [
fhir:linkId [ fhir:v "summary" ] ;
fhir:text [ fhir:v "Questions about a patient's recent COVID-19 history" ] ;
fhir:type [ fhir:v "display" ]
  ] [
fhir:linkId [ fhir:v "p01" ] ;
fhir:text [ fhir:v "Public Health History" ] ;
fhir:type [ fhir:v "group" ] ;
    ( fhir:item [
fhir:linkId [ fhir:v "p01-q01-PlacesVisitedRecently" ] ;
fhir:prefix [ fhir:v "question 1" ] ;
fhir:text [ fhir:v "Places visited in last 14 days" ] ;
fhir:type [ fhir:v "text" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q02-PrevPositive" ] ;
fhir:prefix [ fhir:v "question 2" ] ;
fhir:text [ fhir:v "Previous positive COVID-19 test?" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q02-1-PrevPositiveMonth" ] ;
fhir:prefix [ fhir:v "question 2-1" ] ;
fhir:text [ fhir:v "Month of positive COVID-19 test?" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q02-PrevPositive" ] ;
fhir:operator [ fhir:v "=" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [ fhir:v "January" ]       ] [
fhir:value [ fhir:v "February" ]       ] [
fhir:value [ fhir:v "March" ]       ] [
fhir:value [ fhir:v "April" ]       ] [
fhir:value [ fhir:v "May" ]       ] [
fhir:value [ fhir:v "June" ]       ] [
fhir:value [ fhir:v "July" ]       ] [
fhir:value [ fhir:v "August" ]       ] [
fhir:value [ fhir:v "September" ]       ] [
fhir:value [ fhir:v "October" ]       ] [
fhir:value [ fhir:v "November" ]       ] [
fhir:value [ fhir:v "December" ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q02-2-PrevPositiveYear" ] ;
fhir:prefix [ fhir:v "question 2-2" ] ;
fhir:text [ fhir:v "Year of positive COVID-19 test?" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q02-PrevPositive" ] ;
fhir:operator [ fhir:v "=" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [ fhir:v "2020"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2021"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2022"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2023"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2024"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2025"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2026"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2027"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2028"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2029"^^xsd:gYear ]       ] [
fhir:value [ fhir:v "2030"^^xsd:gYear ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q03-HighSuspicionOfCOVID" ] ;
fhir:prefix [ fhir:v "question 3" ] ;
fhir:text [ fhir:v "High suspicion of prev. COVID-19?" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q04-PotentialCloseContact" ] ;
fhir:prefix [ fhir:v "question 4" ] ;
fhir:text [ fhir:v "Potential close contact with a COVID-19 positive person in the last 14 days?" ] ;
fhir:type [ fhir:v "boolean" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q05-COVID19Vaccine" ] ;
fhir:prefix [ fhir:v "question 5" ] ;
fhir:text [ fhir:v "COVID-19 vaccine?" ] ;
fhir:type [ fhir:v "choice" ] ;
fhir:required [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "Full" ] ;
fhir:display [ fhir:v "Full" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "Partial" ] ;
fhir:display [ fhir:v "Partial" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "Nil" ] ;
fhir:display [ fhir:v "Nil" ]         ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q06-dose1-date" ] ;
fhir:prefix [ fhir:v "question 6 - 1st Dose" ] ;
fhir:text [ fhir:v "Date" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q06-dose1-vaccine" ] ;
fhir:prefix [ fhir:v "question 6 - 1st Dose" ] ;
fhir:text [ fhir:v "Vaccine given" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose1-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "207" ] ;
fhir:display [ fhir:v "Moderna" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "208" ] ;
fhir:display [ fhir:v "Pfizer/BioNtech" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "210" ] ;
fhir:display [ fhir:v "AstraZeneca / Covishield" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "211" ] ;
fhir:display [ fhir:v "Novavax" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "212" ] ;
fhir:display [ fhir:v "Janssen" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "505" ] ;
fhir:display [ fhir:v "Sputnik V" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "510" ] ;
fhir:display [ fhir:v "Sinopharm" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "511" ] ;
fhir:display [ fhir:v "CoronaVac" ]         ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q06-dose1-country" ] ;
fhir:prefix [ fhir:v "question 6 - 1st Dose" ] ;
fhir:text [ fhir:v "Country where vaccinated" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose1-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://hl7.org/fhir/ValueSet/iso3166-1-2"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/ValueSet/iso3166-1-2>       ]     ] [
fhir:linkId [ fhir:v "p01-q06-dose2-date" ] ;
fhir:prefix [ fhir:v "question 6 - 2nd Dose" ] ;
fhir:text [ fhir:v "Date" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q06-dose2-vaccine" ] ;
fhir:prefix [ fhir:v "question 6 - 2nd Dose" ] ;
fhir:text [ fhir:v "Vaccine given" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose2-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "207" ] ;
fhir:display [ fhir:v "Moderna" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "208" ] ;
fhir:display [ fhir:v "Pfizer/BioNtech" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "210" ] ;
fhir:display [ fhir:v "AstraZeneca / Covishield" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "211" ] ;
fhir:display [ fhir:v "Novavax" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "212" ] ;
fhir:display [ fhir:v "Janssen" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "505" ] ;
fhir:display [ fhir:v "Sputnik V" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "510" ] ;
fhir:display [ fhir:v "Sinopharm" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "511" ] ;
fhir:display [ fhir:v "CoronaVac" ]         ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q06-dose2-country" ] ;
fhir:prefix [ fhir:v "question 6 - 2nd Dose" ] ;
fhir:text [ fhir:v "Country where vaccinated" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose2-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://hl7.org/fhir/ValueSet/iso3166-1-2"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/ValueSet/iso3166-1-2>       ]     ] [
fhir:linkId [ fhir:v "p01-q06-dose3-date" ] ;
fhir:prefix [ fhir:v "question 6 - 3rd Dose" ] ;
fhir:text [ fhir:v "Date" ] ;
fhir:type [ fhir:v "date" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:linkId [ fhir:v "p01-q06-dose3-vaccine" ] ;
fhir:prefix [ fhir:v "question 6 - 3rd Dose" ] ;
fhir:text [ fhir:v "Vaccine given" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose3-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
      ( fhir:answerOption [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "207" ] ;
fhir:display [ fhir:v "Moderna" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "208" ] ;
fhir:display [ fhir:v "Pfizer/BioNtech" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "210" ] ;
fhir:display [ fhir:v "AstraZeneca / Covishield" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "211" ] ;
fhir:display [ fhir:v "Novavax" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "212" ] ;
fhir:display [ fhir:v "Janssen" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "505" ] ;
fhir:display [ fhir:v "Sputnik V" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "510" ] ;
fhir:display [ fhir:v "Sinopharm" ]         ]       ] [
fhir:value [
a fhir:Coding ;
fhir:code [ fhir:v "511" ] ;
fhir:display [ fhir:v "CoronaVac" ]         ]       ] )     ] [
fhir:linkId [ fhir:v "p01-q06-dose3-country" ] ;
fhir:prefix [ fhir:v "question 6 - 3rd Dose" ] ;
fhir:text [ fhir:v "Country where vaccinated" ] ;
fhir:type [ fhir:v "choice" ] ;
      ( fhir:enableWhen [
fhir:question [ fhir:v "p01-q06-dose3-date" ] ;
fhir:operator [ fhir:v "exists" ] ;
fhir:answer [ fhir:v "true"^^xsd:boolean ]       ] ) ;
fhir:enableBehavior [ fhir:v "any" ] ;
fhir:required [ fhir:v "false"^^xsd:boolean ] ;
fhir:repeats [ fhir:v "false"^^xsd:boolean ] ;
fhir:answerValueSet [
fhir:v "http://hl7.org/fhir/ValueSet/iso3166-1-2"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/ValueSet/iso3166-1-2>       ]     ] )
  ] ) . #