<?xml version="1.0" encoding="UTF-8"?><Questionnaire xmlns="http://hl7.org/fhir"><id value="COVIDPublicHealthHistoryQuestionnaire"/><text><status value="extensions"/><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><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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><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 style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; 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 style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,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#0.4.5</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.summary" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q01-PlacesVisitedRecently" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q02-PrevPositive" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q02-1-PrevPositiveMonth" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q02-2-PrevPositiveYear" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q03-HighSuspicionOfCOVID" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q04-PotentialCloseContact" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q05-COVID19Vaccine" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q06-dose1-date" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q06-dose1-vaccine" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q06-dose1-country" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q06-dose2-date" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q06-dose2-vaccine" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q06-dose2-country" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q06-dose3-date" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td id="item.p01-q06-dose3-vaccine" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td id="item.p01-q06-dose3-country" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" 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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.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></text><url value="https://fhir-ig.digital.health.nz/shared-care/Questionnaire/COVIDPublicHealthHistoryQuestionnaire"/><identifier><use value="official"/><value value="COVIDRegularHealthCheckQuestionnaire"/><period><start value="2023-07-01"/></period></identifier><version value="0.4.5"/><name value="COVIDPublicHealthHistoryQuestionnaire"/><title value="COVID19 Public Health History Questionnaire"/><status value="draft"/><experimental value="false"/><subjectType value="Patient"/><date value="2023-07-19"/><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="Questions about a patient's recent COVID-19 history"/><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="workflow"/><display value="Workflow Setting"/></code><valueCodeableConcept><text value="COVID Public Health History Questionnaire"/></valueCodeableConcept></useContext><jurisdiction><coding><system value="urn:iso:std:iso:3166"/><code value="NZ"/><display value="New Zealand"/></coding></jurisdiction><purpose value="For assessing patient's recent history of COVID-19 for public health purposes"/><code><system value="http://snomed.info/sct"/><code value="292508471000119105"/><display value="History of disease caused by severe acute respiratory syndrome coronavirus 2 (situation)"/></code><item><linkId value="summary"/><text value="Questions about a patient's recent COVID-19 history"/><type value="display"/></item><item><linkId value="p01"/><text value="Public Health History"/><type value="group"/><item><linkId value="p01-q01-PlacesVisitedRecently"/><prefix value="question 1"/><text value="Places visited in last 14 days"/><type value="text"/><required value="false"/></item><item><linkId value="p01-q02-PrevPositive"/><prefix value="question 2"/><text value="Previous positive COVID-19 test?"/><type value="boolean"/><required value="true"/></item><item><linkId value="p01-q02-1-PrevPositiveMonth"/><prefix value="question 2-1"/><text value="Month of positive COVID-19 test?"/><type value="choice"/><enableWhen><question value="p01-q02-PrevPositive"/><operator value="="/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="true"/><answerOption><valueString value="January"/></answerOption><answerOption><valueString value="February"/></answerOption><answerOption><valueString value="March"/></answerOption><answerOption><valueString value="April"/></answerOption><answerOption><valueString value="May"/></answerOption><answerOption><valueString value="June"/></answerOption><answerOption><valueString value="July"/></answerOption><answerOption><valueString value="August"/></answerOption><answerOption><valueString value="September"/></answerOption><answerOption><valueString value="October"/></answerOption><answerOption><valueString value="November"/></answerOption><answerOption><valueString value="December"/></answerOption></item><item><linkId value="p01-q02-2-PrevPositiveYear"/><prefix value="question 2-2"/><text value="Year of positive COVID-19 test?"/><type value="choice"/><enableWhen><question value="p01-q02-PrevPositive"/><operator value="="/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="true"/><answerOption><valueDate value="2020"/></answerOption><answerOption><valueDate value="2021"/></answerOption><answerOption><valueDate value="2022"/></answerOption><answerOption><valueDate value="2023"/></answerOption><answerOption><valueDate value="2024"/></answerOption><answerOption><valueDate value="2025"/></answerOption><answerOption><valueDate value="2026"/></answerOption><answerOption><valueDate value="2027"/></answerOption><answerOption><valueDate value="2028"/></answerOption><answerOption><valueDate value="2029"/></answerOption><answerOption><valueDate value="2030"/></answerOption></item><item><linkId value="p01-q03-HighSuspicionOfCOVID"/><prefix value="question 3"/><text value="High suspicion of prev. COVID-19?"/><type value="boolean"/><required value="true"/></item><item><linkId value="p01-q04-PotentialCloseContact"/><prefix value="question 4"/><text value="Potential close contact with a COVID-19 positive person in the last 14 days?"/><type value="boolean"/><required value="true"/></item><item><linkId value="p01-q05-COVID19Vaccine"/><prefix value="question 5"/><text value="COVID-19 vaccine?"/><type value="choice"/><required value="true"/><answerOption><valueCoding><code value="Full"/><display value="Full"/></valueCoding></answerOption><answerOption><valueCoding><code value="Partial"/><display value="Partial"/></valueCoding></answerOption><answerOption><valueCoding><code value="Nil"/><display value="Nil"/></valueCoding></answerOption></item><item><linkId value="p01-q06-dose1-date"/><prefix value="question 6 - 1st Dose"/><text value="Date"/><type value="date"/><required value="false"/><repeats value="false"/></item><item><linkId value="p01-q06-dose1-vaccine"/><prefix value="question 6 - 1st Dose"/><text value="Vaccine given"/><type value="choice"/><enableWhen><question value="p01-q06-dose1-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerOption><valueCoding><code value="207"/><display value="Moderna"/></valueCoding></answerOption><answerOption><valueCoding><code value="208"/><display value="Pfizer/BioNtech"/></valueCoding></answerOption><answerOption><valueCoding><code value="210"/><display value="AstraZeneca / Covishield"/></valueCoding></answerOption><answerOption><valueCoding><code value="211"/><display value="Novavax"/></valueCoding></answerOption><answerOption><valueCoding><code value="212"/><display value="Janssen"/></valueCoding></answerOption><answerOption><valueCoding><code value="505"/><display value="Sputnik V"/></valueCoding></answerOption><answerOption><valueCoding><code value="510"/><display value="Sinopharm"/></valueCoding></answerOption><answerOption><valueCoding><code value="511"/><display value="CoronaVac"/></valueCoding></answerOption></item><item><linkId value="p01-q06-dose1-country"/><prefix value="question 6 - 1st Dose"/><text value="Country where vaccinated"/><type value="choice"/><enableWhen><question value="p01-q06-dose1-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerValueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-2"/></item><item><linkId value="p01-q06-dose2-date"/><prefix value="question 6 - 2nd Dose"/><text value="Date"/><type value="date"/><required value="false"/><repeats value="false"/></item><item><linkId value="p01-q06-dose2-vaccine"/><prefix value="question 6 - 2nd Dose"/><text value="Vaccine given"/><type value="choice"/><enableWhen><question value="p01-q06-dose2-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerOption><valueCoding><code value="207"/><display value="Moderna"/></valueCoding></answerOption><answerOption><valueCoding><code value="208"/><display value="Pfizer/BioNtech"/></valueCoding></answerOption><answerOption><valueCoding><code value="210"/><display value="AstraZeneca / Covishield"/></valueCoding></answerOption><answerOption><valueCoding><code value="211"/><display value="Novavax"/></valueCoding></answerOption><answerOption><valueCoding><code value="212"/><display value="Janssen"/></valueCoding></answerOption><answerOption><valueCoding><code value="505"/><display value="Sputnik V"/></valueCoding></answerOption><answerOption><valueCoding><code value="510"/><display value="Sinopharm"/></valueCoding></answerOption><answerOption><valueCoding><code value="511"/><display value="CoronaVac"/></valueCoding></answerOption></item><item><linkId value="p01-q06-dose2-country"/><prefix value="question 6 - 2nd Dose"/><text value="Country where vaccinated"/><type value="choice"/><enableWhen><question value="p01-q06-dose2-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerValueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-2"/></item><item><linkId value="p01-q06-dose3-date"/><prefix value="question 6 - 3rd Dose"/><text value="Date"/><type value="date"/><required value="false"/><repeats value="false"/></item><item><linkId value="p01-q06-dose3-vaccine"/><prefix value="question 6 - 3rd Dose"/><text value="Vaccine given"/><type value="choice"/><enableWhen><question value="p01-q06-dose3-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerOption><valueCoding><code value="207"/><display value="Moderna"/></valueCoding></answerOption><answerOption><valueCoding><code value="208"/><display value="Pfizer/BioNtech"/></valueCoding></answerOption><answerOption><valueCoding><code value="210"/><display value="AstraZeneca / Covishield"/></valueCoding></answerOption><answerOption><valueCoding><code value="211"/><display value="Novavax"/></valueCoding></answerOption><answerOption><valueCoding><code value="212"/><display value="Janssen"/></valueCoding></answerOption><answerOption><valueCoding><code value="505"/><display value="Sputnik V"/></valueCoding></answerOption><answerOption><valueCoding><code value="510"/><display value="Sinopharm"/></valueCoding></answerOption><answerOption><valueCoding><code value="511"/><display value="CoronaVac"/></valueCoding></answerOption></item><item><linkId value="p01-q06-dose3-country"/><prefix value="question 6 - 3rd Dose"/><text value="Country where vaccinated"/><type value="choice"/><enableWhen><question value="p01-q06-dose3-date"/><operator value="exists"/><answerBoolean value="true"/></enableWhen><enableBehavior value="any"/><required value="false"/><repeats value="false"/><answerValueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-2"/></item></item></Questionnaire>