Accident/Injury & Conditions (CN) Section

BOX_00

CONTEXT HEADER DISPLAY INSTRUCTIONS:
DISPLAY PERS.FULLNAME, COND.CONDNAM, PRND.BEGREFMM,
PRND.BEGREFDD, PRND.BEGREFYY, PRND.ENDREFMM,
PRND.ENDREFDD, PRND.ENDREFYY

BOX_01

IF AT LEAST ONE CONDITION ON PERSON’S-MEDICAL-
CONDITIONS-ROSTER MEETS THE FOLLOWING CONDITIONS:

- CONDITION IS FLAGGED AS ‘CREATED’ DURING THE
CURRENT ROUND
- CONDITION IS NOT A PRIORITY CONDITION, THAT IS,
IT IS NOT FLAGGED AS CREATED IN THE PE SECTION
- CONDITION IS NOT FLAGGED AS ‘UNLIKELY ACCIDENT/
INJURY’ (THIS FLAG WILL BE DETERMINED LATER AS
IT MAY BE SET FOR CERTAIN CONDITIONS THAT ARE
PART OF A CONDITION LOOK-UP TABLE AND ARE
DETERMINED TO BE UNLIKLY DUE TO AN ACCIDENT OR
INJURY)

CONTINUE WITH CN01

OTHERWISE, GO TO BOX_12

BOX_02

OMITTED.

CN01

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}

[1. Medical Condition]
[2. Medical Condition]
[3. Medical Condition]

Now I’m going to read you a list of some of the health conditions
that were reported for {you/{PERSON}} between {START DATE} and {END
DATE}.

READ CONDITIONS ABOVE.

{Was this health condition/Were any of these health conditions} due
to an accident or injury?

YES .................................... 1 {CN01A}
NO ..................................... 2 {BOX_12}
REF ................................... -7 {BOX_12}
DK .................................... -8 {BOX_12}

HELP AVAILABLE FOR DEFINITION OF ACCIDENT/INJURY.

DISPLAY ‘Was this health condition’ IF ONLY ONE
CONDITION DISPLAYED AT CN01. OTHERWISE, DISPLAY
‘Were any of these health conditions’.

THE THIRD CRITERION FOR DISPLAY IN THE ROSTER WILL
BE DETERMINED LATER AS THE FLAG MAY BE SET FOR
CERTAIN CONDITIONS THAT ARE PART OF A CONDITION
LOOK-UP TABLE AND ARE DETERMINED TO BE UNLIKLY DUE
TO AN ACCIDENT/INJURY.

ROSTER DETAILS:
Title: PERS_COND_1

COL #1 HEADER: CONDITION
INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION
(COND.CONDNAM)

ROSTER DEFINITION:
THIS ITEM DISPLAYS THE PERSON’S-CONDITIONS-
ROSTER.

ROSTER BEHAVIOR:
1. DISPLAY ONLY.
2. ADD, DELETE, SELECT, AND EDIT DISALLOWED.

ROSTER FILTER:
DISPLAY ONLY THE CONDITIONS FOR PERSON THAT ARE

- CREATED THIS ROUND
- NOT FLAGGED AS PRIORITY CONDITIONS (THAT IS,
THOSE NOT FLAGGED AS CREATED IN THE PE SECTION)
- NOT FLAGGED AS ‘UNLIKELY ACCIDENT/INJURY’

THE CONDITIONS ARE LISTED FOR DISPLAY ONLY; THEY
ARE NOT SELECTABLE.

CN01A

{PERSON'S FIRST MIDDLE AND LAST NAME} {STR-DT}
{END-DT}

Which of {your/{PERSON}’s} health conditions were due to an accident
or injury?

PROBE: Any other health conditions due to an accident or injury?

[1. Medical Condition] .................
[2. Medical Condition] .................
[3. Medical Condition] .................

HELP AVAILABLE FOR DEFINITION OF ACCIDENT/INJURY.

FLAG ALL CONDITIONS SELECTED AT CN01A AS ‘DUE TO
ACCIDENT/INJURY’.

THE THIRD CRITERION FOR DISPLAY IN THE ROSTER WILL
BE DETERMINED LATER AS THE FLAG MAY BE SET FOR
CERTAIN CONDITIONS THAT ARE PART OF A CONDITION
LOOK-UP TABLE AND ARE DETERMINED TO BE UNLIKLY DUE
TO AN ACCIDENT/INJURY.

CONTINUE WITH BOX_05

ROSTER DETAILS:
Title: PERS_COND_1

COL #1 HEADER: CONDITION
INSTRUCTIONS: DISPLAY NAME OF MEDICAL CONDITION
(COND.CONDNAM)

ROSTER DEFINITION:
DISPLAY THE PERSON-MEDICAL-CONDITIONS-ROSTER FOR
SELECTION.

ROSTER BEHAVIOR:
1. MULTIPLE SELECT ALLOWED.
2. ADD, EDIT, AND DELETE DISALLOWED.

ROSTER FILTER:
DISPLAY CONDITIONS THAT MEET THE FOLLOWING:

1. CONDITION IS FLAGGED AS ‘CREATED’ DURING THE
CURRENT ROUND.
2. CONDITION IS NOT A PRIORITY CONDITION, THAT IS,
THE CONDITION IS NOT FLAGGED AS CREATED IN THE PE
SECTION.
3. CONDITION IS NOT FLAGGED AS ‘UNLIKELY
ACCIDENT/INJURY’.

CN02

OMITTED.

BOX_05

IF PERSON IS = OR > 16 YEARS OF AGE OR IN AGE
CATEGORIES 4-9, CONTINUE WITH BOX_03

OTHERWISE, GO TO BOX_12

BOX_03

IF ANY CONDITIONS FLAGGED AS ‘DUE TO ACCIDENT/
INJURY’, CONTINUE WITH LOOP_01

OTHERWISE, GO TO BOX_12

LOOP_01

FOR EACH ELEMENT IN PERSON’S-MEDICAL-CONDITIONS-
ROSTER, ASK NAV_CN01 - END_LP01

LOOP DEFINITION: LOOP_01 COLLECTS INFORMATION
ABOUT MEDICAL CONDITIONS CREATED DURING THE
CURRENT ROUND THAT ARE DUE TO AN ACCIDENT OR
INJURY. THIS LOOP CYCLES ON MEDICAL CONDITIONS
THAT MEET THE FOLLOWING CONDITIONS:

- MEDICAL CONDITION IS FLAGGED AS ‘DUE TO AN
ACCIDENT OR INJURY’ (CONDITION SELECTED AT
CN01A)
- MEDICAL CONDITION IS FLAGGED AS ‘CREATED’
DURING THE CURRENT ROUND

NAVIGATOR DETAILS: LOOP_01 USES NAV_CN01 TO
CONTROL THE FLOW OF THE LOOP.

NAV_CN01

SERIES: Condition Detail {STR-DT} {END-DT}

USE THE LINKS BELOW TO COMPLETE ALL QUESTIONS WITHIN THIS SERIES.

WHEN ALL LINKS ARE MARKED "DONE," USE [Continue Interview] TO GO
PAST THIS SERIES.

IF NEEDED, [Previous Page] WILL TAKE YOU TO QUESTIONSBEFORE THIS
SERIES.

Condition

[1. Person’s Medical Condition-30] [Status-25]
[2. Person’s Medical Condition-30] [Status-25]
[3. Person’s Medical Condition-30] [Status-25]

ROSTER DETAILS:
COL # 1 HEADER: CONDITION
INSTRUCTIONS: DISPLAY PERSON’S MEDICAL CONDITION
COL # 2 HEADER: EMPTY
INSTRUCTIONS: DISPLAY THE MOST CURRENT NAVIGATOR
STATUS FOR EACH CONDITION EACH TIME THE NAVIGATOR
IS PRESENTED

ROSTER DEFINITION:
THIS ITEM DISPLAYS PERSON’S-MEDICAL-CONDITION
ROSTER FOR SELECTION.

ROSTER BEHAVIOR:
1. SELECT ALLOWED.

2. MULTIPLE SELECT, ADD, DELETE, AND EDIT
DISALLOWED.

ROSTER FILTER:
DISPLAY EACH CONDITION IN PERSON’S-MEDICAL-
CONDITIONS-ROSTER THAT MEETS THE FOLLOWING
CONDITIONS:
- MEDICAL CONDITION IS FLAGGED AS ‘DUE TO AN
ACCIDENT OR INJURY’ (CONDITION SELECTED AT
CN01A)
- MEDICAL CONDITION IS FLAGGED AS ‘CREATED’
DURING THE CURRENT ROUND

CONTINUE WITH CN07 FOR SELECTED CONDITION

BOX_04

OMITTED.

CN03

OMITTED.

CN04

OMITTED.

CN05

OMITTED.

CN05OV1

OMITTED.

CN05OV2

OMITTED.

CN06

OMITTED.

CN06OV1

OMITTED.

CN06OV2

OMITTED.

CN06A

OMITTED.

CN07

{PERSON'S FIRST MIDDLE AND LAST NAME} {PERSON'S CN MEDICAL
CONDITION.} {STR-DT}
{END-DT}

Did the {CONDITION} happen while {you/{PERSON}} {were/was} at
work?

YES .................................... 1 {END_LP01}
NO ..................................... 2 {END_LP01}
DOES NOT WORK .......................... 3 {END_LP01}
REF ................................... -7 {END_LP01}
DK .................................... -8 {END_LP01}

[Code One]

CN08

OMITTED.

CN09

OMITTED.

CN10

OMITTED.

BOX_06

OMITTED.

CN11

OMITTED.

CN12

OMITTED.

CN13

OMITTED.

CN13OV

OMITTED.

CN14

OMITTED.

CN15

OMITTED.

END_LP01

CYCLE ON NEXT CONDITION IN PERSON’S-MEDICAL-
CONDITIONS-ROSTER THAT MEETS THE CONDITIONS STATED
IN THE LOOP DEFINITION.
IF NO OTHER CONDITIONS MEET THE STATED CONDITIONS,
END LOOP_01 AND CONTINUE WITH BOX_12

BOX_07

OMITTED.

BOX_08

OMITTED.

LOOP_02

OMITTED.

CN16

OMITTED.

CN17

OMITTED.

CN18

OMITTED.

CN19

OMITTED.

CN19OV

OMITTED.

END_LP02

OMITTED.

BOX_09

OMITTED.

BOX_10

OMITTED.

BOX_11

OMITTED.

CN20

OMITTED.

CN21

OMITTED.

BOX_12

GO TO NEXT QUESTIONNAIRE SECTION

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