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

CONTINUE WITH CN01
OTHERWISE, GO TO BOX_12

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’.

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)

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’.

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.

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 QUESTIONS BEFORE 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

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]

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_12

GO TO NEXT QUESTIONNAIRE SECTION

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