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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