Package | csiro.fhir.au.smartforms |
Type | Questionnaire |
Id | AboriginalTorresStraitIslanderHealthCheck |
FHIR Version | R4 |
Source | https://smartforms.csiro.au/ig/https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-AboriginalTorresStraitIslanderHealthCheck.html |
URL | http://www.health.gov.au/assessments/mbs/715 |
Version | 0.3.0-assembled |
Status | draft |
Date | 2025-03-14 |
Name | AboriginalTorresStraitIslanderHealthCheck |
Title | Aboriginal and Torres Strait Islander Health Check |
Realm | au |
Copyright | Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved. This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. See https://creativecommons.org/licenses/by-sa/4.0/. |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire AboriginalTorresStraitIslanderHealthCheck
StructureLinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
![]() ![]() | Questionnaire | http://www.health.gov.au/assessments/mbs/715#0.3.0-assembled | |||
![]() ![]() ![]() | null | 0..1 | group | ||
![]() ![]() ![]() ![]() | About the health check | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-1 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-1 = | |
![]() ![]() ![]() ![]() ![]() | Eligible for health check | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | not claimed 715 or 228 in past nine months | 0..1 | display | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Health check already in progress? | 0..1 | boolean | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Date of last completed health check | 0..1 | dateTime | ||
![]() ![]() ![]() ![]() ![]() | Date this health check commenced | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Consent | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-30 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-30 = | |
![]() ![]() ![]() ![]() ![]() | Consent given after discussion of process and benefits of a health check | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() | Consent given by parent/primary carer after discussion of process and benefits of a health check | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() | Parent/primary caregiver present | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Parent/primary caregiver is present for health check? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Relationship to child | 0..* | string | Enable When: c72933c7-349f-4fef-94ff-c424c69da6f3 = | |
![]() ![]() ![]() ![]() ![]() | Consent for sharing of information | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Consent given for sharing of information with relevant healthcare providers? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Who/details | 0..* | text | Enable When: 057483ce-f265-46df-a1c5-7a18d492c1ba = | |
![]() ![]() ![]() ![]() ![]() | Date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Doctor | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Nurse | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Location of health check | 0..1 | open-choice | Options: 3 options | |
![]() ![]() ![]() ![]() ![]() | Location of health check | 0..1 | open-choice | Options: 3 options | |
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Patient Details | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-32 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-32 = | |
![]() ![]() ![]() ![]() ![]() | This section contains several read only, non-editable items. Updates to these items will need to be done in the patient record. The form can be repopulated to include any updates. | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Name | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Preferred name | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Preferred pronouns | 0..1 | choice | ![]() ![]() | Value Set: Australian Pronouns |
![]() ![]() ![]() ![]() ![]() | Gender identity | 0..1 | choice | ![]() ![]() | Value Set: Gender Identity Response |
![]() ![]() ![]() ![]() ![]() | Administrative gender | 0..1 | choice | ![]() ![]() | Value Set: AdministrativeGender |
![]() ![]() ![]() ![]() ![]() | Sex assigned at birth | 0..1 | choice | ![]() ![]() | Value Set: Biological Sex |
![]() ![]() ![]() ![]() ![]() | Date of birth | 0..1 | date | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Age | 0..1 | integer | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Aboriginal and/or Torres Strait Islander status | 0..1 | choice | ![]() ![]() | Value Set: Aboriginal and/or Torres Strait Islander |
![]() ![]() ![]() ![]() ![]() | Parents/primary carer/s | 0..* | choice | Value Set: Primary Carer Of Parent Or Grandparent | |
![]() ![]() ![]() ![]() ![]() | Other family | 0..* | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Other | 0..* | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Parents/primary carer/s details | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Name of parent/primary carer | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Relationship to child | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Home address | 0..1 | group | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | No fixed address | 0..1 | boolean | Definition: Address.extension:noFixedAddress | |
![]() ![]() ![]() ![]() ![]() ![]() | Home address | 0..* | group | Enable When: 311d83bb-f22e-4f60-9b50-b6e38dd2059b != | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Street address | 0..1 | string | Definition: Address.line | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | City | 0..1 | string | Definition: Address.city | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Postcode | 0..1 | string | Definition: Address.postalCode | |
![]() ![]() ![]() ![]() ![]() | Postal address | 0..* | group | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Purpose of use | 0..1 | string | Definition: Address.use | |
![]() ![]() ![]() ![]() ![]() ![]() | Address | 0..1 | string | Definition: Address.line | |
![]() ![]() ![]() ![]() ![]() ![]() | City | 0..1 | string | Definition: Address.city | |
![]() ![]() ![]() ![]() ![]() ![]() | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
![]() ![]() ![]() ![]() ![]() ![]() | Postcode | 0..1 | string | Definition: Address.postalCode | |
![]() ![]() ![]() ![]() ![]() | Home phone | 0..* | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Mobile phone | 0..* | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Emergency contact | 0..* | group | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Name | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Relationship to child | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Relationship to patient | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Phone | 0..* | string | ||
![]() ![]() ![]() ![]() ![]() | Medicare number | 0..1 | group | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Number | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Reference number | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Expiry | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Pensioner Card Number | 0..1 | string | ![]() ![]() | Max Length: 10 |
![]() ![]() ![]() ![]() ![]() | Health Care Card Number | 0..1 | string | ![]() ![]() | Max Length: 10 |
![]() ![]() ![]() ![]() ![]() | Registered for Closing the Gap PBS Co-payment Measure (CTG) | 0..1 | boolean | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Child has a birth certificate | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() | My Aged Care | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Registered for My Aged Care | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | My Aged Care Number | 0..1 | string | Enable When: 7165c072-e3d8-4564-9d1d-d17f6807787c = | |
![]() ![]() ![]() ![]() ![]() | National Disability Insurance Scheme | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Registered for NDIS | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | NDIS Number | 0..1 | string | Enable When: 924b4500-53ac-4c4e-831b-7ab5569ff981 = | |
![]() ![]() ![]() ![]() ![]() | Children | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have children? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Number of children | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
![]() ![]() ![]() ![]() ![]() ![]() | Number of children in your care | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
![]() ![]() ![]() ![]() ![]() | Someone's carer | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are you responsible for caring for someone else? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: a08271f1-194b-4fe9-91f9-4f3398858eb0 = | |
![]() ![]() ![]() ![]() ![]() | Your carer | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have a carer? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: d05558fb-a3cc-4bd6-b803-b672b36b9c51 = | |
![]() ![]() ![]() ![]() ![]() | Providers | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are name and contact details of other key providers (eg case workers, support services) up to date? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Advance care planning | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Enduring Power of Attorney | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Enduring Power of Attorney | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Discussed today | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Advance Health Directive | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Advance Health Directive | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Discussed today | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Current health/patient priorities | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-5 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-5 = | |
![]() ![]() ![]() ![]() ![]() | What are the important things for you in this health check today? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything you are worried about? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's health or wellbeing? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Child Health Book | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Does your child have a Child Health Book? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Is it up to date? | 0..1 | choice | ![]() ![]() | Enable When: 2655e0e1-fe4b-431e-87af-30d4ff1aca76 = Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Do you have any specific health goals? Is there anything in particular about your health and wellbeing that you would like to improve? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Medical history and current problems | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-17 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-17 = | |
![]() ![]() ![]() ![]() ![]() | Birth history | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Gestation at birth | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | weeks | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() | Birth weight | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | kg | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Medical history summary | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Medical history summary | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | null | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Condition | 0..1 | open-choice | ![]() ![]() | Value Set: Clinical Condition |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | 0..1 | choice | Value Set: Condition Clinical Status Codes | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 0..1 | date | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Abatement date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | New diagnosis | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Condition | 0..1 | open-choice | Value Set: Clinical Condition | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Regular medications | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-23 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-23 = | |
![]() ![]() ![]() ![]() ![]() | Check medications are still required, appropriate dose, understanding of medication and adherence | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Medication summary | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Current medications | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | null | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Medication | 0..1 | open-choice | ![]() ![]() | Value Set: Smart Health Checks Medicine Products |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Status | 0..1 | choice | Options: 4 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Dosage | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Clinical indication | 0..* | open-choice | ![]() ![]() | Value Set: Medication Reason Taken |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | New medications | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Medication | 0..1 | open-choice | Value Set: Smart Health Checks Medicine Products | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Dosage | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Clinical indication | 0..* | open-choice | Value Set: Medication Reason Taken | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Does your child take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Do you take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Check the health record is up to date | 0..1 | boolean | ||
![]() ![]() ![]() ![]() ![]() | Check medication understanding and adherence with patient | 0..1 | boolean | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Allergies/adverse reactions | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-3 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-3 = | |
![]() ![]() ![]() ![]() ![]() | Adverse reaction risk summary | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Adverse reaction risk summary | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | null | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Substance | 0..1 | open-choice | ![]() ![]() | Value Set: Adverse Reaction Agent |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Status | 0..1 | choice | Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Manifestation | 0..* | open-choice | ![]() ![]() | Value Set: Clinical Finding |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | New adverse reaction risks | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Substance | 1..1 | open-choice | Value Set: Adverse Reaction Agent | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Manifestation | 0..* | open-choice | Value Set: Clinical Finding | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Family history | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-9 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-9 = | |
![]() ![]() ![]() ![]() ![]() | Provide relevant family history information | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Provide relevant family history information (including diabetes, heart disease, cancer, mental health) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Social and emotional wellbeing | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-27 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-27 = | |
![]() ![]() ![]() ![]() ![]() | Stressful life events | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Have there been any particular stressful life events that are impacting on you/your health lately? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: e7297156-cfed-4437-b877-c345f744168b = | |
![]() ![]() ![]() ![]() ![]() | Social and emotional wellbeing assessment: consider tools such as Aboriginal and Torres Strait Islander Youth Social Emotional Wellbeing assessment question guide or HEEADSSS | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Consider conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Social history: Information about family and child's living arrangements | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-28 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-28 = | |
![]() ![]() ![]() ![]() ![]() | Who lives in your household? / Who does the child live with? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Stressful life events | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Have there been any stressful life events that would cause you or your child to be upset? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 062f5234-686a-4bf3-afcd-3fcd988afd6c = | |
![]() ![]() ![]() ![]() ![]() | If indicated, ask about depression and other mental health concerns | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Home and family | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-12 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-12 = | |
![]() ![]() ![]() ![]() ![]() | Who do you live with? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Housing stability | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have stable housing? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: a7542da8-aad6-4a80-8b5b-806ca11d68d2 = | |
![]() ![]() ![]() ![]() ![]() | Home safety | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you feel safe at home? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 6f73d1ee-dd8e-419a-9142-ede367200e3b = | |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Learning and development | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-15 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-15 = | |
![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's development? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's learning? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's behaviour? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's sleep? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | What childcare/early learning centre/kindergarten does your child go to? How often? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | How often does your child miss childcare/early learning centre/kindergarten? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is there anything you are worried about at school? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | How often does your child miss school? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Is your child having any difficulties making friends? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Are there any other concerns about your child's learning and development | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Learning and work | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-33 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-33 = | |
![]() ![]() ![]() ![]() ![]() | Learning | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are you studying at school/uni? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Learning | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are you studying? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Work | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are you working? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/NA |
![]() ![]() ![]() ![]() ![]() ![]() | Details (occupation including occupational hazards, study, training, disability, etc) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Work | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-16 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-16 = | |
![]() ![]() ![]() ![]() ![]() | Work | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are you working? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details (occupation including occupational hazards, study, training, disability, etc) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Mood | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-19 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-19 = | |
![]() ![]() ![]() ![]() ![]() | How have you been feeling lately? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | If indicated, ask about depression (consider screening tools, eg aPHQ-9, K5 or K10) and complete risk assessment | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Explore other mental health concerns as indicated | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Memory and thinking | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-18 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-18 = | |
![]() ![]() ![]() ![]() ![]() | Personal concerns about your memory or thinking | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have any worries about your memory or thinking? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: e29701be-2b79-471d-a42e-7e3830459080 = | |
![]() ![]() ![]() ![]() ![]() | Family concerns about your memory or thinking | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Does anyone in your family have any worries about your memory or thinking? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 06a67326-9e3d-4c4c-b271-af5b168d077c = | |
![]() ![]() ![]() ![]() ![]() | If any concerns are raised and/or high risk for cognitive impairment identified, follow up with cognitive screening (eg clock test, GPCOG, KICA-Cog, MMSE) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Chronic disease associated with ageing | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-4 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-4 = | |
![]() ![]() ![]() ![]() ![]() | For older people with chronic disease and/or conditions associated with ageing, consider assessing: Osteoporosis risk; Falls risk; Balance, coordination and mobility; Pain; Nutrition; Regularity of chronic disease management and review | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Participation in screening programs | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-24 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-24 = | |
![]() ![]() ![]() ![]() ![]() | Cervical screening (age <=74 years) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Cervical screening status | 0..1 | choice | Options: 5 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cervical screening next due | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Cervical screening details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Breast screening (age <=74 years) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Breast screening status | 0..1 | choice | Options: 5 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Breast screening next due | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Breast screening details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Bowel cancer screening (age <=74 years) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Bowel cancer screening status | 0..1 | choice | Options: 5 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Bowel cancer screening next due | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Bowel cancer screening details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Healthy eating | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-11 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-11 = | |
![]() ![]() ![]() ![]() ![]() | Child eating concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's feeding/eating? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's eating? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Breastfeeding history | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Bottle feeding history | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Diet or weight concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have any worries about your diet or weight? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 646302e9-d384-4943-99bc-11e638641703 = | |
![]() ![]() ![]() ![]() ![]() | Unintended weight loss | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Have you lost weight without trying to in the last three months? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 6dc96b26-cbc5-4434-8f6b-0260196311c2 = | |
![]() ![]() ![]() ![]() ![]() | Document conversation about age-appropriate healthy eating, which could include: current diet; transition to solids; dietary recommendations re fruit and vegetable intake, iron-rich foods, avoiding sugary drinks | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Document conversation about health eating which could include: current diet including food and drinks; recommendations about fruit and vegetable intake, water as the main drink, avoiding sugary drinks, avoiding highly processed foods (including supermarket-bought and take-away like KFC, Maccas, etc) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Food availability issues | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Are there any issues about availability of food? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 12a41538-5dbd-4c1d-af69-52c59c48b1a9 = | |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Physical activity and screen time | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-34 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-34 = | |
![]() ![]() ![]() ![]() ![]() | Physical activity concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's level of physical activity? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 304d0332-9bfd-42dc-a4be-a5122596fb89 = | |
![]() ![]() ![]() ![]() ![]() | Screen time concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's level of screen time? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 465eacce-f9ee-4022-9186-89065cf01ce2 = | |
![]() ![]() ![]() ![]() ![]() | Physical activity or screen time concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have any worries about physical activity or screen time? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 08320c7a-831b-4237-95e2-d79aee155b90 = | |
![]() ![]() ![]() ![]() ![]() | Document conversation about age-appropriate recommendations re physical activity and screen time | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Document conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Physical activity | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-21 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-21 = | |
![]() ![]() ![]() ![]() ![]() | Physical activity concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have any worries about physical activity? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: b30d5d21-c6d6-4bb3-aab4-0fdee80b3093 = | |
![]() ![]() ![]() ![]() ![]() | Document conversation about recommendations re physical activity | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Red flags early identification guide for children | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-22 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-22 = | |
![]() ![]() ![]() ![]() ![]() | This is based on material from the The State of Queensland, Red flags early identification guide (for children aged birth to five years). 2nd edn. South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. Updated: July 2016. | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | What age group is the child closet to? | 0..1 | choice | Options: 8 options | |
![]() ![]() ![]() ![]() ![]() | Red flags | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Red flags at any age | 0..* | choice | Options: 7 options | |
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Substance use, including tobacco | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-29 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-29 = | |
![]() ![]() ![]() ![]() ![]() | Smoking | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Smoking status | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Smoking status | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last status | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | New status | 0..1 | choice | Value Set: Tobacco Use Status | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | New date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Quit status | 0..1 | choice | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = Value Set: Smoking Quit Status | |
![]() ![]() ![]() ![]() ![]() ![]() | How many? | 0..1 | string | Enable When: | |
![]() ![]() ![]() ![]() ![]() ![]() | How long as a smoker? | 0..1 | string | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Alcohol and other substance use | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Gambling | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-10 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-10 = | |
![]() ![]() ![]() ![]() ![]() | Gambling issues | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Have you or someone close to you ever had issues with gambling? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: a233c01e-a72e-474b-9a26-bab1504491fa = | |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-36 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-36 = | |
![]() ![]() ![]() ![]() ![]() | Puberty and sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about in relation to puberty/your sexual health? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/Not Asked/Asked But Declined |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 1d20138a-caf3-4c43-9693-04c08d37a84a = | |
![]() ![]() ![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Genitourinary and sexual health | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-35 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-35 = | |
![]() ![]() ![]() ![]() ![]() | Sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/Not Asked/Asked But Declined |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: e56e79e5-8fbb-43f0-b2a3-018b55750bd0 = | |
![]() ![]() ![]() ![]() ![]() | Cervical screening | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Cervical screening status | 0..1 | choice | Value Set: Cervical Screening Status | |
![]() ![]() ![]() ![]() ![]() ![]() | Next due | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Genitourinary and sexual health | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-25 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-25 = | |
![]() ![]() ![]() ![]() ![]() | Sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No/Not Asked/Asked But Declined |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 1c40a720-bdb7-4386-a9f6-be82b7349bf7 = | |
![]() ![]() ![]() ![]() ![]() | Continence issues | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have problems with urine leaking? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 64fd0f79-7e09-4934-905d-9bff6715f9ba = | |
![]() ![]() ![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Eye health | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-8 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-8 = | |
![]() ![]() ![]() ![]() ![]() | Vision concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's vision? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your vision? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Eye examination | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Red reflex (up to six months) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Evidence of squint or other abnormality | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Visual acuity | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right eye | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Trachoma Check (endemic areas) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left eye | 0..1 | choice | Options: 2 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right eye | 0..1 | choice | Options: 2 options | |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Ear health and hearing | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-6 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-6 = | |
![]() ![]() ![]() ![]() ![]() | Child listening concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's listening? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: f982c374-f023-4e68-8968-1f1f5d3969ae = | |
![]() ![]() ![]() ![]() ![]() | Child language concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything you are worried about with your child's language/talking? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 06c150f8-4d54-4d10-aeff-2ef7567b6812 = | |
![]() ![]() ![]() ![]() ![]() | Child snoring | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you notice snoring/noisy breathing at night/while your child is sleeping? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: b326271b-e9b1-45a0-b899-125364833702 = | |
![]() ![]() ![]() ![]() ![]() | Hearing concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your hearing? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 3e53edc7-c90e-4681-a006-b7a05b91a02c = | |
![]() ![]() ![]() ![]() ![]() | Last hearing test (audiology) | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Ear examination | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Otoscopy | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Video otoscopy procedure recommended where possible as it allows for parental education and for images to be saved for tracking over time. | 0..1 | display | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Otoscopy findings | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left ear | 0..* | open-choice | Options: 10 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right ear | 0..* | open-choice | Options: 10 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Otoscopy findings | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left ear | 0..* | open-choice | Options: 6 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right ear | 0..* | open-choice | Options: 6 options | |
![]() ![]() ![]() ![]() ![]() ![]() | Tympanometry | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Left ear | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Right ear | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Oral and dental health | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-20 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-20 = | |
![]() ![]() ![]() ![]() ![]() | Dental concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your child's teeth or mouth? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your teeth? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Last dental checkup | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Dentures? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Teeth and mouth check | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Examination findings | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Document conversation about oral health and care of teeth | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Skin | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-26 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-26 = | |
![]() ![]() ![]() ![]() ![]() | Skin problems | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Does your child have any skin problems? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Is there anything that you are worried about with your skin? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Do you use sun protection? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Document conversation about sun protection as appropriate (ie sunscreen, hats, shade). | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() ![]() | Details | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | General skin examination findings | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Immunisation | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-13 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-13 = | |
![]() ![]() ![]() ![]() ![]() | Check Child Health Record/Book and Australian Immunisation Register | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Eligibility for funded vaccines may vary across jurisdictions | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Check Australian Immunisation Register | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Check recommended primary vaccinations completed and provide catch-up if required | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Vaccines previously given | 0..* | group | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Vaccine | 0..1 | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
![]() ![]() ![]() ![]() ![]() ![]() | Batch number | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Administration date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Immunisations are up to date? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Immunisations due | 0..* | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
![]() ![]() ![]() ![]() ![]() | Vaccines given today | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Vaccine | 0..1 | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
![]() ![]() ![]() ![]() ![]() ![]() | Batch number | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Administration date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Comment | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Have all vaccines been recorded on the Australian Immunisation Register? | 0..1 | choice | ![]() ![]() | Value Set: Yes/No |
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Examination | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-7 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-7 = | |
![]() ![]() ![]() ![]() ![]() | Growth measures recorded on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) growth charts for centile and tracking overtime | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | The tabled observations will display the most recent results available from the patient record. New observations may be added. | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Length/Height | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | cm | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Height | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | cm | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Weight | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | kg | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | BMI (calculated) | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | kg/m2 | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() | Head circumference | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | cm | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Waist circumference | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | cm | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Heart rate | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | /min | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Heart rhythm | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result | 0..1 | choice | Value Set: Heart Rhythm | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New result date | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Blood pressure | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Blood pressure | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last result | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Systolic | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | mm Hg | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Diastolic | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | mm Hg | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Date performed | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() | Cardiac auscultation | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Abdominal examination | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Gait examination (musculoskeletal structure, balance, coordination) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Newborn examination (if indicated, infant aged <=6 weeks) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Haemoglobin (children at risk of iron deficiency anaemia) | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Absolute cardiovascular disease risk calculation | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-2 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-2 = | |
![]() ![]() ![]() ![]() ![]() | The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the Aus CVD Risk calculator. | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | CVD risk result | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Latest available result | 0..1 | string | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | A previous CVD risk result has been found. Do you want to perform a new assessment? | 0..1 | boolean | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you have access to the Aus CVD Risk-i application from your clinical system? | 0..1 | boolean | ||
![]() ![]() ![]() ![]() ![]() ![]() | Using the Aus CVD Risk-i application, calculate the CVD risk result and save it to the patient record. This form can then be repopulated to retrieve and include the result above. | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() | Do you need to manually enter a new CVD risk result instead of repopulating? | 0..1 | boolean | ||
![]() ![]() ![]() ![]() ![]() ![]() | New CVD risk result | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Use the online Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Risk result score | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | % | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Assessed risk category | 0..1 | choice | Options: 3 options | |
![]() ![]() ![]() ![]() ![]() | CVD risk calculator variables | 0..1 | group | ![]() ![]() | Enable When: cvdrisk-auscvdriskiaccess = |
![]() ![]() ![]() ![]() ![]() ![]() | Age | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | years | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() | Sex at birth | 0..1 | choice | Value Set: Biological Sex | |
![]() ![]() ![]() ![]() ![]() ![]() | Observation values | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Smoking status | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Value | 0..1 | choice | Options: 6 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Date performed | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Systolic Blood Pressure | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Value | 0..1 | integer | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | mm Hg | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Date performed | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Total Cholesterol | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Value | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | mmol/L | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Date performed | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | HDL Cholesterol | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Value | 0..1 | decimal | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | mmol/L | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | Date performed | 0..1 | date | ||
![]() ![]() ![]() ![]() ![]() ![]() | Postcode | 0..1 | string | ||
![]() ![]() ![]() ![]() ![]() ![]() | Type 2 diabetes mellitus | 0..1 | boolean | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Investigations | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-14 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-14 = | |
![]() ![]() ![]() ![]() ![]() | Full blood count, HbA1c or blood glucose level, serum lipids, Kidney function including eGFR, Liver function tests, ACR | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Chlamydia, gonorrhoea: <=30, first void urine (male and female) and/or endocervical swab or self-administered vaginal swab (female) or throat and anal swab (men who have sex with men [MSM]) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Syphilis (endemic areas, MSM, others at high risk) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Trichomoniasis (<=30, male and female, remote areas and other endemic areas, first void urine and/or endocervical swab or self-administered vaginal swab) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Blood-borne virus screening: HBV if status not known/not recorded on file, HCV if risk factors, HIV if risk factors | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() ![]() ![]() | Health Priorities, Actions And Follow-Up Summary | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | The following information is a read-only collection of the 'Health priorities, actions and follow-up' sections entered in the previous tabs. Only sections where previous information entered will be displayed here. | 0..1 | display | ||
![]() ![]() ![]() ![]() ![]() | Current health/patient priorities | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Medical history and current problems | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Regular medications | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Allergies/adverse reactions | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Family history | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Social and emotional wellbeing | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Social history | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Home and family | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Learning and development | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Learning and work | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Work | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Mood | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Memory and thinking | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Chronic disease associated with ageing | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Participation in screening programs | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Healthy eating | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Physical activity and screen time | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Physical activity | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Substance use, including tobacco | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Gambling | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Sexual health | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Genitourinary and sexual health | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Genitourinary and sexual health | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Eye health | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Ear health and hearing | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Oral and dental health | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Skin | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Immunisation | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Examination | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Absolute cardiovascular risk calculation | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() | Investigations | 0..1 | text | ![]() ![]() | |
![]() ![]() ![]() ![]() | Finalising the health check | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-31 != | |
![]() ![]() ![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-31 = | |
![]() ![]() ![]() ![]() ![]() | Patient priorities and goals: What does the parent/carer say are the important things that have come out of this health check? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Patient priorities and goals: What does the parent/carer and child say are the important things that have come out of this health check? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Patient priorities and goals: What does the patient say are the important things that have come out of this health check? | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options | |
![]() ![]() ![]() ![]() ![]() | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 7 options | |
![]() ![]() ![]() ![]() ![]() | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options | |
![]() ![]() ![]() ![]() ![]() | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 10 options | |
![]() ![]() ![]() ![]() ![]() | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 8 options | |
![]() ![]() ![]() ![]() ![]() | Care provided as part of the health check (eg immunisations, medication review, investigations requested) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Identified needs and plan (including new diagnoses) | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Follow-up | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | Consider what follow-up appointments can be made at the time of the health check. | 0..1 | display | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Reminder: MBS follow up items for clients at risk of or with chronic disease are available to support follow-up of health checks | 0..1 | display | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Referrals and appointments | 0..* | group | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Who | 0..1 | open-choice | Options: 12 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Who | 0..1 | open-choice | Options: 10 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Who | 0..1 | open-choice | Options: 11 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Who | 0..1 | open-choice | Options: 13 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Who | 0..1 | open-choice | Options: 16 options | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | When | 0..1 | date | Enable When: | |
![]() ![]() ![]() ![]() ![]() | Recalls | 0..1 | group | ||
![]() ![]() ![]() ![]() ![]() ![]() | e.g. clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations | 0..1 | display | ![]() ![]() | |
![]() ![]() ![]() ![]() ![]() ![]() | Recall entered | 0..* | string | ||
![]() ![]() ![]() ![]() ![]() | Parent/carer actions | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Parent/patient actions | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | Patient actions | 0..1 | text | ||
![]() ![]() ![]() ![]() ![]() | A copy of this health check has been offerered - including details of follow-up and future appointments | 0..1 | choice | Options: 3 options | |
![]() ![]() ![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
Options Sets
Answer options for 5bbfb4a3-a667-4ef2-98c2-76e76da55c03
Answer options for 9a51c056-021d-445d-8eaa-2123a69aa9c2
Answer options for regularmedications-summary-current-status
Answer options for allergysummary-status
Answer options for c1cf9c00-15ef-4b98-bab0-20a5f01b4932
Answer options for 29fada07-f981-44cf-8092-61c86365a965
Answer options for 521df1b1-ff36-458b-8f99-e41c2b1685c8
Answer options for 0b520b20-98df-4024-b25d-2986f6b96e77
Answer options for 9c717263-341e-416f-aad8-7aec7d2167c9
Answer options for c10acb25-fdc3-401e-b0aa-d85b2921e5bb
Answer options for b6bb38f6-8084-4c89-a0f2-9d77aacab61d
Answer options for c0ad8dc5-4672-4b21-b30d-6dcc7a00109a
Answer options for fc0977e1-fd83-4d0b-a57a-e94c7fd41fdb
Answer options for 70f7b96f-eaae-490b-8522-1214c1b1aede
Answer options for 03ff1391-f48d-4b99-894c-159f4d09eb33
Answer options for ee5f0a61-a8a1-473e-addf-ca5b1eaad7d3
Answer options for 2b23128e-1622-4880-abd6-c9cd429b48e3
Answer options for dfb86be5-b6ff-400e-b7d6-68701df086da
Answer options for 4d802a6d-c89e-4460-8091-874f855be4ad
Answer options for b8e1a699-ed65-491f-9865-8ab855bb2d33
Answer options for 6c3637ed-4afd-45be-a15c-9d5e7d8e78e8
Answer options for 25d67a2f-8bbe-4f79-9488-1682d2ce49fa
Answer options for f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005
Answer options for 3e06438a-ee7d-4880-83aa-68d2ade997ce
Answer options for 49d172b4-bc2f-46cd-95a8-2f3ecba8e852
Answer options for 785ec313-7b25-4d0d-9421-382981286cbc
Answer options for 2c2b263e-41a5-4dae-94e1-814f5bfca20a
Answer options for d6d7d675-0fee-466d-85e8-5dae46adac40
Answer options for c48e4138-0952-49a7-9c77-14b3e6d1dad3
Answer options for 433e768c-8458-476a-8330-3f59a4aa94b4
Answer options for 06d96181-2b2d-48de-b80f-bd5ccb2fb3c1
Answer options for e08345d3-a919-4bf0-8775-5df84a173832
Answer options for 7f3861fd-b9f0-489d-8a39-5fdd18eeaf0e
Answer options for 68809920-fbf4-48e5-89f7-c0b49a8b8f78
Answer options for 5cf7c9bc-b3ec-43ac-8de8-65078f57a82b
Answer options for a1137862-767c-49fb-883b-92bee7588edc
Answer options for dd83d558-6a7f-4b94-b677-7c2b31ccc52f
Answer options for 5ea4460c-a4c5-4025-bf85-64884a66458f
Answer options for 75b597b4-3b38-4efd-aeb2-ab1551d83c3c
Answer options for f23ac52c-2064-4032-b283-6ce09fc306fa
Answer options for 758d4109-363a-48c9-95f3-8a8d8b1b32ec
Answer options for 202b5b91-541e-4a72-b1f6-1d474b59b7a3
Answer options for 6ae69487-345e-46a0-a8db-b1356671ee59
Answer options for dedfc83e-7451-404d-bd24-97b1254304eb
Answer options for 23daa784-4476-447f-8aa2-42933b4490d9
Answer options for 079df9c5-234c-4129-8769-800dab47a59a
Answer options for ce1fc869-a412-4aea-aa53-36e794a14519
Answer options for 28ff9463-b77f-435d-9ba7-427682a61f96
Answer options for 333007c7-47a9-482b-af11-e55484abf2ae
Answer options for d0e58402-a08a-49ca-b2ca-9f4bbdb89da0
Answer options for 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8
Answer options for eaed9770-95f4-4c6a-b06c-d573427a2616
Answer options for 25f27e83-fcf0-49c8-86c1-e285e201a043
Answer options for 2657da9c-a27e-4939-af7a-08a19b9ab6f7
Answer options for 4044d0b4-94b2-4a89-b826-a14614298511
Answer options for f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a
Answer options for 07cfe077-ba93-4f93-b2a5-027023faa33b
Answer options for a525c370-d8c3-4764-ab3a-bf62081725e0
Answer options for d68d9693-48d3-4663-9dbb-dd3a7aec5278
Answer options for 8176151f-6d86-45eb-91b1-12458d75a181
ValueSet #YesNoNA
Expansion based on codesystem expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 3 concepts
Code | System | Display (en-US) | Definition |
Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
NA | http://terminology.hl7.org/CodeSystem/v2-0532 | N/A | not applicable |
ValueSet #AboriginalTorresStraitIslander
Expansion based on codesystem australian-indigenous-status-1 version1.0.3
This value set contains 3 concepts
ValueSet #PrimaryCarerParentGrandparent
This value set contains 4 concepts
Code | System | Display (en-US) | Definition |
MTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | mother | The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child). |
FTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | father | The player of the role is a male who begets or raises or nurtures the scoping entity (child). |
GRPRN | http://terminology.hl7.org/CodeSystem/v3-RoleCode | grandparent | The player of the role is a parent of the scoping person's mother or father. |
NA | http://terminology.hl7.org/CodeSystem/v3-NullFlavor | not applicable | Known to have no proper value (e.g., last menstrual period for a male). |
ValueSet #administrative-gender
Profile: Shareable ValueSet
Expansion based on codesystem AdministrativeGender v4.0.1 (CodeSystem)
This value set contains 4 concepts
Code | System | Display (en-US) | Definition | v2 map for AdministrativeGender | v3 map for AdministrativeGender |
male | http://hl7.org/fhir/administrative-gender | Male | Male. | ~http://terminology.hl7.org/5.5.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/5.5.0/ValueSet-v3-AdministrativeGender.html |
female | http://hl7.org/fhir/administrative-gender | Female | Female. | ~http://terminology.hl7.org/5.5.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/5.5.0/ValueSet-v3-AdministrativeGender.html |
other | http://hl7.org/fhir/administrative-gender | Other | Other. | <http://terminology.hl7.org/5.5.0/ValueSet-v2-0001.html <http://terminology.hl7.org/5.5.0/ValueSet-v2-0001.html | <http://terminology.hl7.org/5.5.0/ValueSet-v3-AdministrativeGender.html |
unknown | http://hl7.org/fhir/administrative-gender | Unknown | Unknown. | ~http://terminology.hl7.org/5.5.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/5.5.0/ValueSet-v3-AdministrativeGender.html |
ValueSet #australian-pronouns-1
Expansion based on:
This value set contains 7 concepts
Code | System | Display (en-US) | Definition |
LA29518-0 | http://loinc.org | he/him/his/his/himself | |
LA29519-8 | http://loinc.org | she/her/her/hers/herself | |
LA29520-6 | http://loinc.org | they/them/their/theirs/themselves | |
unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
asked-unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Unknown | The source was asked but does not know the value. |
ValueSet #gender-identity-response-1
Expansion based on:
This value set expansion contains 6 concepts.
Code | System | Display (en-US) | Definition |
446151000124109 | http://snomed.info/sct | Identifies as male gender | |
446141000124107 | http://snomed.info/sct | Identifies as female gender | |
33791000087105 | http://snomed.info/sct | Identifies as nonbinary gender | |
unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
ValueSet #biological-sex-1
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
Expansion based on SNOMED CT Australian Edition edition 30-Apr 2025
This value set expansion contains 4 concepts.
Code | System | Display (en-US) |
248152002 | http://snomed.info/sct | Female |
32570681000036106 | http://snomed.info/sct | Indeterminate sex |
32570691000036108 | http://snomed.info/sct | Intersex |
248153007 | http://snomed.info/sct | Male |
ValueSet #australian-states-territories-2
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
Expansion based on codesystem australian-states-territories-1 version1.1.3
This value set contains 9 concepts
ValueSet #YesNo
Expansion based on codesystem expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 2 concepts
Code | System | Display (en-US) | Definition |
Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
ValueSet #condition-clinical
Expansion based on codesystem Condition Clinical Status Codes v3.0.0 (CodeSystem)
This value set contains 7 concepts
Level | Code | System | Display (en-US) | Definition |
1 | active | http://terminology.hl7.org/CodeSystem/condition-clinical | Active | The subject is currently experiencing the condition or situation, there is evidence of the condition or situation, or considered to be a significant risk. |
2 | recurrence | http://terminology.hl7.org/CodeSystem/condition-clinical | Recurrence | The subject is experiencing a reoccurence or repeating of a previously resolved condition or situation, e.g. urinary tract infection, food insecurity. |
2 | relapse | http://terminology.hl7.org/CodeSystem/condition-clinical | Relapse | The subject is experiencing a return of a condition or situation after a period of improvement or remission, e.g. relapse of cancer, alcoholism. |
1 | inactive | http://terminology.hl7.org/CodeSystem/condition-clinical | Inactive | The subject is no longer experiencing the condition or situation and there is no longer evidence or appreciable risk of the condition or situation. |
2 | remission | http://terminology.hl7.org/CodeSystem/condition-clinical | Remission | The subject is not presently experiencing the condition or situation, but there is a risk of the condition or situation returning. |
2 | resolved | http://terminology.hl7.org/CodeSystem/condition-clinical | Resolved | The subject is not presently experiencing the condition or situation and there is a negligible perceived risk of the condition or situation returning. |
1 | unknown | http://terminology.hl7.org/CodeSystem/condition-clinical | Unknown | The authoring/source system does not know which of the status values currently applies for this condition. Note: This concept is not to be used for "other" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. |
ValueSet #clinical-condition-1
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
http://snomed.info/sct
where concept in 32570581000036105 (Problem/Diagnosis reference set)Condition #ConditionTemplate
clinicalStatus: Active
category: Problem List Item
code:
subject: ?rref?
onset: Extract Template - Extract value:
item.where(linkId='4d55bffb-3286-4a23-a785-3b9c346d464d').answer.value.toDateTime()
note:
Parameters #ConditionPatchTemplate
operation | |
type | replace |
path | Condition.clinicalStatus |
name | clinicalStatus |
value | |
pathLabel | Clinical status |
operation | |
type | replace |
path | Condition.abatement |
name | abatement |
value | Extract Template - Extract value: item.where(linkId='e4524654-f6de-4717-b288-34919394d46b').answer.value.toDateTime() |
pathLabel | Abatement date |
ValueSet #smart-health-checks-medicine-products
http://snomed.info/sct
where constraint = ^ 929360081000036101|Medicinal product pack reference set| OR ^ 929360071000036103|Medicinal product unit of use reference set| OR ^ 929360041000036105|Trade product pack reference set| OR ^ 929360031000036100|Trade product unit of use reference set| OR ^ 929360051000036108|Containered trade product pack reference set|ValueSet #medication-reason-taken-1
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
http://snomed.info/sct
where constraint = ^ 32570581000036105|Problem/Diagnosis reference set| OR ^ 1184831000168105|Drug prophylaxis reference set| OR << 399097000|Administration of anaesthesia| OR 169443000|Preventive procedure|MedicationStatement #MedicationStatementTemplate
status: recorded
subject: ?rref?
dateAsserted: Extract Template - Extract value:
now()
note:
Extension | Text |
Extract Template - Extract value: $this |
Parameters #MedicationStatementPatchTemplate
operation | |
type | replace |
path | MedicationStatement.status |
name | status |
value | |
pathLabel | Status |
operation | |
type | replace |
path | MedicationStatement.note[0].text |
name | text |
value | |
pathLabel | Comment |
operation | |
type | replace |
path | MedicationStatement.dosage[0].text |
name | text |
value | Extract Template - Extract value: item.where(linkId='regularmedications-summary-current-dosage').answer.value.first() |
pathLabel | Dosage |
AllergyIntolerance #AllergyIntoleranceTemplate
clinicalStatus: Active
code:
patient: ?rref?
note:
reaction
manifestation: No display for AllergyIntolerance.reaction.manifestation (concept: null), No display for AllergyIntolerance.reaction.manifestation (concept: )
Parameters #AllergyIntolerancePatchTemplate
operation | |
type | replace |
path | AllergyIntolerance.clinicalStatus |
name | clinicalStatus |
value | |
pathLabel | Clinical status |
operation | |
type | replace |
path | AllergyIntolerance.note[0].text |
name | text |
value | |
pathLabel | Comment |
Observation #SmokingStatusTemplate
status: Final
category: Social History
code: Smoking status
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()
value:
ValueSet #SmokingQuitStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on:
This value set expansion contains 2 concepts.
Code | System | Display |
48031000119106 | http://snomed.info/sct | Quit >12 months |
735128000 | http://snomed.info/sct | Quit <12 months |
ValueSet #TobaccoUseStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on:
This value set expansion contains 6 concepts.
Code | System | Display |
266919005 | http://snomed.info/sct | Never smoked |
77176002 | http://snomed.info/sct | Current smoker |
8517006 | http://snomed.info/sct | Ex-smoker |
16090371000119103 | http://snomed.info/sct | Exposure to second hand tobacco smoke |
394872000 | http://snomed.info/sct | Wants to quit |
713914004 | http://snomed.info/sct | Other tobacco use |
ValueSet #YesNoNotAskedDeclined
Expansion based on:
This value set contains 4 concepts
Code | System | Display (en-US) | Definition |
Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
NASK | http://terminology.hl7.org/CodeSystem/v2-0532 | Not Asked | not asked |
asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
ValueSet #CervicalScreeningStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on:
This value set expansion contains 4 concepts.
Code | System | Display |
736595007 | http://snomed.info/sct | Declined |
410527000 | http://snomed.info/sct | Offered |
171154002 | http://snomed.info/sct | Not required |
171155001 | http://snomed.info/sct | Up to date |
ValueSet #amt-vaccine-1
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
http://snomed.info/sct
where concept in 1156291000168106 (Vaccine reference set)Immunization #ImmunizationTemplate
status: Completed
vaccineCode:
lotNumber: Extract Template - Extract value:
item.where(linkId='vaccinestoday-batch').answer.value
patient: ?rref?
occurrence: Extract Template - Extract value:
item.where(linkId='vaccinestoday-date').answer.value.toDateTime()
note:
ValueSet #heart-rhythm-1
Expansion based on SNOMED CT Australian Edition edition 30-Jun 2025
This value set expansion contains 2 concepts.
Code | System | Display (en-US) |
933506231000036108 | http://snomed.info/sct | Regular heart rhythm |
361137007 | http://snomed.info/sct | Irregular heart rhythm |
Observation #BodyHeightTemplate
status: Final
category: Vital Signs
code: Height
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-height-newdate').answer.value.toDateTime()
value: cm (Details: UCUM codecm = 'cm')
Observation #BodyHeightLengthTemplate
status: Final
category: Vital Signs
code: Height
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-lengthheight-newdate').answer.value.toDateTime()
value: cm (Details: UCUM codecm = 'cm')
Observation #BodyWeightTemplate
status: Final
category: Vital Signs
code: Weight
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-weight-newdate').answer.value.toDateTime()
value: kg (Details: UCUM codekg = 'kg')
Observation #WaistCircumferenceTemplate
status: Final
category: Vital Signs
code: Waist circumference
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-waistcircumference-newdate').answer.value.toDateTime()
value: cm (Details: UCUM codecm = 'cm')
Observation #HeadCircumferenceTemplate
status: Final
category: Vital Signs
code: Head circumference
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-headcircumference-newdate').answer.value.toDateTime()
value: cm (Details: UCUM codecm = 'cm')
Observation #HeartRateTemplate
status: Final
category: Vital Signs
code: Heart rate
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-heartrate-newdate').answer.value.toDateTime()
value: /min (Details: UCUM code/min = '/min')
Observation #HeartRhythmTemplate
status: Final
category: Vital Signs
code: Heart rhythm
subject: ?rref?
effective: Extract Template - Extract value:
%resource.repeat(item).where(linkId='obs-heartrhythm-newdate').answer.value.toDateTime()
value:
Observation #BloodPressureTemplate
status: Final
category: Vital Signs
code: Blood pressure
subject: ?rref?
effective: Extract Template - Extract value:
item.where(linkId='bp-newbp-date').answer.value.toDateTime()
component
code: Systolic
value: mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic
value: mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')
{ "resourceType": "Questionnaire", "id": "AboriginalTorresStraitIslanderHealthCheck", "text": { "status": "extensions", "div": "<!-- snip (see above) -->" }, "contained": [ { "resourceType": "ValueSet", "id": "YesNoNA", "url": "https://smartforms.csiro.au/ig/ValueSet/YesNoNA", "name": "YesNoNA", "title": "Yes/No/NA", "status": "draft", "experimental": false, "description": "Concepts for Yes, No and Not applicable", "compose": { "include": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0532", "concept": [ { "code": "Y", "display": "Yes" }, { "code": "N", "display": "No" }, { "code": "NA", "display": "N/A" } ] } ] }, "expansion": { "identifier": "urn:uuid:7fce8cc7-b936-4258-921d-923629b04439", "timestamp": "2025-05-01T10:00:47+10:00", "total": 3, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": 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"code": "2", "display": "Torres Strait Islander" }, { "code": "3", "display": "Aboriginal and Torres Strait Islander" } ] } ] }, "expansion": { "identifier": "urn:uuid:eb422e76-71e8-48b0-a191-73285ddb91cc", "timestamp": "2025-05-01T10:00:56+10:00", "total": 3, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1|1.0.3" } ], "contains": [ { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1", "code": "1", "display": "Aboriginal" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1", "code": "2", "display": "Torres Strait Islander" }, { "system": 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"2025-05-01T10:00:56+10:00", "total": 4, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/v3-RoleCode|3.0.0" }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0" } ], "contains": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "MTH", "display": "mother" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "FTH", "display": "father" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "GRPRN", "display": "grandparent" }, { "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code": "NA", "display": "not applicable" } ] } }, { "resourceType": "ValueSet", "id": "administrative-gender", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pa" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 5 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "url": "http://hl7.org/fhir/ValueSet/administrative-gender", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.4.642.3.1" } ], "version": "4.0.1", "name": "AdministrativeGender", "title": "AdministrativeGender", "status": "active", "experimental": false, "date": "2019-11-01T09:29:23+11:00", "publisher": "HL7 (FHIR Project)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" }, { "system": "email", "value": "fhir@lists.hl7.org" } ] } ], "description": "The gender of a person used for administrative purposes.", "immutable": true, "copyright": "Copyright © 2011+ HL7. Licensed under Creative Commons \"No Rights Reserved\".", "compose": { "include": [ { "system": "http://hl7.org/fhir/administrative-gender" } ] }, "expansion": { "identifier": "urn:uuid:31c9098a-778c-4de6-9c2b-4f1e2db26179", "timestamp": "2025-05-01T10:00:55+10:00", "total": 4, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "http://hl7.org/fhir/administrative-gender|4.0.1" } ], "contains": [ { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Male" }, { "system": "http://hl7.org/fhir/administrative-gender", "code": "female", "display": "Female" }, { "system": "http://hl7.org/fhir/administrative-gender", "code": "other", "display": "Other" }, { "system": "http://hl7.org/fhir/administrative-gender", "code": "unknown", "display": "Unknown" } ] } }, { "resourceType": "ValueSet", "id": "australian-pronouns-1", "url": "https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10284" } ], "version": "1.0.0", "name": "AustralianPronouns", "title": "Australian Pronouns", "status": "active", "experimental": false, "date": "2024-02-29", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Australian Pronouns value set includes values that indicate the pronouns to be used when communicating with or about an individual.", "copyright": "Copyright © 2024 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\nThis material contains content from LOINC (http://loinc.org). LOINC is copyright 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.\n\nThis material contains information which is protected by copyright. You may download, display, print and reproduce any material for your personal, non-commercial use or use within your organisation subject to the following terms and conditions: \n\nThis resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.", "compose": { "include": [ { "system": "http://loinc.org", "concept": [ { "code": "LA29518-0", "display": "he/him/his/his/himself" }, { "code": "LA29519-8", "display": "she/her/her/hers/herself" }, { "code": "LA29520-6", "display": "they/them/their/theirs/themselves" } ] }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "concept": [ { "code": "unknown" }, { "code": "asked-declined" }, { "code": "not-asked" }, { "code": "asked-unknown" } ] } ] }, "expansion": { "identifier": "urn:uuid:1bc98e8c-511f-4014-a4d9-a48a8db0923d", "timestamp": "2025-05-01T10:00:56+10:00", "total": 7, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-valueset", "valueUri": "null" }, { "name": "used-codesystem", "valueUri": "http://loinc.org|2.80" }, { "name": "version", "valueUri": "http://loinc.org|2.80" }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0" } ], "contains": [ { "system": "http://loinc.org", "code": "LA29518-0", "display": "he/him/his/his/himself" }, { "system": "http://loinc.org", "code": "LA29519-8", "display": "she/her/her/hers/herself" }, { "system": "http://loinc.org", "code": "LA29520-6", "display": "they/them/their/theirs/themselves" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "unknown", "display": "Unknown" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "asked-declined", "display": "Asked But Declined" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "not-asked", "display": "Not Asked" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "asked-unknown", "display": "Asked But Unknown" } ] } }, { "resourceType": "ValueSet", "id": "gender-identity-response-1", "url": "https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10271" } ], "version": "1.1.0", "name": "GenderIdentityResponse", "title": "Gender Identity Response", "status": "active", "experimental": false, "date": "2024-02-29", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Gender Identity Response value set includes values that may be used to represent a response for an individual's gender. A person's gender is a social and cultural identity, expression and experience.", "copyright": "Copyright © 2022 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.\n\n\"This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. \n\nThe rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. \n\nThis resource includes material that is based on Australian Institute of Health and Welfare material. This resource includes material that is based on Australian Bureau of Statistics data. \n\nThis resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.", "compose": { "include": [ { "system": "http://snomed.info/sct", "concept": [ { "code": "446151000124109" }, { "code": "446141000124107" }, { "code": "33791000087105" } ] }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "concept": [ { "code": "unknown" }, { "code": "asked-declined" }, { "code": "not-asked" } ] } ] }, "expansion": { "identifier": "urn:uuid:81810018-2ec2-4e42-adcc-6aab69e7750c", "timestamp": "2025-05-01T10:00:58+10:00", "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-valueset", "valueUri": "null" }, { "name": "used-codesystem", "valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430" }, { "name": "version", "valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430" }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0" } ], "contains": [ { "system": "http://snomed.info/sct", "code": "446151000124109", "display": "Identifies as male gender" }, { "system": "http://snomed.info/sct", "code": "446141000124107", "display": "Identifies as female gender" }, { "system": "http://snomed.info/sct", "code": "33791000087105", "display": "Identifies as nonbinary gender" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "unknown", "display": "Unknown" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "asked-declined", "display": "Asked But Declined" }, { "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "not-asked", "display": "Not Asked" } ] } }, { "resourceType": "ValueSet", "id": "biological-sex-1", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4" ] }, "url": "https://healthterminologies.gov.au/fhir/ValueSet/biological-sex-1", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10198" } ], "version": "1.0.0", "name": "BiologicalSex", "title": "Biological Sex", "status": "active", "experimental": false, "date": "2020-12-31", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Biological Sex value set includes values that represent the biological sex of an individual.", "copyright": "Copyright © 2020 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\nThis resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. \n\nThe rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. \n\nAll copies of this resource must include this copyright statement and all information contained in this statement.", "compose": { "include": [ { "system": "http://snomed.info/sct", "filter": [ { "property": "constraint", "op": "=", "value": "^ 32570631000036107|Sex reference set|" } ] } ] }, "expansion": { "identifier": "urn:uuid:9a0c2291-6dd8-4778-9099-4622f64fa897", "timestamp": "2025-05-01T10:00:49+10:00", "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-valueset", "valueUri": "null" }, { "name": "used-codesystem", "valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430" }, { "name": "version", "valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430" } ], "contains": [ { "system": "http://snomed.info/sct", "code": "248152002", "display": "Female" }, { "system": "http://snomed.info/sct", "code": "32570681000036106", "display": "Indeterminate sex" }, { "system": "http://snomed.info/sct", "code": "32570691000036108", "display": "Intersex" }, { "system": "http://snomed.info/sct", "code": "248153007", "display": "Male" } ] } }, { "resourceType": "ValueSet", "id": "australian-states-territories-2", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4" ] }, "url": "https://healthterminologies.gov.au/fhir/ValueSet/australian-states-territories-2", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10026" } ], "version": "2.0.2", "name": "AustralianStatesAndTerritories", "title": "Australian States and Territories", "status": "active", "experimental": false, "date": "2020-05-31", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Australian States and Territories value set includes values that represent the Australian states and territories.", "copyright": "Copyright © 2018 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\nThis resource includes material that is based on Australian Institute of Health and Welfare material. \n\nAll copies of this resource must include this copyright statement and all information contained in this statement.", "compose": { "include": [ { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "concept": [ { "code": "ACT" }, { "code": "NSW" }, { "code": "NT" }, { "code": "OTHER" }, { "code": "QLD" }, { "code": "SA" }, { "code": "TAS" }, { "code": "VIC" }, { "code": "WA" } ] } ] }, "expansion": { "identifier": "urn:uuid:148e9412-a321-4a6f-b911-7e7908be82af", "timestamp": "2025-05-01T10:00:57+10:00", "total": 9, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1|1.1.3" } ], "contains": [ { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "ACT", "display": "Australian Capital Territory" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "NSW", "display": "New South Wales" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "NT", "display": "Northern Territory" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "OTHER", "display": "Other territories" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "QLD", "display": "Queensland" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "SA", "display": "South Australia" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "TAS", "display": "Tasmania" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "VIC", "display": "Victoria" }, { "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1", "code": "WA", "display": "Western Australia" } ] } }, { "resourceType": "ValueSet", "id": "YesNo", "url": "https://smartforms.csiro.au/ig/ValueSet/YesNo", "name": "YesNo", "title": "Yes/No", "status": "draft", "experimental": false, "description": "Concepts for Yes and No", "compose": { "include": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0532", "concept": [ { "code": "Y", "display": "Yes" }, { "code": "N", "display": "No" } ] } ] }, "expansion": { "identifier": "urn:uuid:41cccc66-fd57-4bc4-bab1-8c5c878d95f7", "timestamp": "2025-05-01T10:00:50+10:00", "total": 2, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/v2-0532|2.1.0" } ], "contains": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0532", "code": "Y", "display": "Yes" }, { "system": "http://terminology.hl7.org/CodeSystem/v2-0532", "code": "N", "display": "No" } ] } }, { "resourceType": "ValueSet", "id": "condition-clinical", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pc" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 3 } ], "url": "http://hl7.org/fhir/ValueSet/condition-clinical", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.4.642.3.164" } ], "version": "4.0.1", "name": "ConditionClinicalStatusCodes", "title": "Condition Clinical Status Codes", "status": "draft", "experimental": false, "date": "2019-11-01T09:29:23+11:00", "publisher": "FHIR Project team", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] } ], "description": "Preferred value set for Condition Clinical Status.", "copyright": "Copyright © 2011+ HL7. Licensed under Creative Commons \"No Rights Reserved\".", "compose": { "include": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical" } ] }, "expansion": { "identifier": "urn:uuid:7b100d21-fde9-4fd8-bded-80f345db777d", "timestamp": "2025-05-01T10:00:56+10:00", "total": 7, "offset": 0, "parameter": [ { "name": "displayLanguage", "valueCode": "en-US" }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "excludeNested", "valueBoolean": false }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/condition-clinical|3.0.0" } ], "contains": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active", "contains": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "recurrence", "display": "Recurrence" }, { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "relapse", "display": "Relapse" } ] }, { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "inactive", "display": "Inactive", "contains": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "remission", "display": "Remission" }, { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "resolved", "display": "Resolved" } ] }, { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "unknown", "display": "Unknown" } ] } }, { "resourceType": "ValueSet", "id": "clinical-condition-1", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4" ] }, "url": "https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10035" } ], "version": "1.0.2", "name": "ClinicalCondition", "title": "Clinical Condition", "status": "active", "experimental": false, "date": "2020-05-31", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Clinical Condition value set includes values that cover a broad range of clinical concepts to support the representation of conditions, including problems, diagnoses and disorders.", "copyright": "Copyright © 2018 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\nThis resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. \n\nThe rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. \n\nAll copies of this resource must include this copyright statement and all information contained in this statement.", "compose": { "include": [ { "system": "http://snomed.info/sct", "filter": [ { "property": "concept", "op": "in", "value": "32570581000036105" } ] } ] } }, { "resourceType": "Condition", "id": "ConditionTemplate", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-category", "code": "problem-list-item" } ] } ], "code": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='2da85994-2d5e-42f1-8a81-abf44f397468').answer.value" } ], "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(Coding)" } ] } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(string)" } ] } }, "subject": { "_reference": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "%resource.subject.reference" } ] } }, "_onsetDateTime": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='4d55bffb-3286-4a23-a785-3b9c346d464d').answer.value.toDateTime()" } ] }, "note": [ { "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='newdiagnosis-comment').answer.value" } ] } } ] }, { "resourceType": "Parameters", "id": "ConditionPatchTemplate", "parameter": [ { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "Condition.clinicalStatus" }, { "name": "name", "valueString": "clinicalStatus" }, { "name": "value", "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='88bcfad7-386b-4d87-b34b-2e50482e4d2c').answer.value.first()" } ] } ] } }, { "name": "pathLabel", "valueString": "Clinical status" } ] }, { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "Condition.abatement" }, { "name": "name", "valueString": "abatement" }, { "name": "value", "_valueDateTime": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='e4524654-f6de-4717-b288-34919394d46b').answer.value.toDateTime()" } ] } }, { "name": "pathLabel", "valueString": "Abatement date" } ] } ] }, { "resourceType": "ValueSet", "id": "smart-health-checks-medicine-products", "url": "https://smartforms.csiro.au/ig/ValueSet/smart-health-checks-medicine-products", "name": "SmartHealthChecksMedicineProducts", "title": "Smart Health Checks Medicine Products", "status": "draft", "experimental": false, "description": "The Smart Health Checks Medicine Products value set includes Australian Medicines Terminology (AMT) product concepts that may be used for the identification of a medicine with form, ingredient and unit of measure details.", "compose": { "include": [ { "system": "http://snomed.info/sct", "version": "http://snomed.info/sct/32506021000036107", "filter": [ { "property": "constraint", "op": "=", "value": "^ 929360081000036101|Medicinal product pack reference set| OR ^ 929360071000036103|Medicinal product unit of use reference set| OR ^ 929360041000036105|Trade product pack reference set| OR ^ 929360031000036100|Trade product unit of use reference set| OR ^ 929360051000036108|Containered trade product pack reference set|" } ] } ] } }, { "resourceType": "ValueSet", "id": "medication-reason-taken-1", "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4" ] }, "url": "https://healthterminologies.gov.au/fhir/ValueSet/medication-reason-taken-1", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.2.36.1.2001.1004.201.10048" } ], "version": "1.1.0", "name": "MedicationReasonTaken", "title": "Medication Reason Taken", "status": "active", "experimental": false, "date": "2020-07-31", "publisher": "Australian Digital Health Agency", "contact": [ { "telecom": [ { "system": "email", "value": "help@digitalhealth.gov.au" } ] } ], "description": "The Medication Reason Taken value set includes values that identify a reason why a medication has been or is being taken.", "copyright": "Copyright © 2020 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\nThis resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. \n\nThe rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted.\n\nAll copies of this resource must include this copyright statement and all information contained in this statement.", "compose": { "include": [ { "system": "http://snomed.info/sct", "filter": [ { "property": "constraint", "op": "=", "value": "^ 32570581000036105|Problem/Diagnosis reference set| OR ^ 1184831000168105|Drug prophylaxis reference set| OR << 399097000|Administration of anaesthesia| OR 169443000|Preventive procedure|" } ] } ] } }, { "resourceType": "MedicationStatement", "id": "MedicationStatementTemplate", "status": "completed", "medicationCodeableConcept": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='regularmedications-summary-new-medication').answer.value" } ], "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(Coding)" } ] } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(string)" } ] } }, "subject": { "_reference": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "%resource.subject.reference" } ] } }, "_dateAsserted": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "now()" } ] }, "reasonCode": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='regularmedications-summary-new-reasoncode').answer.value.ofType(Coding)" } ], "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this" } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='regularmedications-summary-new-reasoncode').answer.value.ofType(string)" } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this" } ] } } ], "note": [ { "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='regularmedications-summary-new-comment').answer.value" } ] } } ], "dosage": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='regularmedications-summary-new-dosage').answer.value" } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this" } ] } } ] }, { "resourceType": "Parameters", "id": "MedicationStatementPatchTemplate", "parameter": [ { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "MedicationStatement.status" }, { "name": "name", "valueString": "status" }, { "name": "value", "_valueCode": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='regularmedications-summary-current-status').answer.value.code" } ] } }, { "name": "pathLabel", "valueString": "Status" } ] }, { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "MedicationStatement.note[0].text" }, { "name": "name", "valueString": "text" }, { "name": "value", "_valueMarkdown": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='regularmedications-summary-current-comment').answer.value.first()" } ] } }, { "name": "pathLabel", "valueString": "Comment" } ] }, { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "MedicationStatement.dosage[0].text" }, { "name": "name", "valueString": "text" }, { "name": "value", "_valueString": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='regularmedications-summary-current-dosage').answer.value.first()" } ] } }, { "name": "pathLabel", "valueString": "Dosage" } ] } ] }, { "resourceType": "AllergyIntolerance", "id": "AllergyIntoleranceTemplate", "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active" } ] }, "code": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='allergynew-substance').answer.value" } ], "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(Coding)" } ] } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "ofType(string)" } ] } }, "patient": { "_reference": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "%resource.subject.reference" } ] } }, "note": [ { "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='allergynew-comment').answer.value" } ] } } ], "reaction": [ { "manifestation": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='allergynew-manifestation').answer.value.ofType(Coding)" } ], "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this" } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext", "valueString": "item.where(linkId='allergynew-manifestation').answer.value.ofType(string)" } ], "_text": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this" } ] } } ] } ] }, { "resourceType": "Parameters", "id": "AllergyIntolerancePatchTemplate", "parameter": [ { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "AllergyIntolerance.clinicalStatus" }, { "name": "name", "valueString": "clinicalStatus" }, { "name": "value", "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='allergysummary-status').answer.value.first()" } ] } ] } }, { "name": "pathLabel", "valueString": "Clinical status" } ] }, { "name": "operation", "part": [ { "name": "type", "valueCode": "replace" }, { "name": "path", "valueString": "AllergyIntolerance.note[0].text" }, { "name": "name", "valueString": "text" }, { "name": "value", "_valueMarkdown": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "item.where(linkId='allergysummary-comment').answer.value.first()" } ] } }, { "name": "pathLabel", "valueString": "Comment" } ] } ] }, { "resourceType": "Observation", "id": "SmokingStatusTemplate", "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1747861000168109" }, { "system": "http://loinc.org", "code": "72166-2" } ], "text": "Smoking status" }, "subject": { "_reference": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "%resource.subject.reference" } ] } }, "_effectiveDateTime": { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "%resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()" } ] }, "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue", "valueString": "$this.answer.value" } ] } ] } }, { "resourceType": "ValueSet", "id": "SmokingQuitStatus-1", 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complete</div>\r\n</body>\r\n</div>" } ] }, "type": "boolean", "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%age >= 50" } } ], "linkId": "c5da020c-c4f3-437c-b658-ea7e7667514d", "text": "Chronic disease associated with ageing", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code": "context-display" } ] } } ], "linkId": "CD-in-progress-4", "text": "In progress", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div title=\"In progress\" xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">\r\n\t\t<img width='24' height='24' src='data:image/svg+xml;base64,\r\n\t\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' \r\n\t\tstyle=\"align-self: 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src='data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxZW0iIGhlaWdodD0iMWVtIiB2aWV3Qm94PSIwIDAgMjQgMjQiPjxwYXRoIGZpbGw9IiMyZTdkMzIiIGQ9Ik0yMCAxMmE4IDggMCAwIDEtOCA4YTggOCAwIDAgMS04LThhOCA4IDAgMCAxIDgtOGMuNzYgMCAxLjUuMTEgMi4yLjMxbDEuNTctMS41N0E5LjgyMiA5LjgyMiAwIDAgMCAxMiAyQTEwIDEwIDAgMCAwIDIgMTJhMTAgMTAgMCAwIDAgMTAgMTBhMTAgMTAgMCAwIDAgMTAtMTBNNy45MSAxMC4wOEw2LjUgMTEuNUwxMSAxNkwyMSA2bC0xLjQxLTEuNDJMMTEgMTMuMTdsLTMuMDktMy4wOVoiLz48L3N2Zz4='\r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>" } ] }, "type": "display", "enableWhen": [ { "question": "MarkComplete-4", "operator": "=", "answerBoolean": true } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText", "valueString": "Assessment of chronic disease associated with ageing" } ], "linkId": "12e244c0-2887-4230-8792-9521d4f1ab33", "text": "For older people with chronic disease and/or conditions associated with ageing, consider assessing: Osteoporosis risk; Falls risk; Balance, coordination and mobility; Pain; Nutrition; Regularity of chronic disease management and review", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n <div>For older people with chronic disease and/or conditions associated with ageing, consider assessing:</div>\r\n <ul>\r\n <li>Osteoporosis risk</li>\r\n <li>Falls risk</li>\r\n <li>Balance, coordination and mobility</li>\r\n <li>Pain</li>\r\n <li>Nutrition</li>\r\n <li>Regularity of chronic disease management and review</li>\r\n </ul>\r\n </div>" } ] }, "type": "text", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "prompt" } ] } } ], "linkId": "d6337ce3-ec9a-44e2-a69a-2355025b3e8c", "text": "Details", "type": 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South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. 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"repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%age <= 12" } } ], "linkId": "7a431d03-1726-4905-aae7-49f62a10ce5e", "text": "Haemoglobin (children at risk of iron deficiency anaemia)", "type": "string", "repeats": false }, { "linkId": "fcbfa6e1-c101-4675-969d-aa11027859c2", "text": "Health priorities, actions and follow-up", "type": "text", "repeats": false }, { "linkId": "MarkComplete-7", "text": "Mark section as complete", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n <style type=\"text/css\">\r\n .alert {\r\n padding: 0.875rem;\r\n margin-bottom: 1rem;\r\n font-size: 0.875rem;\r\n color: #2E7D32;\r\n border-radius: 0.5rem;\r\n background-color: #d5e5d6;\r\n font-weight: 700;\r\n }\r\n </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>" } ] }, "type": "boolean", "repeats": false } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%age >= 25" } } ], "linkId": "d95abe99-8ef2-4b97-bc88-a2901e2ebc9c", "text": "Absolute cardiovascular disease risk calculation", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code": "context-display" } ] } } ], "linkId": "CD-in-progress-2", "text": "In progress", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div title=\"In progress\" xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">\r\n\t\t<img width='24' height='24' src='data:image/svg+xml;base64,\r\n\t\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' \r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>" } ] }, "type": "display", "enableWhen": [ { "question": "MarkComplete-2", "operator": "!=", "answerBoolean": true } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code": "context-display" } ] } } ], "linkId": "CD-complete-2", "text": "Complete", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div title=\"Section completed\" xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">\r\n\t\t<img width='24' height='24' src='data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxZW0iIGhlaWdodD0iMWVtIiB2aWV3Qm94PSIwIDAgMjQgMjQiPjxwYXRoIGZpbGw9IiMyZTdkMzIiIGQ9Ik0yMCAxMmE4IDggMCAwIDEtOCA4YTggOCAwIDAgMS04LThhOCA4IDAgMCAxIDgtOGMuNzYgMCAxLjUuMTEgMi4yLjMxbDEuNTctMS41N0E5LjgyMiA5LjgyMiAwIDAgMCAxMiAyQTEwIDEwIDAgMCAwIDIgMTJhMTAgMTAgMCAwIDAgMTAgMTBhMTAgMTAgMCAwIDAgMTAtMTBNNy45MSAxMC4wOEw2LjUgMTEuNUwxMSAxNkwyMSA2bC0xLjQxLTEuNDJMMTEgMTMuMTdsLTMuMDktMy4wOVoiLz48L3N2Zz4='\r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>" } ] }, "type": "display", "enableWhen": [ { "question": "MarkComplete-2", "operator": "=", "answerBoolean": true } ] }, { "linkId": "Guidance-CVDRisk", "text": "The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the Aus CVD Risk calculator.", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"font-size:1.1em;\">The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the Aus CVD Risk calculator.</p></div>" } ] }, "type": "display" }, { "linkId": "dabdc7b4-51db-44a0-9d59-77a88587cbe9", "text": "CVD risk result", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "iif(%CVDRiskResultValue.exists() and %CVDRiskResultDateFormatted.exists(), %CVDRiskResultValue + ' ( ' + %CVDRiskResultDateFormatted + ' )', 'Not available')" } } ], "linkId": "cvdrisk-latestresult", "text": "Latest available result", "type": "string", "repeats": false, "readOnly": true }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%CVDRiskResultValue.exists() and %CVDRiskResultDateFormatted.exists()" } } ], "linkId": "cvdrisk-newassessmentquestion", "text": "A previous CVD risk result has been found. Do you want to perform a new assessment?", "type": "boolean", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%NewAssessmentQuestionAnswer = true or %CVDRiskResultValue.empty() or %CVDRiskResultDateFormatted.empty()" } } ], "linkId": "cvdrisk-auscvdriskiaccess", "text": "Do you have access to the Aus CVD Risk-i application from your clinical system?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Do you have access to the <em>Aus CVD Risk‑i</em> application from your clinical system?</p></div>" } ] }, "type": "boolean", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%AusCVDRiskiAccessAnswer = true" } } ], "linkId": "cvdrisk-auscvdriskiguidance", "text": "Using the Aus CVD Risk-i application, calculate the CVD risk result and save it to the patient record. This form can then be repopulated to retrieve and include the result above.", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"font-size:1.1em;\">Using the <em>Aus CVD Risk‑i</em> application, calculate the CVD risk result and save it to the patient record. This form can then be repopulated to retrieve and include the result above.</p></div>" } ] }, "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%AusCVDRiskiAccessAnswer = true" } } ], "linkId": "cvdrisk-repopulateoverride", "text": "Do you need to manually enter a new CVD risk result instead of repopulating?", "type": "boolean", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%AusCVDRiskiAccessAnswer != true or %RepopulateOverrideAnswer = true" } } ], "linkId": "cvdrisk-cvdriskresultgroup", "text": "New CVD risk result", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%AusCVDRiskiAccessAnswer != true" } } ], "linkId": "cvdrisk-onlincecalculatorguidance", "text": "Use the online Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n <p>The <a href=\"https://www.cvdcheck.org.au/calculator\" target=\"_blank\">Australian CVD risk calculator</a> on the Aus CVD Risk website should be used. Below is a read only view of a subset of variables that can be used as inputs for the online calculator. The calculated CVD risk result can be entered here.</p></div>" } ] }, "type": "display" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding": { "system": "http://unitsofmeasure.org", "code": "%" } } ], "linkId": "4c52fcec-0695-4916-b185-24a5c2711631", "text": "Risk result score", "type": "integer", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "unit" } ] } } ], "linkId": "0162854e-c124-4b58-acd9-93c17562d407", "text": "%", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button" } ] } } ], "linkId": "28ff9463-b77f-435d-9ba7-427682a61f96", "text": "Assessed risk category", "type": "choice", "repeats": false, "answerOption": [ { "valueString": "High Risk" }, { "valueString": "Intermediate Risk" }, { "valueString": "Low Risk" } ] } ] } ] }, { "linkId": "8d02ef36-3f48-4912-b001-e9fec6aa7101", "text": "CVD risk calculator variables", "type": "group", "enableWhen": [ { "question": "cvdrisk-auscvdriskiaccess", "operator": "=", "answerBoolean": false } ], "repeats": false, "readOnly": true, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression": { "description": "CVD Risk Age", "language": "text/fhirpath", "expression": "%age" } }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding": { "system": "http://unitsofmeasure.org", "code": "a" } } ], "linkId": "6909cb38-a6f4-44c9-abae-0e5d697a21f5", "text": "Age", "type": "integer", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "unit" } ] } } ], "linkId": "b9aba16c-f910-4948-9267-e07851f69572", "text": "years", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression": { "description": "CVD Risk Sex At Birth", "language": "text/fhirpath", "expression": "%SexAtBirthCoding" } } ], "linkId": "3dbb0e63-3b28-4567-8ef3-bac242fd95f6", "text": "Sex at birth", "type": "choice", "repeats": false, "answerValueSet": "#biological-sex-1" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "version": "1.0.0", "code": "grid" } ] } } ], "linkId": "fe9feec6-593a-4106-8a7d-f9965a632ea2", "text": "Observation values", "_text": { "extension": [ { "url": "https://smartforms.csiro.au/docs/custom-extension/questionnaire-item-text-hidden", "valueBoolean": true } ] }, "type": "group", "repeats": false, "item": [ { "linkId": "bac0f824-3784-400e-80f9-ad18d46bd8cb", "text": "Smoking status", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsTobaccoSmokingStatusLatest.value.coding.where(system='http://snomed.info/sct').first()" } } ], "linkId": "333007c7-47a9-482b-af11-e55484abf2ae", "text": "Value", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "266919005", "display": "Lifetime non-smoker" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "77176002", "display": "Current smoker" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "8517006", "display": "Ex-smoker" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "16090371000119103", "display": "Exposure to second hand tobacco smoke" } }, { "valueString": "Wants to quit" }, { "valueString": "Other tobacco use" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsTobaccoSmokingStatusLatest.effective" } } ], "linkId": "cvdrisk-smokingstatus-date", "text": "Date performed", "type": "date", "repeats": false } ] }, { "linkId": "fa4f73a3-7633-410c-9177-8aa43b117122", "text": "Systolic Blood Pressure", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsBloodPressureLatest.component.where(code.coding.exists(code='8480-6')).value.value" } }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding": { "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ], "linkId": "818ce640-c8dd-457d-b607-3aaa8da38524", "text": "Value", "type": "integer", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "unit" } ] } } ], "linkId": "ddea5a62-a8c1-4b15-b667-7b69babec8cd", "text": "mm Hg", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsBloodPressureLatest.effective" } } ], "linkId": "85d8faf7-ddb0-446c-b489-28d786d6de50", "text": "Date performed", "type": "date", "repeats": false } ] }, { "linkId": "e693c7d2-be69-4f1f-b72d-7ff2ea3cd536", "text": "Total Cholesterol", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsTotalCholesterolLatest.value.value" } }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding": { "system": "http://unitsofmeasure.org", "code": "mmol/L" } } ], "linkId": "99932a93-8135-47b2-933b-fd751b34b7af", "text": "Value", "type": "decimal", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "unit" } ] } } ], "linkId": "fcfbfc9f-e400-4aae-993f-ea54096e7361", "text": "mmol/L", "type": "display" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsTotalCholesterolLatest.effective" } } ], "linkId": "16cbe87b-5c8d-4385-b7d9-da3f07f63f8a", "text": "Date performed", "type": "date", "repeats": false } ] }, { "linkId": "87eefaf6-010f-4b0d-9f51-2c33e46e6c69", "text": "HDL Cholesterol", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%ObsHDLCholesterolLatest.value.value" } }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding": { "system": "http://unitsofmeasure.org", "code": "mmol/L" } } ], "linkId": "c14b4513-1e20-461d-97f4-4631711adc65", "text": "Value", "type": "decimal", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "unit" } ] } 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"linkId": "0ef84b09-ca34-44c2-96d1-fcbbea0bae66", "text": "When", "type": "date", "enableWhen": [ { "question": "4044d0b4-94b2-4a89-b826-a14614298511", "operator": "exists", "answerBoolean": true }, { "question": "f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a", "operator": "exists", "answerBoolean": true }, { "question": "07cfe077-ba93-4f93-b2a5-027023faa33b", "operator": "exists", "answerBoolean": true }, { "question": "a525c370-d8c3-4764-ab3a-bf62081725e0", "operator": "exists", "answerBoolean": true }, { "question": "d68d9693-48d3-4663-9dbb-dd3a7aec5278", "operator": "exists", "answerBoolean": true } ], "enableBehavior": "any", "repeats": false } ] } ] }, { "linkId": "a400fe69-c99f-47ed-bee1-083c3e4be467", "text": "Recalls", "type": "group", "repeats": false, "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-display-category", "code": "instructions" } ] } } ], "linkId": "b0c69e16-5dc3-481f-8e8f-fc0a93627184", "text": "e.g. clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations", "type": "display" }, { "linkId": "fece6a3c-f8f1-4592-a166-5ea5a3c60c8e", "text": "Recall entered", "type": "string", "repeats": true } ] }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%age <= 5" } } ], "linkId": "5a0c98f8-5349-4045-9ba0-27a4f35630b9", "text": "Parent/carer actions", "type": "text", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "(%age <= 12).intersect(%age > 5)" } } ], "linkId": "cde03bf0-182a-4998-a37e-7b3f22786617", "text": "Parent/patient actions", "type": "text", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression": { "language": "text/fhirpath", "expression": "%age >12" } } ], "linkId": "51ff0c15-312a-45ce-a25a-6c6a4bf0e17e", "text": "Patient actions", "type": "text", "repeats": false }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button" } ] } }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText", "valueString": "Copy of health check" } ], "linkId": "8176151f-6d86-45eb-91b1-12458d75a181", "text": "A copy of this health check has been offerered - including details of follow-up and future appointments", "type": "choice", "repeats": false, "answerOption": [ { "valueString": "Yes, copy taken" }, { "valueString": "Yes, but declined" }, { "valueString": "Not offered. Plan to follow up and offer at a later date" } ] }, { "linkId": "MarkComplete-31", "text": "Mark section as complete", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n <style type=\"text/css\">\r\n .alert {\r\n padding: 0.875rem;\r\n margin-bottom: 1rem;\r\n font-size: 0.875rem;\r\n color: #29712D;\r\n border-radius: 0.5rem;\r\n background-color: #D9E8DA;\r\n font-weight: 700;\r\n max-width: 205px;\r\n }\r\n </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>" } ] }, "type": "boolean", "repeats": false } ] } ] } ] }