| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | Immunisation |
| FHIR Version | R4 |
| Source | https://smartforms.csiro.au/ig/https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-Immunisation.html |
| URL | http://www.health.gov.au/assessments/mbs/715/Immunisation |
| Version | 0.3.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | Immunisation |
| Title | Aboriginal and Torres Strait Islander Health Check - Immunisation |
| 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/. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire Immunisation
Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire, Populatable Questionnaire - Expression, Extractable Questionnaire - Template
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  Immunisation | Questionnaire | http://www.health.gov.au/assessments/mbs/715/Immunisation#0.3.0 | |||
  205677d6-17c7-4285-a7c4-61aa02b6c816 | Immunisation | 0..1 | group | ||
   CD-in-progress-13 | In progress | 0..1 | display | Enable When: MarkComplete-13 != | |
| CD-complete-13 | Complete | 0..1 | display | Enable When: MarkComplete-13 = | |
| 54de7714-b917-4426-acb4-29d48648a2d8 | Check Child Health Record/Book and Australian Immunisation Register | 0..1 | display | ||
| d77c527d-6fde-4ed7-97b9-c71acf817f39 | Eligibility for funded vaccines may vary across jurisdictions | 0..1 | display | ||
| 77d87581-d4d7-4267-9f3c-ad6541ad0f46 | Check Australian Immunisation Register | 0..1 | display | ||
| a2631d2c-2b5c-4147-9aca-05ae655a56a5 | Check recommended primary vaccinations completed and provide catch-up if required | 0..1 | display | ||
| vaccinesprevious | Vaccines previously given | 0..* | group |  | |
  vaccinesprevious-vaccine | Vaccine | 0..1 | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
 vaccinesprevious-batch | Batch number | 0..1 | string | ||
 vaccinesprevious-date | Administration date | 0..1 | date | ||
| vaccinesprevious-comment | Comment | 0..1 | string | ||
| vaccinesair | Immunisations are up to date? | 0..1 | choice |  | Value Set: Yes/No |
| vaccinesdue | Immunisations due | 0..* | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
| vaccinestoday | Vaccines given today | 0..* | group | ||
| vaccinestoday-vaccine | Vaccine | 0..1 | open-choice | Value Set: Australian Medicines Terminology Vaccine | |
| vaccinestoday-batch | Batch number | 0..1 | string | ||
| vaccinestoday-date | Administration date | 0..1 | date | ||
| vaccinestoday-comment | Comment | 0..1 | string | ||
| vaccinesrecorded | Have all vaccines been recorded on the Australian Immunisation Register? | 0..1 | choice | | Value Set: Yes/No |
 bcd1c9f2-889e-41e5-8c2b-a70221c5cec5 | Health priorities, actions and follow-up | 0..1 | text | ||
 MarkComplete-13 | Mark section as complete | 0..1 | boolean | ||
| Documentation for this format | |||||
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 #amt-vaccine-1
Profiles: Shareable ValueSet, https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4
FHIRhttp://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:
{
"resourceType": "Questionnaire",
"id": "Immunisation",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-template"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"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": "amt-vaccine-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/amt-vaccine-1",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.36.1.2001.1004.201.10042"
}
],
"version": "1.0.2",
"name": "AustralianMedicinesTerminologyVaccine",
"title": "Australian Medicines Terminology Vaccine",
"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 Medicines Terminology (AMT) Vaccine value set includes AMT product concepts that may be used to record a vaccine product.",
"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\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\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": "1156291000168106"
}
]
}
]
}
},
{
"resourceType": "Immunization",
"id": "ImmunizationTemplate",
"status": "completed",
"vaccineCode": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext",
"valueString": "item.where(linkId='vaccinestoday-vaccine').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"
}
]
}
},
"_occurrenceDateTime": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "item.where(linkId='vaccinestoday-date').answer.value.toDateTime()"
}
]
},
"_lotNumber": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "item.where(linkId='vaccinestoday-batch').answer.value"
}
]
},
"note": [
{
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "item.where(linkId='vaccinestoday-comment').answer.value"
}
]
}
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation",
"valueCode": "assemble-child"
},
{
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "patient"
}
},
{
"url": "type",
"valueCode": "Patient"
},
{
"url": "description",
"valueString": "The patient that is to be used to pre-populate the form"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "user"
}
},
{
"url": "type",
"valueCode": "Practitioner"
},
{
"url": "description",
"valueString": "The practitioner user that is to be used to pre-populate the form"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "encounter"
}
},
{
"url": "type",
"valueCode": "Encounter"
},
{
"url": "description",
"valueString": "The encounter that is to be used to pre-populate the form"
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
"valueString": "age"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "Immunization",
"language": "application/x-fhir-query",
"expression": "Immunization?patient={{%patient.id}}&status=completed"
}
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
}
],
"url": "http://www.health.gov.au/assessments/mbs/715/Immunisation",
"version": "0.3.0",
"name": "Immunisation",
"title": "Aboriginal and Torres Strait Islander Health Check - Immunisation",
"status": "draft",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2025-03-14",
"publisher": "AEHRC CSIRO",
"contact": [
{
"name": "AEHRC CSIRO",
"telecom": [
{
"system": "url",
"value": "https://confluence.csiro.au/display/PCDQFPhase2/Primary+Care+Data+Quality+Foundations+-+Phase+2"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "AU",
"display": "Australia"
}
]
}
],
"copyright": "Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved.\nThis content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.\nSee https://creativecommons.org/licenses/by-sa/4.0/.\n",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age.exists()"
}
}
],
"linkId": "205677d6-17c7-4285-a7c4-61aa02b6c816",
"text": "Immunisation",
"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-13",
"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\tPHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxZW0iIGhlaWdodD0iMWVtIiB2aWV3Qm94PSIwIDAgMjQgMjQiPjxwYXRoIGZpbGw9IiM3NTc1NzUiIGQ9Im0xNS44NCAxMC4ybC0xLjAxIDEuMDFsLTIuMDctMi4wM2wxLjAxLTEuMDJjLjItLjIxLjU0LS4yMi43OCAwbDEuMjkgMS4yNWMuMjEuMjEuMjIuNTUgMCAuNzlNOCAxMy45MWw0LjE3LTQuMTlsMi4wNyAyLjA4bC00LjE2IDQuMkg4di0yLjA5TTEzIDJ2MmM0LjM5LjU0IDcuNSA0LjUzIDYuOTYgOC45MkE4LjAxNCA4LjAxNCAwIDAgMSAxMyAxOS44OHYyYzUuNS0uNiA5LjQ1LTUuNTQgOC44NS0xMS4wM0MyMS4zMyA2LjE5IDE3LjY2IDIuNSAxMyAybS0yIDBjLTEuOTYuMTgtMy44MS45NS01LjMzIDIuMkw3LjEgNS43NGMxLjEyLS45IDIuNDctMS40OCAzLjktMS42OHYtMk00LjI2IDUuNjdBOS44MSA5LjgxIDAgMCAwIDIuMDUgMTFoMmMuMTktMS40Mi43NS0yLjc3IDEuNjQtMy45TDQuMjYgNS42N00yLjA2IDEzYy4yIDEuOTYuOTcgMy44MSAyLjIxIDUuMzNsMS40Mi0xLjQzQTguMDAyIDguMDAyIDAgMCAxIDQuMDYgMTNoLTJtNSA1LjM3bC0xLjM5IDEuMzdBOS45OTQgOS45OTQgMCAwIDAgMTEgMjJ2LTJhOC4wMDIgOC4wMDIgMCAwIDEtMy45LTEuNjNoLS4wNFoiLz48L3N2Zz4=' \r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>"
}
]
},
"type": "display",
"enableWhen": [
{
"question": "MarkComplete-13",
"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-13",
"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-13",
"operator": "=",
"answerBoolean": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age <= 12"
}
}
],
"linkId": "54de7714-b917-4426-acb4-29d48648a2d8",
"text": "Check Child Health Record/Book and Australian Immunisation Register",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><em>Check Child Health Record/Book and Australian Immunisation Register</em></p>\n </div>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age > 12"
}
}
],
"linkId": "d77c527d-6fde-4ed7-97b9-c71acf817f39",
"text": "Eligibility for funded vaccines may vary across jurisdictions",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><em>Eligibility for funded vaccines may vary across jurisdictions</em></p>\n </div>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%age > 12) and (%age <= 24)"
}
}
],
"linkId": "77d87581-d4d7-4267-9f3c-ad6541ad0f46",
"text": "Check Australian Immunisation Register",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><em>Check Australian Immunisation Register</em></p>\n </div>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%age > 24) and (%age <= 49)"
}
}
],
"linkId": "a2631d2c-2b5c-4147-9aca-05ae655a56a5",
"text": "Check recommended primary vaccinations completed and provide catch-up if required",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><em>Check recommended primary vaccinations completed and provide catch-up if required</em></p>\n </div>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "gtable"
}
]
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext",
"valueExpression": {
"name": "ImmunizationRepeat",
"language": "text/fhirpath",
"expression": "%Immunization.entry.resource"
}
}
],
"linkId": "vaccinesprevious",
"text": "Vaccines previously given",
"type": "group",
"repeats": true,
"readOnly": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "autocomplete"
}
]
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%ImmunizationRepeat.vaccineCode.select((coding.where(system='http://snomed.info/sct') | coding.where(system!='http://snomed.info/sct').first() | text ).first())"
}
}
],
"linkId": "vaccinesprevious-vaccine",
"text": "Vaccine",
"type": "open-choice",
"answerValueSet": "#amt-vaccine-1"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%ImmunizationRepeat.lotNumber"
}
}
],
"linkId": "vaccinesprevious-batch",
"text": "Batch number",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%ImmunizationRepeat.occurrence.ofType(dateTime).toDate()"
}
}
],
"linkId": "vaccinesprevious-date",
"text": "Administration date",
"type": "date"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%ImmunizationRepeat.note.text.first()"
}
}
],
"linkId": "vaccinesprevious-comment",
"text": "Comment",
"type": "string"
}
]
},
{
"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/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}
],
"linkId": "vaccinesair",
"text": "Immunisations are up to date?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "autocomplete"
}
]
}
}
],
"linkId": "vaccinesdue",
"text": "Immunisations due",
"type": "open-choice",
"repeats": true,
"answerValueSet": "#amt-vaccine-1"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "gtable"
}
]
}
},
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#ImmunizationTemplate"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
}
],
"linkId": "vaccinestoday",
"text": "Vaccines given today",
"type": "group",
"repeats": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "autocomplete"
}
]
}
}
],
"linkId": "vaccinestoday-vaccine",
"text": "Vaccine",
"type": "open-choice",
"answerValueSet": "#amt-vaccine-1"
},
{
"linkId": "vaccinestoday-batch",
"text": "Batch number",
"type": "string"
},
{
"linkId": "vaccinestoday-date",
"text": "Administration date",
"type": "date"
},
{
"linkId": "vaccinestoday-comment",
"text": "Comment",
"type": "string"
}
]
},
{
"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/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}
],
"linkId": "vaccinesrecorded",
"text": "Have all vaccines been recorded on the Australian Immunisation Register?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"linkId": "bcd1c9f2-889e-41e5-8c2b-a70221c5cec5",
"text": "Health priorities, actions and follow-up",
"type": "text",
"repeats": false
},
{
"linkId": "MarkComplete-13",
"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
}
]
}
]
}