| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | MedicalHistoryCurrentProblems |
| FHIR Version | R4 |
| Source | https://smartforms.csiro.au/ig/https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-MedicalHistoryCurrentProblems.html |
| URL | http://www.health.gov.au/assessments/mbs/715/MedicalHistoryCurrentProblems |
| Version | 0.3.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | MedicalHistoryCurrentProblems |
| Title | Aboriginal and Torres Strait Islander Health Check - Medical History |
| 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 MedicalHistoryCurrentProblems
Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire, Populatable Questionnaire - Expression, Extractable Questionnaire - Template
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  MedicalHistoryCurrentProblems | Questionnaire | http://www.health.gov.au/assessments/mbs/715/MedicalHistoryCurrentProblems#0.3.0 | |||
  28d5dbe4-1e65-487c-847a-847f544a6a91 | Medical history and current problems | 0..1 | group | ||
   CD-in-progress-17 | In progress | 0..1 | display | Enable When: MarkComplete-17 != | |
| CD-complete-17 | Complete | 0..1 | display | Enable When: MarkComplete-17 = | |
| b9de2b58-55e2-436d-95ab-49600508cdf7 | Birth history | 0..1 | group | ||
  a10a7375-e9d3-4e71-a47a-282e9ba38ec1 | Gestation at birth | 0..1 | decimal | ||
| f3899852-36c4-441f-9a7d-544ef1617f08 | weeks | 0..1 | display | ||
| 29b6d8ea-23b2-4a69-98d9-899198692de7 | Birth weight | 0..1 | decimal | ||
| 87cf1ecd-6d1b-4de1-894d-58bd77dcfde1 | kg | 0..1 | display | ||
| medicalhistorysummary | Medical history summary | 0..1 | group | ||
| 92bd7d05-9b5e-4cf9-900b-703f361dad9d | Medical history summary | 0..* | group | ||
 conditionId | null | 0..1 | string |  | |
 59b1900a-4f85-4a8c-b9cd-3fe2fd76f27e | Condition | 0..1 | open-choice |  | Value Set: Clinical Condition |
| 88bcfad7-386b-4d87-b34b-2e50482e4d2c | Clinical status | 0..1 | choice | Value Set: Condition Clinical Status Codes | |
 6ae641ad-95bb-4cdc-8910-5a52077e492c | Onset date | 0..1 | date | | |
| e4524654-f6de-4717-b288-34919394d46b | Abatement date | 0..1 | date | ||
| newdiagnosis | New diagnosis | 0..* | group | ||
| 2da85994-2d5e-42f1-8a81-abf44f397468 | Condition | 0..1 | open-choice | Value Set: Clinical Condition | |
| 4d55bffb-3286-4a23-a785-3b9c346d464d | Onset date | 0..1 | date | ||
| newdiagnosis-comment | Comment | 0..1 | string | ||
 62774152-8a6e-4449-af9f-87bdce8b9bf5 | Health priorities, actions and follow-up | 0..1 | text | ||
 MarkComplete-17 | Mark section as complete | 0..1 | boolean | ||
| Documentation for this format | |||||
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
FHIRhttp://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 |
{
"resourceType": "Questionnaire",
"id": "MedicalHistoryCurrentProblems",
"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": "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"
}
]
}
]
}
],
"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/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
"valueString": "Condition"
},
{
"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/MedicalHistoryCurrentProblems",
"version": "0.3.0",
"name": "MedicalHistoryCurrentProblems",
"title": "Aboriginal and Torres Strait Islander Health Check - Medical History",
"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": "28d5dbe4-1e65-487c-847a-847f544a6a91",
"text": "Medical history and current problems",
"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-17",
"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-17",
"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-17",
"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-17",
"operator": "=",
"answerBoolean": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age <= 5"
}
}
],
"linkId": "b9de2b58-55e2-436d-95ab-49600508cdf7",
"text": "Birth history",
"type": "group",
"repeats": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "wk"
}
}
],
"linkId": "a10a7375-e9d3-4e71-a47a-282e9ba38ec1",
"text": "Gestation at birth",
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