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Packagecsiro.fhir.au.smartforms
Resource TypeQuestionnaire
IdQuestionnaire-ChronicDiseaseAgeing.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-ChronicDiseaseAgeing.html
URLhttp://www.health.gov.au/assessments/mbs/715/ChronicDiseaseAgeing
Version0.4.0
Statusdraft
Date2025-03-14
NameChronicDiseaseAgeing
TitleAboriginal and Torres Strait Islander Health Check - Chronic Disease Ageing
Realmau
CopyrightCopyright © 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/.

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire ChronicDiseaseAgeing

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ChronicDiseaseAgeingQuestionnairehttp://www.health.gov.au/assessments/mbs/715/ChronicDiseaseAgeing#0.4.0
... c5da020c-c4f3-437c-b658-ea7e7667514dChronic disease associated with ageing0..1group
.... CD-in-progress-4In progress0..1display
.... CD-complete-4Complete0..1display
.... CD-attention-4Attention required0..1display
.... 12e244c0-2887-4230-8792-9521d4f1ab33For 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 review0..1text
.... 7292070b-8944-4a40-bcf6-9aaf1721e986Health priorities, actions and follow-up0..1text
.... chronicdisease-section-end-dividernull0..1display
.... MarkComplete-4Section completion status0..1choiceOptions: 3 options

doco Documentation for this format

Options Sets

Answer options for MarkComplete-4

  • Complete
  • In progress
  • Attention required

Source1

{
  "resourceType": "Questionnaire",
  "id": "ChronicDiseaseAgeing",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render",
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
      "valueString": "age"
    }
  ],
  "url": "http://www.health.gov.au/assessments/mbs/715/ChronicDiseaseAgeing",
  "version": "0.4.0",
  "name": "ChronicDiseaseAgeing",
  "title": "Aboriginal and Torres Strait Islander Health Check - Chronic Disease Ageing",
  "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 >= 50"
          }
        }
      ],
      "linkId": "c5da020c-c4f3-437c-b658-ea7e7667514d",
      "text": "Chronic disease associated with ageing",
      "type": "group",
      "repeats": false,
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
              "valueExpression": {
                "language": "text/fhirpath",
                "expression": "%resource.repeat(item).where(linkId='MarkComplete-4').answer.value = 'In progress' or %resource.repeat(item).where(linkId='MarkComplete-4').answer.value.empty()"
              }
            },
            {
              "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: center;\"/>\r\n\t</div>\r\n</div>"
              }
            ]
          },
          "type": "display"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
              "valueExpression": {
                "language": "text/fhirpath",
                "expression": "%resource.repeat(item).where(linkId='MarkComplete-4').answer.value = 'Complete'"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended",
                    "code": "context-display"
                  }
                ]
              }
            }
          ],
          "linkId": "CD-complete-4",
          "text": "Complete",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<div title=\"Complete\" 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"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
              "valueExpression": {
                "language": "text/fhirpath",
                "expression": "%resource.repeat(item).where(linkId='MarkComplete-4').answer.value = 'Attention required'"
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended",
                    "code": "context-display"
                  }
                ]
              }
            }
          ],
          "linkId": "CD-attention-4",
          "text": "Attention required",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<div title=\"Attention required\" 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,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZpZXdCb3g9IjAgMCAxMDAgMTAwIj48Y2lyY2xlIGN4PSI1MCIgY3k9IjUwIiByPSI0MiIgZmlsbD0ibm9uZSIgc3Ryb2tlPSIjRkY4QzAwIiBzdHJva2Utd2lkdGg9IjkiLz48bGluZSB4MT0iNTAiIHkxPSIyOCIgeDI9IjUwIiB5Mj0iNjAiIHN0cm9rZT0iI0ZGOEMwMCIgc3Ryb2tlLXdpZHRoPSI5Ii8+PGNpcmNsZSBjeD0iNTAiIGN5PSI3NCIgcj0iNSIgZmlsbD0iI0ZGOEMwMCIvPjwvc3ZnPg=='\r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>"
              }
            ]
          },
          "type": "display"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText",
              "valueString": "Assessment of chronic disease associated with ageing"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
              "valueString": "Details"
            }
          ],
          "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\">\n    <div>For older people with chronic disease and/or conditions associated with ageing, consider assessing:</div>\n    <ul>\n      <li>Osteoporosis risk</li>\n      <li>Falls risk</li>\n      <li>Balance, coordination and mobility</li>\n      <li>Pain</li>\n      <li>Nutrition</li>\n      <li>Regularity of chronic disease management and review</li>\n    </ul>\n    </div>"
              }
            ]
          },
          "type": "text",
          "repeats": false
        },
        {
          "linkId": "7292070b-8944-4a40-bcf6-9aaf1721e986",
          "text": "Health priorities, actions and follow-up",
          "type": "text",
          "repeats": false
        },
        {
          "linkId": "chronicdisease-section-end-divider",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\" style=\"border-top: 1px solid #ccc;\"></div>"
              }
            ]
          },
          "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": "MarkComplete-4",
          "text": "Section completion status",
          "type": "choice",
          "repeats": false,
          "answerOption": [
            {
              "valueString": "Complete",
              "_valueString": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">Complete&nbsp;\r\n\t\t<img width='19' height='19' src='data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxZW0iIGhlaWdodD0iMWVtIiB2aWV3Qm94PSIwIDAgMjQgMjQiPjxwYXRoIGZpbGw9IiMyZTdkMzIiIGQ9Ik0yMCAxMmE4IDggMCAwIDEtOCA4YTggOCAwIDAgMS04LThhOCA4IDAgMCAxIDgtOGMuNzYgMCAxLjUuMTEgMi4yLjMxbDEuNTctMS41N0E5LjgyMiA5LjgyMiAwIDAgMCAxMiAyQTEwIDEwIDAgMCAwIDIgMTJhMTAgMTAgMCAwIDAgMTAgMTBhMTAgMTAgMCAwIDAgMTAtMTBNNy45MSAxMC4wOEw2LjUgMTEuNUwxMSAxNkwyMSA2bC0xLjQxLTEuNDJMMTEgMTMuMTdsLTMuMDktMy4wOVoiLz48L3N2Zz4='\r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>"
                  }
                ]
              }
            },
            {
              "valueString": "In progress",
              "_valueString": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">In progress&nbsp;\r\n\t\t<img width='20' height='20' 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>"
                  }
                ]
              }
            },
            {
              "valueString": "Attention required",
              "_valueString": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n\t<div style=\"display: flex; flex-direction: row;\">Attention required&nbsp;\r\n\t\t<img width='19' height='19' src='data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHZpZXdCb3g9IjAgMCAxMDAgMTAwIj48Y2lyY2xlIGN4PSI1MCIgY3k9IjUwIiByPSI0MiIgZmlsbD0ibm9uZSIgc3Ryb2tlPSIjRkY4QzAwIiBzdHJva2Utd2lkdGg9IjkiLz48bGluZSB4MT0iNTAiIHkxPSIyOCIgeDI9IjUwIiB5Mj0iNjAiIHN0cm9rZT0iI0ZGOEMwMCIgc3Ryb2tlLXdpZHRoPSI5Ii8+PGNpcmNsZSBjeD0iNTAiIGN5PSI3NCIgcj0iNSIgZmlsbD0iI0ZGOEMwMCIvPjwvc3ZnPg=='\r\n\t\tstyle=\"align-self: center;\"/>\r\n\t</div>\r\n</div>"
                  }
                ]
              }
            }
          ]
        }
      ]
    }
  ]
}