FHIR IG analytics| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | Questionnaire-HealthyEating.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-HealthyEating.html |
| URL | http://www.health.gov.au/assessments/mbs/715/HealthyEating |
| Version | 0.4.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | HealthyEating |
| Title | Aboriginal and Torres Strait Islander Health Check - Healthy Eating |
| 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 HealthyEating
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
![]() | Questionnaire | http://www.health.gov.au/assessments/mbs/715/HealthyEating#0.4.0 | |||
![]() ![]() | Healthy eating | 0..1 | group | ||
![]() ![]() ![]() | In progress | 0..1 | display | ||
![]() ![]() ![]() | Complete | 0..1 | display | ||
![]() ![]() ![]() | Attention required | 0..1 | display | ||
![]() ![]() ![]() | 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 | ||
![]() ![]() ![]() | Bottle feeding history | 0..1 | text | ||
![]() ![]() ![]() | 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 | ||
![]() ![]() ![]() | Document conversation about healthy 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 | ||
![]() ![]() ![]() | 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 | ||
![]() ![]() ![]() | null | 0..1 | display | ||
![]() ![]() ![]() | Section completion status | 0..1 | choice | Options: 3 options | |
Options Sets
Answer options for MarkComplete-11
ValueSet #YesNo
Expansion based on codesystem expandedYes-NoIndicator v2.0.0 (CodeSystem)
This value set contains 2 concepts
| System | Code | Display | Definition |
http://terminology.hl7.org/CodeSystem/v2-0532 | Y | Yes | Yes |
http://terminology.hl7.org/CodeSystem/v2-0532 | N | No | No |
{
"resourceType": "Questionnaire",
"id": "HealthyEating",
"meta": {
"profile": [
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]
},
"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": [
{
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"version": "2.0.0",
"concept": [
{
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"display": "Yes"
},
{
"code": "N",
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}
]
}
]
},
"expansion": {
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"timestamp": "2025-09-18T16:28:54+10:00",
"total": 2,
"offset": 0,
"parameter": [
{
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"valueInteger": 1000
},
{
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"valueInteger": 0
},
{
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"valueBoolean": false
},
{
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"valueUri": "http://terminology.hl7.org/CodeSystem/v2-0532|2.0.0"
}
],
"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"
}
]
}
}
],
"extension": [
{
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"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": [
{
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"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": [
{
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"valueCoding": {
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"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/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/HealthyEating",
"version": "0.4.0",
"name": "HealthyEating",
"title": "Aboriginal and Torres Strait Islander Health Check - Healthy Eating",
"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": [
{
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"valueExpression": {
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"expression": "%age.exists()"
}
}
],
"linkId": "ae7a3801-9491-4b1f-820c-678236d18f56",
"text": "Healthy eating",
"type": "group",
"repeats": false,
"item": [
{
"extension": [
{
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"valueExpression": {
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}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
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{
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}
}
],
"linkId": "CD-in-progress-11",
"text": "In progress",
"_text": {
"extension": [
{
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"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": [
{
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"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='MarkComplete-11').answer.value = 'Complete'"
}
},
{
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"valueCodeableConcept": {
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}
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],
"linkId": "CD-complete-11",
"text": "Complete",
"_text": {
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"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"
},
{
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"language": "text/fhirpath",
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}
},
{
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"valueCodeableConcept": {
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],
"linkId": "CD-attention-11",
"text": "Attention required",
"_text": {
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},
"type": "display"
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{
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"valueExpression": {
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"expression": "%age <= 12"
}
}
],
"linkId": "9ac8c78d-9c36-4bf5-8c6e-e48109902dfa",
"text": "Child eating concerns",
"type": "group",
"repeats": false,
"item": [
{
"extension": [
{
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"valueExpression": {
"language": "text/fhirpath",
"expression": "%age <= 5"
}
},
{
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"valueCodeableConcept": {
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]
}
},
{
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"valueCode": "horizontal"
}
],
"linkId": "e2942894-5537-47a6-ab43-06eb6761f9b5",
"text": "Is there anything that you are worried about with your child's feeding/eating?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
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"valueExpression": {
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"expression": "%age > 5"
}
},
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}
],
"linkId": "69d92a26-95ac-4556-94da-5b0e09940bfd",
"text": "Is there anything that you are worried about with your child's eating?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
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"text": "Details",
"type": "text",
"enableWhen": [
{
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"operator": "=",
"answerCoding": {
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"code": "Y"
}
},
{
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],
"enableBehavior": "any",
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}
]
},
{
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"valueExpression": {
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"expression": "%age <= 5"
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},
{
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"valueString": "Details"
}
],
"linkId": "ff6a46e6-0812-4718-a854-489b24805925",
"text": "Breastfeeding history",
"type": "text",
"repeats": false
},
{
"extension": [
{
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"valueExpression": {
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"expression": "%age <= 5"
}
},
{
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"valueString": "Details"
}
],
"linkId": "b5f748d2-1874-4949-a7df-6e233f03135d",
"text": "Bottle feeding history",
"type": "text",
"repeats": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age > 12"
}
}
],
"linkId": "9266b946-74b3-4fc2-91ce-df557692e600",
"text": "Diet or weight concerns",
"type": "group",
"repeats": false,
"item": [
{
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{
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"valueCodeableConcept": {
"coding": [
{
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"code": "radio-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}
],
"linkId": "646302e9-d384-4943-99bc-11e638641703",
"text": "Do you have any worries about your diet or weight?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"linkId": "1d5c3354-6780-4b6a-b9af-7a17b0386781",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "646302e9-d384-4943-99bc-11e638641703",
"operator": "=",
"answerCoding": {
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"code": "Y"
}
}
],
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age >= 50"
}
}
],
"linkId": "c4c51d01-7acf-4551-a652-82f9fdf58a6d",
"text": "Unintended weight loss",
"type": "group",
"repeats": false,
"item": [
{
"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": "6dc96b26-cbc5-4434-8f6b-0260196311c2",
"text": "Have you lost weight without trying to in the last three months?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"linkId": "ce71f016-c5e4-4121-abe5-fe0c974c1bba",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "6dc96b26-cbc5-4434-8f6b-0260196311c2",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
}
],
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age <= 5"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "Details"
}
],
"linkId": "9f6adf74-f240-41a2-a509-d216d5308911",
"text": "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",
"_text": {
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