FHIR IG analytics| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | Questionnaire-MemoryAndThinking.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-MemoryAndThinking.html |
| URL | http://www.health.gov.au/assessments/mbs/715/MemoryAndThinking |
| Version | 0.4.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | MemoryAndThinking |
| Title | Aboriginal and Torres Strait Islander Health Check - Memory And Thinking |
| 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 MemoryAndThinking
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  MemoryAndThinking | Questionnaire | http://www.health.gov.au/assessments/mbs/715/MemoryAndThinking#0.4.0 | |||
  1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c | Memory and thinking | 0..1 | group | ||
   CD-in-progress-18 | In progress | 0..1 | display | ||
| CD-complete-18 | Complete | 0..1 | display | ||
| CD-attention-18 | Attention required | 0..1 | display | ||
| 64fd0c95-b57b-4319-bf40-ad77d10a9832 | Personal concerns about your memory or thinking | 0..1 | group | ||
  e29701be-2b79-471d-a42e-7e3830459080 | Do you have any worries about your memory or thinking? | 0..1 | choice |  | Value Set: Yes/No |
 69985e2e-4619-42fa-a111-e6fb3118ef74 | Details | 0..1 | text | Enable When: e29701be-2b79-471d-a42e-7e3830459080 = | |
| 44da9ba8-4636-4eaa-8bb1-aaa65f117fab | Family concerns about your memory or thinking | 0..1 | group | ||
| 06a67326-9e3d-4c4c-b271-af5b168d077c | Does anyone in your family have any worries about your memory or thinking? | 0..1 | choice | | Value Set: Yes/No |
| 43d2cb6c-29a7-4293-a6c8-87a228a82e19 | Details | 0..1 | text | Enable When: 06a67326-9e3d-4c4c-b271-af5b168d077c = | |
| 4ebb3c30-936b-4932-a330-f1e643b5ccd4 | 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 | ||
| 1f0e7fde-e964-4f36-9151-dbdc5e145f94 | Health priorities, actions and follow-up | 0..1 | text | ||
| memorythinking-section-end-divider | null | 0..1 | display | ||
| MarkComplete-18 | Section completion status | 0..1 | choice | Options: 3 options | |
| Documentation for this format | |||||
Options Sets
Answer options for MarkComplete-18
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 |
FHIR
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},
{
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{
"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 \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>"
}
]
}
}
]
}
]
}
]
}