FHIR IG analytics| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | Questionnaire-SocialHistoryChild.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-SocialHistoryChild.html |
| URL | http://www.health.gov.au/assessments/mbs/715/SocialHistoryChild |
| Version | 0.4.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | SocialHistoryChild |
| Title | Aboriginal and Torres Strait Islander Health Check - Social History Child |
| 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 SocialHistoryChild
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  SocialHistoryChild | Questionnaire | http://www.health.gov.au/assessments/mbs/715/SocialHistoryChild#0.4.0 | |||
  a5cc8a8f-89cf-470c-a6bd-ce9da2f64ee9 | Social history: Information about family and child's living arrangements | 0..1 | group | ||
   CD-in-progress-28 | In progress | 0..1 | display | ||
| CD-complete-28 | Complete | 0..1 | display | ||
| CD-attention-28 | Attention required | 0..1 | display | ||
 1bb673a4-40f9-41c3-ad04-66c9f38fdc1b | Who lives in your household? / Who does the child live with? | 0..1 | text | ||
| 934d105e-a4d6-4926-9b64-55bb1049d839 | Stressful life events | 0..1 | group | ||
  062f5234-686a-4bf3-afcd-3fcd988afd6c | Have there been any stressful life events that would cause you or your child to be upset? | 0..1 | choice |  | Value Set: Yes/No |
| 1ea0a898-d680-4a5d-a0f1-91b57eb77a91 | Details | 0..1 | text | Enable When: 062f5234-686a-4bf3-afcd-3fcd988afd6c = | |
| 272af1cb-4309-4227-bab4-a6cc9fb47635 | If indicated, ask about depression and other mental health concerns | 0..1 | text | ||
| 76d51512-b94a-4092-b3ae-a656fbb9c360 | Health priorities, actions and follow-up | 0..1 | text | ||
| socialhistorychild-section-end-divider | null | 0..1 | display | ||
| MarkComplete-28 | Section completion status | 0..1 | choice | Options: 3 options | |
| Documentation for this format | |||||
Options Sets
Answer options for MarkComplete-28
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
FHIRsmith{
"resourceType": "Questionnaire",
"id": "SocialHistoryChild",
"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) -->"
},
"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",
"version": "2.0.0",
"concept": [
{
"code": "Y",
"display": "Yes"
},
{
"code": "N",
"display": "No"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:5d9dbf1e-e156-4961-bb02-051dfc831832",
"timestamp": "2025-09-18T16:28:54+10:00",
"total": 2,
"offset": 0,
"parameter": [
{
"name": "count",
"valueInteger": 1000
},
{
"name": "offset",
"valueInteger": 0
},
{
"name": "excludeNested",
"valueBoolean": false
},
{
"name": "used-codesystem",
"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": [
{
"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/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/SocialHistoryChild",
"version": "0.4.0",
"name": "SocialHistoryChild",
"title": "Aboriginal and Torres Strait Islander Health Check - Social History Child",
"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 <= 12"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText",
"valueString": "Social history"
}
],
"linkId": "a5cc8a8f-89cf-470c-a6bd-ce9da2f64ee9",
"text": "Social history: Information about family and child's living arrangements",
"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-28').answer.value = 'In progress' or %resource.repeat(item).where(linkId='MarkComplete-28').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-28",
"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-28').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-28",
"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-28').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-28",
"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/StructureDefinition/entryFormat",
"valueString": "Details"
}
],
"linkId": "1bb673a4-40f9-41c3-ad04-66c9f38fdc1b",
"text": "Who lives in your household? / Who does the child live with?",
"type": "text",
"repeats": false
},
{
"linkId": "934d105e-a4d6-4926-9b64-55bb1049d839",
"text": "Stressful life events",
"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": "062f5234-686a-4bf3-afcd-3fcd988afd6c",
"text": "Have there been any stressful life events that would cause you or your child to be upset?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"linkId": "1ea0a898-d680-4a5d-a0f1-91b57eb77a91",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "062f5234-686a-4bf3-afcd-3fcd988afd6c",
"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": "272af1cb-4309-4227-bab4-a6cc9fb47635",
"text": "If indicated, ask about depression and other mental health concerns",
"type": "text",
"repeats": false
},
{
"linkId": "76d51512-b94a-4092-b3ae-a656fbb9c360",
"text": "Health priorities, actions and follow-up",
"type": "text",
"repeats": false
},
{
"linkId": "socialhistorychild-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-28",
"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 \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 \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 \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>"
}
]
}
}
]
}
]
}
]
}