| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | SexualHealth |
| FHIR Version | R4 |
| Source | https://smartforms.csiro.au/ig/https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-SexualHealth.html |
| URL | http://www.health.gov.au/assessments/mbs/715/SexualHealth |
| Version | 0.3.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | SexualHealth |
| Title | Aboriginal and Torres Strait Islander Health Check - Sexual Health |
| 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 SexualHealth
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
![]() | Questionnaire | http://www.health.gov.au/assessments/mbs/715/SexualHealth#0.3.0 | |||
![]() ![]() | Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs) | 0..1 | group | ||
![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-36 != | |
![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-36 = | |
![]() ![]() ![]() | Puberty and sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() | Is there anything that you are worried about in relation to puberty/your sexual health? | 0..1 | choice | Value Set: Yes/No/Not Asked/Asked But Declined | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 1d20138a-caf3-4c43-9693-04c08d37a84a = | |
![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening | 0..1 | text | ||
![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() | Genitourinary and sexual health | 0..1 | group | ||
![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-35 != | |
![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-35 = | |
![]() ![]() ![]() | Sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() | Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice | Value Set: Yes/No/Not Asked/Asked But Declined | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: e56e79e5-8fbb-43f0-b2a3-018b55750bd0 = | |
![]() ![]() ![]() | Cervical screening | 0..1 | group | ||
![]() ![]() ![]() ![]() | Cervical screening status | 0..1 | choice | Value Set: Cervical Screening Status | |
![]() ![]() ![]() ![]() | Next due | 0..1 | date | ||
![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction | 0..1 | text | ||
![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
![]() ![]() | Genitourinary and sexual health | 0..1 | group | ||
![]() ![]() ![]() | In progress | 0..1 | display | Enable When: MarkComplete-25 != | |
![]() ![]() ![]() | Complete | 0..1 | display | Enable When: MarkComplete-25 = | |
![]() ![]() ![]() | Sexual health concerns | 0..1 | group | ||
![]() ![]() ![]() ![]() | Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice | Value Set: Yes/No/Not Asked/Asked But Declined | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 1c40a720-bdb7-4386-a9f6-be82b7349bf7 = | |
![]() ![]() ![]() | Continence issues | 0..1 | group | ||
![]() ![]() ![]() ![]() | Do you have problems with urine leaking? | 0..1 | choice | Value Set: Yes/No | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | Enable When: 64fd0f79-7e09-4934-905d-9bff6715f9ba = | |
![]() ![]() ![]() | Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms | 0..1 | text | ||
![]() ![]() ![]() | Health priorities, actions and follow-up | 0..1 | text | ||
![]() ![]() ![]() | Mark section as complete | 0..1 | boolean | ||
ValueSet #YesNo
Expansion based on codesystem expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 2 concepts
| Code | System | Display (en-US) | Definition |
| Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
| N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
ValueSet #YesNoNotAskedDeclined
Expansion based on:
This value set contains 4 concepts
| Code | System | Display (en-US) | Definition |
| Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
| N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
| NASK | http://terminology.hl7.org/CodeSystem/v2-0532 | Not Asked | not asked |
| asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
ValueSet #CervicalScreeningStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on:
This value set expansion contains 4 concepts.
| Code | System | Display |
| 736595007 | http://snomed.info/sct | Declined |
| 410527000 | http://snomed.info/sct | Offered |
| 171154002 | http://snomed.info/sct | Not required |
| 171155001 | http://snomed.info/sct | Up to date |
{
"resourceType": "Questionnaire",
"id": "SexualHealth",
"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",
"concept": [
{
"code": "Y",
"display": "Yes"
},
{
"code": "N",
"display": "No"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:41cccc66-fd57-4bc4-bab1-8c5c878d95f7",
"timestamp": "2025-05-01T10:00:50+10:00",
"total": 2,
"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/v2-0532|2.1.0"
}
],
"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"
}
]
}
},
{
"resourceType": "ValueSet",
"id": "YesNoNotAskedDeclined",
"url": "https://smartforms.csiro.au/ig/ValueSet/YesNoNotAskedDeclined",
"name": "YesNoNotAskedDeclined",
"title": "Yes/No/Not Asked/Asked But Declined",
"status": "draft",
"experimental": false,
"description": "Concepts for Yes, No, Not Asked and Asked But Declined",
"compose": {
"include": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"concept": [
{
"code": "Y",
"display": "Yes"
},
{
"code": "N",
"display": "No"
},
{
"code": "NASK",
"display": "Not Asked"
}
]
},
{
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"concept": [
{
"code": "asked-declined",
"display": "Asked But Declined"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:20552db7-8def-4e55-a0d2-cb446651929c",
"timestamp": "2025-05-01T10:00:51+10:00",
"total": 4,
"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/v2-0532|2.1.0"
},
{
"name": "used-codesystem",
"valueUri": "http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0"
}
],
"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"
},
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "NASK",
"display": "Not Asked"
},
{
"system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code": "asked-declined",
"display": "Asked But Declined"
}
]
}
},
{
"resourceType": "ValueSet",
"id": "CervicalScreeningStatus-1",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-supplement",
"valueCanonical": "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
}
],
"url": "https://smartforms.csiro.au/ig/ValueSet/CervicalScreeningStatus-1",
"name": "CervicalScreeningStatus",
"title": "Cervical Screening Status",
"status": "draft",
"experimental": false,
"description": "The Cervical Screening Status value set includes values that can be used to represent the status of an individual's participation in a cervical screening program.",
"compose": {
"include": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"concept": [
{
"code": "736595007",
"display": "Declined"
},
{
"code": "410527000",
"display": "Offered"
},
{
"code": "171154002",
"display": "Not required"
},
{
"code": "171155001",
"display": "Up to date"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:3657ae6f-b206-482f-a745-0ff9c99358ef",
"timestamp": "2025-06-05T13:50:47+10:00",
"parameter": [
{
"name": "used-supplement",
"valueUri": "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
},
{
"name": "used-codesystem",
"valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430"
},
{
"name": "version",
"valueUri": "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20250430"
},
{
"name": "warning-draft",
"valueUri": "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
},
{
"name": "warning-draft",
"valueUri": "https://smartforms.csiro.au/ig/ValueSet/CervicalScreeningStatus-1|0.3.0"
}
],
"contains": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "736595007",
"display": "Declined"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "410527000",
"display": "Offered"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "171154002",
"display": "Not required"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "171155001",
"display": "Up to 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/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/SexualHealth",
"version": "0.3.0",
"name": "SexualHealth",
"title": "Aboriginal and Torres Strait Islander Health Check - Sexual Health",
"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) and (%age <= 24)"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText",
"valueString": "Sexual health"
}
],
"linkId": "4b49c291-6e93-4b7e-be3b-15ef8bc207ad",
"text": "Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs)",
"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-36",
"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",
"enableWhen": [
{
"question": "MarkComplete-36",
"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-36",
"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-36",
"operator": "=",
"answerBoolean": true
}
]
},
{
"linkId": "e5aeda89-b820-4bb3-8fbd-d4f662207b7d",
"text": "Puberty and sexual health concerns",
"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": "1d20138a-caf3-4c43-9693-04c08d37a84a",
"text": "Is there anything that you are worried about in relation to puberty/your sexual health?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNoNotAskedDeclined"
},
{
"linkId": "d7b92cad-4aa8-47d3-975c-92563f132325",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "1d20138a-caf3-4c43-9693-04c08d37a84a",
"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-shortText",
"valueString": "Consider discussing items relevant to age/sex/gender"
}
],
"linkId": "0fba3972-faa3-4f40-940c-c2f1c9b55329",
"text": "Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div>Consider discussing as relevant to age/sex/gender:</div>\n <ul>\n <li>menstruation (including risk of anaemia)</li>\n <li>current sexual activity</li>\n <li>contraception</li>\n <li>safe sex practice (eg use of condoms)</li>\n <li>sexually transmitted infection symptoms and screening</li>\n <li>blood-borne virus screening</li>\n </ul>\n </div>"
}
]
},
"type": "text",
"repeats": false
},
{
"linkId": "b41572ba-cf36-4cec-addf-cb0b47fea63f",
"text": "Health priorities, actions and follow-up",
"type": "text",
"repeats": false
},
{
"linkId": "MarkComplete-36",
"text": "Mark section as complete",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n <style type=\"text/css\">\r\n .alert {\r\n padding: 0.875rem;\r\n margin-bottom: 1rem;\r\n font-size: 0.875rem;\r\n color: #29712D;\r\n border-radius: 0.5rem;\r\n background-color: #D9E8DA;\r\n font-weight: 700;\r\n max-width: 205px;\r\n }\r\n </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>"
}
]
},
"type": "boolean",
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%age > 24) and (%age <= 49)"
}
}
],
"linkId": "589b53a4-ceb2-41c0-850a-69438f9fd1cc",
"text": "Genitourinary and sexual health",
"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-35",
"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",
"enableWhen": [
{
"question": "MarkComplete-35",
"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-35",
"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-35",
"operator": "=",
"answerBoolean": true
}
]
},
{
"linkId": "5f5d4886-ce06-47fa-a4d8-f6808b9081c0",
"text": "Sexual health concerns",
"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": "e56e79e5-8fbb-43f0-b2a3-018b55750bd0",
"text": "Is there anything that you are worried about in relation to your sexual health?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNoNotAskedDeclined"
},
{
"linkId": "5148c6c6-c99f-480d-bb05-569064ba7118",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "e56e79e5-8fbb-43f0-b2a3-018b55750bd0",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
}
],
"repeats": false
}
]
},
{
"linkId": "d844a31e-8e51-420b-855c-4f485a180a57",
"text": "Cervical screening",
"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": "check-box"
}
]
}
}
],
"linkId": "37dbd343-6d02-477c-89bf-59ba022efbb7",
"text": "Cervical screening status",
"type": "choice",
"repeats": false,
"answerValueSet": "#CervicalScreeningStatus-1"
},
{
"linkId": "f93eb998-1502-4d8a-88a4-986117a387c5",
"text": "Next due",
"type": "date",
"repeats": false
},
{
"linkId": "862fc298-5b5e-4a46-badc-900c6ba1ff50",
"text": "Details",
"type": "text",
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText",
"valueString": "Consider discussing items relevant to age/sex/gender"
}
],
"linkId": "39b02169-ea34-4af9-aa35-1c47f7f39333",
"text": "Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div>Consider discussing as relevant to age/sex/gender:</div>\n <ul>\n <li>contraception</li>\n <li>menstruation</li>\n <li>sexually transmitted infection symptoms and screening</li>\n <li>blood-borne virus screening</li>\n <li>continence</li>\n <li>menopause</li>\n <li>erectile dysfunction</li>\n </ul>\n </div>"
}
]
},
"type": "text",
"repeats": false
},
{
"linkId": "efd0735c-c379-471f-83bb-93b0392093aa",
"text": "Health priorities, actions and follow-up",
"type": "text",
"repeats": false
},
{
"linkId": "MarkComplete-35",
"text": "Mark section as complete",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n <style type=\"text/css\">\r\n .alert {\r\n padding: 0.875rem;\r\n margin-bottom: 1rem;\r\n font-size: 0.875rem;\r\n color: #29712D;\r\n border-radius: 0.5rem;\r\n background-color: #D9E8DA;\r\n font-weight: 700;\r\n max-width: 205px;\r\n }\r\n </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>"
}
]
},
"type": "boolean",
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%age >= 50"
}
}
],
"linkId": "02048954-e9d7-424e-8c7b-6a3c495d7ce4",
"text": "Genitourinary and sexual health",
"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-25",
"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",
"enableWhen": [
{
"question": "MarkComplete-25",
"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-25",
"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-25",
"operator": "=",
"answerBoolean": true
}
]
},
{
"linkId": "8172aaac-81c4-4b06-b4cd-6a891a227e9f",
"text": "Sexual health concerns",
"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": "1c40a720-bdb7-4386-a9f6-be82b7349bf7",
"text": "Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNoNotAskedDeclined"
},
{
"linkId": "f93fe768-9215-4a15-9376-686e9530ea79",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "1c40a720-bdb7-4386-a9f6-be82b7349bf7",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
}
],
"repeats": false
}
]
},
{
"linkId": "2e1ea1cc-1f74-4b2e-bfda-f6a1d41e1e50",
"text": "Continence issues",
"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": "64fd0f79-7e09-4934-905d-9bff6715f9ba",
"text": "Do you have problems with urine leaking?",
"type": "choice",
"repeats": false,
"answerValueSet": "#YesNo"
},
{
"linkId": "4fc14fd9-4c7e-48ec-90c0-c406523400fa",
"text": "Details",
"type": "text",
"enableWhen": [
{
"question": "64fd0f79-7e09-4934-905d-9bff6715f9ba",
"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-shortText",
"valueString": "Consider discussing items relevant to age/sex/gender"
}
],
"linkId": "8d75d1f1-290b-41fc-8e32-ad0681c650bb",
"text": "Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <div>Consider discussing as relevant to age/sex/gender:</div>\n <ul>\n <li>menopause</li>\n <li>erectile dysfunction</li>\n <li>prostatic symptoms</li>\n </ul>\n\t </div>"
}
]
},
"type": "text",
"repeats": false
},
{
"linkId": "e9936322-e6fe-4cf7-ab61-22846a8fbb95",
"text": "Health priorities, actions and follow-up",
"type": "text",
"repeats": false
},
{
"linkId": "MarkComplete-25",
"text": "Mark section as complete",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n <style type=\"text/css\">\r\n .alert {\r\n padding: 0.875rem;\r\n margin-bottom: 1rem;\r\n font-size: 0.875rem;\r\n color: #29712D;\r\n border-radius: 0.5rem;\r\n background-color: #D9E8DA;\r\n font-weight: 700;\r\n max-width: 205px;\r\n }\r\n </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>"
}
]
},
"type": "boolean",
"repeats": false
}
]
}
]
}