| Package | csiro.fhir.au.smartforms |
| Resource Type | Questionnaire |
| Id | SubstanceUse |
| FHIR Version | R4 |
| Source | https://smartforms.csiro.au/ig/https://build.fhir.org/ig/aehrc/smart-forms-ig/Questionnaire-SubstanceUse.html |
| URL | http://www.health.gov.au/assessments/mbs/715/SubstanceUse |
| Version | 0.3.0 |
| Status | draft |
| Date | 2025-03-14 |
| Name | SubstanceUse |
| Title | Aboriginal and Torres Strait Islander Health Check - Substance Use |
| 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 SubstanceUse
Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire, Advanced Behavior Questionnaire, Extractable Questionnaire - Template
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  SubstanceUse | Questionnaire | http://www.health.gov.au/assessments/mbs/715/SubstanceUse#0.3.0 | ||
  14a9fb5f-5b0e-4862-b143-08a11cd3ebf0 | Substance use, including tobacco | 0..1 | group | |
   CD-in-progress-29 | In progress | 0..1 | display | Enable When: MarkComplete-29 != |
| CD-complete-29 | Complete | 0..1 | display | Enable When: MarkComplete-29 = |
| substanceuse-smoking | Smoking | 0..1 | group | |
 substanceuse-smoking-smokingstatus | Smoking status | 0..1 | group | |
| substanceuse-smoking-smokingstatus-group | Smoking status | 0..1 | group | |
| substanceuse-smoking-smokingstatus-group-laststatus | Last status | 0..1 | display | |
 b639a3a8-f476-4cc8-b5c7-f5d2abb23511 | New status | 0..1 | choice | Value Set: Tobacco Use Status |
 substanceuse-smoking-smokingstatus-group-newdate | New date | 0..1 | date | |
| 96dc7c22-d003-459c-8a56-f6cd182fc077 | Quit status | 0..1 | choice | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = Value Set: Smoking Quit Status |
 9e86387d-1be4-4c26-9047-9dd6b03e1ee0 | How many? | 0..1 | string | Enable When: |
| 32e71641-f660-4ca2-af99-dff8917f07be | How long as a smoker? | 0..1 | string | Enable When: |
| 34feaee8-8088-43ee-991d-9729990b5550 | Alcohol and other substance use | 0..1 | group | |
 ea73d52c-f831-46be-a45d-2c42250a5210 | Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other | 0..1 | text | |
| 232cf24c-db60-4601-869d-525fb6e05988 | details | 0..1 | display | |
| f8e1cc1f-f1a1-4eb3-8255-77d600f52831 | Health priorities, actions and follow-up | 0..1 | text | |
 MarkComplete-29 | Mark section as complete | 0..1 | boolean | |
| Documentation for this format | ||||
Observation #SmokingStatusTemplate
status: Final
category: Social History
code: Smoking status
subject: ?rref?
effective: Extract Template - Extract value: %resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()
value:
ValueSet #SmokingQuitStatus-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 2 concepts.
| Code | System | Display |
| 48031000119106 | http://snomed.info/sct | Quit >12 months |
| 735128000 | http://snomed.info/sct | Quit <12 months |
ValueSet #TobaccoUseStatus-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 6 concepts.
| Code | System | Display |
| 266919005 | http://snomed.info/sct | Never smoked |
| 77176002 | http://snomed.info/sct | Current smoker |
| 8517006 | http://snomed.info/sct | Ex-smoker |
| 16090371000119103 | http://snomed.info/sct | Exposure to second hand tobacco smoke |
| 394872000 | http://snomed.info/sct | Wants to quit |
| 713914004 | http://snomed.info/sct | Other tobacco use |
FHIR{
"resourceType": "Questionnaire",
"id": "SubstanceUse",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-behave",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-template"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Observation",
"id": "SmokingStatusTemplate",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1747861000168109"
},
{
"system": "http://loinc.org",
"code": "72166-2"
}
],
"text": "Smoking status"
},
"subject": {
"_reference": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.subject.reference"
}
]
}
},
"_effectiveDateTime": {
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "%resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
"valueString": "$this.answer.value"
}
]
}
]
}
},
{
"resourceType": "ValueSet",
"id": "SmokingQuitStatus-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/SmokingQuitStatus-1",
"name": "SmokingQuitStatus",
"title": "Smoking Quit Status",
"status": "draft",
"experimental": false,
"description": "The Smoking Quit Status value set includes values that can indicate how long ago an individual quit smoking.",
"compose": {
"include": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"concept": [
{
"code": "48031000119106",
"display": "Quit >12 months"
},
{
"code": "735128000",
"display": "Quit <12 months"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:93600010-14a0-4d6e-a82f-15283d13a2cb",
"timestamp": "2025-05-01T11:41:24+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/SmokingQuitStatus-1|0.3.0"
}
],
"contains": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "48031000119106",
"display": "Quit >12 months"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "735128000",
"display": "Quit <12 months"
}
]
}
},
{
"resourceType": "ValueSet",
"id": "TobaccoUseStatus-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/TobaccoUseStatus-1",
"name": "TobaccoUseStatus",
"title": "Tobacco Use Status",
"status": "draft",
"experimental": false,
"description": "The Tobacco Use Status value set includes values that may be used to represent an individual's current tobacco use and exposure status.",
"compose": {
"include": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"concept": [
{
"code": "266919005",
"display": "Never smoked"
},
{
"code": "77176002",
"display": "Current smoker"
},
{
"code": "8517006",
"display": "Ex-smoker"
},
{
"code": "16090371000119103",
"display": "Exposure to second hand tobacco smoke"
},
{
"code": "394872000",
"display": "Wants to quit"
},
{
"code": "713914004",
"display": "Other tobacco use"
}
]
}
]
},
"expansion": {
"identifier": "urn:uuid:e7e976ca-5eb9-41da-9ca8-2c795c5e2dd2",
"timestamp": "2025-05-01T11:43:41+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/TobaccoUseStatus-1|0.3.0"
}
],
"contains": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "266919005",
"display": "Never smoked"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "77176002",
"display": "Current smoker"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "8517006",
"display": "Ex-smoker"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "16090371000119103",
"display": "Exposure to second hand tobacco smoke"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "394872000",
"display": "Wants to quit"
},
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/32506021000036107/version/20250430",
"code": "713914004",
"display": "Other tobacco use"
}
]
}
}
],
"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/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
"valueString": "ObsTobaccoSmokingStatus"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
"valueString": "ObsTobaccoSmokingStatusLatest"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "ObsTobaccoSmokingStatusValue",
"language": "text/fhirpath",
"expression": "%ObsTobaccoSmokingStatusLatest.value.coding.where(system='http://snomed.info/sct').first()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "ObsTobaccoSmokingStatusDateString",
"language": "text/fhirpath",
"expression": "%ObsTobaccoSmokingStatusLatest.effective.toDate().toString()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "ObsTobaccoSmokingStatusDateFormatted",
"language": "text/fhirpath",
"expression": "%ObsTobaccoSmokingStatusDateString.substring(8,2).toInteger().toString() + ' ' + %ObsTobaccoSmokingStatusDateString.substring(5,2).replace('01','Jan').replace('02','Feb').replace('03','Mar').replace('04','Apr').replace('05','May').replace('06','Jun').replace('07','Jul').replace('08','Aug').replace('09','Sep').replace('10','Oct').replace('11','Nov').replace('12','Dec') + ' ' + %ObsTobaccoSmokingStatusDateString.substring(0,4)"
}
},
{
"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/SubstanceUse",
"version": "0.3.0",
"name": "SubstanceUse",
"title": "Aboriginal and Torres Strait Islander Health Check - Substance Use",
"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"
}
}
],
"linkId": "14a9fb5f-5b0e-4862-b143-08a11cd3ebf0",
"text": "Substance use, including tobacco",
"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-29",
"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-29",
"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-29",
"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-29",
"operator": "=",
"answerBoolean": true
}
]
},
{
"linkId": "substanceuse-smoking",
"text": "Smoking",
"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": "grid"
}
]
}
}
],
"linkId": "substanceuse-smoking-smokingstatus",
"text": "Smoking status",
"_text": {
"extension": [
{
"url": "https://smartforms.csiro.au/ig/StructureDefinition/QuestionnaireItemTextHidden",
"valueBoolean": true
}
]
},
"type": "group",
"repeats": false,
"item": [
{
"linkId": "substanceuse-smoking-smokingstatus-group",
"text": "Smoking status",
"type": "group",
"repeats": false,
"item": [
{
"linkId": "substanceuse-smoking-smokingstatus-group-laststatus",
"text": "Last status",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%ObsTobaccoSmokingStatusValue.exists() and %ObsTobaccoSmokingStatusDateFormatted.exists(), %ObsTobaccoSmokingStatusValue.display + ' ( ' + %ObsTobaccoSmokingStatusDateFormatted + ' )', 'Not available')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"extension": [
{
"url": "template",
"valueReference": {
"reference": "#SmokingStatusTemplate"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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