LinkID	Text	Cardinality	Type	Flags	Description & Constraints
GPChronicConditionManagementPlan	GP Chronic Condition Management Plan		Questionnaire		http://www.health.gov.au/assessments/GPChronicConditionManagementPlan#0.1.0
container	null	0..1	group		Value Set:
patient	Patient details	0..1	group		Value Set:
patient-instructions	This form has been prefilled with information that was available from the patient's health record. Upon saving, the form will be stored, but additional information entered will not be used to update the patient's health record. Changes to patient demographic information should be made in the source system.	0..1	display		Value Set:
patient-consent	Consent	0..1	group		Value Set:
patient-consent-consentforplan	Consent given to proceed with plan after discussion of the purpose, benefits, process and costs	0..1	boolean		Value Set:
patient-name	Name	0..1	string		Value Set:
patient-preferredname	Preferred name	0..1	string		Value Set:
patient-preferredpronouns	Preferred pronouns	0..1	choice		Value Set: Australian Pronouns
patient-dob	Date of birth	0..1	date		Value Set:
patient-age	Age	0..1	integer		Value Set:
patient-sexatbirth	Sex assigned at birth	0..1	choice		Value Set: Biological Sex
patient-genderidentity	Gender identity	0..1	choice		Value Set: Gender Identity Response
patient-firstnationsstatus	Aboriginal and/or Torres Strait Islander status	0..1	choice		Value Set: Australian Indigenous Status
patient-ctg	Registered for Closing the Gap PBS Co-payment Measure (CTG)	0..1	boolean		Value Set:
patient-myagedcare	My Aged Care	0..1	group		Value Set:
patient-myagedcare-registered	Registered for My Aged Care	0..1	choice		Value Set: Yes/No/Pending
patient-myagedcare-number	My Aged Care Number	0..1	string		Enable When: patient-myagedcare-registered = Yes (v2 Y/N Indicator#Y) Value Set:
patient-myagedcare-comment	Comment	0..1	string		Value Set:
patient-ndis	National Disability Insurance Scheme	0..1	group		Value Set:
patient-ndis-registered	Registered for NDIS	0..1	choice		Value Set: Yes/No/Pending
patient-ndis-number	NDIS Number	0..1	string		Enable When: patient-ndis-registered = Yes (v2 Y/N Indicator#Y) Value Set:
patient-ndis-comment	Comment	0..1	string		Value Set:
patient-medicare	Medicare card number	0..*	group		Value Set:
patient-medicare-number	Number	0..1	string		Value Set:
patient-medicare-referencenumber	Reference number	0..1	string		Value Set:
patient-medicare-expiry	Expiry	0..1	string		Value Set:
patient-contact	Contact information	0..1	group		Value Set:
patient-contact-homephone	Home phone	0..*	string		Value Set:
patient-contact-mobilephone	Mobile phone	0..*	string		Value Set:
patient-contact-email	Email	0..*	string		Value Set:
patient-contact-homeaddress	Home address	0..1	group		Value Set:
patient-contact-homeaddress-nofixedaddress	No fixed address	0..1	boolean		Value Set:
patient-contact-homeaddress-details	Home address	0..*	group		Value Set:
patient-contact-homeaddress-details-streetaddress	Street address	0..1	string		Value Set:
patient-contact-homeaddress-details-city	City	0..1	string		Value Set:
patient-contact-homeaddress-details-state	State	0..1	choice		Value Set: Australian States and Territories
patient-contact-homeaddress-details-postcode	Postcode	0..1	string		Value Set:
patient-contact-postaladdress	Postal address	0..*	group		Value Set:
patient-contact-postaladdress-purpose	Purpose of use	0..1	string		Value Set:
patient-contact-postaladdress-streetaddress	Street address	0..1	string		Value Set:
patient-contact-postaladdress-city	City	0..1	string		Value Set:
patient-contact-postaladdress-state	State	0..1	choice		Value Set: Australian States and Territories
patient-contact-postaladdress-postcode	Postcode	0..1	string		Value Set:
patient-carerdetails	Carer information	0..*	group		Value Set:
patient-carerinformation-hascarer	Do you have a carer?	0..1	choice		Value Set: Yes/No
patient-carerinformation-contact	Carer contact	0..*	group		Enable When: patient-carerinformation-hascarer = Yes (v2 Y/N Indicator#Y) Value Set:
patient-carerinformation-contact-name	Name	0..1	string		Value Set:
patient-carerinformation-contact-phone	Phone	0..*	string		Value Set:
patient-carerinformation-contact-email	Email	0..*	string		Value Set:
patient-carerinformation-present	Carer present at appointment	0..1	choice		Enable When: patient-carerinformation-hascarer = Yes (v2 Y/N Indicator#Y) Value Set: Yes/No
patient-additionalcontacts	Additional contacts	0..*	group		Value Set:
patient-additionalcontacts-type	Type	0..1	open-choice		Value Set: Options: 5 options
patient-additionalcontacts-name	Name	0..1	string		Value Set:
patient-additionalcontacts-phone	Phone	0..*	string		Value Set:
patient-additionalcontacts-email	Email	0..*	string		Value Set:
patient-additionalcontacts-relationship	Relationship to patient	0..1	string		Value Set:
patient-additionalinformation	Additional information	0..1	text		Value Set:
practitioner	Practitioner details	0..1	group		Value Set:
practitioner-instructions	This form has been prefilled with information that was available from the patient's health record. Upon saving, the form will be stored, but additional information entered will not be used to update the patient's health record. Changes to practitioner information should be made in the source system.	0..1	display		Value Set:
practitioner-name	Name	0..1	string		Value Set:
practitioner-phone	Phone	0..*	string		Value Set:
practitioner-email	Email	0..*	string		Value Set:
practitioner-medicareprovidernumber	Medicare provider number	0..*	string		Value Set:
practitioner-clinicdetails	Clinic details	0..1	group		Value Set:
practitioner-clinicdetails-name	Name	0..1	string		Value Set:
practitioner-clinicdetails-address	Address	0..1	group		Value Set:
practitioner-clinicdetails-address-streetaddress	Street address	0..1	string		Value Set:
practitioner-clinicdetails-address-city	City	0..1	string		Value Set:
practitioner-clinicdetails-address-state	State	0..1	choice		Value Set: Australian States and Territories
practitioner-clinicdetails-address-postcode	Postcode	0..1	string		Value Set:
practitioner-clinicdetails-addresstext	Address	0..1	string		Value Set:
clinicaldetails	Clinical details	0..1	group		Value Set:
clinicaldetails-instructions	This form has been prefilled with information that was available from the patient's health record. Upon saving, the form will be stored, but additional information entered will not be used to update the patient's health record.	0..1	display		Value Set:
clinicaldetails-problemsdiagnoses	Problems/Diagnoses	0..1	group		Value Set:
clinicaldetails-problemsdiagnoses-recordedproblems	Recorded problems/diagnoses	0..*	group		Value Set:
clinicaldetails-problemsdiagnoses-recordedproblems-condition	Condition	0..1	open-choice		Value Set: Clinical Condition
clinicaldetails-problemsdiagnoses-recordedproblems-clinicalstatus	Clinical status	0..1	choice		Value Set: Condition Clinical Status Codes
clinicaldetails-problemsdiagnoses-recordedproblems-onsetdate	Onset date	0..1	date		Value Set:
clinicaldetails-problemsdiagnoses-recordedproblems-abatementdate	Abatement date	0..1	date		Value Set:
clinicaldetails-problemsdiagnoses-newproblems	New problems/diagnoses	0..*	group		Value Set:
clinicaldetails-problemsdiagnoses-newproblems-condition	Condition	0..1	open-choice		Value Set: Clinical Condition
clinicaldetails-problemsdiagnoses-newproblems-onsetdate	Onset date	0..1	date		Value Set:
clinicaldetails-problemsdiagnoses-newproblems-comment	Comment	0..1	string		Value Set:
clinicaldetails-allergies	Adverse reaction risks	0..1	group		Value Set:
clinicaldetails-allergies-recordedallergies	Recorded adverse reaction risks	0..*	group		Value Set:
clinicaldetails-allergies-recordedallergies-substance	Substance	0..1	open-choice		Value Set: Adverse Reaction Agent
clinicaldetails-allergies-recordedallergies-status	Status	0..1	choice		Value Set: AllergyIntolerance Clinical Status Codes
clinicaldetails-allergies-recordedallergies-manifestation	Manifestation	0..*	open-choice		Value Set: Clinical Finding
clinicaldetails-allergies-recordedallergies-comment	Comment	0..1	text		Value Set:
clinicaldetails-allergies-newallergies	New adverse reaction risks	0..*	group		Value Set:
clinicaldetails-allergies-newallergies-substance	Substance	0..1	open-choice		Value Set: Adverse Reaction Agent
clinicaldetails-allergies-newallergies-manifestation	Manifestation	0..*	open-choice		Value Set: Clinical Finding
clinicaldetails-allergies-newallergies-comment	Comment	0..1	text		Value Set:
clinicaldetails-medications	Medications (current)	0..1	group		Value Set:
clinicaldetails-medications-recordedmedications	Recorded medications	0..*	group		Value Set:
clinicaldetails-medications-recordedmedications-medication	Medication	0..1	open-choice		Value Set: Australian Medication
clinicaldetails-medications-recordedmedications-status	Status	0..1	choice		Value Set: Medication Statement Status Limited
clinicaldetails-medications-recordedmedications-dosage	Dosage	0..1	text		Value Set:
clinicaldetails-medications-recordedmedications-indication	Indication	0..*	open-choice		Value Set: Medication Reason Taken
clinicaldetails-medications-recordedmedications-comment	Comment	0..1	text		Value Set:
clinicaldetails-medications-newmedications	New medications	0..*	group		Value Set:
clinicaldetails-medications-newmedications-medication	Medication	0..1	open-choice		Value Set: Australian Medication
clinicaldetails-medications-newmedications-dosage	Dosage	0..1	text		Value Set:
clinicaldetails-medications-newmedications-indication	Indication	0..*	open-choice		Value Set: Medication Reason Taken
clinicaldetails-medications-newmedications-comment	Comment	0..1	text		Value Set:
clinicaldetails-observations	Observations	0..1	group		Value Set:
clinicaldetails-observations-instructions	The tabled observations will display the most recent results available from the patient record. New observations may be added.	0..1	display		Value Set:
clinicaldetails-observations-maingrid	Observations	0..1	group		Value Set:
clinicaldetails-observations-maingrid-height	Height	0..1	group		Value Set:
clinicaldetails-observations-maingrid-height-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-height-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-height-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-height-newresultvalue	New result	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-height-newresultvalue-unit	cm	0..1	display		Value Set:
clinicaldetails-observations-maingrid-height-newresultdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-maingrid-weight	Weight	0..1	group		Value Set:
clinicaldetails-observations-maingrid-weight-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-weight-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-weight-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-weight-newresultvalue	New result	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-weight-newresultvalue-unit	kg	0..1	display		Value Set:
clinicaldetails-observations-maingrid-weight-newresultdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-maingrid-bmi	BMI (calculated)	0..1	group		Value Set:
clinicaldetails-observations-maingrid-bmi-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-bmi-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-bmi-newresultvalue	New result	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-bmi-newresult-unit	kg/m2	0..1	display		Value Set:
clinicaldetails-observations-maingrid-waistcircumference	Waist circumference	0..1	group		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-newresultvalue	New result	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-newresultvalue-unit	cm	0..1	display		Value Set:
clinicaldetails-observations-maingrid-waistcircumference-newdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-maingrid-pulserate	Pulse rate	0..1	group		Value Set:
clinicaldetails-observations-maingrid-pulserate-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-pulserate-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-pulserate-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-pulserate-newresultvalue	New result	0..1	integer		Value Set:
clinicaldetails-observations-maingrid-pulserate-newresultvalue-unit	/min	0..1	display		Value Set:
clinicaldetails-observations-maingrid-pulserate-newresultdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-maingrid-pulserhythm	Pulse rhythm	0..1	group		Value Set:
clinicaldetails-observations-maingrid-pulserhythm-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-pulserhythm-lastresultvalue	null	0..1	choice		Value Set: Pulse Rhythm
clinicaldetails-observations-maingrid-pulserhythm-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-pulserhythm-newresultvalue	New result	0..1	choice		Value Set: Pulse Rhythm
clinicaldetails-observations-maingrid-pulserhythm-newresultdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation	Oxygen saturation	0..1	group		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-lastresultvalue	null	0..1	decimal		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-newresultvalue	New result	0..1	integer		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-newresultvalue-unit	%	0..1	display		Value Set:
clinicaldetails-observations-maingrid-oxygensaturation-newresultdate	New result date	0..1	date		Value Set:
clinicaldetails-observations-bpgrid	Blood pressure	0..1	group		Value Set:
clinicaldetails-observations-bpgrid-bp	Blood pressure	0..1	group		Value Set:
clinicaldetails-observations-bpgrid-bp-lastresult	Last result	0..1	display		Value Set:
clinicaldetails-observations-bpgrid-bp-lastresultvaluesystolic	null	0..1	decimal		Value Set:
clinicaldetails-observations-bpgrid-bp-lastresultvaluediastolic	null	0..1	decimal		Value Set:
clinicaldetails-observations-bpgrid-bp-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-bpgrid-bp-newresultsystolic	Systolic	0..1	integer		Value Set:
clinicaldetails-observations-bpgrid-bp-newresultsystolic-unit	mm Hg	0..1	display		Value Set:
clinicaldetails-observations-bpgrid-bp-newresultdiastolic	Diastolic	0..1	integer		Value Set:
clinicaldetails-observations-bpgrid-bp-newresultdiastolic-unit	mm Hg	0..1	display		Value Set:
clinicaldetails-observations-bpgrid-bp-newresultdate	Date performed	0..1	date		Value Set:
clinicaldetails-observations-substanceusegrid	Substance use	0..1	group		Value Set:
clinicaldetails-observations-substanceusegrid-smokingstatus	Smoking status	0..1	group		Value Set:
clinicaldetails-observations-substanceusegrid-smokingstatus-laststatus	Last status	0..1	display		Value Set:
clinicaldetails-observations-substanceusegrid-smokingstatus-lastresultvalue	null	0..1	choice		Value Set: Smoking Status
clinicaldetails-observations-substanceusegrid-smokingstatus-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-substanceusegrid-smokingstatus-newresultvalue	New status	0..1	choice		Value Set: Smoking Status
clinicaldetails-observations-substanceusegrid-smokingstatus-newresultdate	New status date	0..1	date		Value Set:
clinicaldetails-observations-smokingstatusgrid-smokingstatus-newresultcomment	Comment	0..1	string		Value Set:
clinicaldetails-observations-substanceusegrid-alcoholstatus	Alcohol consumption status	0..1	group		Value Set:
clinicaldetails-observations-substanceusegrid-alcoholstatus-laststatus	Last status	0..1	display		Value Set:
clinicaldetails-observations-substanceusegrid-alcoholstatus-lastresultvalue	null	0..1	choice		Value Set: Alcohol Intake Status
clinicaldetails-observations-substanceusegrid-alcoholstatus-lastresultdate	null	0..1	date		Value Set:
clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultvalue	New status	0..1	choice		Value Set: Alcohol Intake Status
clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultdate	New status date	0..1	date		Value Set:
clinicaldetails-observations-substanceusegrid-alcoholstatus-newresultcomment	Comment	0..1	string		Value Set:
clinicaldetails-observations-additionalinformation	Additional information	0..1	text		Value Set:
plan	Plan	0..1	group		Value Set:
plandetails-commenceddate	Date this plan commenced	0..1	date		Value Set:
plandetails-inprogress	Incomplete draft plan already exists?	0..1	boolean		Value Set:
plandetails-lastcompleteddate	Date of last completed plan	0..1	dateTime		Value Set:
plan-conditions	Conditions addressed	0..*	group		Value Set:
plan-conditions-condition	Condition	0..1	open-choice		Value Set: Clinical Condition
plan-conditions-onsetdate	Onset date	0..1	date		Value Set:
plan-conditions-comments	Comments	0..1	text		Value Set:
plan-goalstasks	Goals and tasks	0..*	group		Value Set:
plan-goalstasks-problemneed	Problems/Needs	0..*	open-choice		Value Set: Clinical Condition
plan-goalstasks-details-goalsetting	Goal setting	0..*	group		Value Set:
plan-goalstasks-details-goalsetting-goals	Goals	0..1	text		Value Set:
plan-goalstasks-details-goalsetting-initiator	Initiator	0..1	string		Value Set:
plan-goalstasks-details-goalsetting-targetdate	Target date	0..1	date		Value Set:
plan-goalstasks-details-goalsetting-status	Status	0..1	choice		Value Set: Goal Status Limited
plan-goalstasks-details-goalsetting-comment	Comment	0..1	string		Value Set:
plan-goalstasks-details-interventionsactions	Interventions and actions	0..*	group		Value Set:
plan-goalstasks-details-interventionsactions-interventionsactions	Interventions/Actions	0..1	open-choice		Value Set: Procedure
plan-goalstasks-details-interventionsactions-owner	Owner	0..1	string		Value Set:
plan-goalstasks-details-interventionsactions-duedate	Due date	0..1	date		Value Set:
plan-goalstasks-details-interventionsactions-comment	Comment	0..1	string		Value Set:
plan-goalstasks-details-servicestreatments	Services and treatments	0..*	group		Value Set:
plan-goalstasks-details-servicestreatments-servicestreatments	Required services and treatments	0..1	open-choice		Value Set: Service Type
plan-goalstasks-details-servicestreatments-activity	Activity	0..1	open-choice		Value Set: Procedure
plan-goalstasks-details-servicestreatments-provider	Provider	0..1	string		Value Set:
plan-goalstasks-details-servicestreatments-comment	Comment	0..1	string		Value Set:
notes	Notes	0..1	group		Value Set:
notes-additionalcomments	Additional notes or comments	0..*	text		Value Set:
completion	Completion	0..1	group		Value Set:
completion-consentforsharing	Consent given for sharing of information with relevant healthcare providers	0..1	boolean		Value Set:
completion-review	Review	0..1	group		Value Set:
completion-review-appointmentstatus	Appointment status	0..1	choice		Value Set: Options: 2 options
completion-review-date	Date	0..1	date		Value Set:
completion-review-comment	Comment	0..1	string		Value Set:
completion-copyoffered	Patient has been offered a copy of this plan	0..1	choice		Value Set: Options: 3 options
completion-comment	Comment	0..1	string		Value Set:
Documentation for this format

Options Sets

Answer options for patient-additionalcontacts-type

• http://snomed.info/sct#394619001
• http://snomed.info/sct#1620171000168100
• http://terminology.hl7.org/CodeSystem/v2-0131#C
• http://terminology.hl7.org/CodeSystem/v2-0131#CP
• http://terminology.hl7.org/CodeSystem/v2-0131#N

Answer options for completion-review-appointmentstatus

• http://hl7.org/fhir/appointmentstatus#booked ("Booked")
• http://hl7.org/fhir/appointmentstatus#proposed ("Proposed")

Answer options for completion-copyoffered

• Yes, copy provided
• Yes, copy to be provided at a later date
• Yes, but declined