Smart Forms
0.2.0 - ci-build
Smart Forms, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/aehrc/smart-forms-ig/ and changes regularly. See the Directory of published versions
Official URL: http://www.health.gov.au/assessments/mbs/715 | Version: 0.2.0-assembled | |||
Draft as of 2024-04-02 | Computable Name: AboriginalTorresStraitIslanderHealthCheck | |||
Copyright/Legal: 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/. |
Aboriginal and Torres Strait Islander Health Check assessment form.
The long-term vision for effective Aboriginal and Torres Strait Islander health checks is of a standards-based health check template that is consistent and interoperable across different systems and applications whilst allowing for local adaptation.
The NACCHO and RACGP established a working group to review the Aboriginal and Torres Strait Islander annual health check templates and have produced five new templates that span the life course:
These example templates can be downloaded from the RACGP.
This resource is FHIR Questionnaire representation of the templates above.
Generated Narrative: Questionnaire AboriginalTorresStraitIslanderHealthCheck
StructureLinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
AboriginalTorresStraitIslanderHealthCheck | Aboriginal and Torres Strait Islander Health Check assessment form. | Questionnaire | http://www.health.gov.au/assessments/mbs/715#0.2.0-assembled | ||
fd5af92e-c248-497a-8007-ee0952ccd4d9 | null | 0..1 | group | ||
2e82032a-dc28-45f2-916e-862303d39fe5 | About the health check | 0..1 | group | ||
CD-in-progress-1 | In progress | 0..1 | display | Enable When: MarkComplete-1 != | |
CD-complete-1 | Complete | 0..1 | display | Enable When: MarkComplete-1 = | |
RecordUpdate-About | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
3da318f1-a5dd-4c8f-b258-99d83872a4f2 | Eligible for health check | 0..1 | choice | Value Set: Yes/No/NA | |
04f00512-888b-424e-ba76-9bd6fd8da682 | not claimed 715 or 228 in past nine months | 0..1 | display | ||
5960c096-d5f7-4745-bd74-44ff2775bde9 | Health check already in progress? | 0..1 | boolean | ||
01418489-1ec4-4c3b-b96a-7c14c3e21cfe | Date of last completed health check | 0..1 | date | ||
63fe14f3-2374-4382-bce7-180e2747c97f | Date this health check commenced | 0..1 | date | ||
MarkComplete-1 | Mark section as complete | 0..1 | boolean | ||
1016f79d-9756-4daf-b6ee-29add134b34f | Consent | 0..1 | group | ||
CD-in-progress-30 | In progress | 0..1 | display | Enable When: MarkComplete-30 != | |
CD-complete-30 | Complete | 0..1 | display | Enable When: MarkComplete-30 = | |
d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55 | Consent given after discussion of process and benefits of a health check | 0..1 | choice | Value Set: Yes/No/NA | |
7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd | Consent given by parent/primary carer after discussion of process and benefits of a health check | 0..1 | choice | Value Set: Yes/No/NA | |
80a6a405-49a4-44fb-bff3-212902096b95 | Parent/primary caregiver present | 0..1 | group | ||
c72933c7-349f-4fef-94ff-c424c69da6f3 | Parent/primary caregiver is present for health check? | 0..1 | choice | Value Set: Yes/No/NA | |
b7d116f9-0425-4cf1-8cde-fbf4dfaee550 | Relationship to child | 0..* | string | Enable When: c72933c7-349f-4fef-94ff-c424c69da6f3 = | |
d8c88bff-75ea-476f-8f83-e9b72fc9e1a0 | Consent for sharing of information | 0..1 | group | ||
057483ce-f265-46df-a1c5-7a18d492c1ba | Consent given for sharing of information with relevant healthcare providers? | 0..1 | choice | Value Set: Yes/No/NA | |
43517c44-5cd2-4d9a-9f18-d6bf8124f4ae | Who/details | 0..* | text | Enable When: 057483ce-f265-46df-a1c5-7a18d492c1ba = | |
84162f36-f4af-4509-b178-ef2a3849d0b6 | Date | 0..1 | date | ||
0f92eb2d-4629-4215-96f8-46722a2efa73 | Doctor | 0..1 | string | ||
8b94a129-3aab-4d13-bb6d-7a748f5c41e5 | Nurse | 0..1 | string | ||
2a517291-e2f1-4f66-ad1f-ae5b091d2f8a | Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner | 0..1 | string | ||
5bbfb4a3-a667-4ef2-98c2-76e76da55c03 | Location of health check | 0..1 | open-choice | Options: 3 options | |
9a51c056-021d-445d-8eaa-2123a69aa9c2 | Location of health check | 0..1 | open-choice | Options: 3 options | |
MarkComplete-30 | Mark section as complete | 0..1 | boolean | ||
5b224753-9365-44e3-823b-9c17e7394005 | Patient Details | 0..1 | group | ||
CD-in-progress-32 | In progress | 0..1 | display | Enable When: MarkComplete-32 != | |
CD-complete-32 | Complete | 0..1 | display | Enable When: MarkComplete-32 = | |
RecordUpdate-Patient | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
17596726-34cf-4133-9960-7081e1d63558 | Name | 0..1 | string | ||
57093a06-62f7-4b8b-8cb4-2c9f451ac851 | Preferred name | 0..1 | string | ||
540b1034-7c9a-4aba-a9ef-afb77d445a58 | Preferred pronouns | 0..1 | choice | Value Set: Australian Pronouns | |
f669a4fe-4818-429a-8847-d20da88d2bb3 | Gender identity | 0..1 | choice | Value Set: Gender Identity Response | |
418e4a02-de77-48a0-a92a-fe8fcc52b1aa | Administrative gender | 0..1 | choice | Value Set: AdministrativeGender | |
56ef44bb-3d1d-4972-aad1-834b69185d61 | Sex assigned at birth | 0..1 | choice | Value Set: Biological Sex | |
90ad8f16-16e4-4438-a7aa-b3189f510da2 | Date of birth | 0..1 | date | ||
e2a16e4d-2765-4b61-b286-82cfc6356b30 | Age | 0..1 | integer | ||
8acde9f8-7a91-4f0c-9216-38531ec984ef | Aboriginal and/or Torres Strait Islander status | 0..1 | choice | Value Set: Aboriginal and/or Torres Strait Islander | |
c8852db9-efe9-4102-96db-cef3a8be0a5f | Parents/primary carer/s | 0..* | choice | Value Set: Primary Carer Of Parent Or Grandparent | |
7089c48e-4216-4089-a548-034cd585e4da | Other family | 0..* | string | ||
70c45932-99dc-42a3-9650-4683892a0892 | details | 0..1 | display | ||
42b1f5e0-bf4a-47d9-86a4-f2fe946ac01f | Other | 0..* | string | ||
dcbd3a54-9b68-4486-bf30-f6f1723bc39c | details | 0..1 | display | ||
06737e46-e880-4037-9a2c-bcd278cd70ba | Parents/primary carer/s details | 0..* | group | ||
cc20ce96-af06-4cd7-aa9b-c2601a6169ad | Name of parent/primary carer | 0..1 | string | ||
372d79bb-9d0b-42d2-a98c-cbe332bd3745 | Relationship to child | 0..1 | string | ||
f1262ade-843c-4eba-a86d-51a9c97d134b | Home address | 0..1 | group | ||
311d83bb-f22e-4f60-9b50-b6e38dd2059b | No fixed address | 0..1 | boolean | Definition: Address.extension:noFixedAddress | |
4e0dc185-f83e-4027-b7a8-ecb543d42c6d | null | 0..* | group | Enable When: 311d83bb-f22e-4f60-9b50-b6e38dd2059b != | |
2fee2d51-7828-4178-b8c1-35edd32ba338 | Street address | 0..1 | string | Definition: Address.line | |
ddb65ed1-f4b2-4730-af2a-2f98bc73c76f | City | 0..1 | string | Definition: Address.city | |
d9a1236c-8d6e-4f20-a12a-9d5de5a1d0f6 | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
3f61a1ea-1c74-4f52-8519-432ce861a74f | Postcode | 0..1 | string | Definition: Address.postalCode | |
edc081ea-b5ba-4234-9234-8ee598c2f95f | Postal address | 0..* | group | ||
622970f1-3cf1-4f0a-bf05-b00a08046eba | Purpose of use | 0..1 | string | Definition: Address.use | |
2e8437cd-5ea0-4d44-8ab2-d2aa9ef18ba7 | Address | 0..1 | string | Definition: Address.line | |
2bde25e5-2c4c-4c0c-b6f3-c6859535a764 | City | 0..1 | string | Definition: Address.city | |
b41a8b11-8dbf-4999-9d0a-71d39240fed1 | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
28b58e50-2a04-4192-9655-efc8d72f32fa | Postcode | 0..1 | string | Definition: Address.postalCode | |
9541f0b0-f5ba-4fe7-a8e9-ad003cef897b | Home phone | 0..* | string | ||
4037a02b-4a85-40e0-9be6-5b17df1aac56 | Mobile phone | 0..* | string | ||
c22390d3-1be6-4fd1-b775-6443b7239a6b | Emergency contact | 0..* | group | ||
d7f2dd75-20c8-480f-8c22-71d604ebee8d | Name | 0..1 | string | ||
aa35d559-f45b-4d35-9453-dd02e4a790f3 | Relationship to child | 0..1 | string | ||
27099697-d6d1-42c0-bb0a-5e9ff7372a96 | Relationship to patient | 0..1 | string | ||
626e3723-6310-4b99-81c1-525676b027c8 | Phone | 0..* | string | ||
df1475ea-bf7e-4bf0-a69f-7f9608c3ed3c | Medicare number | 0..1 | group | ||
eb2a59ed-9632-4df1-b5b1-1e85c3b4b7cf | Number | 0..1 | string | ||
d6253253-a124-494e-a1d8-7ce02c69ec11 | Reference number | 0..1 | string | ||
c520e213-5313-42c3-860a-d30206620290 | Expiry | 0..1 | string | ||
c1e4e967-c0aa-4280-b5d4-ab1f375ed9ac | Pensioner Card Number | 0..1 | string | Max Length: 10 | |
a7e97574-3cea-4dfa-bef2-2665e7748364 | Health Care Card Number | 0..1 | string | Max Length: 10 | |
83814495-3a81-43f4-88df-42186cce516a | Registered for Closing the Gap PBS Co-payment Measure (CTG) | 0..1 | choice | Value Set: Yes/No/NA | |
e63547c6-1623-412f-963f-5f1ebf23563f | Child has a birth certificate | 0..1 | choice | Value Set: Yes/No/NA | |
a8143230-b30d-4b85-9805-5f2f73f2dffa | My Aged Care | 0..1 | group | ||
7165c072-e3d8-4564-9d1d-d17f6807787c | Registered for My Aged Care | 0..1 | choice | Value Set: Yes/No/NA | |
04e50521-dc85-4744-b7ab-6f8682aacb11 | My Aged Care Number | 0..1 | string | Enable When: 7165c072-e3d8-4564-9d1d-d17f6807787c = | |
2bfe50cb-7913-4f31-bce2-763c17ff8b1a | National Disability Insurance Scheme | 0..1 | group | ||
924b4500-53ac-4c4e-831b-7ab5569ff981 | Registered for NDIS | 0..1 | choice | Value Set: Yes/No/NA | |
7379a0fd-d95b-4ecb-a781-9f43d1394f10 | NDIS Number | 0..1 | string | Enable When: 924b4500-53ac-4c4e-831b-7ab5569ff981 = | |
9bc882bc-e989-4600-9587-8089fb757641 | Children | 0..1 | group | ||
e90b436b-2751-4e07-a40c-adfe951b6528 | Do you have children? | 0..1 | choice | Value Set: Yes/No/NA | |
241f5fca-f61a-49bd-8972-52613c0e6d15 | Number of children | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
74ce4c60-31d6-4e78-9056-579937379451 | Number of children in your care | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
2b5ae784-4341-4172-875d-1698cc8069f0 | Someone's carer | 0..1 | group | ||
a08271f1-194b-4fe9-91f9-4f3398858eb0 | Are you responsible for caring for someone else? | 0..1 | choice | Value Set: Yes/No/NA | |
4c14b158-3ae4-4994-8446-76e02640702c | Details | 0..1 | text | Enable When: a08271f1-194b-4fe9-91f9-4f3398858eb0 = | |
6c80c675-1320-4ca3-ae3f-51ad173da741 | Your carer | 0..1 | group | ||
d05558fb-a3cc-4bd6-b803-b672b36b9c51 | Do you have a carer? | 0..1 | choice | Value Set: Yes/No/NA | |
b9991e7e-ce03-465d-b4b0-5a1725b24e02 | Details | 0..1 | text | Enable When: d05558fb-a3cc-4bd6-b803-b672b36b9c51 = | |
3494631c-6b56-46dc-abf7-a17bfc1d025f | Providers | 0..1 | group | ||
41210be5-d441-4c44-b9c2-8dd94a44cbb4 | Are name and contact details of other key providers (eg case workers, support services) up to date? | 0..1 | choice | Value Set: Yes/No/NA | |
6733d6ec-5b6b-4ee2-a21e-0e9474c2b22b | Details | 0..1 | text | ||
38f81a73-447f-4ecd-a8eb-6eccd9dee050 | Advance care planning | 0..1 | group | ||
c023ef16-b554-4ed9-8993-1331e5f5a3b4 | Enduring Power of Attorney | 0..1 | group | ||
036eace9-ea83-46ec-9d01-f2093f710816 | Enduring Power of Attorney | 0..1 | choice | Value Set: Yes/No/NA | |
83518215-7151-4365-b745-d7464bbb9528 | Discussed today | 0..1 | text | ||
c4f68251-26af-462f-879a-a69b449066ff | Advance Health Directive | 0..1 | group | ||
b0632039-c12b-4748-9e94-52073590c0ba | Advance Health Directive | 0..1 | choice | Value Set: Yes/No/NA | |
c4bc2d84-e411-488d-9c0d-761f0377a026 | Discussed today | 0..1 | text | ||
MarkComplete-32 | Mark section as complete | 0..1 | boolean | ||
b3a3eee2-f340-452e-9d05-d1f54f677b81 | Current health/patient priorities | 0..1 | group | ||
CD-in-progress-5 | In progress | 0..1 | display | Enable When: MarkComplete-5 != | |
CD-complete-5 | Complete | 0..1 | display | Enable When: MarkComplete-5 = | |
dcf182c0-a2bf-46ac-a19b-72e4d24ef24d | What are the important things for you in this health check today? | 0..1 | text | ||
3ac0c629-9acc-48af-bafe-6b05dfd06281 | details | 0..1 | display | ||
a0c06f8d-3210-480b-9031-7b5eb5bf1dda | Is there anything you are worried about? | 0..1 | text | ||
43fb3316-64a4-41dc-b12c-2f3fcee3eb84 | details | 0..1 | display | ||
96f3396e-f5f8-4347-8692-9abdecb97768 | Is there anything that you are worried about with your child's health or wellbeing? | 0..1 | text | ||
75b39c42-8a15-4fdf-9129-936072336456 | details | 0..1 | display | ||
17651f83-8476-499c-a5ef-dd4e1a6c9f13 | Child Health Book | 0..1 | group | ||
2655e0e1-fe4b-431e-87af-30d4ff1aca76 | Does your child have a Child Health Book? | 0..1 | choice | Value Set: Yes/No | |
a30d0101-06ce-4481-b142-9fa2c091fe4f | Is it up to date? | 0..1 | choice | Enable When: 2655e0e1-fe4b-431e-87af-30d4ff1aca76 = Value Set: Yes/No | |
35b3f6d8-2907-4134-ae55-1e321b908f70 | Do you have any specific health goals? Is there anything in particular about your health and wellbeing that you would like to improve? | 0..1 | text | ||
bb176839-5cc8-4fb5-a919-0904968418be | details | 0..1 | display | ||
7cd424e5-7672-4e99-8a99-30b1fb3043fd | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-5 | Mark section as complete | 0..1 | boolean | ||
28d5dbe4-1e65-487c-847a-847f544a6a91 | Medical history and current problems | 0..1 | group | ||
CD-in-progress-17 | In progress | 0..1 | display | Enable When: MarkComplete-17 != | |
CD-complete-17 | Complete | 0..1 | display | Enable When: MarkComplete-17 = | |
RecordUpdate-MedHistory | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
a10a7375-e9d3-4e71-a47a-282e9ba38ec1 | Gestation at birth | 0..1 | decimal | ||
f3899852-36c4-441f-9a7d-544ef1617f08 | weeks | 0..1 | display | ||
29b6d8ea-23b2-4a69-98d9-899198692de7 | Birth weight | 0..1 | decimal | ||
87cf1ecd-6d1b-4de1-894d-58bd77dcfde1 | kg | 0..1 | display | ||
92bd7d05-9b5e-4cf9-900b-703f361dad9d | Medical history and current problems list | 0..* | group | ||
59b1900a-4f85-4a8c-b9cd-3fe2fd76f27e | Condition | 0..1 | open-choice | Value Set: Clinical Condition | |
88bcfad7-386b-4d87-b34b-2e50482e4d2c | Clinical Status | 0..1 | choice | Value Set: Condition Clinical Status Codes | |
6ae641ad-95bb-4cdc-8910-5a52077e492c | Onset Date | 0..1 | date | ||
18b9e159-2ed7-4047-82b7-deb2a171de4f | Recorded Date | 0..1 | date | ||
4484cacd-a260-4e5f-83c1-168ca2396c04 | New diagnoses list | 0..* | group | ||
2da85994-2d5e-42f1-8a81-abf44f397468 | Condition | 0..1 | open-choice | Value Set: Clinical Condition | |
a7e056be-fb6f-4f7f-b04d-5b809e1e18e3 | Clinical Status | 0..1 | choice | Value Set: Condition Clinical Status Codes | |
e4524654-f6de-4717-b288-34919394d46b | Onset Date | 0..1 | date | ||
5bc1d8f4-6e8c-4695-916c-1ef767306e46 | Recorded Date | 0..1 | date | ||
62774152-8a6e-4449-af9f-87bdce8b9bf5 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-17 | Mark section as complete | 0..1 | boolean | ||
7dfe7c6a-ca7f-4ddf-9241-a7b918a9695a | Regular medications: check if still required, appropriate dose, understanding of medication and adherence | 0..1 | group | ||
CD-in-progress-23 | In progress | 0..1 | display | Enable When: MarkComplete-23 != | |
CD-complete-23 | Complete | 0..1 | display | Enable When: MarkComplete-23 = | |
6eb59145-ed9a-4184-af83-3506d47e4d4e | Does your child take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice | Value Set: Yes/No | |
3a2d27b6-e918-4df5-aca9-b374fcf9faad | Do you take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice | Value Set: Yes/No | |
874ec8db-95c9-4cc0-95db-e45edaa3cd12 | Up to date in the health record? | 0..1 | boolean | Enable When: | |
36290837-ad70-48b2-9c66-31533fec918b | Medication understanding and adherence has been checked with patient | 0..1 | boolean | Enable When: | |
aa9ff2ed-bcd2-406d-a9ff-89c201df2605 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-23 | Mark section as complete | 0..1 | boolean | ||
d4e4db07-a795-4a30-bd0f-9c109f96a22b | Allergies/adverse reactions | 0..1 | group | ||
CD-in-progress-3 | In progress | 0..1 | display | Enable When: MarkComplete-3 != | |
CD-complete-3 | Complete | 0..1 | display | Enable When: MarkComplete-3 = | |
8a1d70bf-a68b-4b7b-be73-ba6956fccc78 | Up to date in the health record? | 0..1 | boolean | ||
3e689aeb-69a1-4a9b-93bd-50377511dd9b | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-3 | Mark section as complete | 0..1 | boolean | ||
01f67f0b-e3be-48d8-a2ad-4c54f469cd13 | Family history | 0..1 | group | ||
CD-in-progress-9 | In progress | 0..1 | display | Enable When: MarkComplete-9 != | |
CD-complete-9 | Complete | 0..1 | display | Enable When: MarkComplete-9 = | |
532e09ea-2c2d-48c6-81f8-e23380b329a0 | Provide relevant family history information | 0..1 | text | ||
9bc2daf9-6d13-4747-90c3-4a1862f6199a | Details | 0..1 | display | ||
df5b2081-a373-48ee-acab-96225dad3c1d | Provide relevant family history information (including diabetes, heart disease, cancer, mental health) | 0..1 | text | ||
8f801e02-bfe8-437f-ba51-07c8f3631a0e | Details | 0..1 | display | ||
49ee4583-c608-41d4-a1e9-c06cf4292369 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-9 | Mark section as complete | 0..1 | boolean | ||
0a3c9c93-5836-4a5b-93e5-d7de559e053a | Social and emotional wellbeing | 0..1 | group | ||
CD-in-progress-27 | In progress | 0..1 | display | Enable When: MarkComplete-27 != | |
CD-complete-27 | Complete | 0..1 | display | Enable When: MarkComplete-27 = | |
c736d065-88f6-49c3-a5a4-91a2bd7a54bb | Stressful life events | 0..1 | group | ||
e7297156-cfed-4437-b877-c345f744168b | Have there been any particular stressful life events that are impacting on you/your health lately? | 0..1 | choice | Value Set: Yes/No | |
4c3427ce-062f-4f62-b566-2decb506a9cb | Details | 0..1 | text | Enable When: e7297156-cfed-4437-b877-c345f744168b = | |
7d783b71-7303-441b-822a-14e11a740038 | Social and emotional wellbeing assessment: consider tools such as Aboriginal and Torres Strait Islander Youth Social Emotional Wellbeing assessment question guide or HEEADSSS | 0..1 | display | ||
9e991b80-7080-40d5-9ad9-447dc47e3a68 | Consider conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text | ||
2740f866-2cd7-41a1-912c-ba29cbe7a582 | Details | 0..1 | display | ||
b5a00aad-2a8b-4ac3-87b2-4a5920ca22ee | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-27 | Mark section as complete | 0..1 | boolean | ||
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 | Enable When: MarkComplete-28 != | |
CD-complete-28 | Complete | 0..1 | display | Enable When: MarkComplete-28 = | |
1bb673a4-40f9-41c3-ad04-66c9f38fdc1b | Who lives in your household? / Who does the child live with? | 0..1 | text | ||
5b8134d2-f87e-4449-bfc1-eac1d8d3d58b | Details | 0..1 | display | ||
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 | ||
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MarkComplete-28 | Mark section as complete | 0..1 | boolean | ||
819b3305-bf93-4502-9986-242ea2ae5f43 | Home and family | 0..1 | group | ||
CD-in-progress-12 | In progress | 0..1 | display | Enable When: MarkComplete-12 != | |
CD-complete-12 | Complete | 0..1 | display | Enable When: MarkComplete-12 = | |
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367ac5dd-07fa-4bda-a775-d9f38b15affd | Home safety | 0..1 | group | ||
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9bd5f571-8cbf-4c25-975c-5fc8395b75f5 | Details | 0..1 | text | Enable When: 6f73d1ee-dd8e-419a-9142-ede367200e3b = | |
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MarkComplete-12 | Mark section as complete | 0..1 | boolean | ||
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CD-complete-15 | Complete | 0..1 | display | Enable When: MarkComplete-15 = | |
818c9aaa-1b00-4c76-9971-49df74edff7a | Is there anything that you are worried about with your child's development? | 0..1 | text | ||
ca6113f5-b6f6-413d-b9e1-0a34491f4be3 | Details | 0..1 | display | ||
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44e0023c-1b92-455f-a501-6006cf412fc5 | Details | 0..1 | display | ||
335f4c10-a6e6-455b-8a7e-2962158f5183 | What childcare/early learning centre/kindergarten does your child go to? How often? | 0..1 | text | ||
20ae39db-7bb5-4af4-ac59-3298d20719d8 | details | 0..1 | display | ||
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61ff302c-9ef0-414c-a9f8-e2b8d119373c | details | 0..1 | display | ||
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CD-in-progress-33 | In progress | 0..1 | display | Enable When: MarkComplete-33 != | |
CD-complete-33 | Complete | 0..1 | display | Enable When: MarkComplete-33 = | |
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CD-in-progress-16 | In progress | 0..1 | display | Enable When: MarkComplete-16 != | |
CD-complete-16 | Complete | 0..1 | display | Enable When: MarkComplete-16 = | |
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MarkComplete-16 | Mark section as complete | 0..1 | boolean | ||
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CD-in-progress-19 | In progress | 0..1 | display | Enable When: MarkComplete-19 != | |
CD-complete-19 | Complete | 0..1 | display | Enable When: MarkComplete-19 = | |
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MarkComplete-19 | Mark section as complete | 0..1 | boolean | ||
1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c | Memory and thinking | 0..1 | group | ||
CD-in-progress-18 | In progress | 0..1 | display | Enable When: MarkComplete-18 != | |
CD-complete-18 | Complete | 0..1 | display | Enable When: MarkComplete-18 = | |
64fd0c95-b57b-4319-bf40-ad77d10a9832 | Personal concerns about your memory or thinking | 0..1 | group | ||
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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 | ||
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1f0e7fde-e964-4f36-9151-dbdc5e145f94 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-18 | Mark section as complete | 0..1 | boolean | ||
c5da020c-c4f3-437c-b658-ea7e7667514d | Chronic disease associated with ageing | 0..1 | group | ||
CD-in-progress-4 | In progress | 0..1 | display | Enable When: MarkComplete-4 != | |
CD-complete-4 | Complete | 0..1 | display | Enable When: MarkComplete-4 = | |
12e244c0-2887-4230-8792-9521d4f1ab33 | For older people with chronic disease and/or conditions associated with ageing, consider assessing: Osteoporosis risk; Falls risk; Balance, coordination and mobility; Pain; Nutrition; Regularity of chronic disease management and review | 0..1 | text | ||
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CD-in-progress-24 | In progress | 0..1 | display | Enable When: MarkComplete-24 != | |
CD-complete-24 | Complete | 0..1 | display | Enable When: MarkComplete-24 = | |
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CD-in-progress-11 | In progress | 0..1 | display | Enable When: MarkComplete-11 != | |
CD-complete-11 | Complete | 0..1 | display | Enable When: MarkComplete-11 = | |
9ac8c78d-9c36-4bf5-8c6e-e48109902dfa | Child eating concerns | 0..1 | group | ||
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69d92a26-95ac-4556-94da-5b0e09940bfd | Is there anything that you are worried about with your child's eating? | 0..1 | choice | Value Set: Yes/No | |
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1d5c3354-6780-4b6a-b9af-7a17b0386781 | Details | 0..1 | text | Enable When: 646302e9-d384-4943-99bc-11e638641703 = | |
c4c51d01-7acf-4551-a652-82f9fdf58a6d | Unintended weight loss | 0..1 | group | ||
6dc96b26-cbc5-4434-8f6b-0260196311c2 | Have you lost weight without trying to in the last three months? | 0..1 | choice | Value Set: Yes/No | |
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9f6adf74-f240-41a2-a509-d216d5308911 | Document conversation about age-appropriate healthy eating, which could include: current diet; transition to solids; dietary recommendations re fruit and vegetable intake, iron-rich foods, avoiding sugary drinks | 0..1 | text | ||
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301789b0-8c6a-470d-8787-0ac6597e3bea | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-11 | Mark section as complete | 0..1 | boolean | ||
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CD-in-progress-34 | In progress | 0..1 | display | Enable When: MarkComplete-34 != | |
CD-complete-34 | Complete | 0..1 | display | Enable When: MarkComplete-34 = | |
8c5e737f-820b-47a4-8c8a-27ce1eb18cf4 | Physical activity concerns | 0..1 | group | ||
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26707b9a-4e3d-4063-a890-7ec2ff02ced1 | Details | 0..1 | text | Enable When: 304d0332-9bfd-42dc-a4be-a5122596fb89 = | |
e24d487b-3dd4-4a6d-a58e-85dfa8ce3f36 | Screen time concerns | 0..1 | group | ||
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13040f64-5cbf-4592-a683-c03527c64ac6 | Details | 0..1 | text | Enable When: 465eacce-f9ee-4022-9186-89065cf01ce2 = | |
e9b6ac74-d810-4350-8b41-8ea2e4bd14fc | Physical activity or screen time concerns | 0..1 | group | ||
08320c7a-831b-4237-95e2-d79aee155b90 | Do you have any worries about physical activity or screen time? | 0..1 | choice | Value Set: Yes/No | |
57fa51e3-11c5-43f1-bdf0-73b2b48414c3 | Details | 0..1 | text | Enable When: 08320c7a-831b-4237-95e2-d79aee155b90 = | |
a9aaba01-5f11-4d4e-ad39-40b6bef745da | Document conversation about age-appropriate recommendations re physical activity and screen time | 0..1 | text | ||
64c5bab2-575b-4304-bb50-3840bae351ea | Details | 0..1 | display | ||
b2269be8-3ea5-494c-9368-06912b629789 | Document conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text | ||
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ccbd7fbf-0d40-4cb3-82b3-ad2c7cc7bba2 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-34 | Mark section as complete | 0..1 | boolean | ||
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CD-in-progress-21 | In progress | 0..1 | display | Enable When: MarkComplete-21 != | |
CD-complete-21 | Complete | 0..1 | display | Enable When: MarkComplete-21 = | |
015d986f-89cf-45b0-a753-9a3ab0c4b05b | Physical activity concerns | 0..1 | group | ||
b30d5d21-c6d6-4bb3-aab4-0fdee80b3093 | Do you have any worries about physical activity? | 0..1 | choice | Value Set: Yes/No | |
fd6beb79-ffc3-4879-913b-f42b0ec930ba | Details | 0..1 | text | Enable When: b30d5d21-c6d6-4bb3-aab4-0fdee80b3093 = | |
eb326905-3709-4088-8491-8b83c97f2da4 | Document conversation about recommendations re physical activity | 0..1 | text | ||
10add54e-af14-47b7-ad1a-666692ee3767 | Details | 0..1 | display | ||
25b8b8fd-adb1-48ab-aeae-528603668c4b | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-21 | Mark section as complete | 0..1 | boolean | ||
b9a6ce8b-7766-47a5-8e1c-1590a1edbfa8 | Red flags early identification guide for children | 0..1 | group | ||
CD-in-progress-22 | In progress | 0..1 | display | Enable When: MarkComplete-22 != | |
CD-complete-22 | Complete | 0..1 | display | Enable When: MarkComplete-22 = | |
dfbf13b5-e9e1-4f2f-83fc-1b3b9e50c921 | This is based on material from the The State of Queensland, Red flags early identification guide (for children aged birth to five years). 2nd edn. South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. Updated: July 2016. | 0..1 | display | ||
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c10acb25-fdc3-401e-b0aa-d85b2921e5bb | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
b6bb38f6-8084-4c89-a0f2-9d77aacab61d | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
c0ad8dc5-4672-4b21-b30d-6dcc7a00109a | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
fc0977e1-fd83-4d0b-a57a-e94c7fd41fdb | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
70f7b96f-eaae-490b-8522-1214c1b1aede | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
03ff1391-f48d-4b99-894c-159f4d09eb33 | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
ee5f0a61-a8a1-473e-addf-ca5b1eaad7d3 | Social Emotional | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
2b23128e-1622-4880-abd6-c9cd429b48e3 | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
dfb86be5-b6ff-400e-b7d6-68701df086da | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
4d802a6d-c89e-4460-8091-874f855be4ad | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
b8e1a699-ed65-491f-9865-8ab855bb2d33 | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
6c3637ed-4afd-45be-a15c-9d5e7d8e78e8 | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
25d67a2f-8bbe-4f79-9488-1682d2ce49fa | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005 | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
3e06438a-ee7d-4880-83aa-68d2ade997ce | Communication | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
49d172b4-bc2f-46cd-95a8-2f3ecba8e852 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options | |
785ec313-7b25-4d0d-9421-382981286cbc | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options | |
2c2b263e-41a5-4dae-94e1-814f5bfca20a | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
d6d7d675-0fee-466d-85e8-5dae46adac40 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
c48e4138-0952-49a7-9c77-14b3e6d1dad3 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option | |
433e768c-8458-476a-8330-3f59a4aa94b4 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
06d96181-2b2d-48de-b80f-bd5ccb2fb3c1 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
e08345d3-a919-4bf0-8775-5df84a173832 | Cognition, fine motor and self care | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options | |
7f3861fd-b9f0-489d-8a39-5fdd18eeaf0e | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
68809920-fbf4-48e5-89f7-c0b49a8b8f78 | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options | |
5cf7c9bc-b3ec-43ac-8de8-65078f57a82b | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
a1137862-767c-49fb-883b-92bee7588edc | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
dd83d558-6a7f-4b94-b677-7c2b31ccc52f | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
5ea4460c-a4c5-4025-bf85-64884a66458f | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
75b597b4-3b38-4efd-aeb2-ab1551d83c3c | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
f23ac52c-2064-4032-b283-6ce09fc306fa | Gross motor | 0..* | choice | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options | |
758d4109-363a-48c9-95f3-8a8d8b1b32ec | Red flags at any age | 0..* | choice | Options: 7 options | |
MarkComplete-22 | Mark section as complete | 0..1 | boolean | ||
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 = | |
RecordUpdate-SubstanceUse | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
515eda6e-973a-4b10-910a-0d4bf4f2efff | Smoking | 0..1 | group | ||
b639a3a8-f476-4cc8-b5c7-f5d2abb23511 | Smoking status | 0..1 | choice | Value Set: Tobacco Use Status | |
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 | ||
a7bb0dd2-4b2d-49c2-9da6-3cb0a4dd9240 | Gambling | 0..1 | group | ||
CD-in-progress-10 | In progress | 0..1 | display | Enable When: MarkComplete-10 != | |
CD-complete-10 | Complete | 0..1 | display | Enable When: MarkComplete-10 = | |
fb489c43-f311-41f5-9d6a-1b61748e165f | Gambling issues | 0..1 | group | ||
a233c01e-a72e-474b-9a26-bab1504491fa | Have you or someone close to you ever had issues with gambling? | 0..1 | choice | Value Set: Yes/No | |
d1b68cfc-77cf-464e-83ce-0e8517bed9f3 | Details | 0..1 | text | Enable When: a233c01e-a72e-474b-9a26-bab1504491fa = | |
2ab74c97-55d9-4fd9-968f-8962d62ea573 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-10 | Mark section as complete | 0..1 | boolean | ||
4b49c291-6e93-4b7e-be3b-15ef8bc207ad | Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs) | 0..1 | group | ||
CD-in-progress-36 | In progress | 0..1 | display | Enable When: MarkComplete-36 != | |
CD-complete-36 | Complete | 0..1 | display | Enable When: MarkComplete-36 = | |
e5aeda89-b820-4bb3-8fbd-d4f662207b7d | Puberty and sexual health concerns | 0..1 | group | ||
1d20138a-caf3-4c43-9693-04c08d37a84a | 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 | |
d7b92cad-4aa8-47d3-975c-92563f132325 | Details | 0..1 | text | Enable When: 1d20138a-caf3-4c43-9693-04c08d37a84a = | |
0fba3972-faa3-4f40-940c-c2f1c9b55329 | 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 | ||
b41572ba-cf36-4cec-addf-cb0b47fea63f | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-36 | Mark section as complete | 0..1 | boolean | ||
589b53a4-ceb2-41c0-850a-69438f9fd1cc | Genitourinary and sexual health | 0..1 | group | ||
CD-in-progress-35 | In progress | 0..1 | display | Enable When: MarkComplete-35 != | |
CD-complete-35 | Complete | 0..1 | display | Enable When: MarkComplete-35 = | |
5f5d4886-ce06-47fa-a4d8-f6808b9081c0 | Sexual health concerns | 0..1 | group | ||
e56e79e5-8fbb-43f0-b2a3-018b55750bd0 | 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 | |
5148c6c6-c99f-480d-bb05-569064ba7118 | Details | 0..1 | text | Enable When: e56e79e5-8fbb-43f0-b2a3-018b55750bd0 = | |
d844a31e-8e51-420b-855c-4f485a180a57 | Cervical screening | 0..1 | group | ||
37dbd343-6d02-477c-89bf-59ba022efbb7 | Cervical screening status | 0..1 | choice | Value Set: Cervical Screening Status | |
f93eb998-1502-4d8a-88a4-986117a387c5 | Next due | 0..1 | date | ||
862fc298-5b5e-4a46-badc-900c6ba1ff50 | Details | 0..1 | text | ||
39b02169-ea34-4af9-aa35-1c47f7f39333 | 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 | ||
efd0735c-c379-471f-83bb-93b0392093aa | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-35 | Mark section as complete | 0..1 | boolean | ||
02048954-e9d7-424e-8c7b-6a3c495d7ce4 | Genitourinary and sexual health | 0..1 | group | ||
CD-in-progress-25 | In progress | 0..1 | display | Enable When: MarkComplete-25 != | |
CD-complete-25 | Complete | 0..1 | display | Enable When: MarkComplete-25 = | |
8172aaac-81c4-4b06-b4cd-6a891a227e9f | Sexual health concerns | 0..1 | group | ||
1c40a720-bdb7-4386-a9f6-be82b7349bf7 | 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 | |
f93fe768-9215-4a15-9376-686e9530ea79 | Details | 0..1 | text | Enable When: 1c40a720-bdb7-4386-a9f6-be82b7349bf7 = | |
2e1ea1cc-1f74-4b2e-bfda-f6a1d41e1e50 | Continence issues | 0..1 | group | ||
64fd0f79-7e09-4934-905d-9bff6715f9ba | Do you have problems with urine leaking? | 0..1 | choice | Value Set: Yes/No | |
4fc14fd9-4c7e-48ec-90c0-c406523400fa | Details | 0..1 | text | Enable When: 64fd0f79-7e09-4934-905d-9bff6715f9ba = | |
8d75d1f1-290b-41fc-8e32-ad0681c650bb | Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms | 0..1 | text | ||
e9936322-e6fe-4cf7-ab61-22846a8fbb95 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-25 | Mark section as complete | 0..1 | boolean | ||
961da481-1698-4a1d-962b-a9c2185e335a | Eye health | 0..1 | group | ||
CD-in-progress-8 | In progress | 0..1 | display | Enable When: MarkComplete-8 != | |
CD-complete-8 | Complete | 0..1 | display | Enable When: MarkComplete-8 = | |
0e30de87-8d5a-4b7a-893a-f1791c4f31c5 | Vision concerns | 0..1 | group | ||
bc49ee24-62a8-4252-a5ee-9c68bfed601c | Is there anything that you are worried about with your child's vision? | 0..1 | choice | Value Set: Yes/No | |
6286346d-c805-4519-8e82-bf364a215c58 | Is there anything that you are worried about with your vision? | 0..1 | choice | Value Set: Yes/No | |
468770e4-af95-4377-8af5-280deb585e01 | Details | 0..1 | text | Enable When: | |
25d3e4b6-8c71-4c17-8f5a-aca90e232ed2 | Eye examination | 0..1 | group | ||
cb1b9349-2dd1-4bdd-904b-a529458e3b98 | Red reflex (up to six months) | 0..1 | group | ||
47ce0b44-ac12-4a1d-8657-2cc741a29d3a | Left eye | 0..1 | string | ||
3f192141-0845-44d6-85ad-94f0295e062f | Right eye | 0..1 | string | ||
3ff41163-549f-4834-8817-151144613988 | Evidence of squint or other abnormality | 0..1 | group | ||
83e65791-a04a-42e4-b3f2-1e552b8e8044 | Left eye | 0..1 | string | ||
2dd18bad-9491-436f-a2db-a4ed6022ac5c | Right eye | 0..1 | string | ||
2c0e12a5-2650-4886-8f50-405dc0ead9c5 | Visual acuity | 0..1 | group | ||
43825f29-c720-40a5-9fd1-de50ee35479c | Left eye | 0..1 | string | ||
e98428b4-bc8d-4272-a803-757a84813c3c | Right eye | 0..1 | string | ||
bac129ef-a5c0-4d94-915c-ceadc6016594 | Trachoma Check (endemic areas) | 0..1 | group | ||
202b5b91-541e-4a72-b1f6-1d474b59b7a3 | Left eye | 0..1 | choice | Options: 2 options | |
6ae69487-345e-46a0-a8db-b1356671ee59 | Right eye | 0..1 | choice | Options: 2 options | |
8dcdc04c-7655-4b47-88eb-8425f0cdc0d0 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-8 | Mark section as complete | 0..1 | boolean | ||
de71bbd0-178c-4974-9c75-55d5a48c66f7 | Ear health and hearing | 0..1 | group | ||
CD-in-progress-6 | In progress | 0..1 | display | Enable When: MarkComplete-6 != | |
CD-complete-6 | Complete | 0..1 | display | Enable When: MarkComplete-6 = | |
f3473e82-4336-4858-96de-3a61eff5abfb | Child listening concerns | 0..1 | group | ||
f982c374-f023-4e68-8968-1f1f5d3969ae | Is there anything that you are worried about with your child's listening? | 0..1 | choice | Value Set: Yes/No | |
297114f4-8c3f-4916-b840-c38ea14d37b1 | Details | 0..1 | text | Enable When: f982c374-f023-4e68-8968-1f1f5d3969ae = | |
d2a3a346-7b20-4634-beb4-f2bdc7252fe5 | Child language concerns | 0..1 | group | ||
06c150f8-4d54-4d10-aeff-2ef7567b6812 | Is there anything you are worried about with your child's language/talking? | 0..1 | choice | Value Set: Yes/No | |
30dc1581-f6b7-49f0-be09-3902178a495f | Details | 0..1 | text | Enable When: 06c150f8-4d54-4d10-aeff-2ef7567b6812 = | |
6662bc91-fd05-4ea0-a96b-1cc124a9769a | Child snoring | 0..1 | group | ||
b326271b-e9b1-45a0-b899-125364833702 | Do you notice snoring/noisy breathing at night/while your child is sleeping? | 0..1 | choice | Value Set: Yes/No | |
36a3967c-e79a-49a7-8022-ac9561c4e656 | Details | 0..1 | text | Enable When: b326271b-e9b1-45a0-b899-125364833702 = | |
ec7b6e93-e1f0-41f5-b2c2-43c7ddff8aed | Hearing concerns | 0..1 | group | ||
3e53edc7-c90e-4681-a006-b7a05b91a02c | Is there anything that you are worried about with your hearing? | 0..1 | choice | Value Set: Yes/No | |
d72dacb8-a9b3-483b-ae24-8b062873b2cb | Details | 0..1 | text | Enable When: 3e53edc7-c90e-4681-a006-b7a05b91a02c = | |
11aa62ca-5a52-428b-952b-cfbcd2c75824 | Last hearing test (audiology) | 0..1 | date | ||
31452c47-30b2-4590-95f4-b2b75aad2fb6 | Ear examination | 0..1 | group | ||
44c3434d-ea52-43bd-b635-34184e5f037d | Otoscopy | 0..1 | group | ||
fe96046a-a202-4c22-ad3e-00419e717185 | Video otoscopy procedure recommended where possible as it allows for parental education and for images to be saved for tracking over time | 0..1 | display | ||
2841915f-c8d2-4edb-8bc7-39b63385a2fb | Otoscopy findings | 0..1 | group | ||
dedfc83e-7451-404d-bd24-97b1254304eb | Left ear | 0..* | open-choice | Options: 10 options | |
23daa784-4476-447f-8aa2-42933b4490d9 | Right ear | 0..* | open-choice | Options: 10 options | |
361b3c80-375b-423e-bb61-5732826bc2f0 | Otoscopy findings | 0..1 | group | ||
079df9c5-234c-4129-8769-800dab47a59a | Left ear | 0..* | open-choice | Options: 6 options | |
ce1fc869-a412-4aea-aa53-36e794a14519 | Right ear | 0..* | open-choice | Options: 6 options | |
972afa06-9649-43d9-b8ce-c802f7f27e39 | Tympanometry | 0..1 | group | ||
a0d1413f-31e5-4b29-a00b-235f50f91cf7 | Left ear | 0..1 | text | ||
6423348a-943f-41e5-b4f2-ef5a34e56414 | Right ear | 0..1 | text | ||
ac87b23a-b022-4d62-9e82-1c56583bca34 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-6 | Mark section as complete | 0..1 | boolean | ||
bde9ab00-a20f-4a7c-9266-11f53f60c65f | Oral and dental health | 0..1 | group | ||
CD-in-progress-20 | In progress | 0..1 | display | Enable When: MarkComplete-20 != | |
CD-complete-20 | Complete | 0..1 | display | Enable When: MarkComplete-20 = | |
70714d58-d936-4170-9763-82398f84a7a7 | Dental concerns | 0..1 | group | ||
e4cf4f15-7eed-4aa1-9f9d-61ccd659685c | Is there anything that you are worried about with your child's teeth or mouth? | 0..1 | choice | Value Set: Yes/No | |
cb287506-9a64-4ee8-8f24-ba7cb77756f3 | Is there anything that you are worried about with your teeth? | 0..1 | choice | Value Set: Yes/No | |
cf949305-5ff7-4767-b946-7a50efd21cfc | Details | 0..1 | text | Enable When: | |
1f362cb2-911f-448b-b717-2614f1aced86 | Last dental checkup | 0..1 | date | ||
ffe81bde-608f-4e3f-98ae-39d0b9884dcc | Dentures? | 0..1 | choice | Value Set: Yes/No | |
5a3a56c6-b953-4d96-894d-95e07268473f | Teeth and mouth check | 0..1 | group | ||
6247ab4c-41cb-4e77-b028-c9c2a8c7da91 | Examination findings | 0..1 | text | ||
79e09f4d-dac6-4088-baa0-d95dc658fb0b | Document conversation about oral health and care of teeth | 0..1 | text | ||
39ddbf92-847d-4c98-adff-6aa3013f8b39 | Details | 0..1 | display | ||
875574fa-9769-42ca-8381-9e80c3e5233d | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-20 | Mark section as complete | 0..1 | boolean | ||
7d4772cb-a1cd-49d9-853f-883ccd8343a6 | Skin | 0..1 | group | ||
CD-in-progress-26 | In progress | 0..1 | display | Enable When: MarkComplete-26 != | |
CD-complete-26 | Complete | 0..1 | display | Enable When: MarkComplete-26 = | |
0d23be6b-3a30-4a80-9ebe-158acf32eb09 | Skin problems | 0..1 | group | ||
829de3f8-eea9-4139-8a18-47c16182ac9e | Does your child have any skin problems? | 0..1 | choice | Value Set: Yes/No | |
353f528b-3518-4fb3-a0bd-3ed5ae6b036a | Is there anything that you are worried about with your skin? | 0..1 | choice | Value Set: Yes/No | |
b9332f4f-ed6c-4e87-a467-13d7e83bd550 | Details | 0..1 | text | Enable When: | |
80e4349f-6d89-4017-8632-9a947e50e947 | Do you use sun protection? | 0..1 | choice | Value Set: Yes/No | |
206f4e35-3b87-4252-97fc-c78bf9fb6f5d | Document conversation about sun protection as appropriate (ie sunscreen, hats, shade). | 0..1 | text | ||
03f9df0e-dd04-43b2-b556-ff65a70c5a0d | Details | 0..1 | display | ||
7cec4c99-90da-40bc-86a6-f77abb093933 | General skin examination findings | 0..1 | text | ||
88d23fa4-df88-43ab-a1d0-69315d55c3bf | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-26 | Mark section as complete | 0..1 | boolean | ||
205677d6-17c7-4285-a7c4-61aa02b6c816 | Immunisation | 0..1 | group | ||
CD-in-progress-13 | In progress | 0..1 | display | Enable When: MarkComplete-13 != | |
CD-complete-13 | Complete | 0..1 | display | Enable When: MarkComplete-13 = | |
54de7714-b917-4426-acb4-29d48648a2d8 | Check Child Health Record/Book and Australian Immunisation Register | 0..1 | display | ||
d77c527d-6fde-4ed7-97b9-c71acf817f39 | Eligibility for funded vaccines may vary across jurisdictions | 0..1 | display | ||
77d87581-d4d7-4267-9f3c-ad6541ad0f46 | Check Australian Immunisation Register | 0..1 | display | ||
a2631d2c-2b5c-4147-9aca-05ae655a56a5 | Check recommended primary vaccinations completed and provide catch-up if required | 0..1 | display | ||
69a4a459-196b-4931-8336-ea76ab3fccd1 | Immunisations up to date and recorded on Australian Immunisation Register (as per Australian immunisation handbook)? | 0..1 | choice | Value Set: Yes/No | |
08e8ca54-9af8-4028-be83-aab20bccecc3 | Immunisations due | 0..* | string | ||
cc522cb1-b553-48c7-9028-61d15dd60845 | Vaccines given today | 0..1 | group | ||
9f5787e6-8ece-46a4-8d67-e7c3e14daf18 | Vaccines recorded on Australian Immunisation Register? | 0..1 | choice | Value Set: Yes/No | |
c8da01ec-de58-46e3-81a1-2c49aed8c28e | Details | 0..1 | text | Enable When: 9f5787e6-8ece-46a4-8d67-e7c3e14daf18 = | |
bcd1c9f2-889e-41e5-8c2b-a70221c5cec5 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-13 | Mark section as complete | 0..1 | boolean | ||
c587e3b6-b91a-40dc-9a16-179342d001e9 | Examination | 0..1 | group | ||
CD-in-progress-7 | In progress | 0..1 | display | Enable When: MarkComplete-7 != | |
CD-complete-7 | Complete | 0..1 | display | Enable When: MarkComplete-7 = | |
RecordUpdate-Exam | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
d15824f8-eafc-4fa0-80a2-82f0ec7f8728 | Growth measures recorded on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) growth charts for centile and tracking overtime | 0..1 | display | ||
53d5d5a6-3198-4bec-92ac-03fe7d77fb68 | null | 0..1 | group | ||
4e32e9b2-82e6-41ea-9545-79e928f7d6c2 | Length/Height | 0..1 | group | ||
837cd0ce-4a9e-4c8b-8679-007ed961f121 | Value | 0..1 | decimal | ||
e73c3643-8898-4ef8-8bc9-b4b3826ab790 | cm | 0..1 | display | ||
b9faf79e-b5f7-443a-9203-67532e3a381f | Date performed | 0..1 | date | ||
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7035c7e7-ada3-4c6b-9ea8-f39666f5d4ea | Value | 0..1 | decimal | ||
387c95f0-8b54-4ad7-992d-8ab26a34fd77 | cm | 0..1 | display | ||
c666ac96-1e64-40e2-8e0b-7d0187bb3e50 | Date performed | 0..1 | date | ||
97ed4c86-8820-4e4d-9234-0e0e8b6ca44a | Weight | 0..1 | group | ||
443bd584-684a-449c-ab6e-9d07da4df9fa | Value | 0..1 | decimal | ||
5ba0d699-bc2a-45d0-8f40-f53cb21dc911 | kg | 0..1 | display | ||
92cdc1c7-eb6c-4f6d-9bd9-ae726a0e0d3d | Date performed | 0..1 | date | ||
bc209c5e-ed28-48e3-b1a1-55cb7e435d8b | BMI | 0..1 | group | ||
2ada6633-03c6-4b05-bc23-18dec84ec150 | Value | 0..1 | decimal | ||
a709b8ec-9e65-40f0-a781-500cb3e56f3c | kg/m2 | 0..1 | display | ||
d3557f55-1abf-401c-aada-2d4380151c56 | Head circumference | 0..1 | group | ||
7a4a6aac-558e-4bec-86c5-326ae07e37d6 | Value | 0..1 | decimal | ||
73937983-65a0-4d40-8600-de7ca3277d5e | cm | 0..1 | display | ||
b8da15e7-8648-492b-9e82-ad5ab7cad179 | Date performed | 0..1 | date | ||
ec884b64-ed8d-485b-930f-e7ac18ad4cc9 | Waist circumference | 0..1 | group | ||
8df0f5d8-821d-4f71-b3c1-d164616ea2f5 | Value | 0..1 | decimal | ||
19aeb0ab-7494-4bac-8b2d-d7d2527c1f4a | cm | 0..1 | display | ||
3eb3b929-e67a-4331-8949-b8447b66a4c7 | Date performed | 0..1 | date | ||
3d3e1079-d225-447b-959b-4caddc057f7d | Heart rate | 0..1 | group | ||
49029ef0-eaa8-44f8-b26a-177820c82dfd | Value | 0..1 | integer | ||
090964b9-be33-438b-8465-2a2a09632fde | /min | 0..1 | display | ||
feeac08f-2ba6-4048-80a2-10b3f90cf5e3 | Date performed | 0..1 | date | ||
8d3d05cc-64bc-47ae-b989-060bac838d1c | Heart rhythm | 0..1 | group | ||
99a8eb6f-a36a-4daf-99d7-27bfde0d4bb1 | Value | 0..1 | choice | Options: 2 options | |
eeb56682-0eae-4428-9c37-0e63852026c0 | Date performed | 0..1 | date | ||
3639c586-9576-48d3-a52b-e91fd2138581 | null | 0..1 | group | ||
705f6d04-acab-4d14-baab-98f9bfc4808e | Blood pressure | 0..1 | group | ||
e68b660d-cfd2-4b89-957a-c96a4c73a5fd | Systolic | 0..1 | integer | ||
197d212d-72cc-4c85-91dc-2f030d384391 | mm Hg | 0..1 | display | ||
867b0022-f812-4f80-b287-79686c972b15 | Diastolic | 0..1 | integer | ||
416ee494-4fa2-4b29-af0b-3d022f686e39 | mm Hg | 0..1 | display | ||
a005050c-ed79-46ed-ac14-2fc1496059a5 | Date performed | 0..1 | date | ||
213a3eac-e530-4e27-859c-407136c7a0a6 | Cardiac auscultation | 0..1 | text | ||
8886f3bb-52de-4294-a5cb-8f960e2a6bbe | Abdominal examination | 0..1 | text | ||
5e10229c-390d-4968-90d3-f896840f3c50 | Gait examination (musculoskeletal structure, balance, coordination) | 0..1 | text | ||
6c69ee91-f777-494c-bf09-d963773cd4ae | Newborn examination (if indicated, infant aged <=6 weeks) | 0..1 | text | ||
7a431d03-1726-4905-aae7-49f62a10ce5e | Haemoglobin (children at risk of iron deficiency anaemia) | 0..1 | string | ||
fcbfa6e1-c101-4675-969d-aa11027859c2 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-7 | Mark section as complete | 0..1 | boolean | ||
d95abe99-8ef2-4b97-bc88-a2901e2ebc9c | Absolute cardiovascular disease risk calculation | 0..1 | group | ||
CD-in-progress-2 | In progress | 0..1 | display | Enable When: MarkComplete-2 != | |
CD-complete-2 | Complete | 0..1 | display | Enable When: MarkComplete-2 = | |
RecordUpdate-CVDRisk | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there. | 0..1 | display | ||
Guidance-CVDRisk | Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator | 0..1 | display | ||
8d02ef36-3f48-4912-b001-e9fec6aa7101 | CVD risk calculator variables | 0..1 | group | ||
6909cb38-a6f4-44c9-abae-0e5d697a21f5 | Age | 0..1 | integer | ||
b9aba16c-f910-4948-9267-e07851f69572 | years | 0..1 | display | ||
3dbb0e63-3b28-4567-8ef3-bac242fd95f6 | Sex at birth | 0..1 | choice | Value Set: Biological Sex | |
bac0f824-3784-400e-80f9-ad18d46bd8cb | Smoking status | 0..1 | choice | Options: 6 options | |
fe9feec6-593a-4106-8a7d-f9965a632ea2 | null | 0..1 | group | ||
fa4f73a3-7633-410c-9177-8aa43b117122 | Systolic Blood Pressure | 0..1 | group | ||
818ce640-c8dd-457d-b607-3aaa8da38524 | Value | 0..1 | integer | ||
ddea5a62-a8c1-4b15-b667-7b69babec8cd | mm Hg | 0..1 | display | ||
85d8faf7-ddb0-446c-b489-28d786d6de50 | Date performed | 0..1 | date | ||
e693c7d2-be69-4f1f-b72d-7ff2ea3cd536 | Total Cholesterol | 0..1 | group | ||
99932a93-8135-47b2-933b-fd751b34b7af | Value | 0..1 | decimal | ||
fcfbfc9f-e400-4aae-993f-ea54096e7361 | mmol/L | 0..1 | display | ||
16cbe87b-5c8d-4385-b7d9-da3f07f63f8a | Date performed | 0..1 | date | ||
87eefaf6-010f-4b0d-9f51-2c33e46e6c69 | HDL Cholesterol | 0..1 | group | ||
c14b4513-1e20-461d-97f4-4631711adc65 | Value | 0..1 | decimal | ||
2ba61002-b642-4b28-9e66-dc2b060c4e0e | mmol/L | 0..1 | display | ||
6407e0a7-c416-4a75-933b-904c0dcf88ca | Date performed | 0..1 | date | ||
fa8f03ca-9a5a-4ed1-a866-db26e567352a | Postcode | 0..1 | string | ||
1c1eea28-6c82-4b7b-aaa3-8655ce70f2fd | Type 2 diabetes mellitus | 0..1 | boolean | ||
dabdc7b4-51db-44a0-9d59-77a88587cbe9 | CVD risk result | 0..1 | group | ||
4c52fcec-0695-4916-b185-24a5c2711631 | Calculated risk | 0..1 | integer | ||
0162854e-c124-4b58-acd9-93c17562d407 | % | 0..1 | display | ||
28ff9463-b77f-435d-9ba7-427682a61f96 | Assessed risk category | 0..1 | choice | Options: 3 options | |
041a589e-7bb5-441d-a4ba-a22db8040b3f | Reclassification decision | 0..1 | choice | Options: 3 options | |
f8022f3f-21fe-42c0-8abd-95f24e2e37e5 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-2 | Mark section as complete | 0..1 | boolean | ||
918f7f32-cdaf-4742-b33a-8254eda2d8bd | Investigations | 0..1 | group | ||
CD-in-progress-14 | In progress | 0..1 | display | Enable When: MarkComplete-14 != | |
CD-complete-14 | Complete | 0..1 | display | Enable When: MarkComplete-14 = | |
740cbc59-08e3-41e8-bc00-de22c1ad45a0 | Full blood count, HbA1c or blood glucose level, serum lipids, Kidney function including eGFR, Liver function tests, ACR | 0..1 | text | ||
73e1e470-5c41-4644-b279-03f57bde036d | Chlamydia, gonorrhoea: <=30, first void urine (male and female) and/or endocervical swab or self-administered vaginal swab (female) or throat and anal swab (men who have sex with men [MSM]) | 0..1 | text | ||
77847d34-103e-497d-a7d5-f62cbaf4f698 | Syphilis (endemic areas, MSM, others at high risk) | 0..1 | text | ||
4aa47bda-d740-4294-9466-52b1be2ec15b | Trichomoniasis (<=30, male and female, remote areas and other endemic areas, first void urine and/or endocervical swab or self-administered vaginal swab) | 0..1 | text | ||
b919de86-d81c-470d-8cb2-9caa4f8d3a42 | Blood-borne virus screening: HBV if status not known/not recorded on file, HCV if risk factors, HIV if risk factors | 0..1 | text | ||
96a8d946-6078-4c85-9de8-3bf18d2c8150 | Health priorities, actions and follow-up | 0..1 | text | ||
MarkComplete-14 | Mark section as complete | 0..1 | boolean | ||
e2c778e2-83df-40d5-89ea-f0f91b666b04 | Health Priorities, Actions And Follow-Up Summary | 0..1 | group | ||
f948fb81-48e9-4bc6-bf81-8d778ac4375a | The following information is a read-only collection of the 'Health priorities, actions and follow-up' sections entered in the previous tabs. Only sections where previous information entered will be displayed here. | 0..1 | display | ||
4b03d116-84ee-488c-b132-427472d21fcd | Current health/patient priorities | 0..1 | text | ||
c848098c-85f3-487b-91af-01da4eba3aba | Medical history and current problems | 0..1 | text | ||
0c0a389e-c23a-4687-84d9-e00c5a258c7a | Regular medications | 0..1 | text | ||
34b7c4f3-c848-4dcb-ba9b-0b4c5ccd0785 | Allergies/adverse reactions | 0..1 | text | ||
f81c85c7-587e-47de-8b02-9c1eeee13949 | Family history | 0..1 | text | ||
a57d29d3-b875-47ac-b8ed-c95eaa6a027d | Social and emotional wellbeing | 0..1 | text | ||
ad9b85fc-24fe-495d-a980-941e2ad16533 | Social history | 0..1 | text | ||
622f0877-80ec-4b91-bb1c-e741e5657e4c | Home and family | 0..1 | text | ||
9a88bdf6-e97a-4c54-96ff-1dad9701b5ab | Learning and development | 0..1 | text | ||
aefbee8b-64fc-4cdc-9902-d6c3f50a2e18 | Learning and work | 0..1 | text | ||
a96cce74-cda3-4b6b-adc4-1b7d73df2317 | Work | 0..1 | text | ||
58bf5a0f-6c68-4d1f-b352-bfcba8e1e05e | Mood | 0..1 | text | ||
d963364a-e2d3-4382-8430-c47c19fc206c | Memory and thinking | 0..1 | text | ||
1877223d-8cae-48af-8add-fd6b10b37209 | Chronic disease associated with ageing | 0..1 | text | ||
b031bccf-5413-4c57-8e70-f464d24a6e6c | Participation in screening programs | 0..1 | text | ||
6ef556cb-2a69-4d28-a6cf-b4866303a564 | Healthy eating | 0..1 | text | ||
b7e32f62-a4e7-4419-a728-6addceefeb02 | Physical activity and screen time | 0..1 | text | ||
f1c3d1ba-240c-4e68-8afc-62c50cc313d1 | Physical activity | 0..1 | text | ||
c94f2749-4353-4f51-9c75-106f81c5b69f | Substance use, including tobacco | 0..1 | text | ||
931457d4-0de0-434c-88af-eb1b17746953 | Gambling | 0..1 | text | ||
797402ac-95de-4c0b-a04f-44b669755f7c | Sexual health | 0..1 | text | ||
e4df6f14-7a9c-445c-8cf5-3fc489db7307 | Genitourinary and sexual health | 0..1 | text | ||
23e293c4-537f-46ca-90f9-c8dfb7630211 | Genitourinary and sexual health | 0..1 | text | ||
4b1bf353-a422-40fb-a6d3-42807ebf1a6a | Eye health | 0..1 | text | ||
c292557b-2798-4b45-854d-58c20ecf8233 | Ear health and hearing | 0..1 | text | ||
93c33ba0-e4cc-4e9d-978b-49f57ce4a5eb | Oral and dental health | 0..1 | text | ||
0ccc2bce-899f-42b0-9100-05e6874372a3 | Skin | 0..1 | text | ||
8a33280b-19b9-4e0f-a26f-d9a0f95a7714 | Immunisation | 0..1 | text | ||
a889034b-7942-460d-ada6-b728a9f57dc0 | Examination | 0..1 | text | ||
fd51cc3f-f53d-4a7d-a3a3-4a3b7232d4ee | Absolute cardiovascular risk calculation | 0..1 | text | ||
84fa4cca-aff7-4357-8d92-bb827074dc6a | Investigations | 0..1 | text | ||
16971bd2-5494-483d-9713-eda182c47f02 | Finalising the health check | 0..1 | group | ||
CD-in-progress-31 | In progress | 0..1 | display | Enable When: MarkComplete-31 != | |
CD-complete-31 | Complete | 0..1 | display | Enable When: MarkComplete-31 = | |
30532ad8-3465-4bdd-97ed-ec5664f9d733 | Patient priorities and goals: What does the parent/carer say are the important things that have come out of this health check? | 0..1 | text | ||
6aa0a113-4d33-4f6b-9899-fa249674075a | Patient priorities and goals: What does the parent/carer and child say are the important things that have come out of this health check? | 0..1 | text | ||
71c19d58-a8ae-43ba-8b96-463c108c75dc | Patient priorities and goals: What does the patient say are the important things that have come out of this health check? | 0..1 | text | ||
d0e58402-a08a-49ca-b2ca-9f4bbdb89da0 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options | |
0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 7 options | |
eaed9770-95f4-4c6a-b06c-d573427a2616 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options | |
25f27e83-fcf0-49c8-86c1-e285e201a043 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 10 options | |
2657da9c-a27e-4939-af7a-08a19b9ab6f7 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 8 options | |
afbadad6-bef9-4fad-b5f4-111f666ccf11 | Care provided as part of the health check (eg immunisations, medication review, investigations requested) | 0..1 | text | ||
4b3015f6-5b0a-4dfa-9791-994e4059f921 | Identified needs and plan (including new diagnoses) | 0..1 | text | ||
5760a1f9-d725-4b9e-b74d-50800615a689 | Follow-up | 0..1 | group | ||
b4110a63-8547-4aa2-84c6-c1f64f0d24da | Consider what follow-up appointments can be made at the time of the health check. | 0..1 | display | ||
c47cfd7e-0f15-4dd9-bd53-bb62851b677c | Reminder: MBS follow up items for clients at risk of or with chronic disease are available to support follow-up of health checks | 0..1 | display | ||
1be25c55-2a2d-4b94-b826-bd17d9e35e92 | Referrals and appointments | 0..* | group | ||
4044d0b4-94b2-4a89-b826-a14614298511 | Who | 0..1 | open-choice | Options: 12 options | |
f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a | Who | 0..1 | open-choice | Options: 10 options | |
07cfe077-ba93-4f93-b2a5-027023faa33b | Who | 0..1 | open-choice | Options: 11 options | |
a525c370-d8c3-4764-ab3a-bf62081725e0 | Who | 0..1 | open-choice | Options: 13 options | |
d68d9693-48d3-4663-9dbb-dd3a7aec5278 | Who | 0..1 | open-choice | Options: 16 options | |
0ef84b09-ca34-44c2-96d1-fcbbea0bae66 | When | 0..1 | date | Enable When: | |
a400fe69-c99f-47ed-bee1-083c3e4be467 | Recalls entered (eg clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations) | 0..* | group | ||
40e3933d-77bb-40f3-8609-0c38ebb4421e | recall-subject | 0..1 | string | Definition: http://aehrc.com/fhir/StructureDefinition/AUPrimaryCareFollowUp#CarePlan.subject.reference | |
fece6a3c-f8f1-4592-a166-5ea5a3c60c8e | Recall | 0..1 | text | Definition: http://aehrc.com/fhir/StructureDefinition/AUPrimaryCareFollowUp#CarePlan.title | |
5a0c98f8-5349-4045-9ba0-27a4f35630b9 | Parent/carer actions | 0..1 | text | ||
cde03bf0-182a-4998-a37e-7b3f22786617 | Parent/patient actions | 0..1 | text | ||
51ff0c15-312a-45ce-a25a-6c6a4bf0e17e | Patient actions | 0..1 | text | ||
8176151f-6d86-45eb-91b1-12458d75a181 | A copy of this health check has been offerered - including details of follow-up and future appointments | 0..1 | choice | Options: 3 options | |
MarkComplete-31 | Mark section as complete | 0..1 | boolean | ||
Documentation for this format |
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Answer options for 07cfe077-ba93-4f93-b2a5-027023faa33b
Answer options for a525c370-d8c3-4764-ab3a-bf62081725e0
Answer options for d68d9693-48d3-4663-9dbb-dd3a7aec5278
Answer options for 8176151f-6d86-45eb-91b1-12458d75a181
Generated Narrative: ValueSet #YesNoNA
Expansion based on system expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 3 concepts
Code | System | Display | Definition |
Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
NA | http://terminology.hl7.org/CodeSystem/v2-0532 | N/A | not applicable |
Generated Narrative: ValueSet #AboriginalTorresStraitIslander
Expansion based on system australian-indigenous-status-1 version1.0.3
This value set contains 3 concepts
Generated Narrative: ValueSet #PrimaryCarerParentGrandparent
Expansion based on:
This value set contains 4 concepts
Code | System | Display | Definition |
MTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | mother | The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child). |
FTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | father | The player of the role is a male who begets or raises or nurtures the scoping entity (child). |
GRPRN | http://terminology.hl7.org/CodeSystem/v3-RoleCode | grandparent | The player of the role is a parent of the scoping person's mother or father. |
NA | http://terminology.hl7.org/CodeSystem/v3-NullFlavor | not applicable | Known to have no proper value (e.g., last menstrual period for a male). |
Generated Narrative: ValueSet #administrative-gender
Expansion based on system AdministrativeGender v4.0.1 (CodeSystem)
This value set contains 4 concepts
Code | System | Display | Definition | v2 map for AdministrativeGender | v3 map for AdministrativeGender |
female | http://hl7.org/fhir/administrative-gender | Female | Female. | ~http://terminology.hl7.org/5.0.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/6.1.0/ValueSet-v3-AdministrativeGender.html |
male | http://hl7.org/fhir/administrative-gender | Male | Male. | ~http://terminology.hl7.org/5.0.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/6.1.0/ValueSet-v3-AdministrativeGender.html |
other | http://hl7.org/fhir/administrative-gender | Other | Other. | <http://terminology.hl7.org/5.0.0/ValueSet-v2-0001.html <http://terminology.hl7.org/5.0.0/ValueSet-v2-0001.html | <http://terminology.hl7.org/6.1.0/ValueSet-v3-AdministrativeGender.html |
unknown | http://hl7.org/fhir/administrative-gender | Unknown | Unknown. | ~http://terminology.hl7.org/5.0.0/ValueSet-v2-0001.html | ~http://terminology.hl7.org/6.1.0/ValueSet-v3-AdministrativeGender.html |
Generated Narrative: ValueSet #australian-pronouns-1
Expansion based on:
This value set contains 7 concepts
Code | System | Display | Definition |
LA29518-0 | http://loinc.org | he/him/his/his/himself | |
LA29519-8 | http://loinc.org | she/her/her/hers/herself | |
LA29520-6 | http://loinc.org | they/them/their/theirs/themselves | |
asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
asked-unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Unknown | The source was asked but does not know the value. |
not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
Generated Narrative: ValueSet #gender-identity-response-1
Expansion based on:
This value set contains 6 concepts
Code | System | Display | Definition |
446151000124109 | http://snomed.info/sct | Identifies as male gender | |
446141000124107 | http://snomed.info/sct | Identifies as female gender | |
33791000087105 | http://snomed.info/sct | Identifies as nonbinary gender | |
unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
Generated Narrative: ValueSet #biological-sex-1
Expansion based on SNOMED CT Australian edition 31-Aug 2023
This value set contains 4 concepts
Code | System | Display |
248152002 | http://snomed.info/sct | Female |
32570681000036106 | http://snomed.info/sct | Indeterminate sex |
32570691000036108 | http://snomed.info/sct | Intersex |
248153007 | http://snomed.info/sct | Male |
Generated Narrative: ValueSet #australian-states-territories-2
Expansion based on system australian-states-territories-1 version1.1.3
This value set contains 9 concepts
Generated Narrative: ValueSet #YesNo
Expansion based on system expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 2 concepts
Code | System | Display | Definition |
Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
Generated Narrative: ValueSet #condition-clinical
Expansion based on system Condition Clinical Status Codes version4.0.1
This value set contains 6 concepts
Code | System | Display | Definition |
active | http://terminology.hl7.org/CodeSystem/condition-clinical | Active | The subject is currently experiencing the condition or situation, there is evidence of the condition or situation, or considered to be a significant risk. |
inactive | http://terminology.hl7.org/CodeSystem/condition-clinical | Inactive | The subject is no longer experiencing the condition or situation and there is no longer evidence or appreciable risk of the condition or situation. |
recurrence | http://terminology.hl7.org/CodeSystem/condition-clinical | Recurrence | The subject is experiencing a reoccurence or repeating of a previously resolved condition or situation, e.g. urinary tract infection, food insecurity. |
relapse | http://terminology.hl7.org/CodeSystem/condition-clinical | Relapse | The subject is experiencing a return of a condition or situation after a period of improvement or remission, e.g. relapse of cancer, alcoholism. |
remission | http://terminology.hl7.org/CodeSystem/condition-clinical | Remission | The subject is not presently experiencing the condition or situation, but there is a risk of the condition or situation returning. |
resolved | http://terminology.hl7.org/CodeSystem/condition-clinical | Resolved | The subject is not presently experiencing the condition or situation and there is a negligible perceived risk of the condition or situation returning. |
Generated Narrative: ValueSet #clinical-condition-1
http://snomed.info/sct
where concept in 32570581000036105 (Problem/Diagnosis reference set)Generated Narrative: ValueSet #SmokingQuitStatus-1
Expansion based on SNOMED CT Australian edition 31-Mar 2024
This value set contains 2 concepts
Code | System | Display |
48031000119106 | http://snomed.info/sct | Quit >12 months |
735128000 | http://snomed.info/sct | Quit <12 months |
Generated Narrative: ValueSet #TobaccoUseStatus-1
Expansion based on SNOMED CT Australian edition 30-Nov 2024
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 |
Generated Narrative: ValueSet #YesNoNotAskedDeclined
Expansion based on:
This value set contains 4 concepts
Code | System | Display | 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. |
Generated Narrative: ValueSet #CervicalScreeningStatus-1
Expansion based on SNOMED CT Australian edition 31-Mar 2024
This value set 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 |