Background

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:

1. Infants and preschool (birth-5 years)
2. Primary school age (5-12 years)
3. Adolescents and young people (12-24 years)
4. Adults (25-49 years)
5. Older people (50+ years)

These example templates can be downloaded from the RACGP.

This resource is FHIR Questionnaire representation of the templates above.

Structure

LinkID	Text	Cardinality	Type	Flags	Description & Constraints
AboriginalTorresStraitIslanderHealthCheck			Questionnaire		http://www.health.gov.au/assessments/mbs/715#0.4.0-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
CD-complete-1	Complete	0..1	display
CD-attention-1	Attention required	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	dateTime
63fe14f3-2374-4382-bce7-180e2747c97f	Date this health check commenced	0..1	date
about-section-end-divider	null	0..1	display
MarkComplete-1	Section completion status	0..1	choice		Options: 3 options
1016f79d-9756-4daf-b6ee-29add134b34f	Consent	0..1	group
CD-in-progress-30	In progress	0..1	display
CD-complete-30	Complete	0..1	display
CD-attention-30	Attention required	0..1	display
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
consent-section-end-divider	null	0..1	display
MarkComplete-30	Section completion status	0..1	choice		Options: 3 options
5b224753-9365-44e3-823b-9c17e7394005	Patient details	0..1	group
CD-in-progress-32	In progress	0..1	display
CD-complete-32	Complete	0..1	display
CD-attention-32	Attention required	0..1	display
patientdetails-writebackinstruction	This section contains several read only, non-editable items. Updates to these items will need to be done in the patient record. The form can be repopulated to include any updates.	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
42b1f5e0-bf4a-47d9-86a4-f2fe946ac01f	Other	0..*	string
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	Home address	0..*	group
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	Street 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..*	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	boolean
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
patientdetails-section-end-divider	null	0..1	display
MarkComplete-32	Section completion status	0..1	choice		Options: 3 options
b3a3eee2-f340-452e-9d05-d1f54f677b81	Current health/patient priorities	0..1	group
CD-in-progress-5	In progress	0..1	display
CD-complete-5	Complete	0..1	display
CD-attention-5	Attention required	0..1	display
dcf182c0-a2bf-46ac-a19b-72e4d24ef24d	What are the important things for you in this health check today?	0..1	text
a0c06f8d-3210-480b-9031-7b5eb5bf1dda	Is there anything you are worried about?	0..1	text
96f3396e-f5f8-4347-8692-9abdecb97768	Is there anything that you are worried about with your child's health or wellbeing?	0..1	text
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
7cd424e5-7672-4e99-8a99-30b1fb3043fd	Health priorities, actions and follow-up	0..1	text
currentpriorities-section-end-divider	null	0..1	display
MarkComplete-5	Section completion status	0..1	choice		Options: 3 options
28d5dbe4-1e65-487c-847a-847f544a6a91	Medical history and current problems	0..1	group
CD-in-progress-17	In progress	0..1	display
CD-complete-17	Complete	0..1	display
CD-attention-17	Attention required	0..1	display
b9de2b58-55e2-436d-95ab-49600508cdf7	Birth history	0..1	group
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
medicalhistorysummary	Medical history summary	0..1	group
92bd7d05-9b5e-4cf9-900b-703f361dad9d	Recorded problems/diagnoses	0..*	group
conditionId	null	0..1	string
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 Minimal
medicalhistory-status-hidden	null	0..1	choice		Value Set: Condition Clinical Status Minimal
6ae641ad-95bb-4cdc-8910-5a52077e492c	Onset date	0..1	date
e4524654-f6de-4717-b288-34919394d46b	Abatement date	0..1	date
medicalhistory-abatementdate-hidden	null	0..1	date
newdiagnosis	New problems/diagnoses	0..*	group
2da85994-2d5e-42f1-8a81-abf44f397468	Condition	0..1	open-choice		Value Set: Clinical Condition
4d55bffb-3286-4a23-a785-3b9c346d464d	Onset date	0..1	date
newdiagnosis-comment	Comment	0..1	string
62774152-8a6e-4449-af9f-87bdce8b9bf5	Health priorities, actions and follow-up	0..1	text
medicalhistory-section-end-divider	null	0..1	display
MarkComplete-17	Section completion status	0..1	choice		Options: 3 options
7dfe7c6a-ca7f-4ddf-9241-a7b918a9695a	Regular medications	0..1	group
CD-in-progress-23	In progress	0..1	display
CD-complete-23	Complete	0..1	display
CD-attention-23	Attention required	0..1	display
regularmedications-instruction	Check medications are still required, appropriate dose, understanding of medication and adherence	0..1	display
regularmedications-summary	Medication summary	0..1	group
regularmedications-summary-current	Recorded medications	0..*	group
medicationStatementId	null	0..1	string
regularmedications-summary-current-medication	Medication	0..1	open-choice		Value Set: Smart Health Checks Medicine Products
regularmedications-summary-current-status	Status	0..1	choice		Value Set: Medication Statement Status Limited
regularmedications-summary-current-status-hidden	null	0..1	choice		Value Set: Medication Statement Status Limited
regularmedications-summary-current-dosage	Dosage	0..1	text
regularmedications-summary-current-dosage-hidden	null	0..1	text
regularmedications-summary-current-reasoncode	Clinical indication	0..*	open-choice		Value Set: Medication Reason Taken
regularmedications-summary-current-comment	Comment	0..1	text
regularmedications-summary-current-comment-hidden	null	0..1	text
regularmedications-summary-new	New medications	0..*	group
regularmedications-summary-new-medication	Medication	0..1	open-choice		Value Set: Smart Health Checks Medicine Products
regularmedications-summary-new-dosage	Dosage	0..1	text
regularmedications-summary-new-reasoncode	Clinical indication	0..*	open-choice		Value Set: Medication Reason Taken
regularmedications-summary-new-comment	Comment	0..1	text
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	Check the health record is up to date	0..1	boolean
36290837-ad70-48b2-9c66-31533fec918b	Check medication understanding and adherence with patient	0..1	boolean		Enable When: 6eb59145-ed9a-4184-af83-3506d47e4d4e = 3a2d27b6-e918-4df5-aca9-b374fcf9faad =
aa9ff2ed-bcd2-406d-a9ff-89c201df2605	Health priorities, actions and follow-up	0..1	text
regularmedications-section-end-divider	null	0..1	display
MarkComplete-23	Section completion status	0..1	choice		Options: 3 options
allergy	Allergies/adverse reactions	0..1	group
CD-in-progress-3	In progress	0..1	display
CD-complete-3	Complete	0..1	display
CD-attention-3	Attention required	0..1	display
allergyinstruction	Adverse reaction risk summary	0..1	group
allergysummary	Recorded adverse reaction risks	0..*	group
allergyIntoleranceId	null	0..1	string
allergysummary-substance	Substance	0..1	open-choice		Value Set: Adverse Reaction Agent
allergysummary-status	Status	0..1	choice		Value Set: Allergy Intolerance Clinical Status Minimal
allergysummary-status-hidden	null	0..1	choice		Value Set: Allergy Intolerance Clinical Status Minimal
allergysummary-manifestation	Manifestation	0..*	open-choice		Value Set: Clinical Finding
allergysummary-comment	Comment	0..1	text
allergysummary-comment-hidden	null	0..1	text
allergynew	New adverse reaction risks	0..*	group
allergynew-substance	Substance	0..1	open-choice		Value Set: Adverse Reaction Agent
allergynew-manifestation	Manifestation	0..*	open-choice		Value Set: Clinical Finding
allergynew-comment	Comment	0..1	text
3e689aeb-69a1-4a9b-93bd-50377511dd9b	Health priorities, actions and follow-up	0..1	text
allergy-section-end-divider	null	0..1	display
MarkComplete-3	Section completion status	0..1	choice		Options: 3 options
01f67f0b-e3be-48d8-a2ad-4c54f469cd13	Family history	0..1	group
CD-in-progress-9	In progress	0..1	display
CD-complete-9	Complete	0..1	display
CD-attention-9	Attention required	0..1	display
532e09ea-2c2d-48c6-81f8-e23380b329a0	Provide relevant family history information	0..1	text
df5b2081-a373-48ee-acab-96225dad3c1d	Provide relevant family history information (including diabetes, heart disease, cancer, mental health)	0..1	text
49ee4583-c608-41d4-a1e9-c06cf4292369	Health priorities, actions and follow-up	0..1	text
familyhistory-section-end-divider	null	0..1	display
MarkComplete-9	Section completion status	0..1	choice		Options: 3 options
0a3c9c93-5836-4a5b-93e5-d7de559e053a	Social and emotional wellbeing	0..1	group
CD-in-progress-27	In progress	0..1	display
CD-complete-27	Complete	0..1	display
CD-attention-27	Attention required	0..1	display
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
b5a00aad-2a8b-4ac3-87b2-4a5920ca22ee	Health priorities, actions and follow-up	0..1	text
socialemotionalwellbeing-section-end-divider	null	0..1	display
MarkComplete-27	Section completion status	0..1	choice		Options: 3 options
a5cc8a8f-89cf-470c-a6bd-ce9da2f64ee9	Social history: Information about family and child's living arrangements	0..1	group
CD-in-progress-28	In progress	0..1	display
CD-complete-28	Complete	0..1	display
CD-attention-28	Attention required	0..1	display
1bb673a4-40f9-41c3-ad04-66c9f38fdc1b	Who lives in your household? / Who does the child live with?	0..1	text
934d105e-a4d6-4926-9b64-55bb1049d839	Stressful life events	0..1	group
062f5234-686a-4bf3-afcd-3fcd988afd6c	Have there been any stressful life events that would cause you or your child to be upset?	0..1	choice		Value Set: Yes/No
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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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obs-height-newdate	New result date	0..1	date
97ed4c86-8820-4e4d-9234-0e0e8b6ca44a	Weight	0..1	group
443bd584-684a-449c-ab6e-9d07da4df9fa	Last result	0..1	display
obs-weight-lastresult	Last result value	0..1	decimal
obs-weight-lastdate	Last result date	0..1	date
obs-weight-newresult	New result	0..1	decimal
obs-weight-newresult-unit	kg	0..1	display
obs-weight-newdate	New result date	0..1	date
bc209c5e-ed28-48e3-b1a1-55cb7e435d8b	BMI (calculated)	0..1	group
2ada6633-03c6-4b05-bc23-18dec84ec150	Last result	0..1	display
obs-bmi-lastresult	Last result value	0..1	decimal
obs-bmi-newresult	New result	0..1	decimal
obs-bmi-newresult-unit	kg/m2	0..1	display
d3557f55-1abf-401c-aada-2d4380151c56	Head circumference	0..1	group
7a4a6aac-558e-4bec-86c5-326ae07e37d6	Last result	0..1	display
obs-headcircumference-lastresult	Last result value	0..1	decimal
obs-headcircumference-lastdate	Last result date	0..1	date
obs-headcircumference-newresult	New result	0..1	decimal
obs-headcircumference-newresult-unit	cm	0..1	display
obs-headcircumference-newdate	New result date	0..1	date
ec884b64-ed8d-485b-930f-e7ac18ad4cc9	Waist circumference	0..1	group
8df0f5d8-821d-4f71-b3c1-d164616ea2f5	Last result	0..1	display
obs-waistcircumference-lastresult	Last result value	0..1	decimal
obs-waistcircumference-lastdate	Last result date	0..1	date
obs-waistcircumference-newresult	New result	0..1	decimal
obs-waistcircumference-newresult-unit	cm	0..1	display
obs-waistcircumference-newdate	New result date	0..1	date
3d3e1079-d225-447b-959b-4caddc057f7d	Heart rate	0..1	group
49029ef0-eaa8-44f8-b26a-177820c82dfd	Last result	0..1	display
obs-heartrate-lastresult	Last result value	0..1	integer
obs-heartrate-lastdate	Last result date	0..1	date
obs-heartrate-newresult	New result	0..1	integer
obs-heartrate-newresult-unit	/min	0..1	display
obs-heartrate-newdate	New result date	0..1	date
8d3d05cc-64bc-47ae-b989-060bac838d1c	Heart rhythm	0..1	group
99a8eb6f-a36a-4daf-99d7-27bfde0d4bb1	Last result	0..1	display
obs-heartrhythm-lastresult	Last result value	0..1	choice		Value Set: Heart Rhythm
obs-heartrhythm-lastdate	Last result date	0..1	date
obs-heartrhythm-newresult	New result	0..1	choice		Value Set: Heart Rhythm
obs-heartrhythm-newdate	New result date	0..1	date
3639c586-9576-48d3-a52b-e91fd2138581	Blood pressure	0..1	group
705f6d04-acab-4d14-baab-98f9bfc4808e	Blood pressure	0..1	group
bp-bp-lastresult	Last result	0..1	display
bp-lastbp-systolic	Last result value systolic	0..1	integer
bp-lastbp-diastolic	Last result value diastolic	0..1	integer
bp-lastbp-date	Last result date	0..1	date
bp-newbp-systolic	Systolic	0..1	integer
bp-newbp-systolic-unit	mm Hg	0..1	display
bp-newbp-diastolic	Diastolic	0..1	integer
bp-newbp-diastolic-unit	mm Hg	0..1	display
bp-newbp-date	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
examination-section-end-divider	null	0..1	display
MarkComplete-7	Section completion status	0..1	choice		Options: 3 options
d95abe99-8ef2-4b97-bc88-a2901e2ebc9c	Absolute cardiovascular disease risk calculation	0..1	group
CD-in-progress-2	In progress	0..1	display
CD-complete-2	Complete	0..1	display
CD-attention-2	Attention required	0..1	display
Guidance-CVDRisk	The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the Aus CVD Risk calculator.	0..1	display
dabdc7b4-51db-44a0-9d59-77a88587cbe9	CVD risk result	0..1	group
cvdrisk-latestresult	Latest available result	0..1	string
cvdrisk-newassessmentquestion	A previous CVD risk result has been found. Do you want to perform a new assessment?	0..1	boolean
cvdrisk-auscvdriskiaccess	Do you have access to the Aus CVD Risk-i application from your clinical system?	0..1	boolean
cvdrisk-auscvdriskiguidance	Using the Aus CVD Risk-i application, calculate the CVD risk result and save it to the patient record. This form can then be repopulated to retrieve and include the result above.	0..1	display
cvdrisk-repopulateoverride	Do you need to manually enter a new CVD risk result instead of repopulating?	0..1	boolean
cvdrisk-cvdriskresultgroup	New CVD risk result	0..1	group
cvdrisk-onlincecalculatorguidance	Use the online Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator	0..1	display
4c52fcec-0695-4916-b185-24a5c2711631	Risk result score	0..1	integer
0162854e-c124-4b58-acd9-93c17562d407	%	0..1	display
28ff9463-b77f-435d-9ba7-427682a61f96	Assessed risk category	0..1	choice		Value Set: CVD Risk Category
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		Options: 2 options
333007c7-47a9-482b-af11-e55484abf2ae	Smoking status	0..1	choice		Value Set: CVD Risk Smoking Status
818ce640-c8dd-457d-b607-3aaa8da38524	Systolic blood pressure	0..1	integer
ddea5a62-a8c1-4b15-b667-7b69babec8cd	mm Hg	0..1	display
cvdrisk-cholesterolgroup	Cholesterol	0..1	group
cvdrisk-totalhdlratio	Ratio of total cholesterol to HDL cholesterol	0..1	decimal
99932a93-8135-47b2-933b-fd751b34b7af	Total Cholesterol	0..1	decimal
fcfbfc9f-e400-4aae-993f-ea54096e7361	mmol/L	0..1	display
c14b4513-1e20-461d-97f4-4631711adc65	HDL Cholesterol	0..1	decimal
2ba61002-b642-4b28-9e66-dc2b060c4e0e	mmol/L	0..1	display
cvdrisk-meds-group	Use of CVD medicines within last 6 months	0..1	group
cvdrisk-bp-lowering-meds-boolean	Blood pressure-lowering medicines	0..1	boolean
lipid-modifying-meds-boolean	Lipid-modifying medicines	0..1	boolean
antithrombotic-meds-boolean	Antithrombotic medicines	0..1	boolean
history-atrial-fibrillation-boolean	History of atrial fibrillation	0..1	boolean
fa8f03ca-9a5a-4ed1-a866-db26e567352a	Postcode	0..1	string
1c1eea28-6c82-4b7b-aaa3-8655ce70f2fd	Diabetes	0..1	boolean
cvdrisk-additional-diabetes-details-group	Additional diabetes details	0..1	group
cvdrisk-diabetes-years-integer	Years since diabetes diagnosis	0..1	integer
cvdrisk-diabetes-years-unit	years	0..1	display
cvdrisk-hba1c-mmol-decimal	Glycated haemoglobin (HbA1c)	0..1	decimal
cvdrisk-hba1c-mmol-unit	mmol/mol	0..1	display
cvdrisk-uacr-decimal	uACR	0..1	decimal
cvdrisk-uacr-unit	mg/mmol	0..1	display
cvdrisk-egfr-decimal	eGFR	0..1	decimal
cvdrisk-egfr-unit	mL/min/1.73 m²	0..1	display
cvdrisk-bmi-group	Body mass index (BMI)	0..1	group
cvdrisk-bmi-weight-decimal	Weight	0..1	decimal
cvdrisk-bmi-weight-unit	kg	0..1	display
cvdrisk-bmi-height-decimal	Height	0..1	decimal
cvdrisk-bmi-height-unit	m	0..1	display
cvdrisk-insulin-use-boolean	Use of insulin within last 6 months	0..1	boolean
f8022f3f-21fe-42c0-8abd-95f24e2e37e5	Health priorities, actions and follow-up	0..1	text
cvd-section-end-divider	null	0..1	display
MarkComplete-2	Section completion status	0..1	choice		Options: 3 options
918f7f32-cdaf-4742-b33a-8254eda2d8bd	Investigations	0..1	group
CD-in-progress-14	In progress	0..1	display
CD-complete-14	Complete	0..1	display
CD-attention-14	Attention required	0..1	display
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
investigations-section-end-divider	null	0..1	display
MarkComplete-14	Section completion status	0..1	choice		Options: 3 options
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
CD-complete-31	Complete	0..1	display
CD-attention-31	Attention required	0..1	display
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: 4044d0b4-94b2-4a89-b826-a14614298511 exists f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a exists 07cfe077-ba93-4f93-b2a5-027023faa33b exists a525c370-d8c3-4764-ab3a-bf62081725e0 exists d68d9693-48d3-4663-9dbb-dd3a7aec5278 exists
a400fe69-c99f-47ed-bee1-083c3e4be467	Recalls	0..1	group
b0c69e16-5dc3-481f-8e8f-fc0a93627184	e.g. clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations	0..1	display
fece6a3c-f8f1-4592-a166-5ea5a3c60c8e	Recall entered	0..*	string
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 offered - including details of follow-up and future appointments	0..1	choice		Options: 3 options
finalising-section-end-divider	null	0..1	display
MarkComplete-31	Section completion status	0..1	choice		Options: 3 options
Documentation for this format