Smart Forms, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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
Questionnaire: Aboriginal and Torres Strait Islander Health Check - Finalising the Health Check
| Official URL: http://www.health.gov.au/assessments/mbs/715/FinalisingHealthCheck | Version: 0.1.0 | |||
| Draft as of 2024-04-02 |
Realm: 
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Computable Name: FinalisingHealthCheck | ||
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/. |
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Finalising the Health Check sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.
Structure
| LinkId | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  FinalisingHealthCheck | Finalising the Health Check sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. | Questionnaire | http://www.health.gov.au/assessments/mbs/715/FinalisingHealthCheck#0.1.0 | ||
  16971bd2-5494-483d-9713-eda182c47f02 | Finalising the health check | 0..1 | group | Expressions:
| |
   CD-in-progress-31 | In progress | 0..1 | display | Enable When: MarkComplete-31 != true | |
| CD-complete-31 | Complete | 0..1 | display | Enable When: MarkComplete-31 = true | |
 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 | Expressions:
| |
| 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 | Expressions:
| |
| 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 | Expressions:
| |
 d0e58402-a08a-49ca-b2ca-9f4bbdb89da0 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options Expressions:
| |
| 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 7 options Expressions:
| |
| eaed9770-95f4-4c6a-b06c-d573427a2616 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 9 options Expressions:
| |
| 25f27e83-fcf0-49c8-86c1-e285e201a043 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 10 options Expressions:
| |
| 2657da9c-a27e-4939-af7a-08a19b9ab6f7 | Brief intervention: advice and information provided during health check | 0..* | open-choice | Options: 8 options Expressions:
| |
| 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 Expressions:
| |
| f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a | Who | 0..1 | open-choice | Options: 10 options Expressions:
| |
| 07cfe077-ba93-4f93-b2a5-027023faa33b | Who | 0..1 | open-choice | Options: 11 options Expressions:
| |
| a525c370-d8c3-4764-ab3a-bf62081725e0 | Who | 0..1 | open-choice | Options: 13 options Expressions:
| |
| d68d9693-48d3-4663-9dbb-dd3a7aec5278 | Who | 0..1 | open-choice | Options: 16 options Expressions:
| |
 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 Expressions:
|
| 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 | Expressions:
| |
| cde03bf0-182a-4998-a37e-7b3f22786617 | Parent/patient actions | 0..1 | text | Expressions:
| |
| 51ff0c15-312a-45ce-a25a-6c6a4bf0e17e | Patient actions | 0..1 | text | Expressions:
| |
| 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 | |||||
Option Sets
Answer options for d0e58402-a08a-49ca-b2ca-9f4bbdb89da0
- Sugary drinks
- Screen use
- Healthy eating, including breastfeeding
- Environmental exposure to harmful elements eg tobacco smoke
- Physical activity and exercise
- Sun protection
- Parenting advice
- Safe sleeping practices
- Developmental milestones - including language and hearing
Answer options for 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8
- Healthy eating
- Screen use
- Sun protection
- Environmental exposure to harmful elements (e.g. tobacco smoke)
- Sugary drinks
- Physical activity and exercise
- Parenting advice
Answer options for eaed9770-95f4-4c6a-b06c-d573427a2616
- Healthy eating
- Screen use
- Physical activity and exercise
- Mental health and wellbeing
- Safety/risky behaviours
- Smoking cessation
- Substance use/harm minimisation
- Safe sex/contraception
- Care of teeth and gums
Answer options for 25f27e83-fcf0-49c8-86c1-e285e201a043
- Healthy eating
- Screen use
- Physical activity and exercise
- Mental health and wellbeing
- Carer support
- Safety/risky behaviours
- Smoking cessation
- Substance use/harm minimisation
- Safe sex/contraception
- Oral and dental health
Answer options for 2657da9c-a27e-4939-af7a-08a19b9ab6f7
- Healthy eating
- Physical activity and exercise
- Mental health and wellbeing
- Carer support
- Smoking cessation
- Substance use/harm minimisation
- Social support and services
- Oral and dental health
Answer options for 4044d0b4-94b2-4a89-b826-a14614298511
- GP follow-up
- Aboriginal and/or Torres Strait Islander Health Worker follow-up
- Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
- Practice nurse follow-up
- Child health nurse
- Dentist
- Paediatrician
- Audiology
- Speech pathology
- Mental health
- Early intervention (development) services
- Parenting programs/support services
Answer options for f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a
- GP follow-up
- Aboriginal and/or Torres Strait Islander Health Worker follow-up
- Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
- Practice nurse follow-up
- Dentist
- Paediatrician
- Audiology
- Speech pathology
- Mental health
- Parenting programs/support services
Answer options for 07cfe077-ba93-4f93-b2a5-027023faa33b
- GP follow-up
- GP review of results of investigations
- Aboriginal and/or Torres Strait Islander Health Worker follow-up
- Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
- Practice nurse follow-up
- Dentist
- Paediatrician
- Audiology
- Speech pathology
- Parenting programs/support services
- Social and emotional wellbeing/mental health
Answer options for a525c370-d8c3-4764-ab3a-bf62081725e0
- GP follow-up
- GP review of results of investigations
- Aboriginal and/or Torres Strait Islander Health Worker follow-up
- Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
- Practice nurse follow-up
- Dentist
- Medication review
- Smoking cessation
- Audiology
- Dietician
- Physiotherapist or exercise program
- Parenting programs/support services
- Social and emotional wellbeing/mental health
Answer options for d68d9693-48d3-4663-9dbb-dd3a7aec5278
- GP follow-up
- GP review of results of investigations
- Aboriginal and/or Torres Strait Islander Health Worker follow-up
- Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
- Practice nurse follow-up
- Dentist
- Medication review
- Geriatrician
- Smoking cessation
- Audiologist
- Dietician
- Physiotherapist or exercise program
- Optometrist
- Podiatrist
- Social and emotional wellbeing/mental health
- Social support and services
Answer options for 8176151f-6d86-45eb-91b1-12458d75a181
- Yes, copy taken
- Yes, but declined
- Not offered. Plan to follow up and offer at a later date