Smart Health Checks
0.4.0 - ci-build
Smart Health Checks, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:Aboriginal and Torres Strait Islander Health Check | ||
![]() ![]() | |||
![]() ![]() ![]() | About the health check | ||
![]() ![]() ![]() ![]() | Eligible for health check | expandedYes-NoIndicator: Y (Yes) | |
![]() ![]() ![]() ![]() | Health check already in progress? | false | |
![]() ![]() ![]() ![]() | Date of last completed health check | 2026-03-09T11:05:19+00:00 | |
![]() ![]() ![]() ![]() | Date this health check commenced | 2026-03-10 | |
![]() ![]() ![]() | Consent | ||
![]() ![]() ![]() ![]() | Date | 2026-03-10 | |
![]() ![]() ![]() | Patient details | ||
![]() ![]() ![]() ![]() | Name | Forms, Smart Mrs | |
![]() ![]() ![]() ![]() | Preferred name | Forms, Clever | |
![]() ![]() ![]() ![]() | Preferred pronouns | LOINC: LA29519-8 (she/her/her/hers/herself) | |
![]() ![]() ![]() ![]() | Gender identity | SNOMED CT: 446141000124107 (Identifies as female gender) | |
![]() ![]() ![]() ![]() | Administrative gender | AdministrativeGender: other (Other) | |
![]() ![]() ![]() ![]() | Sex assigned at birth | SNOMED CT: 248152002 (Female) | |
![]() ![]() ![]() ![]() | Date of birth | 1968-10-11 | |
![]() ![]() ![]() ![]() | Age | 57 | |
![]() ![]() ![]() ![]() | Aboriginal and/or Torres Strait Islander status | australian-indigenous-status-1: 1 (Aboriginal) | |
![]() ![]() ![]() ![]() | Home address | ||
![]() ![]() ![]() ![]() ![]() | Home address | ||
![]() ![]() ![]() ![]() ![]() ![]() | Street address | 4 Brisbane Street | |
![]() ![]() ![]() ![]() ![]() ![]() | City | Brisbane | |
![]() ![]() ![]() ![]() ![]() ![]() | State | australian-states-territories-1: QLD (Queensland) | |
![]() ![]() ![]() ![]() ![]() ![]() | Postcode | 4112 | |
![]() ![]() ![]() ![]() | Postal address | ||
![]() ![]() ![]() ![]() ![]() | Purpose of use | temp | |
![]() ![]() ![]() ![]() ![]() | Street address | PO Box Number | |
![]() ![]() ![]() ![]() ![]() | City | Brisbane | |
![]() ![]() ![]() ![]() ![]() | State | australian-states-territories-1: QLD (Queensland) | |
![]() ![]() ![]() ![]() ![]() | Postcode | 4112 | |
![]() ![]() ![]() ![]() | Home phone | 0123456879 | |
![]() ![]() ![]() ![]() | Mobile phone | 0491 572 665 | |
![]() ![]() ![]() ![]() | Emergency contact | ||
![]() ![]() ![]() ![]() ![]() | Name | Ms Phone A Friend | |
![]() ![]() ![]() ![]() ![]() | Phone | 0987654321 | |
![]() ![]() ![]() ![]() | Medicare number | ||
![]() ![]() ![]() ![]() ![]() | Number | 6951449677 | |
![]() ![]() ![]() ![]() ![]() | Reference number | 1 | |
![]() ![]() ![]() ![]() ![]() | Expiry | 2024-08 | |
![]() ![]() ![]() ![]() | Registered for Closing the Gap PBS Co-payment Measure (CTG) | true | |
![]() ![]() ![]() | Medical history and current problems | ||
![]() ![]() ![]() ![]() | Medical history summary | ||
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | ckd-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 700379002 (Chronic kidney disease stage 3B (disorder)) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: active (Active) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: active (Active) | ||
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | coronary-syndrome-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 394659003 (Acute coronary syndrome) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: active (Active) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: active (Active) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2015-02-12 | |
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | uti-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 68566005 (Urinary tract infection) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: inactive (Inactive) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: inactive (Inactive) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2020-05-10 | |
![]() ![]() ![]() ![]() ![]() ![]() | Abatement date | 2025-08-15 | |
![]() ![]() ![]() ![]() ![]() ![]() | 2025-08-15 | ||
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | diabetes-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 44054006 (Type 2 diabetes mellitus) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: active (Active) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: active (Active) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2015-02-12 | |
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | aci-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 54329005 (Acute myocardial infarction of anterior wall) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: inactive (Inactive) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: inactive (Inactive) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2014-01-01 | |
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | fever-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 63993003 (Remittent fever) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: inactive (Inactive) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: inactive (Inactive) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2015-02-11 | |
![]() ![]() ![]() ![]() ![]() ![]() | Abatement date | 2025-08-15 | |
![]() ![]() ![]() ![]() ![]() ![]() | 2025-08-15 | ||
![]() ![]() ![]() ![]() ![]() | Recorded problems/diagnoses | ||
![]() ![]() ![]() ![]() ![]() ![]() | nailwound-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Condition | SNOMED CT: 283680004 (Nail wound of sole of foot) | |
![]() ![]() ![]() ![]() ![]() ![]() | Clinical status | Condition Clinical Status Codes: inactive (Inactive) | |
![]() ![]() ![]() ![]() ![]() ![]() | Condition Clinical Status Codes: inactive (Inactive) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Onset date | 2017-03-30 | |
![]() ![]() ![]() | Regular medications | ||
![]() ![]() ![]() ![]() | Medication summary | ||
![]() ![]() ![]() ![]() ![]() | Recorded medications | ||
![]() ![]() ![]() ![]() ![]() ![]() | karvezide-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Medication | SNOMED CT: 6554011000036100 (Karvezide 300/12.5 tablet) | |
![]() ![]() ![]() ![]() ![]() ![]() | Status | Medication status codes: active (Active) | |
![]() ![]() ![]() ![]() ![]() ![]() | Medication status codes: active (Active) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Dosage | Take one tablet per day. | |
![]() ![]() ![]() ![]() ![]() ![]() | Take one tablet per day. | ||
![]() ![]() ![]() ![]() ![]() ![]() | Clinical indication | SNOMED CT: 38341003 (Hypertension) | |
![]() ![]() ![]() ![]() ![]() ![]() | Comment | Review regularly for blood pressure control and side effects. | |
![]() ![]() ![]() ![]() ![]() ![]() | Review regularly for blood pressure control and side effects. | ||
![]() ![]() ![]() | Allergies/adverse reactions | ||
![]() ![]() ![]() ![]() | Adverse reaction risk summary | ||
![]() ![]() ![]() ![]() ![]() | Recorded adverse reaction risks | ||
![]() ![]() ![]() ![]() ![]() ![]() | penicillin-pat-sf | ||
![]() ![]() ![]() ![]() ![]() ![]() | Substance | SNOMED CT: 764146007 (Penicillin) | |
![]() ![]() ![]() ![]() ![]() ![]() | Status | AllergyIntolerance Clinical Status Codes: active (Active) | |
![]() ![]() ![]() ![]() ![]() ![]() | AllergyIntolerance Clinical Status Codes: active (Active) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Manifestation | SNOMED CT: 247472004 (Hives) | |
![]() ![]() ![]() ![]() ![]() ![]() | Comment | The criticality is high due to a documented episode of hives following penicillin administration. | |
![]() ![]() ![]() ![]() ![]() ![]() | The criticality is high due to a documented episode of hives following penicillin administration. | ||
![]() ![]() ![]() | Substance use, including tobacco | ||
![]() ![]() ![]() ![]() | Smoking | ||
![]() ![]() ![]() ![]() ![]() | Smoking status | ||
![]() ![]() ![]() ![]() ![]() ![]() | Smoking status | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last status value | SNOMED CT: 77176002 (Current smoker) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Last status date | 2016-07-02 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | New date | null! | |
![]() ![]() ![]() | Immunisation | ||
![]() ![]() ![]() ![]() | Vaccines previously given | ||
![]() ![]() ![]() ![]() ![]() | Vaccine | SNOMED CT: 1525011000168107 (Comirnaty) | |
![]() ![]() ![]() ![]() ![]() | Batch number | 300000000P | |
![]() ![]() ![]() ![]() ![]() | Administration date | 2021-07-15 | |
![]() ![]() ![]() ![]() ![]() | Comment | Second dose of Comirnaty vaccine administered. | |
![]() ![]() ![]() ![]() | Vaccines previously given | ||
![]() ![]() ![]() ![]() ![]() | Vaccine | SNOMED CT: 1525011000168107 (Comirnaty) | |
![]() ![]() ![]() ![]() ![]() | Batch number | 200000000P | |
![]() ![]() ![]() ![]() ![]() | Administration date | 2021-06-17 | |
![]() ![]() ![]() ![]() ![]() | Comment | First dose of Comirnaty vaccine administered. | |
![]() ![]() ![]() | Examination | ||
![]() ![]() ![]() ![]() | The tabled observations will display the most recent results available from the patient record. New observations may be added. | ||
![]() ![]() ![]() ![]() ![]() | Height | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | 163 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2022-02-10 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result date | null! | |
![]() ![]() ![]() ![]() ![]() | Weight | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | 77.3 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2022-02-10 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result date | null! | |
![]() ![]() ![]() ![]() ![]() | BMI (calculated) | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | 29.1 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result | null! | |
![]() ![]() ![]() ![]() ![]() | Waist circumference | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | 88 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2023-03-14 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result date | null! | |
![]() ![]() ![]() ![]() ![]() | Heart rate | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | 80 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2016-07-02 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result date | null! | |
![]() ![]() ![]() ![]() ![]() | Heart rhythm | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value | SNOMED CT: 361137007 (Irregular heart rhythm) | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2019-05-07 | |
![]() ![]() ![]() ![]() ![]() ![]() | New result date | null! | |
![]() ![]() ![]() ![]() | Blood pressure | ||
![]() ![]() ![]() ![]() ![]() | Blood pressure | ||
![]() ![]() ![]() ![]() ![]() ![]() | Last result value systolic | 165 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result value diastolic | 95 | |
![]() ![]() ![]() ![]() ![]() ![]() | Last result date | 2023-09-13 | |
![]() ![]() ![]() ![]() ![]() ![]() | Date performed | null! | |
![]() ![]() ![]() | Absolute cardiovascular disease risk calculation | ||
![]() ![]() ![]() ![]() | CVD risk result | ||
![]() ![]() ![]() ![]() ![]() | Latest available result | Not available | |
![]() ![]() ![]() ![]() | CVD risk calculator variables | ||
![]() ![]() ![]() ![]() ![]() | Age | 57 | |
![]() ![]() ![]() ![]() ![]() | Sex at birth | SNOMED CT: 248152002 (Female) | |
![]() ![]() ![]() ![]() ![]() | Smoking status | SNOMED CT: 77176002 (Currently smokes) | |
![]() ![]() ![]() ![]() ![]() | Systolic blood pressure | null! | |
![]() ![]() ![]() ![]() ![]() | Cholesterol | ||
![]() ![]() ![]() ![]() ![]() ![]() | Ratio of total cholesterol to HDL cholesterol | 3.93 | |
![]() ![]() ![]() ![]() ![]() | History of atrial fibrillation | null! | |
![]() ![]() ![]() ![]() ![]() | Postcode | 4112 | |
![]() ![]() ![]() ![]() ![]() | Diabetes | true | |
![]() ![]() ![]() ![]() ![]() | Additional diabetes details | ||
![]() ![]() ![]() ![]() ![]() ![]() | Years since diabetes diagnosis | 11 | |
![]() ![]() ![]() ![]() ![]() ![]() | Body mass index (BMI) | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Weight | null! | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | Height | 1.63 | |