EyeHealth
type: Questionnaire
node role: treeRoot
id:
  v: EyeHealth
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render
    l: sdc-questionnaire-render
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular
    l: sdc-questionnaire-modular
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire EyeHealth Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EyeHealth Questionnaire http://www.health.gov.au/assessments/mbs/715/EyeHealth#0.4.0 #xD; 961da481-1698-4a1d-962b-a9c2185e335a Eye health 0..1 group #xD; CD-in-progress-8 In progress 0..1 display #xD; CD-complete-8 Complete 0..1 display #xD; CD-attention-8 Attention required 0..1 display #xD; 0e30de87-8d5a-4b7a-893a-f1791c4f31c5 Vision concerns 0..1 group #xD; 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 #xD; 6286346d-c805-4519-8e82-bf364a215c58 Is there anything that you are worried about with your vision? 0..1 choice Value Set: Yes/No #xD; 468770e4-af95-4377-8af5-280deb585e01 Details 0..1 text Enable When: bc49ee24-62a8-4252-a5ee-9c68bfed601c = 6286346d-c805-4519-8e82-bf364a215c58 = #xD; 25d3e4b6-8c71-4c17-8f5a-aca90e232ed2 Eye examination 0..1 group #xD; cb1b9349-2dd1-4bdd-904b-a529458e3b98 Red reflex (up to six months) 0..1 group #xD; 47ce0b44-ac12-4a1d-8657-2cc741a29d3a Left eye 0..1 string #xD; 3f192141-0845-44d6-85ad-94f0295e062f Right eye 0..1 string #xD; 3ff41163-549f-4834-8817-151144613988 Evidence of squint or other abnormality 0..1 group #xD; 83e65791-a04a-42e4-b3f2-1e552b8e8044 Left eye 0..1 string #xD; 2dd18bad-9491-436f-a2db-a4ed6022ac5c Right eye 0..1 string #xD; 2c0e12a5-2650-4886-8f50-405dc0ead9c5 Visual acuity 0..1 group #xD; 43825f29-c720-40a5-9fd1-de50ee35479c Left eye 0..1 string #xD; e98428b4-bc8d-4272-a803-757a84813c3c Right eye 0..1 string #xD; bac129ef-a5c0-4d94-915c-ceadc6016594 Trachoma Check (endemic areas) 0..1 group #xD; 202b5b91-541e-4a72-b1f6-1d474b59b7a3 Left eye 0..1 choice Options: 2 options #xD; 6ae69487-345e-46a0-a8db-b1356671ee59 Right eye 0..1 choice Options: 2 options #xD; 8dcdc04c-7655-…
contained: ValueSet
  id:
    v: YesNo
  url:
    v: https://smartforms.csiro.au/ig/ValueSet/YesNo
    l: YesNo
  name:
    v: YesNo
  title:
    v: Yes/No
  status:
    v: draft
  experimental:
    v: false
  description:
    v: Concepts for Yes and No
  compose:
    include:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
        l: v2-0532
      version:
        v: 2.0.0
  expansion:
    timestamp:
      v: 2025-09-18T16:28:54+10:00
    total:
      v: 2
    offset:
      v: 0
    parameter:
      name:
        v: count
      value: Integer
        v: 1000
    parameter:
      name:
        v: offset
      value: Integer
        v: 0
    parameter:
      name:
        v: excludeNested
      value: Boolean
        v: false
    parameter:
      name:
        v: used-codesystem
      value: Uri
        v: http://terminology.hl7.org/CodeSystem/v2-0532|2.0.0
        l: http://terminology.hl7.org/CodeSystem/v2-0532
    contains:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
        l: v2-0532
      code:
        v: Y
      display:
        v: Yes
    contains:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
        l: v2-0532
      code:
        v: N
      display:
        v: No
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation
    l: sdc-questionnaire-assemble-expectation
  value: Code
    v: assemble-child
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: patient
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Patient
  extension:
    url:
      v: description
      l: description
    value: String
      v: The patient that is to be used to pre-populate the form
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: user
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Practitioner
  extension:
    url:
      v: description
      l: description
    value: String
      v: The practitioner user that is to be used to pre-populate the form
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
extension:
  extension:
    url:
      v: name
      l: name
    value: Coding
      system:
        v: http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext
        l: launchContext
      code:
        v: encounter
  extension:
    url:
      v: type
      l: type
    value: Code
      v: Encounter
  extension:
    url:
      v: description
      l: description
    value: String
      v: The encounter that is to be used to pre-populate the form
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext
    l: sdc-questionnaire-launchContext
extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext
    l: sdc-questionnaire-assembleContext
  value: String
    v: age
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]
    l: extension-Questionnaire.versionAlgorithm[x]
  value: Coding
    system:
      v: http://hl7.org/fhir/version-algorithm
      l: version-algorithm
    code:
      v: semver
url:
  v: http://www.health.gov.au/assessments/mbs/715/EyeHealth
  l: EyeHealth
version:
  v: 0.4.0
name:
  v: EyeHealth
title:
  v: Aboriginal and Torres Strait Islander Health Check - Eye Health
status:
  v: draft
experimental:
  v: false
subject type:
  v: Patient
date:
  v: 2025-03-14

v: Y

v: Yes

v: N

v: No

v: AEHRC CSIRO

name:
  v: AEHRC CSIRO
telecom:
  system:
    v: url
  value:
    v: https://confluence.csiro.au/display/PCDQFPhase2/Primary+Care+Data+Quality+Foundations+-+Phase+2

coding:
  system:
    v: urn:iso:std:iso:3166
    l: 3166
  code:
    v: AU
  display:
    v: Australia

v: 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/.

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
    l: sdc-questionnaire-enableWhenExpression
  value: Expression
    language:
      v: text/fhirpath
    expression:
      v: %age.exists()
text:
  v: Eye health
type:
  v: group
repeats:
  v: false
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
      l: sdc-questionnaire-enableWhenExpression
    value: Expression
      language:
        v: text/fhirpath
      expression:
        v: %resource.repeat(item).where(linkId='MarkComplete-8').answer.value = 'In progress' or %resource.repeat(item).where(linkId='MarkComplete-8').answer.value.empty()
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: CD-in-progress-8
  text:
    v: In progress
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
        l: rendering-xhtml
      value: String
        v: <img width='24' height='24' src='[binary]' style="align-self: center;"/>
  type:
    v: display
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
      l: sdc-questionnaire-enableWhenExpression
    value: Expression
      language:
        v: text/fhirpath
      expression:
        v: %resource.repeat(item).where(linkId='MarkComplete-8').answer.value = 'Complete'
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: CD-complete-8
  text:
    v: Complete
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
        l: rendering-xhtml
      value: String
        v: <img width='24' height='24' src='[binary]' style="align-self: center;"/>
  type:
    v: display
item:
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
      l: sdc-questionnaire-enableWhenExpression
    value: Expression
      language:
        v: text/fhirpath
      expression:
        v: %resource.repeat(item).where(linkId='MarkComplete-8').answer.value = 'Attention required'
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: CD-attention-8
  text:
    v: Attention required
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
        l: rendering-xhtml
      value: String
        v: <img width='24' height='24' src='[binary]' style="align-self: center;"/>
  type:
    v: display
item:
  text:
    v: Vision concerns
  type:
    v: group
  repeats:
    v: false
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
        l: sdc-questionnaire-enableWhenExpression
      value: Expression
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
        l: questionnaire-choiceOrientation
      value: Code
        v: horizontal
    text:
      v: Is there anything that you are worried about with your child's vision?
    type:
      v: choice
    repeats:
      v: false
    answer value set:
      v: #YesNo
      l: YesNo
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
        l: sdc-questionnaire-enableWhenExpression
      value: Expression
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
        l: questionnaire-choiceOrientation
      value: Code
        v: horizontal
    text:
      v: Is there anything that you are worried about with your vision?
    type:
      v: choice
    repeats:
      v: false
    answer value set:
      v: #YesNo
      l: YesNo
  item:
    text:
      v: Details
    type:
      v: text
    enable when:
      operator:
        v: =
      answer: Coding
    enable when:
      operator:
        v: =
      answer: Coding
    enable behavior:
      v: any
    repeats:
      v: false
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  text:
    v: Eye examination
  type:
    v: group
  repeats:
    v: false
  item:
    extension:
      url:
        v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
        l: sdc-questionnaire-enableWhenExpression
      value: Expression
    text:
      v: Red reflex (up to six months)
    type:
      v: group
    repeats:
      v: false
    item:
      text:
        v: Left eye
      type:
        v: string
      repeats:
        v: false

v: context-display

v: context-display

v: context-display

v: text/fhirpath

v: %age <= 12

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: radio-button

v: text/fhirpath

v: %age > 12

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: radio-button

v: Y

v: Y

v: grid

v: text/fhirpath

v: %age < 1

text:
  v: Right eye
type:
  v: string
repeats:
  v: false

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
    l: sdc-questionnaire-enableWhenExpression
  value: Expression
    language:
      v: text/fhirpath
    expression:
      v: %age <= 12
text:
  v: Evidence of squint or other abnormality
type:
  v: group
repeats:
  v: false
item:
  text:
    v: Left eye
  type:
    v: string
  repeats:
    v: false
item:
  text:
    v: Right eye
  type:
    v: string
  repeats:
    v: false

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
    l: sdc-questionnaire-enableWhenExpression
  value: Expression
    language:
      v: text/fhirpath
    expression:
      v: %age >= 3
text:
  v: Visual acuity
type:
  v: group
repeats:
  v: false
item:
  text:
    v: Left eye
  type:
    v: string
  repeats:
    v: false
item:
  text:
    v: Right eye
  type:
    v: string
  repeats:
    v: false

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression
    l: sdc-questionnaire-enableWhenExpression
  value: Expression
    language:
      v: text/fhirpath
    expression:
      v: %age >= 25
text:
  v: Trachoma Check (endemic areas)
type:
  v: group
repeats:
  v: false
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  text:
    v: Left eye
  type:
    v: choice
  repeats:
    v: false
  answer option:
    value: Coding
      type: http://snomed.info/id/60332004
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 60332004
      display:
        v: Trichiasis
  answer option:
    value: Coding
      type: http://snomed.info/id/95726001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 95726001
      display:
        v: Corneal scar
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  text:
    v: Right eye
  type:
    v: choice
  repeats:
    v: false
  answer option:
    value: Coding
      type: http://snomed.info/id/60332004
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 60332004
      display:
        v: Trichiasis
  answer option:
    value: Coding
      type: http://snomed.info/id/95726001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 95726001
      display:
        v: Corneal scar

v: check-box

v: check-box

text:
  v: Health priorities, actions and follow-up
type:
  v: text
repeats:
  v: false

link id:
  v: eyehealth-section-end-divider
text:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/rendering-style
      l: rendering-style
    value: String
      v: border-top: 1px solid #ccc;
type:
  v: display

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: radio-button
link id:
  v: MarkComplete-8
text:
  v: Section completion status
type:
  v: choice
repeats:
  v: false
answer option:
  value: String
    v: Complete
answer option:
  value: String
    v: In progress
answer option:
  value: String
    v: Attention required