# Aboriginal and Torres Strait Islander Health Check - Immunisation - Smart Health Checks v0.4.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Aboriginal and Torres Strait Islander Health Check - Immunisation**

## Questionnaire: Aboriginal and Torres Strait Islander Health Check - Immunisation 

| | |
| :--- | :--- |
| *Official URL*:http://www.health.gov.au/assessments/mbs/715/Immunisation | *Version*:0.4.0 |
| Draft as of 2025-03-14 | *Computable Name*:Immunisation |
| **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/. | |



## Resource Content

```json
{
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  "id" : "Immunisation",
  "meta" : {
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      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp",
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-template"
    ]
  },
  "contained" : [
    {
      "resourceType" : "ValueSet",
      "id" : "YesNo",
      "url" : "https://smartforms.csiro.au/ig/ValueSet/YesNo",
      "name" : "YesNo",
      "title" : "Yes/No",
      "status" : "draft",
      "experimental" : false,
      "description" : "Concepts for Yes and No",
      "compose" : {
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          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
            "version" : "2.0.0",
            "concept" : [
              {
                "code" : "Y",
                "display" : "Yes"
              },
              {
                "code" : "N",
                "display" : "No"
              }
            ]
          }
        ]
      },
      "expansion" : {
        "identifier" : "urn:uuid:5d9dbf1e-e156-4961-bb02-051dfc831832",
        "timestamp" : "2025-09-18T16:28:54+10:00",
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          },
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            "code" : "N",
            "display" : "No"
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "amt-vaccine-1",
      "meta" : {
        "profile" : [
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        ]
      },
      "url" : "https://healthterminologies.gov.au/fhir/ValueSet/amt-vaccine-1",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:1.2.36.1.2001.1004.201.10042"
        }
      ],
      "version" : "1.0.2",
      "name" : "AustralianMedicinesTerminologyVaccine",
      "title" : "Australian Medicines Terminology Vaccine",
      "status" : "active",
      "experimental" : false,
      "date" : "2020-05-31",
      "publisher" : "Australian Digital Health Agency",
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          "telecom" : [
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              "system" : "email",
              "value" : "help@digitalhealth.gov.au"
            }
          ]
        }
      ],
      "description" : "The Australian Medicines Terminology (AMT) Vaccine value set includes AMT product concepts that may be used to record a vaccine product.",
      "copyright" : "Copyright © 2018 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. \n\n This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. \n\nThe rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material.  No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. \n\nAll copies of this resource must include this copyright statement and all information contained in this statement.",
      "compose" : {
        "include" : [
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              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "Immunization",
      "id" : "ImmunizationTemplate",
      "status" : "completed",
      "vaccineCode" : {
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          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractContext",
            "valueString" : "item.where(linkId='vaccinestoday-vaccine').answer.value"
          }
        ],
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        ]
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          }
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      },
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          }
        },
        {
          "url" : "type",
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        },
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          "url" : "description",
          "valueString" : "The patient that is to be used to pre-populate the form"
        }
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            "code" : "user"
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        {
          "url" : "type",
          "valueCode" : "Practitioner"
        },
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          "url" : "description",
          "valueString" : "The practitioner user that is to be used to pre-populate the form"
        }
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    },
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          "url" : "name",
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          }
        },
        {
          "url" : "type",
          "valueCode" : "Encounter"
        },
        {
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        }
      ],
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    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext",
      "valueString" : "age"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "Immunization",
        "language" : "application/x-fhir-query",
        "expression" : "Immunization?patient={{%patient.id}}&status=completed"
      }
    },
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/version-algorithm",
        "code" : "semver"
      }
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  ],
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  "version" : "0.4.0",
  "name" : "Immunisation",
  "title" : "Aboriginal and Torres Strait Islander Health Check - Immunisation",
  "status" : "draft",
  "experimental" : false,
  "subjectType" : ["Patient"],
  "date" : "2025-03-14",
  "publisher" : "AEHRC CSIRO",
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        }
      ]
    }
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        }
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    }
  ],
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          "linkId" : "CD-attention-13",
          "text" : "Attention required",
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          "text" : "Check Child Health Record/Book and Australian Immunisation Register",
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              }
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          ],
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          "text" : "Check Australian Immunisation Register",
          "_text" : {
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          "text" : "Check recommended primary vaccinations completed and provide catch-up if required",
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                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext",
              "valueExpression" : {
                "name" : "ImmunizationRepeat",
                "language" : "text/fhirpath",
                "expression" : "%Immunization.entry.resource"
              }
            }
          ],
          "linkId" : "vaccinesprevious",
          "text" : "Vaccines previously given",
          "type" : "group",
          "repeats" : true,
          "readOnly" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "autocomplete"
                      }
                    ]
                  }
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                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%ImmunizationRepeat.vaccineCode.select((coding.where(system='http://snomed.info/sct') | coding.where(system!='http://snomed.info/sct').first() | text ).first())"
                  }
                }
              ],
              "linkId" : "vaccinesprevious-vaccine",
              "text" : "Vaccine",
              "type" : "open-choice",
              "answerValueSet" : "#amt-vaccine-1"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%ImmunizationRepeat.lotNumber"
                  }
                }
              ],
              "linkId" : "vaccinesprevious-batch",
              "text" : "Batch number",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%ImmunizationRepeat.occurrence.ofType(dateTime).toDate()"
                  }
                }
              ],
              "linkId" : "vaccinesprevious-date",
              "text" : "Administration date",
              "type" : "date"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression" : {
                    "language" : "text/fhirpath",
                    "expression" : "%ImmunizationRepeat.note.text.first()"
                  }
                }
              ],
              "linkId" : "vaccinesprevious-comment",
              "text" : "Comment",
              "type" : "string"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode" : "horizontal"
            }
          ],
          "linkId" : "vaccinesair",
          "text" : "Immunisations are up to date?",
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#YesNo"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "autocomplete"
                  }
                ]
              }
            }
          ],
          "linkId" : "vaccinesdue",
          "text" : "Immunisations due",
          "type" : "open-choice",
          "repeats" : true,
          "answerValueSet" : "#amt-vaccine-1"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "gtable"
                  }
                ]
              }
            },
            {
              "extension" : [
                {
                  "url" : "template",
                  "valueReference" : {
                    "reference" : "#ImmunizationTemplate"
                  }
                }
              ],
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtract"
            }
          ],
          "linkId" : "vaccinestoday",
          "text" : "Vaccines given today",
          "type" : "group",
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "autocomplete"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "vaccinestoday-vaccine",
              "text" : "Vaccine",
              "type" : "open-choice",
              "answerValueSet" : "#amt-vaccine-1"
            },
            {
              "linkId" : "vaccinestoday-batch",
              "text" : "Batch number",
              "type" : "string"
            },
            {
              "linkId" : "vaccinestoday-date",
              "text" : "Administration date",
              "type" : "date"
            },
            {
              "linkId" : "vaccinestoday-comment",
              "text" : "Comment",
              "type" : "string"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode" : "horizontal"
            }
          ],
          "linkId" : "vaccinesrecorded",
          "text" : "Have all vaccines been recorded on the Australian Immunisation Register?",
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#YesNo"
        },
        {
          "linkId" : "bcd1c9f2-889e-41e5-8c2b-a70221c5cec5",
          "text" : "Health priorities, actions and follow-up",
          "type" : "text",
          "repeats" : false
        },
        {
          "linkId" : "immunisation-section-end-divider",
          "_text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString" : "border-top: 1px solid #ccc;"
              }
            ]
          },
          "type" : "display"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "MarkComplete-13",
          "text" : "Section completion status",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueString" : "Complete"
            },
            {
              "valueString" : "In progress"
            },
            {
              "valueString" : "Attention required"
            }
          ]
        }
      ]
    }
  ]
}

```
