Smart Forms, published by AEHRC CSIRO. This guide is not an authorized publication; it is the continuous build for version 0.3.0 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 - Substance Use
| Official URL: http://www.health.gov.au/assessments/mbs/715/SubstanceUse | Version: 0.3.0 | |||
| Draft as of 2025-03-14 | Computable Name: SubstanceUse | |||
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/. |
||||
Substance Use sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.
Generated Narrative: Questionnaire SubstanceUse
Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire, Populatable Questionnaire - Expression
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  SubstanceUse | Substance Use sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. | Questionnaire | http://www.health.gov.au/assessments/mbs/715/SubstanceUse#0.3.0 | |
  14a9fb5f-5b0e-4862-b143-08a11cd3ebf0 | Substance use, including tobacco | 0..1 | group | |
   CD-in-progress-29 | In progress | 0..1 | display | Enable When: MarkComplete-29 != |
| CD-complete-29 | Complete | 0..1 | display | Enable When: MarkComplete-29 = |
| RecordUpdate-SubstanceUse | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | |
| 515eda6e-973a-4b10-910a-0d4bf4f2efff | Smoking | 0..1 | group | |
  b639a3a8-f476-4cc8-b5c7-f5d2abb23511 | Smoking status | 0..1 | choice | Value Set: Tobacco Use Status |
| 96dc7c22-d003-459c-8a56-f6cd182fc077 | Quit status | 0..1 | choice | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = Value Set: Smoking Quit Status |
 9e86387d-1be4-4c26-9047-9dd6b03e1ee0 | How many? | 0..1 | string | Enable When: |
| 32e71641-f660-4ca2-af99-dff8917f07be | How long as a smoker? | 0..1 | string | Enable When: |
| 34feaee8-8088-43ee-991d-9729990b5550 | Alcohol and other substance use | 0..1 | group | |
 ea73d52c-f831-46be-a45d-2c42250a5210 | Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other | 0..1 | text | |
| 232cf24c-db60-4601-869d-525fb6e05988 | details | 0..1 | display | |
| f8e1cc1f-f1a1-4eb3-8255-77d600f52831 | Health priorities, actions and follow-up | 0..1 | text | |
 MarkComplete-29 | Mark section as complete | 0..1 | boolean | |
| Documentation for this format | ||||
Contained Resources
ValueSet #SmokingQuitStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on SNOMED CT 32506021000036107 edition 31-Mar 2024
This value set contains 2 concepts
| Code | System | Display |
| 48031000119106 | http://snomed.info/sct | Quit >12 months |
| 735128000 | http://snomed.info/sct | Quit <12 months |
ValueSet #TobaccoUseStatus-1
This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.
Expansion based on SNOMED CT 32506021000036107 edition 30-Nov 2024
This value set expansion contains 6 concepts.
| Code | System | Display |
| 266919005 | http://snomed.info/sct | Never smoked |
| 77176002 | http://snomed.info/sct | Current smoker |
| 8517006 | http://snomed.info/sct | Ex-smoker |
| 16090371000119103 | http://snomed.info/sct | Exposure to second hand tobacco smoke |
| 394872000 | http://snomed.info/sct | Wants to quit |
| 713914004 | http://snomed.info/sct | Other tobacco use |