Smart Health Checks
0.4.0 - CI Build Australia flag

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

Questionnaire: Aboriginal and Torres Strait Islander Health Check - Consent

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

Copyright/Legal: Copyright © 2022+ Australian Government Department of Health, Disability and Ageing - 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/.

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Consent Questionnaire http://www.health.gov.au/assessments/mbs/715/Consent#0.4.0
... 1016f79d-9756-4daf-b6ee-29add134b34f Consent 0..1 group Value Set:
.... CD-in-progress-30 In progress 0..1 display Value Set:
.... CD-complete-30 Complete 0..1 display Value Set:
.... CD-attention-30 Attention required 0..1 display Value Set:
.... d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55 Consent given after discussion of process and benefits of a health check 0..1 choice iconicon Value Set: Yes/No/NA
.... 7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd Consent given by parent/primary carer after discussion of process and benefits of a health check 0..1 choice iconicon Value Set: Yes/No/NA
.... 80a6a405-49a4-44fb-bff3-212902096b95 Parent/primary caregiver present 0..1 group Value Set:
..... c72933c7-349f-4fef-94ff-c424c69da6f3 Parent/primary caregiver is present for health check? 0..1 choice iconicon Value Set: Yes/No/NA
..... b7d116f9-0425-4cf1-8cde-fbf4dfaee550 Relationship to child 0..* string Enable When: c72933c7-349f-4fef-94ff-c424c69da6f3 = Yes (v2 Y/N Indicator#Y)
Value Set:
.... d8c88bff-75ea-476f-8f83-e9b72fc9e1a0 Consent for sharing of information 0..1 group Value Set:
..... 057483ce-f265-46df-a1c5-7a18d492c1ba Consent given for sharing of information with relevant healthcare providers? 0..1 choice iconicon Value Set: Yes/No/NA
..... 43517c44-5cd2-4d9a-9f18-d6bf8124f4ae Who/details 0..* text Enable When: 057483ce-f265-46df-a1c5-7a18d492c1ba = Yes (v2 Y/N Indicator#Y)
Value Set:
.... 84162f36-f4af-4509-b178-ef2a3849d0b6 Date 0..1 date Value Set:
.... 0f92eb2d-4629-4215-96f8-46722a2efa73 Doctor 0..1 string Value Set:
.... 8b94a129-3aab-4d13-bb6d-7a748f5c41e5 Nurse 0..1 string Value Set:
.... 2a517291-e2f1-4f66-ad1f-ae5b091d2f8a Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner 0..1 string Value Set:
.... 5bbfb4a3-a667-4ef2-98c2-76e76da55c03 Location of health check 0..1 open-choice Value Set:
Options: 3 options
.... 9a51c056-021d-445d-8eaa-2123a69aa9c2 Location of health check 0..1 open-choice Value Set:
Options: 3 options
.... consent-section-end-divider null 0..1 display Value Set:
.... MarkComplete-30 Section completion status 0..1 choice Value Set:
Options: 3 options

doco Documentation for this format

Options Sets

Answer options for 5bbfb4a3-a667-4ef2-98c2-76e76da55c03

  • http://snomed.info/sct#257585005 ("Clinic")
  • http://snomed.info/sct#264362003 ("Home")
  • http://snomed.info/sct#257698009 ("School")

Answer options for 9a51c056-021d-445d-8eaa-2123a69aa9c2

  • http://snomed.info/sct#257585005 ("Clinic")
  • http://snomed.info/sct#264362003 ("Home")
  • http://snomed.info/sct#224848004 ("Early learning centre")

Answer options for MarkComplete-30

  • Complete
  • In progress
  • Attention required

Consent

  • linkId: 1016f79d-9756-4daf-b6ee-29add134b34f
  • Answers:

In progress

  • linkId: CD-in-progress-30
  • Answers:

Complete

  • linkId: CD-complete-30
  • Answers:

Attention required

  • linkId: CD-attention-30
  • Answers:

Consent given after discussion of process and benefits of a health check

  • linkId: d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55
  • Answers: Yes/No/NA

Consent given by parent/primary carer after discussion of process and benefits of a health check

  • linkId: 7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd
  • Answers: Yes/No/NA

Parent/primary caregiver present

  • linkId: 80a6a405-49a4-44fb-bff3-212902096b95
  • Answers:

Parent/primary caregiver is present for health check?

  • linkId: c72933c7-349f-4fef-94ff-c424c69da6f3
  • Answers: Yes/No/NA

Relationship to child

  • linkId: b7d116f9-0425-4cf1-8cde-fbf4dfaee550
  • Enable When: todo
  • Answers:

Consent for sharing of information

  • linkId: d8c88bff-75ea-476f-8f83-e9b72fc9e1a0
  • Answers:

Consent given for sharing of information with relevant healthcare providers?

  • linkId: 057483ce-f265-46df-a1c5-7a18d492c1ba
  • Answers: Yes/No/NA

Who/details

  • linkId: 43517c44-5cd2-4d9a-9f18-d6bf8124f4ae
  • Enable When: todo
  • Answers:

Date

  • linkId: 84162f36-f4af-4509-b178-ef2a3849d0b6
  • Answers:

Doctor

  • linkId: 0f92eb2d-4629-4215-96f8-46722a2efa73
  • Answers:

Nurse

  • linkId: 8b94a129-3aab-4d13-bb6d-7a748f5c41e5
  • Answers:

Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner

  • linkId: 2a517291-e2f1-4f66-ad1f-ae5b091d2f8a
  • Answers:

Location of health check

Location of health check

  • linkId: consent-section-end-divider
  • Answers:

Section completion status

LinkIDDescription & Constraintsdoco
.. 1016f79d-9756-4daf-b6ee-29add134b34f Value Set:
... CD-in-progress-30 Value Set:
... CD-complete-30 Value Set:
... CD-attention-30 Value Set:
... 7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd Value Set: Yes/No/NA
... 80a6a405-49a4-44fb-bff3-212902096b95 Value Set:
.... c72933c7-349f-4fef-94ff-c424c69da6f3 Value Set: Yes/No/NA
.... b7d116f9-0425-4cf1-8cde-fbf4dfaee550 Enable When: Not done yet
Value Set:
... d8c88bff-75ea-476f-8f83-e9b72fc9e1a0 Value Set:
.... 057483ce-f265-46df-a1c5-7a18d492c1ba Value Set: Yes/No/NA
.... 43517c44-5cd2-4d9a-9f18-d6bf8124f4ae Enable When: Not done yet
Value Set:
... 84162f36-f4af-4509-b178-ef2a3849d0b6 Value Set:
... 0f92eb2d-4629-4215-96f8-46722a2efa73 Value Set:
... 8b94a129-3aab-4d13-bb6d-7a748f5c41e5 Value Set:
... 2a517291-e2f1-4f66-ad1f-ae5b091d2f8a Value Set:
... 5bbfb4a3-a667-4ef2-98c2-76e76da55c03 Value Set:
Options: 3 options
... 9a51c056-021d-445d-8eaa-2123a69aa9c2 Value Set:
Options: 3 options
... consent-section-end-divider Value Set:
... MarkComplete-30 Value Set:
Options: 3 options

doco Documentation for this format

Contained resources

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.