{ "resourceType" : "Questionnaire", "id" : "Consent", "meta" : { "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-modular", "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire Consent

Profiles: Advanced Rendering Questionnaire, SDC Modular Questionnaire, Populatable Questionnaire - Expression

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" ConsentQuestionnairehttp://www.health.gov.au/assessments/mbs/715/Consent#0.4.0
\".\"\".\"\".\" 1016f79d-9756-4daf-b6ee-29add134b34fConsent0..1group
\".\"\".\"\".\"\".\" CD-in-progress-30In progress0..1display
\".\"\".\"\".\"\".\" CD-complete-30Complete0..1display
\".\"\".\"\".\"\".\" CD-attention-30Attention required0..1display
\".\"\".\"\".\"\".\" d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55Consent given after discussion of process and benefits of a health check0..1choice\"icon\"/\"icon\"/Value Set: Yes/No/NA
\".\"\".\"\".\"\".\" 7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbdConsent given by parent/primary carer after discussion of process and benefits of a health check0..1choice\"icon\"/\"icon\"/Value Set: Yes/No/NA
\".\"\".\"\".\"\".\" 80a6a405-49a4-44fb-bff3-212902096b95Parent/primary caregiver present0..1group
\".\"\".\"\".\"\".\"\".\" c72933c7-349f-4fef-94ff-c424c69da6f3Parent/primary caregiver is present for health check?0..1choice\"icon\"/\"icon\"/Value Set: Yes/No/NA
\".\"\".\"\".\"\".\"\".\" b7d116f9-0425-4cf1-8cde-fbf4dfaee550Relationship to child0..*stringEnable When: c72933c7-349f-4fef-94ff-c424c69da6f3 = Yes (v2 Y/N Indicator#Y)
\".\"\".\"\".\"\".\" d8c88bff-75ea-476f-8f83-e9b72fc9e1a0Consent for sharing of information0..1group
\".\"\".\"\".\"\".\"\".\" 057483ce-f265-46df-a1c5-7a18d492c1baConsent given for sharing of information with relevant healthcare providers?0..1choice\"icon\"/\"icon\"/Value Set: Yes/No/NA
\".\"\".\"\".\"\".\"\".\" 43517c44-5cd2-4d9a-9f18-d6bf8124f4aeWho/details0..*textEnable When: 057483ce-f265-46df-a1c5-7a18d492c1ba = Yes (v2 Y/N Indicator#Y)
\".\"\".\"\".\"\".\" 84162f36-f4af-4509-b178-ef2a3849d0b6Date0..1date
\".\"\".\"\".\"\".\" 0f92eb2d-4629-4215-96f8-46722a2efa73Doctor0..1string
\".\"\".\"\".\"\".\" 8b94a129-3aab-4d13-bb6d-7a748f5c41e5Nurse0..1string
\".\"\".\"\".\"\".\" 2a517291-e2f1-4f66-ad1f-ae5b091d2f8aAboriginal and/or Torres Strait Islander Health Worker / Health Practitioner0..1string
\".\"\".\"\".\"\".\" 5bbfb4a3-a667-4ef2-98c2-76e76da55c03Location of health check0..1open-choiceOptions: 3 options
\".\"\".\"\".\"\".\" 9a51c056-021d-445d-8eaa-2123a69aa9c2Location of health check0..1open-choiceOptions: 3 options
\".\"\".\"\".\"\".\" consent-section-end-dividernull0..1display
\".\"\".\"\".\"\".\" MarkComplete-30Section completion status0..1choiceOptions: 3 options

\"doco\" Documentation for this format

Options Sets

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

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

Answer options for MarkComplete-30

Contained Resources

ValueSet #YesNoNA

This ValueSet requires the Code system Supplement Health Checks Expanded Yes No Indicator Supplement.

Expansion based on:

This value set contains 3 concepts

SystemCodeDisplay (en)Definition
http://terminology.hl7.org/CodeSystem/v2-0532\u00a0\u00a0YYesYes
http://terminology.hl7.org/CodeSystem/v2-0532\u00a0\u00a0NNoNo
http://terminology.hl7.org/CodeSystem/v2-0532\u00a0\u00a0NAN/Anot applicable
" }, "contained" : [{ "resourceType" : "ValueSet", "id" : "YesNoNA", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/valueset-supplement", "valueCanonical" : "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksExpandedYesNoIndicatorSupplement|0.4.0" }], "url" : "https://smartforms.csiro.au/ig/ValueSet/YesNoNA", "name" : "YesNoNA", "title" : "Yes/No/NA", "status" : "draft", "experimental" : false, "description" : "Concepts for Yes, No and Not applicable", "compose" : { "include" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "version" : "3.0.0", "concept" : [{ "code" : "Y", "display" : "Yes" }, { "code" : "N", "display" : "No" }, { "code" : "NA", "display" : "N/A" }] }] }, "expansion" : { "identifier" : "urn:uuid:76fe7a73-dbf9-4e97-86e1-981bc4d34be2", "timestamp" : "2026-03-02T12:08:22+10:00", "total" : 3, "offset" : 0, "parameter" : [{ "name" : "displayLanguage", "valueCode" : "en" }, { "name" : "count", "valueInteger" : 1000 }, { "name" : "offset", "valueInteger" : 0 }, { "name" : "excludeNested", "valueBoolean" : false }, { "name" : "used-codesystem", "valueUri" : "http://terminology.hl7.org/CodeSystem/v2-0532|3.0.0" }, { "name" : "used-supplement", "valueUri" : "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksExpandedYesNoIndicatorSupplement|0.4.0" }], "contains" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Yes" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "No" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "NA", "display" : "N/A" }] } }], "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assemble-expectation", "valueCode" : "assemble-child" }, { "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "patient" } }, { "url" : "type", "valueCode" : "Patient" }, { "url" : "description", "valueString" : "The patient that is to be used to pre-populate the form" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }, { "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "user" } }, { "url" : "type", "valueCode" : "Practitioner" }, { "url" : "description", "valueString" : "The practitioner user that is to be used to pre-populate the form" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }, { "extension" : [{ "url" : "name", "valueCoding" : { "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext", "code" : "encounter" } }, { "url" : "type", "valueCode" : "Encounter" }, { "url" : "description", "valueString" : "The encounter that is to be used to pre-populate the form" }], "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" }, { "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleContext", "valueString" : "age" }, { "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm", "valueCoding" : { "system" : "http://hl7.org/fhir/version-algorithm", "code" : "semver" } }], "url" : "http://www.health.gov.au/assessments/mbs/715/Consent", "version" : "0.4.0", "name" : "Consent", "title" : "Aboriginal and Torres Strait Islander Health Check - Consent", "status" : "draft", "experimental" : false, "subjectType" : ["Patient"], "date" : "2025-03-14", "publisher" : "AEHRC CSIRO", "contact" : [{ "name" : "AEHRC CSIRO", "telecom" : [{ "system" : "url", "value" : "https://confluence.csiro.au/display/PCDQFPhase2/Primary+Care+Data+Quality+Foundations+-+Phase+2" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "AU", "display" : "Australia" }] }], "copyright" : "Copyright © 2022+ Australian Government Department of Health, Disability and Ageing - All rights reserved.\nThis content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.\nSee https://creativecommons.org/licenses/by-sa/4.0/.\n", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age.exists()" } }], "linkId" : "1016f79d-9756-4daf-b6ee-29add134b34f", "text" : "Consent", "type" : "group", "repeats" : false, "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='MarkComplete-30').answer.value = 'In progress' or %resource.repeat(item).where(linkId='MarkComplete-30').answer.value.empty()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code" : "context-display" }] } }], "linkId" : "CD-in-progress-30", "text" : "In progress", "_text" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
\r\n\t\t\r\n\t
\r\n
" }] }, "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='MarkComplete-30').answer.value = 'Complete'" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code" : "context-display" }] } }], "linkId" : "CD-complete-30", "text" : "Complete", "_text" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
\r\n\t\t\r\n\t
\r\n
" }] }, "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%resource.repeat(item).where(linkId='MarkComplete-30').answer.value = 'Attention required'" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "https://smartforms.csiro.au/ig/CodeSystem/QuestionnaireItemControlExtended", "code" : "context-display" }] } }], "linkId" : "CD-attention-30", "text" : "Attention required", "_text" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
\r\n\t\t\r\n\t
\r\n
" }] }, "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age > 12" } }, { "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" : "d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55", "text" : "Consent given after discussion of process and benefits of a health check", "type" : "choice", "repeats" : false, "answerValueSet" : "#YesNoNA" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age <= 12" } }, { "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" : "7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd", "text" : "Consent given by parent/primary carer after discussion of process and benefits of a health check", "type" : "choice", "repeats" : false, "answerValueSet" : "#YesNoNA" }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age <= 24" } }], "linkId" : "80a6a405-49a4-44fb-bff3-212902096b95", "text" : "Parent/primary caregiver present", "type" : "group", "repeats" : false, "item" : [{ "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" : "c72933c7-349f-4fef-94ff-c424c69da6f3", "text" : "Parent/primary caregiver is present for health check?", "type" : "choice", "repeats" : false, "answerValueSet" : "#YesNoNA" }, { "linkId" : "b7d116f9-0425-4cf1-8cde-fbf4dfaee550", "text" : "Relationship to child", "type" : "string", "enableWhen" : [{ "question" : "c72933c7-349f-4fef-94ff-c424c69da6f3", "operator" : "=", "answerCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0136", "code" : "Y" } }], "repeats" : true }] }, { "linkId" : "d8c88bff-75ea-476f-8f83-e9b72fc9e1a0", "text" : "Consent for sharing of information", "type" : "group", "repeats" : false, "item" : [{ "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" : "057483ce-f265-46df-a1c5-7a18d492c1ba", "text" : "Consent given for sharing of information with relevant healthcare providers?", "type" : "choice", "repeats" : false, "answerValueSet" : "#YesNoNA" }, { "linkId" : "43517c44-5cd2-4d9a-9f18-d6bf8124f4ae", "text" : "Who/details", "type" : "text", "enableWhen" : [{ "question" : "057483ce-f265-46df-a1c5-7a18d492c1ba", "operator" : "=", "answerCoding" : { "system" : "http://terminology.hl7.org/CodeSystem/v2-0136", "code" : "Y" } }], "repeats" : true }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "today()" } }], "linkId" : "84162f36-f4af-4509-b178-ef2a3849d0b6", "text" : "Date", "type" : "date", "repeats" : false }, { "linkId" : "0f92eb2d-4629-4215-96f8-46722a2efa73", "text" : "Doctor", "type" : "string", "repeats" : false }, { "linkId" : "8b94a129-3aab-4d13-bb6d-7a748f5c41e5", "text" : "Nurse", "type" : "string", "repeats" : false }, { "linkId" : "2a517291-e2f1-4f66-ad1f-ae5b091d2f8a", "text" : "Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner", "type" : "string", "repeats" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age > 5" } }, { "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/uv/sdc/StructureDefinition/sdc-questionnaire-openLabel", "valueString" : "Other, please specify" }], "linkId" : "5bbfb4a3-a667-4ef2-98c2-76e76da55c03", "text" : "Location of health check", "type" : "open-choice", "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "257585005", "display" : "Clinic" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "264362003", "display" : "Home" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "257698009", "display" : "School" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression", "valueExpression" : { "language" : "text/fhirpath", "expression" : "%age <= 5" } }, { "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/uv/sdc/StructureDefinition/sdc-questionnaire-openLabel", "valueString" : "Other, please specify" }], "linkId" : "9a51c056-021d-445d-8eaa-2123a69aa9c2", "text" : "Location of health check", "type" : "open-choice", "repeats" : false, "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "257585005", "display" : "Clinic" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "264362003", "display" : "Home" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "224848004", "display" : "Early learning centre" } }] }, { "linkId" : "consent-section-end-divider", "_text" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
" }] }, "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-30", "text" : "Section completion status", "type" : "choice", "repeats" : false, "answerOption" : [{ "valueString" : "Complete", "_valueString" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
Complete \r\n\t\t\r\n\t
\r\n
" }] } }, { "valueString" : "In progress", "_valueString" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
In progress \r\n\t\t\r\n\t
\r\n
" }] } }, { "valueString" : "Attention required", "_valueString" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml", "valueString" : "
\r\n\t
Attention required \r\n\t\t\r\n\t
\r\n
" }] } }] }] }] }