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 - Eye Health

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

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
.. EyeHealth Questionnaire http://www.health.gov.au/assessments/mbs/715/EyeHealth#0.4.0
... 961da481-1698-4a1d-962b-a9c2185e335a Eye health 0..1 group Value Set:
.... CD-in-progress-8 In progress 0..1 display Value Set:
.... CD-complete-8 Complete 0..1 display Value Set:
.... CD-attention-8 Attention required 0..1 display Value Set:
.... 0e30de87-8d5a-4b7a-893a-f1791c4f31c5 Vision concerns 0..1 group Value Set:
..... bc49ee24-62a8-4252-a5ee-9c68bfed601c Is there anything that you are worried about with your child's vision? 0..1 choice iconicon Value Set: Yes/No
..... 6286346d-c805-4519-8e82-bf364a215c58 Is there anything that you are worried about with your vision? 0..1 choice iconicon Value Set: Yes/No
..... 468770e4-af95-4377-8af5-280deb585e01 Details 0..1 text Enable When:
Value Set:
.... 25d3e4b6-8c71-4c17-8f5a-aca90e232ed2 Eye examination 0..1 group Value Set:
..... cb1b9349-2dd1-4bdd-904b-a529458e3b98 Red reflex (up to six months) 0..1 group Value Set:
...... 47ce0b44-ac12-4a1d-8657-2cc741a29d3a Left eye 0..1 string Value Set:
...... 3f192141-0845-44d6-85ad-94f0295e062f Right eye 0..1 string Value Set:
..... 3ff41163-549f-4834-8817-151144613988 Evidence of squint or other abnormality 0..1 group Value Set:
...... 83e65791-a04a-42e4-b3f2-1e552b8e8044 Left eye 0..1 string Value Set:
...... 2dd18bad-9491-436f-a2db-a4ed6022ac5c Right eye 0..1 string Value Set:
..... 2c0e12a5-2650-4886-8f50-405dc0ead9c5 Visual acuity 0..1 group Value Set:
...... 43825f29-c720-40a5-9fd1-de50ee35479c Left eye 0..1 string Value Set:
...... e98428b4-bc8d-4272-a803-757a84813c3c Right eye 0..1 string Value Set:
..... bac129ef-a5c0-4d94-915c-ceadc6016594 Trachoma Check (endemic areas) 0..1 group Value Set:
...... 202b5b91-541e-4a72-b1f6-1d474b59b7a3 Left eye 0..1 choice Value Set:
Options: 2 options
...... 6ae69487-345e-46a0-a8db-b1356671ee59 Right eye 0..1 choice Value Set:
Options: 2 options
.... 8dcdc04c-7655-4b47-88eb-8425f0cdc0d0 Health priorities, actions and follow-up 0..1 text Value Set:
.... eyehealth-section-end-divider null 0..1 display Value Set:
.... MarkComplete-8 Section completion status 0..1 choice Value Set:
Options: 3 options

doco Documentation for this format

Options Sets

Answer options for 202b5b91-541e-4a72-b1f6-1d474b59b7a3

  • http://snomed.info/sct#60332004 ("Trichiasis")
  • http://snomed.info/sct#95726001 ("Corneal scar")

Answer options for 6ae69487-345e-46a0-a8db-b1356671ee59

  • http://snomed.info/sct#60332004 ("Trichiasis")
  • http://snomed.info/sct#95726001 ("Corneal scar")

Answer options for MarkComplete-8

  • Complete
  • In progress
  • Attention required

Eye health

  • linkId: 961da481-1698-4a1d-962b-a9c2185e335a
  • Answers:

In progress

  • linkId: CD-in-progress-8
  • Answers:

Complete

  • linkId: CD-complete-8
  • Answers:

Attention required

  • linkId: CD-attention-8
  • Answers:

Vision concerns

  • linkId: 0e30de87-8d5a-4b7a-893a-f1791c4f31c5
  • Answers:

Is there anything that you are worried about with your child's vision?

  • linkId: bc49ee24-62a8-4252-a5ee-9c68bfed601c
  • Answers: Yes/No

Is there anything that you are worried about with your vision?

  • linkId: 6286346d-c805-4519-8e82-bf364a215c58
  • Answers: Yes/No

Details

  • linkId: 468770e4-af95-4377-8af5-280deb585e01
  • Enable When: todo
  • Answers:

Eye examination

  • linkId: 25d3e4b6-8c71-4c17-8f5a-aca90e232ed2
  • Answers:

Red reflex (up to six months)

  • linkId: cb1b9349-2dd1-4bdd-904b-a529458e3b98
  • Answers:

Left eye

  • linkId: 47ce0b44-ac12-4a1d-8657-2cc741a29d3a
  • Answers:

Right eye

  • linkId: 3f192141-0845-44d6-85ad-94f0295e062f
  • Answers:

Evidence of squint or other abnormality

  • linkId: 3ff41163-549f-4834-8817-151144613988
  • Answers:

Left eye

  • linkId: 83e65791-a04a-42e4-b3f2-1e552b8e8044
  • Answers:

Right eye

  • linkId: 2dd18bad-9491-436f-a2db-a4ed6022ac5c
  • Answers:

Visual acuity

  • linkId: 2c0e12a5-2650-4886-8f50-405dc0ead9c5
  • Answers:

Left eye

  • linkId: 43825f29-c720-40a5-9fd1-de50ee35479c
  • Answers:

Right eye

  • linkId: e98428b4-bc8d-4272-a803-757a84813c3c
  • Answers:

Trachoma Check (endemic areas)

  • linkId: bac129ef-a5c0-4d94-915c-ceadc6016594
  • Answers:

Left eye

Right eye

Health priorities, actions and follow-up

  • linkId: 8dcdc04c-7655-4b47-88eb-8425f0cdc0d0
  • Answers:

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

Section completion status

LinkIDDescription & Constraintsdoco
.. 961da481-1698-4a1d-962b-a9c2185e335a Value Set:
... CD-in-progress-8 Value Set:
... CD-complete-8 Value Set:
... CD-attention-8 Value Set:
.... bc49ee24-62a8-4252-a5ee-9c68bfed601c Value Set: Yes/No
.... 6286346d-c805-4519-8e82-bf364a215c58 Value Set: Yes/No
.... 468770e4-af95-4377-8af5-280deb585e01 Enable When: Not done yet
Value Set:
... 25d3e4b6-8c71-4c17-8f5a-aca90e232ed2 Value Set:
.... cb1b9349-2dd1-4bdd-904b-a529458e3b98 Value Set:
..... 47ce0b44-ac12-4a1d-8657-2cc741a29d3a Value Set:
..... 3f192141-0845-44d6-85ad-94f0295e062f Value Set:
.... 3ff41163-549f-4834-8817-151144613988 Value Set:
..... 83e65791-a04a-42e4-b3f2-1e552b8e8044 Value Set:
..... 2dd18bad-9491-436f-a2db-a4ed6022ac5c Value Set:
.... 2c0e12a5-2650-4886-8f50-405dc0ead9c5 Value Set:
..... 43825f29-c720-40a5-9fd1-de50ee35479c Value Set:
..... e98428b4-bc8d-4272-a803-757a84813c3c Value Set:
.... bac129ef-a5c0-4d94-915c-ceadc6016594 Value Set:
..... 202b5b91-541e-4a72-b1f6-1d474b59b7a3 Value Set:
Options: 2 options
..... 6ae69487-345e-46a0-a8db-b1356671ee59 Value Set:
Options: 2 options
... 8dcdc04c-7655-4b47-88eb-8425f0cdc0d0 Value Set:
... eyehealth-section-end-divider Value Set:
... MarkComplete-8 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.