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 - Finalising the Health Check

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

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
.. FinalisingHealthCheck Questionnaire http://www.health.gov.au/assessments/mbs/715/FinalisingHealthCheck#0.4.0
... 16971bd2-5494-483d-9713-eda182c47f02 Finalising the health check 0..1 group Value Set:
.... CD-in-progress-31 In progress 0..1 display Value Set:
.... CD-complete-31 Complete 0..1 display Value Set:
.... CD-attention-31 Attention required 0..1 display Value Set:
.... 30532ad8-3465-4bdd-97ed-ec5664f9d733 Patient priorities and goals: What does the parent/carer say are the important things that have come out of this health check? 0..1 text Value Set:
.... 6aa0a113-4d33-4f6b-9899-fa249674075a Patient priorities and goals: What does the parent/carer and child say are the important things that have come out of this health check? 0..1 text Value Set:
.... 71c19d58-a8ae-43ba-8b96-463c108c75dc Patient priorities and goals: What does the patient say are the important things that have come out of this health check? 0..1 text Value Set:
.... d0e58402-a08a-49ca-b2ca-9f4bbdb89da0 Brief intervention: advice and information provided during health check 0..* open-choice Value Set:
Options: 9 options
.... 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8 Brief intervention: advice and information provided during health check 0..* open-choice Value Set:
Options: 7 options
.... eaed9770-95f4-4c6a-b06c-d573427a2616 Brief intervention: advice and information provided during health check 0..* open-choice Value Set:
Options: 9 options
.... 25f27e83-fcf0-49c8-86c1-e285e201a043 Brief intervention: advice and information provided during health check 0..* open-choice Value Set:
Options: 10 options
.... 2657da9c-a27e-4939-af7a-08a19b9ab6f7 Brief intervention: advice and information provided during health check 0..* open-choice Value Set:
Options: 8 options
.... afbadad6-bef9-4fad-b5f4-111f666ccf11 Care provided as part of the health check (eg immunisations, medication review, investigations requested) 0..1 text Value Set:
.... 4b3015f6-5b0a-4dfa-9791-994e4059f921 Identified needs and plan (including new diagnoses) 0..1 text Value Set:
.... 5760a1f9-d725-4b9e-b74d-50800615a689 Follow-up 0..1 group Value Set:
..... b4110a63-8547-4aa2-84c6-c1f64f0d24da Consider what follow-up appointments can be made at the time of the health check. 0..1 display iconicon Value Set:
..... c47cfd7e-0f15-4dd9-bd53-bb62851b677c Reminder: MBS follow up items for clients at risk of or with chronic disease are available to support follow-up of health checks 0..1 display iconicon Value Set:
..... 1be25c55-2a2d-4b94-b826-bd17d9e35e92 Referrals and appointments 0..* group Value Set:
...... 4044d0b4-94b2-4a89-b826-a14614298511 Who 0..1 open-choice Value Set:
Options: 12 options
...... f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a Who 0..1 open-choice Value Set:
Options: 10 options
...... 07cfe077-ba93-4f93-b2a5-027023faa33b Who 0..1 open-choice Value Set:
Options: 11 options
...... a525c370-d8c3-4764-ab3a-bf62081725e0 Who 0..1 open-choice Value Set:
Options: 13 options
...... d68d9693-48d3-4663-9dbb-dd3a7aec5278 Who 0..1 open-choice Value Set:
Options: 16 options
...... 0ef84b09-ca34-44c2-96d1-fcbbea0bae66 When 0..1 date Enable When:
Value Set:
.... a400fe69-c99f-47ed-bee1-083c3e4be467 Recalls 0..1 group Value Set:
..... b0c69e16-5dc3-481f-8e8f-fc0a93627184 e.g. clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations 0..1 display iconicon Value Set:
..... fece6a3c-f8f1-4592-a166-5ea5a3c60c8e Recall entered 0..* string Value Set:
.... 5a0c98f8-5349-4045-9ba0-27a4f35630b9 Parent/carer actions 0..1 text Value Set:
.... cde03bf0-182a-4998-a37e-7b3f22786617 Parent/patient actions 0..1 text Value Set:
.... 51ff0c15-312a-45ce-a25a-6c6a4bf0e17e Patient actions 0..1 text Value Set:
.... 8176151f-6d86-45eb-91b1-12458d75a181 A copy of this health check has been offered - including details of follow-up and future appointments 0..1 choice Value Set:
Options: 3 options
.... finalising-section-end-divider null 0..1 display Value Set:
.... MarkComplete-31 Section completion status 0..1 choice Value Set:
Options: 3 options

doco Documentation for this format

Options Sets

Answer options for d0e58402-a08a-49ca-b2ca-9f4bbdb89da0

  • Sugary drinks
  • Screen use
  • Healthy eating, including breastfeeding
  • Environmental exposure to harmful elements eg tobacco smoke
  • Physical activity and exercise
  • Sun protection
  • Parenting advice
  • Safe sleeping practices
  • Developmental milestones - including language and hearing

Answer options for 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8

  • Healthy eating
  • Screen use
  • Sun protection
  • Environmental exposure to harmful elements (e.g. tobacco smoke)
  • Sugary drinks
  • Physical activity and exercise
  • Parenting advice

Answer options for eaed9770-95f4-4c6a-b06c-d573427a2616

  • Healthy eating
  • Screen use
  • Physical activity and exercise
  • Mental health and wellbeing
  • Safety/risky behaviours
  • Smoking cessation
  • Substance use/harm minimisation
  • Safe sex/contraception
  • Care of teeth and gums

Answer options for 25f27e83-fcf0-49c8-86c1-e285e201a043

  • Healthy eating
  • Screen use
  • Physical activity and exercise
  • Mental health and wellbeing
  • Carer support
  • Safety/risky behaviours
  • Smoking cessation
  • Substance use/harm minimisation
  • Safe sex/contraception
  • Oral and dental health

Answer options for 2657da9c-a27e-4939-af7a-08a19b9ab6f7

  • Healthy eating
  • Physical activity and exercise
  • Mental health and wellbeing
  • Carer support
  • Smoking cessation
  • Substance use/harm minimisation
  • Social support and services
  • Oral and dental health

Answer options for 4044d0b4-94b2-4a89-b826-a14614298511

  • GP follow-up
  • Aboriginal and/or Torres Strait Islander Health Worker follow-up
  • Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
  • Practice nurse follow-up
  • Child health nurse
  • Dentist
  • Paediatrician
  • Audiology
  • Speech pathology
  • Mental health
  • Early intervention (development) services
  • Parenting programs/support services

Answer options for f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a

  • GP follow-up
  • Aboriginal and/or Torres Strait Islander Health Worker follow-up
  • Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
  • Practice nurse follow-up
  • Dentist
  • Paediatrician
  • Audiology
  • Speech pathology
  • Mental health
  • Parenting programs/support services

Answer options for 07cfe077-ba93-4f93-b2a5-027023faa33b

  • GP follow-up
  • GP review of results of investigations
  • Aboriginal and/or Torres Strait Islander Health Worker follow-up
  • Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
  • Practice nurse follow-up
  • Dentist
  • Paediatrician
  • Audiology
  • Speech pathology
  • Parenting programs/support services
  • Social and emotional wellbeing/mental health

Answer options for a525c370-d8c3-4764-ab3a-bf62081725e0

  • GP follow-up
  • GP review of results of investigations
  • Aboriginal and/or Torres Strait Islander Health Worker follow-up
  • Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
  • Practice nurse follow-up
  • Dentist
  • Medication review
  • Smoking cessation
  • Audiology
  • Dietician
  • Physiotherapist or exercise program
  • Parenting programs/support services
  • Social and emotional wellbeing/mental health

Answer options for d68d9693-48d3-4663-9dbb-dd3a7aec5278

  • GP follow-up
  • GP review of results of investigations
  • Aboriginal and/or Torres Strait Islander Health Worker follow-up
  • Aboriginal and/or Torres Strait Islander Health Practitioner follow-up
  • Practice nurse follow-up
  • Dentist
  • Medication review
  • Geriatrician
  • Smoking cessation
  • Audiologist
  • Dietician
  • Physiotherapist or exercise program
  • Optometrist
  • Podiatrist
  • Social and emotional wellbeing/mental health
  • Social support and services

Answer options for 8176151f-6d86-45eb-91b1-12458d75a181

  • Yes, copy taken
  • Yes, but declined
  • Not offered. Plan to follow up and offer at a later date

Answer options for MarkComplete-31

  • Complete
  • In progress
  • Attention required

Finalising the health check

  • linkId: 16971bd2-5494-483d-9713-eda182c47f02
  • Answers:

In progress

  • linkId: CD-in-progress-31
  • Answers:

Complete

  • linkId: CD-complete-31
  • Answers:

Attention required

  • linkId: CD-attention-31
  • Answers:

Patient priorities and goals: What does the parent/carer say are the important things that have come out of this health check?

  • linkId: 30532ad8-3465-4bdd-97ed-ec5664f9d733
  • Answers:

Patient priorities and goals: What does the parent/carer and child say are the important things that have come out of this health check?

  • linkId: 6aa0a113-4d33-4f6b-9899-fa249674075a
  • Answers:

Patient priorities and goals: What does the patient say are the important things that have come out of this health check?

  • linkId: 71c19d58-a8ae-43ba-8b96-463c108c75dc
  • Answers:

Brief intervention: advice and information provided during health check

Brief intervention: advice and information provided during health check

Brief intervention: advice and information provided during health check

Brief intervention: advice and information provided during health check

Brief intervention: advice and information provided during health check

Care provided as part of the health check (eg immunisations, medication review, investigations requested)

  • linkId: afbadad6-bef9-4fad-b5f4-111f666ccf11
  • Answers:

Identified needs and plan (including new diagnoses)

  • linkId: 4b3015f6-5b0a-4dfa-9791-994e4059f921
  • Answers:

Follow-up

  • linkId: 5760a1f9-d725-4b9e-b74d-50800615a689
  • Answers:

Consider what follow-up appointments can be made at the time of the health check.

  • Flags: icon
  • linkId: b4110a63-8547-4aa2-84c6-c1f64f0d24da
  • Answers:

Reminder: MBS follow up items for clients at risk of or with chronic disease are available to support follow-up of health checks

  • Flags: icon
  • linkId: c47cfd7e-0f15-4dd9-bd53-bb62851b677c
  • Answers:

Referrals and appointments

  • linkId: 1be25c55-2a2d-4b94-b826-bd17d9e35e92
  • Answers:

Who

Who

Who

Who

Who

When

  • linkId: 0ef84b09-ca34-44c2-96d1-fcbbea0bae66
  • Enable When: todo
  • Answers:

Recalls

  • linkId: a400fe69-c99f-47ed-bee1-083c3e4be467
  • Answers:

e.g. clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations

  • Flags: icon
  • linkId: b0c69e16-5dc3-481f-8e8f-fc0a93627184
  • Answers:

Recall entered

  • linkId: fece6a3c-f8f1-4592-a166-5ea5a3c60c8e
  • Answers:

Parent/carer actions

  • linkId: 5a0c98f8-5349-4045-9ba0-27a4f35630b9
  • Answers:

Parent/patient actions

  • linkId: cde03bf0-182a-4998-a37e-7b3f22786617
  • Answers:

Patient actions

  • linkId: 51ff0c15-312a-45ce-a25a-6c6a4bf0e17e
  • Answers:

A copy of this health check has been offered - including details of follow-up and future appointments

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

Section completion status

LinkIDDescription & Constraintsdoco
.. 16971bd2-5494-483d-9713-eda182c47f02 Value Set:
... CD-in-progress-31 Value Set:
... CD-complete-31 Value Set:
... CD-attention-31 Value Set:
... 6aa0a113-4d33-4f6b-9899-fa249674075a Value Set:
... 71c19d58-a8ae-43ba-8b96-463c108c75dc Value Set:
... d0e58402-a08a-49ca-b2ca-9f4bbdb89da0 Value Set:
Options: 9 options
... 0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8 Value Set:
Options: 7 options
... eaed9770-95f4-4c6a-b06c-d573427a2616 Value Set:
Options: 9 options
... 25f27e83-fcf0-49c8-86c1-e285e201a043 Value Set:
Options: 10 options
... 2657da9c-a27e-4939-af7a-08a19b9ab6f7 Value Set:
Options: 8 options
... afbadad6-bef9-4fad-b5f4-111f666ccf11 Value Set:
... 4b3015f6-5b0a-4dfa-9791-994e4059f921 Value Set:
... 5760a1f9-d725-4b9e-b74d-50800615a689 Value Set:
.... b4110a63-8547-4aa2-84c6-c1f64f0d24da Value Set:
.... c47cfd7e-0f15-4dd9-bd53-bb62851b677c Value Set:
.... 1be25c55-2a2d-4b94-b826-bd17d9e35e92 Value Set:
..... 4044d0b4-94b2-4a89-b826-a14614298511 Value Set:
Options: 12 options
..... f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a Value Set:
Options: 10 options
..... 07cfe077-ba93-4f93-b2a5-027023faa33b Value Set:
Options: 11 options
..... a525c370-d8c3-4764-ab3a-bf62081725e0 Value Set:
Options: 13 options
..... d68d9693-48d3-4663-9dbb-dd3a7aec5278 Value Set:
Options: 16 options
..... 0ef84b09-ca34-44c2-96d1-fcbbea0bae66 Enable When: Not done yet
Value Set:
... a400fe69-c99f-47ed-bee1-083c3e4be467 Value Set:
.... b0c69e16-5dc3-481f-8e8f-fc0a93627184 Value Set:
.... fece6a3c-f8f1-4592-a166-5ea5a3c60c8e Value Set:
... 5a0c98f8-5349-4045-9ba0-27a4f35630b9 Value Set:
... cde03bf0-182a-4998-a37e-7b3f22786617 Value Set:
... 51ff0c15-312a-45ce-a25a-6c6a4bf0e17e Value Set:
... 8176151f-6d86-45eb-91b1-12458d75a181 Value Set:
Options: 3 options
... finalising-section-end-divider Value Set:
... MarkComplete-31 Value Set:
Options: 3 options

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

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