Smart Health Checks
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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 - Memory And Thinking

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

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
.. MemoryAndThinking Questionnaire http://www.health.gov.au/assessments/mbs/715/MemoryAndThinking#0.4.0
... 1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c Memory and thinking 0..1 group Value Set:
.... CD-in-progress-18 In progress 0..1 display Value Set:
.... CD-complete-18 Complete 0..1 display Value Set:
.... CD-attention-18 Attention required 0..1 display Value Set:
.... 64fd0c95-b57b-4319-bf40-ad77d10a9832 Personal concerns about your memory or thinking 0..1 group Value Set:
..... e29701be-2b79-471d-a42e-7e3830459080 Do you have any worries about your memory or thinking? 0..1 choice iconicon Value Set: Yes/No
..... 69985e2e-4619-42fa-a111-e6fb3118ef74 Details 0..1 text Enable When: e29701be-2b79-471d-a42e-7e3830459080 = Yes (v2 Y/N Indicator#Y)
Value Set:
.... 44da9ba8-4636-4eaa-8bb1-aaa65f117fab Family concerns about your memory or thinking 0..1 group Value Set:
..... 06a67326-9e3d-4c4c-b271-af5b168d077c Does anyone in your family have any worries about your memory or thinking? 0..1 choice iconicon Value Set: Yes/No
..... 43d2cb6c-29a7-4293-a6c8-87a228a82e19 Details 0..1 text Enable When: 06a67326-9e3d-4c4c-b271-af5b168d077c = Yes (v2 Y/N Indicator#Y)
Value Set:
.... 4ebb3c30-936b-4932-a330-f1e643b5ccd4 If any concerns are raised and/or high risk for cognitive impairment identified, follow up with cognitive screening (eg clock test, GPCOG, KICA-Cog, MMSE) 0..1 text Value Set:
.... 1f0e7fde-e964-4f36-9151-dbdc5e145f94 Health priorities, actions and follow-up 0..1 text Value Set:
.... memorythinking-section-end-divider null 0..1 display Value Set:
.... MarkComplete-18 Section completion status 0..1 choice Value Set:
Options: 3 options

doco Documentation for this format

Options Sets

Answer options for MarkComplete-18

  • Complete
  • In progress
  • Attention required

Memory and thinking

  • linkId: 1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c
  • Answers:

In progress

  • linkId: CD-in-progress-18
  • Answers:

Complete

  • linkId: CD-complete-18
  • Answers:

Attention required

  • linkId: CD-attention-18
  • Answers:

Personal concerns about your memory or thinking

  • linkId: 64fd0c95-b57b-4319-bf40-ad77d10a9832
  • Answers:

Do you have any worries about your memory or thinking?

  • linkId: e29701be-2b79-471d-a42e-7e3830459080
  • Answers: Yes/No

Details

  • linkId: 69985e2e-4619-42fa-a111-e6fb3118ef74
  • Enable When: todo
  • Answers:

Family concerns about your memory or thinking

  • linkId: 44da9ba8-4636-4eaa-8bb1-aaa65f117fab
  • Answers:

Does anyone in your family have any worries about your memory or thinking?

  • linkId: 06a67326-9e3d-4c4c-b271-af5b168d077c
  • Answers: Yes/No

Details

  • linkId: 43d2cb6c-29a7-4293-a6c8-87a228a82e19
  • Enable When: todo
  • Answers:

If any concerns are raised and/or high risk for cognitive impairment identified, follow up with cognitive screening (eg clock test, GPCOG, KICA-Cog, MMSE)

  • linkId: 4ebb3c30-936b-4932-a330-f1e643b5ccd4
  • Answers:

Health priorities, actions and follow-up

  • linkId: 1f0e7fde-e964-4f36-9151-dbdc5e145f94
  • Answers:

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

Section completion status

LinkIDDescription & Constraintsdoco
.. 1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c Value Set:
... CD-in-progress-18 Value Set:
... CD-complete-18 Value Set:
... CD-attention-18 Value Set:
.... e29701be-2b79-471d-a42e-7e3830459080 Value Set: Yes/No
.... 69985e2e-4619-42fa-a111-e6fb3118ef74 Enable When: Not done yet
Value Set:
... 44da9ba8-4636-4eaa-8bb1-aaa65f117fab Value Set:
.... 06a67326-9e3d-4c4c-b271-af5b168d077c Value Set: Yes/No
.... 43d2cb6c-29a7-4293-a6c8-87a228a82e19 Enable When: Not done yet
Value Set:
... 4ebb3c30-936b-4932-a330-f1e643b5ccd4 Value Set:
... 1f0e7fde-e964-4f36-9151-dbdc5e145f94 Value Set:
... memorythinking-section-end-divider Value Set:
... MarkComplete-18 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.