Generated Narrative: Questionnaire PatientDetails LinkID Text Cardinality Type Flags Description & Constraints PatientDetails Patient Details sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. Questionnaire http://www.health.gov.au/assessments/mbs/715/PatientDetails#0.2.0-draft 5b224753-9365-44e3-823b-9c17e7394005 Patient Details 0..1 group CD-in-progress-32 In progress 0..1 display Enable When: MarkComplete-32 != CD-complete-32 Complete 0..1 display Enable When: MarkComplete-32 = RecordUpdate-Patient Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. 0..1 display 17596726-34cf-4133-9960-7081e1d63558 Name 0..1 string 57093a06-62f7-4b8b-8cb4-2c9f451ac851 Preferred name 0..1 string 540b1034-7c9a-4aba-a9ef-afb77d445a58 Preferred pronouns 0..1 choice Value Set: Australian Pronouns f669a4fe-4818-429a-8847-d20da88d2bb3 Gender identity 0..1 choice Value Set: Gender Identity Response 418e4a02-de77-48a0-a92a-fe8fcc52b1aa Administrative gender 0..1 choice Value Set: AdministrativeGender 56ef44bb-3d1d-4972-aad1-834b69185d61 Sex assigned at birth 0..1 choice Value Set: Biological Sex 90ad8f16-16e4-4438-a7aa-b3189f510da2 Date of birth 0..1 date e2a16e4d-2765-4b61-b286-82cfc6356b30 Age 0..1 integer 8acde9f8-7a91-4f0c-9216-38531ec984ef Aboriginal and/or Torres Strait Islander status 0..1 choice Value Set: Aboriginal and/or Torres Strait Islander c8852db9-efe9-4102-96db-cef3a8be0a5f Parents/primary carer/s 0..* choice Value Set: Primary Carer Of Parent Or Grandparent 7089c48e-4216-4089-a548-034cd585e4da Other family 0..* string 70c45932-99dc-42a3-9650-4683892a0892 details 0..1 display 42b1f5e0-bf4a-47d9-86a4-f2fe946ac01f Other 0..* string dcbd3a54-9b68-4486-bf30-f6f1723bc39c details 0..1 display 06737e46-e880-4037-9a2c-bcd278cd70ba Parents/primary carer/s details 0..* group cc20ce96-af06-4cd7-aa9b-c2601a6169ad Name of parent/primary carer 0..1 string 372d79bb-9d0b-42d2-a98c-cbe332bd3745 Relationship to child 0..1 string f1262ade-843c-4eba-a86d-51a9c97d134b Home address 0..1 group 311d83bb-f22e-4f60-9b50-b6e38dd2059b No fixed address 0..1 boolean Definition: Address.extension:noFixedAddress 4e0dc185-f83e-4027-b7a8-ecb543d42c6d null 0..* group Enable When: 311d83bb-f22e-4f60-9b50-b6e38dd2059b != 2fee2d51-7828-4178-b8c1-35edd32ba338 Street address 0..1 string Definition: Address.line ddb65ed1-f4b2-4730-af2a-2f98bc73c76f City 0..1 string Definition: Address.city d9a1236c-8d6e-4f20-a12a-9d5de5a1d0f6 State 0..1 choice Definition: Address.state Value Set: Australian States and Territories 3f61a1ea-1c74-4f52-8519-432ce861a74f Postcode 0..1 string Definition: Address.postalCode edc081ea-b5ba-4234-9234-8ee598c2f95f Postal address 0..* group 622970f1-3cf1-4f0a-bf05-b00a08046eba Purpose of use 0..1 string Definition: Address.use 2e8437cd-5ea0-4d44-8ab2-d2aa9ef18ba7 Address 0..1 string Definition: Address.line 2bde25e5-2c4c-4c0c-b6f3-c6859535a764 City 0..1 string Definition: Address.city b41a8b11-8dbf-4999-9d0a-71d39240fed1 State 0..1 choice Definition: Address.state Value Set: Australian States and Territories 28b58e50-2a04-4192-9655-efc8d72f32fa Postcode 0..1 string Definition: Address.postalCode 9541f0b0-f5ba-4fe7-a8e9-ad003cef897b Home phone 0..* string 4037a02b-4a85-40e0-9be6-5b17df1aac56 Mobile phone 0..* string c22390d3-1be6-4fd1-b775-6443b7239a6b Emergency contact 0..* group d7f2dd75-20c8-480f-8c22-71d604ebee8d Name 0..1 string aa35d559-f45b-4d35-9453-dd02e4a790f3 Relationship to child 0..1 string 27099697-d6d1-42c0-bb0a-5e9ff7372a96 Relationship to patient 0..1 string 626e3723-6310-4b99-81c1-525676b027c8 Phone 0..* string df1475ea-bf7e-4bf0-a69f-7f9608c3ed3c Medicare number 0..1 group eb2a59ed-9632-4df1-b5b1-1e85c3b4b7cf Number 0..1 string d6253253-a124-494e-a1d8-7ce02c69ec11 Reference number 0..1 string c520e213-5313-42c3-860a-d30206620290 Expiry 0..1 string c1e4e967-c0aa-4280-b5d4-ab1f375ed9ac Pensioner Card Number 0..1 string Max Length: 10 a7e97574-3cea-4dfa-bef2-2665e7748364 Health Care Card Number 0..1 string Max Length: 10 83814495-3a81-43f4-88df-42186cce516a Registered for Closing the Gap PBS Co-payment Measure (CTG) 0..1 choice Value Set: Yes/No/NA e63547c6-1623-412f-963f-5f1ebf23563f Child has a birth certificate 0..1 choice Value Set: Yes/No/NA a8143230-b30d-4b85-9805-5f2f73f2dffa My Aged Care 0..1 group 7165c072-e3d8-4564-9d1d-d17f6807787c Registered for My Aged Care 0..1 choice Value Set: Yes/No/NA 04e50521-dc85-4744-b7ab-6f8682aacb11 My Aged Care Number 0..1 string Enable When: 7165c072-e3d8-4564-9d1d-d17f6807787c = 2bfe50cb-7913-4f31-bce2-763c17ff8b1a National Disability Insurance Scheme 0..1 group 924b4500-53ac-4c4e-831b-7ab5569ff981 Registered for NDIS 0..1 choice Value Set: Yes/No/NA 7379a0fd-d95b-4ecb-a781-9f43d1394f10 NDIS Number 0..1 string Enable When: 924b4500-53ac-4c4e-831b-7ab5569ff981 = 9bc882bc-e989-4600-9587-8089fb757641 Children 0..1 group e90b436b-2751-4e07-a40c-adfe951b6528 Do you have children? 0..1 choice Value Set: Yes/No/NA 241f5fca-f61a-49bd-8972-52613c0e6d15 Number of children 0..1 integer Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = 74ce4c60-31d6-4e78-9056-579937379451 Number of children in your care 0..1 integer Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = 2b5ae784-4341-4172-875d-1698cc8069f0 Someone's carer 0..1 group a08271f1-194b-4fe9-91f9-4f3398858eb0 Are you responsible for caring for someone else? 0..1 choice Value Set: Yes/No/NA 4c14b158-3ae4-4994-8446-76e02640702c Details 0..1 text Enable When: a08271f1-194b-4fe9-91f9-4f3398858eb0 = 6c80c675-1320-4ca3-ae3f-51ad173da741 Your carer 0..1 group d05558fb-a3cc-4bd6-b803-b672b36b9c51 Do you have a carer? 0..1 choice Value Set: Yes/No/NA b9991e7e-ce03-465d-b4b0-5a1725b24e02 Details 0..1 text Enable When: d05558fb-a3cc-4bd6-b803-b672b36b9c51 = 3494631c-6b56-46dc-abf7-a17bfc1d025f Providers 0..1 group 41210be5-d441-4c44-b9c2-8dd94a44cbb4 Are name and contact details of other key providers (eg case workers, support services) up to date? 0..1 choice Value Set: Yes/No/NA 6733d6ec-5b6b-4ee2-a21e-0e9474c2b22b Details 0..1 text 38f81a73-447f-4ecd-a8eb-6eccd9dee050 Advance care planning 0..1 group c023ef16-b554-4ed9-8993-1331e5f5a3b4 Enduring Power of Attorney 0..1 group 036eace9-ea83-46ec-9d01-f2093f710816 Enduring Power of Attorney 0..1 choice Value Set: Yes/No/NA 83518215-7151-4365-b745-d7464bbb9528 Discussed today 0..1 text c4f68251-26af-462f-879a-a69b449066ff Advance Health Directive 0..1 group b0632039-c12b-4748-9e94-52073590c0ba Advance Health Directive 0..1 choice Value Set: Yes/No/NA c4bc2d84-e411-488d-9c0d-761f0377a026 Discussed today 0..1 text MarkComplete-32 Mark section as complete 0..1 boolean Documentation for this format Contained Resources Generated Narrative: ValueSet #YesNoNA Expansion based on system expandedYes-NoIndicator v2.1.0 (CodeSystem) This value set contains 3 concepts Code System Display Definition Y http://terminology.hl7.org/CodeSystem/v2-0532 Yes Yes N http://terminology.hl7.org/CodeSystem/v2-0532 No No NA http://terminology.hl7.org/CodeSystem/v2-0532 N/A not applicable Generated Narrative: ValueSet #AboriginalTorresStraitIslander Expansion based on system australian-indigenous-status-1 version1.0.3 This value set contains 3 concepts Code System Display 1 https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1 Aboriginal but not Torres Strait Islander origin 2 https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1 Torres Strait Islander but not Aboriginal origin 3 https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1 Both Aboriginal and Torres Strait Islander origin Generated Narrative: ValueSet #PrimaryCarerParentGrandparent Expansion based on: system NullFlavor version2018-08-12 system RoleCode version2018-08-12 This value set contains 4 concepts Code System Display Definition MTH http://terminology.hl7.org/CodeSystem/v3-RoleCode mother The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child). FTH http://terminology.hl7.org/CodeSystem/v3-RoleCode father The player of the role is a male who begets or raises or nurtures the scoping entity (child). GRPRN http://terminology.hl7.org/CodeSystem/v3-RoleCode grandparent The player of the role is a parent of the scoping person's mother or father. NA http://terminology.hl7.org/CodeSystem/v3-NullFlavor not applicable Known to have no proper value (e.g., last menstrual period for a male). Generated Narrative: ValueSet #administrative-gender Expansion based on system AdministrativeGender v4.0.1 (CodeSystem) This value set contains 4 concepts Code System Display Definition v2 map for AdministrativeGender v3 map for AdministrativeGender female http://hl7.org/fhir/administrative-gender Female Female. ~F ~F male http://hl7.org/fhir/administrative-gender Male Male. ~M ~M other http://hl7.org/fhir/administrative-gender Other Other. <A <O <UN unknown http://hl7.org/fhir/administrative-gender Unknown Unknown. ~U ~UNK Generated Narrative: ValueSet #australian-pronouns-1 Expansion based on: Loinc v2.77 system DataAbsentReason version5.0.0-ballot This value set contains 7 concepts Code System Display Definition LA29518-0 http://loinc.org he/him/his/his/himself LA29519-8 http://loinc.org she/her/her/hers/herself LA29520-6 http://loinc.org they/them/their/theirs/themselves asked-declined http://terminology.hl7.org/CodeSystem/data-absent-reason Asked But Declined The source was asked but declined to answer. asked-unknown http://terminology.hl7.org/CodeSystem/data-absent-reason Asked But Unknown The source was asked but does not know the value. not-asked http://terminology.hl7.org/CodeSystem/data-absent-reason Not Asked The workflow didn't lead to this value being known. unknown http://terminology.hl7.org/CodeSystem/data-absent-reason Unknown The value is expected to exist but is not known. Generated Narrative: ValueSet #gender-identity-response-1 Expansion based on: SNOMED CT Australian edition 31-Mar 2024 system DataAbsentReason version5.0.0-ballot This value set contains 6 concepts Code System Display Definition 446151000124109 http://snomed.info/sct Identifies as male gender 446141000124107 http://snomed.info/sct Identifies as female gender 33791000087105 http://snomed.info/sct Identifies as nonbinary gender unknown http://terminology.hl7.org/CodeSystem/data-absent-reason Unknown The value is expected to exist but is not known. asked-declined http://terminology.hl7.org/CodeSystem/data-absent-reason Asked But Declined The source was asked but declined to answer. not-asked http://terminology.hl7.org/CodeSystem/data-absent-reason Not Asked The workflow didn't lead to this value being known. Generated Narrative: ValueSet #biological-sex-1 Expansion based on SNOMED CT Australian edition 31-Aug 2023 This value set contains 4 concepts Code System Display 248152002 http://snomed.info/sct Female 32570681000036106 http://snomed.info/sct Indeterminate sex 32570691000036108 http://snomed.info/sct Intersex 248153007 http://snomed.info/sct Male Generated Narrative: ValueSet #australian-states-territories-2 Expansion based on system australian-states-territories-1 version1.1.3 This value set contains 9 concepts Code System Display ACT https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Australian Capital Territory NSW https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 New South Wales NT https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Northern Territory OTHER https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Other territories QLD https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Queensland SA https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 South Australia TAS https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Tasmania VIC https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Victoria WA https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 Western Australia
Aboriginal and/or Torres Strait Islander
The Aboriginal and/or Torres Strait Islander value set includes the Australian Indigenous statuses for Indigenous people.
Aboriginal but not Torres Strait Islander origin
Torres Strait Islander but not Aboriginal origin
Both Aboriginal and Torres Strait Islander origin
The Primary Carer Of Parent Or Grandparent value set includes values that can indicate whether a primary carer is one of the parents or a grandparent.
The gender of a person used for administrative purposes.
Copyright © 2011+ HL7. Licensed under Creative Commons "No Rights Reserved".
The Australian Pronouns value set includes values that indicate the pronouns to be used when communicating with or about an individual.
Copyright © 2024 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. This material contains content from LOINC (http://loinc.org). LOINC is copyright 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This material contains information which is protected by copyright. You may download, display, print and reproduce any material for your personal, non-commercial use or use within your organisation subject to the following terms and conditions: This resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.
The Gender Identity Response value set includes values that may be used to represent a response for an individual's gender. A person's gender is a social and cultural identity, expression and experience.
Copyright © 2022 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. "This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. The rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. This resource includes material that is based on Australian Institute of Health and Welfare material. This resource includes material that is based on Australian Bureau of Statistics data. This resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.
The Biological Sex value set includes values that represent the biological sex of an individual.
Copyright © 2020 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. The rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material. No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. All copies of this resource must include this copyright statement and all information contained in this statement.
The Australian States and Territories value set includes values that represent the Australian states and territories.
Copyright © 2018 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. This resource includes material that is based on Australian Institute of Health and Welfare material. All copies of this resource must include this copyright statement and all information contained in this statement.
The patient that is to be used to pre-populate the form
The practitioner user that is to be used to pre-populate the form
The encounter that is to be used to pre-populate the form
Aboriginal and Torres Strait Islander Health Check - Patient Details
Patient Details sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.
Copyright © 2022+ Australian Government Department of Health and Aged Care - 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/.
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.
(%patient.name.where(use='official').select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text) | %patient.name.select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)).first()
(%patient.name.where(use='usual').select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)).first()
%patient.extension.where(exists(url='http://hl7.org/fhir/StructureDefinition/individual-pronouns') and extension.where(url='period').value.end.empty()).extension.where(url='value').value.coding
%patient.extension.where(exists(url='http://hl7.org/fhir/StructureDefinition/individual-genderIdentity') and extension.where(url='period').value.end.empty()).extension.where(url='value').value.coding
%patient.extension.where(exists(url='http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender' and extension.where(exists(url='type' and value.coding.code='1515311000168102')) and extension.where(url='effectivePeriod').value.end.empty())).extension.where(url='value').value.coding
iif(today().toString().select(substring(5,2) & substring(8,2)).toInteger() > %patient.birthDate.toString().select(substring(5,2) & substring(8,2)).toInteger(), today().toString().substring(0,4).toInteger() - %patient.birthDate.toString().substring(0,4).toInteger(), today().toString().substring(0,4).toInteger() - %patient.birthDate.toString().substring(0,4).toInteger() - 1)
Aboriginal and/or Torres Strait Islander status
%patient.address.where(use='home' and (type.empty() or type!='postal'))
%HomeAddressRepeat.select(line.join(', '))
%PostalAddressRepeat.select(line.join(', '))
%patient.telecom.where(system = 'phone' and use = 'home').value
%patient.telecom.where(system = 'phone' and use = 'mobile').value
%patient.contact.where(relationship.coding.exists(code = 'C'))
%EmergencyContactRepeat.name.select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)
%patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MC')).value.substring(0,10)
%patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MC')).value.substring(10,1)
%patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MC')).period.end.toString()
%patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='PEN')).value
%patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='HC')).value
Registered for Closing the Gap PBS Co-payment Measure (CTG)
Are you responsible for caring for someone else?
Are name and contact details of other key providers (eg case workers, support services) up to date?
Mark section as complete