# Aboriginal and Torres Strait Islander Health Check - Substance Use - Smart Health Checks v0.3.0-draft

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Aboriginal and Torres Strait Islander Health Check - Substance Use**

## Questionnaire: Aboriginal and Torres Strait Islander Health Check - Substance Use 

| | |
| :--- | :--- |
| *Official URL*:http://www.health.gov.au/assessments/mbs/715/SubstanceUse | *Version*:0.3.0-draft |
| Draft as of 2025-03-14 | *Computable Name*:SubstanceUse |
| **Copyright/Legal**: 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/. | |

Profiles: [Advanced Rendering Questionnaire](http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-render.html), [SDC Modular Questionnaire](http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-modular.html), [Advanced Behavior Questionnaire](http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-behave.html), [Extractable Questionnaire - Template](http://hl7.org/fhir/uv/sdc/2025Jan/StructureDefinition-sdc-questionnaire-extr-template.html)

* [LinkID](https://hl7.org/fhir/R4/formats.html#table): SubstanceUse
  * [Text](https://hl7.org/fhir/R4/formats.html#table): 
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 
  * [Type](https://hl7.org/fhir/R4/formats.html#table): Questionnaire
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): http://www.health.gov.au/assessments/mbs/715/SubstanceUse#0.3.0-draft
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)14a9fb5f-5b0e-4862-b143-08a11cd3ebf0
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Substance use, including tobacco
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)CD-in-progress-29
  * [Text](https://hl7.org/fhir/R4/formats.html#table): In progress
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Enable When:[MarkComplete-29](#item.MarkComplete-29)!=
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)CD-complete-29
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Complete
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Enable When:[MarkComplete-29](#item.MarkComplete-29)=
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)substanceuse-smoking
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Smoking
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)substanceuse-smoking-smokingstatus
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Smoking status
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)substanceuse-smoking-smokingstatus-group
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Smoking status
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)substanceuse-smoking-smokingstatus-group-laststatus
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Last status
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)substanceuse-smoking-smokingstatus-group-laststatusvalue
  * [Text](https://hl7.org/fhir/R4/formats.html#table): null
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): ![](icon-qi-hidden.png)![](icon-qi-hidden.png)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Value Set:[Tobacco Use Status](ValueSet-SubstanceUse_TobaccoUseStatus-1.md)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-date.png)substanceuse-smoking-smokingstatus-group-laststatusdate
  * [Text](https://hl7.org/fhir/R4/formats.html#table): null
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [date](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): ![](icon-qi-hidden.png)![](icon-qi-hidden.png)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)b639a3a8-f476-4cc8-b5c7-f5d2abb23511
  * [Text](https://hl7.org/fhir/R4/formats.html#table): New status
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Value Set:[Tobacco Use Status](ValueSet-SubstanceUse_TobaccoUseStatus-1.md)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-date.png)substanceuse-smoking-smokingstatus-group-newdate
  * [Text](https://hl7.org/fhir/R4/formats.html#table): New date
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [date](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)96dc7c22-d003-459c-8a56-f6cd182fc077
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Quit status
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Enable When:[b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511)=Value Set:[Smoking Quit Status](ValueSet-SubstanceUse_SmokingQuitStatus-1.md)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-string.png)9e86387d-1be4-4c26-9047-9dd6b03e1ee0
  * [Text](https://hl7.org/fhir/R4/formats.html#table): How many?
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [string](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Enable When:* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 
* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 
* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 

* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-string.png)32e71641-f660-4ca2-af99-dff8917f07be
  * [Text](https://hl7.org/fhir/R4/formats.html#table): How long as a smoker?
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [string](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Enable When:* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 
* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 
* [b639a3a8-f476-4cc8-b5c7-f5d2abb23511](#item.b639a3a8-f476-4cc8-b5c7-f5d2abb23511) = 

* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)34feaee8-8088-43ee-991d-9729990b5550
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Alcohol and other substance use
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-text.png)ea73d52c-f831-46be-a45d-2c42250a5210
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [text](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-text.png)f8e1cc1f-f1a1-4eb3-8255-77d600f52831
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Health priorities, actions and follow-up
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [text](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-boolean.png)MarkComplete-29
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Mark section as complete
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [boolean](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean)
  * [Flags](https://hl7.org/fhir/R4/formats.html#table): 
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](data:image/png;base64, )Documentation for this format

## Contained Resources

-------

**status**: Final

**category**: Social History

**code**: Smoking status

**subject**: ?rref?

**effective**: `Extract Template - Extract value:`%resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()

**value**: 

-------

This ValueSet requires the Code system Supplement [SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check](CodeSystem-HealthChecksSCTSupplement.md).

Expansion based on:

* SNOMED CT Australian Edition edition 31-Oct 2025
* [supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check v0.3.0 (CodeSystem)](CodeSystem-HealthChecksSCTSupplement.md)

This value set expansion contains 2 concepts.

* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [48031000119106](http://snomed.info/id/48031000119106)
  * **Display**: Quit >12 months
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [735128000](http://snomed.info/id/735128000)
  * **Display**: Quit <12 months

-------

This ValueSet requires the Code system Supplement [SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check](CodeSystem-HealthChecksSCTSupplement.md).

Expansion based on:

* SNOMED CT Australian Edition edition 31-Oct 2025
* [supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check v0.3.0 (CodeSystem)](CodeSystem-HealthChecksSCTSupplement.md)

This value set expansion contains 6 concepts.

* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [266919005](http://snomed.info/id/266919005)
  * **Display**: Never smoked
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [77176002](http://snomed.info/id/77176002)
  * **Display**: Current smoker
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [8517006](http://snomed.info/id/8517006)
  * **Display**: Ex-smoker
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [16090371000119103](http://snomed.info/id/16090371000119103)
  * **Display**: Exposure to second hand tobacco smoke
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [394872000](http://snomed.info/id/394872000)
  * **Display**: Wants to quit
* **System**: `http://snomed.info/sct`
  * **Version**: http://snomed.info/sct/32506021000036107/version/20251031
  * **Code**:   [713914004](http://snomed.info/id/713914004)
  * **Display**: Other tobacco use



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "SubstanceUse",
  "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-behave",
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-template"
    ]
  },
  "contained" : [
    {
      "resourceType" : "Observation",
      "id" : "SmokingStatusTemplate",
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "social-history"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1747861000168109"
          },
          {
            "system" : "http://loinc.org",
            "code" : "72166-2"
          }
        ],
        "text" : "Smoking status"
      },
      "subject" : {
        "_reference" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
              "valueString" : "%resource.subject.reference"
            }
          ]
        }
      },
      "_effectiveDateTime" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
            "valueString" : "%resource.repeat(item).where(linkId='substanceuse-smoking-smokingstatus-group-newdate').answer.value.toDateTime()"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-templateExtractValue",
                "valueString" : "$this.answer.value"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "SmokingQuitStatus-1",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/valueset-supplement",
          "valueCanonical" : "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
        }
      ],
      "url" : "https://smartforms.csiro.au/ig/ValueSet/SmokingQuitStatus-1",
      "name" : "SmokingQuitStatus",
      "title" : "Smoking Quit Status",
      "status" : "draft",
      "experimental" : false,
      "description" : "The Smoking Quit Status value set includes values that can indicate how long ago an individual quit smoking.",
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/32506021000036107/version/20251031",
            "concept" : [
              {
                "code" : "48031000119106",
                "display" : "Quit >12 months"
              },
              {
                "code" : "735128000",
                "display" : "Quit <12 months"
              }
            ]
          }
        ]
      },
      "expansion" : {
        "identifier" : "urn:uuid:ee67ad1e-7faa-4fe8-ab3e-1995de4fcd26",
        "timestamp" : "2025-10-29T09:44:35+10:00",
        "parameter" : [
          {
            "name" : "used-codesystem",
            "valueUri" : "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20251031"
          },
          {
            "name" : "version",
            "valueUri" : "http://snomed.info/sct|http://snomed.info/sct/32506021000036107/version/20251031"
          },
          {
            "name" : "used-supplement",
            "valueUri" : "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
          },
          {
            "name" : "warning-draft",
            "valueUri" : "https://smartforms.csiro.au/ig/CodeSystem/HealthChecksSCTSupplement|0.3.0"
          },
          {
            "name" : "warning-draft",
            "valueUri" : "https://smartforms.csiro.au/ig/ValueSet/SmokingQuitStatus-1|0.3.0"
          }
        ],
        "contains" : [
          {
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        }
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          "valueCode" : "Practitioner"
        },
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  ],
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          ],
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              {
                "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n<head>\r\n    <style type=\"text/css\">\r\n        .alert {\r\n            padding: 0.875rem;\r\n            margin-bottom: 1rem;\r\n            font-size: 0.875rem;\r\n            color: #29712D;\r\n            border-radius: 0.5rem;\r\n            background-color: #D9E8DA;\r\n            font-weight: 700;\r\n        max-width: 205px;\r\n        }\r\n    </style>\r\n</head>\r\n<body>\r\n<div class=\"alert\">Mark section as complete</div>\r\n</body>\r\n</div>"
              }
            ]
          },
          "type" : "boolean",
          "repeats" : false
        }
      ]
    }
  ]
}

```
