Smart Health Checks
0.3.0-draft - trial-use

Smart Health Checks - Local Development build (v0.3.0-draft) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Questionnaire: Aboriginal and Torres Strait Islander Health Check

Official URL: http://www.health.gov.au/assessments/mbs/715 | Version: 0.3.0-assembled
Draft as of 2025-03-14 | Computable Name: AboriginalTorresStraitIslanderHealthCheck
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/.

### Background

The long-term vision for effective Aboriginal and Torres Strait Islander health checks is of a standards-based health check template that is consistent and interoperable across different systems and applications whilst allowing for local adaptation.

The NACCHO and RACGP established a working group to review the Aboriginal and Torres Strait Islander annual health check templates and have produced five new templates that span the life course:

1. Infants and preschool (birth-5 years)
2. Primary school age (5-12 years)
3. Adolescents and young people (12-24 years)
4. Adults (25-49 years)
5. Older people (50+ years)

These example templates can be downloaded from the RACGP.

This resource is FHIR Questionnaire representation of the templates above.

Structure

LinkID | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
AboriginalTorresStraitIslanderHealthCheck |  |  | Questionnaire |  | http://www.health.gov.au/assessments/mbs/715#0.3.0-assembled
fd5af92e-c248-497a-8007-ee0952ccd4d9 | null | 0..1 | group |  |
2e82032a-dc28-45f2-916e-862303d39fe5 | About the health check | 0..1 | group |  |
CD-in-progress-1 | In progress | 0..1 | display |  | Enable When: MarkComplete-1 !=
CD-complete-1 | Complete | 0..1 | display |  | Enable When: MarkComplete-1 =
3da318f1-a5dd-4c8f-b258-99d83872a4f2 | Eligible for health check | 0..1 | choice |  | Value Set: Yes/No/NA
04f00512-888b-424e-ba76-9bd6fd8da682 | not claimed 715 or 228 in past nine months | 0..1 | display |  |
5960c096-d5f7-4745-bd74-44ff2775bde9 | Health check already in progress? | 0..1 | boolean |  |
01418489-1ec4-4c3b-b96a-7c14c3e21cfe | Date of last completed health check | 0..1 | dateTime |  |
63fe14f3-2374-4382-bce7-180e2747c97f | Date this health check commenced | 0..1 | date |  |
MarkComplete-1 | Mark section as complete | 0..1 | boolean |  |
1016f79d-9756-4daf-b6ee-29add134b34f | Consent | 0..1 | group |  |
CD-in-progress-30 | In progress | 0..1 | display |  | Enable When: MarkComplete-30 !=
CD-complete-30 | Complete | 0..1 | display |  | Enable When: MarkComplete-30 =
d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55 | Consent given after discussion of process and benefits of a health check | 0..1 | choice |  | Value Set: Yes/No/NA
7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbd | Consent given by parent/primary carer after discussion of process and benefits of a health check | 0..1 | choice |  | Value Set: Yes/No/NA
80a6a405-49a4-44fb-bff3-212902096b95 | Parent/primary caregiver present | 0..1 | group |  |
c72933c7-349f-4fef-94ff-c424c69da6f3 | Parent/primary caregiver is present for health check? | 0..1 | choice |  | Value Set: Yes/No/NA
b7d116f9-0425-4cf1-8cde-fbf4dfaee550 | Relationship to child | 0..* | string |  | Enable When: c72933c7-349f-4fef-94ff-c424c69da6f3 =
d8c88bff-75ea-476f-8f83-e9b72fc9e1a0 | Consent for sharing of information | 0..1 | group |  |
057483ce-f265-46df-a1c5-7a18d492c1ba | Consent given for sharing of information with relevant healthcare providers? | 0..1 | choice |  | Value Set: Yes/No/NA
43517c44-5cd2-4d9a-9f18-d6bf8124f4ae | Who/details | 0..* | text |  | Enable When: 057483ce-f265-46df-a1c5-7a18d492c1ba =
84162f36-f4af-4509-b178-ef2a3849d0b6 | Date | 0..1 | date |  |
0f92eb2d-4629-4215-96f8-46722a2efa73 | Doctor | 0..1 | string |  |
8b94a129-3aab-4d13-bb6d-7a748f5c41e5 | Nurse | 0..1 | string |  |
2a517291-e2f1-4f66-ad1f-ae5b091d2f8a | Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner | 0..1 | string |  |
5bbfb4a3-a667-4ef2-98c2-76e76da55c03 | Location of health check | 0..1 | open-choice |  | Options: 3 options
9a51c056-021d-445d-8eaa-2123a69aa9c2 | Location of health check | 0..1 | open-choice |  | Options: 3 options
MarkComplete-30 | Mark section as complete | 0..1 | boolean |  |
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 =
patientdetails-writebackinstruction | This section contains several read only, non-editable items. Updates to these items will need to be done in the patient record. The form can be repopulated to include any updates. | 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 |  |
42b1f5e0-bf4a-47d9-86a4-f2fe946ac01f | Other | 0..* | string |  |
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 | Home address | 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 | Street 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..* | 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 | boolean |  |
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 |  |
b3a3eee2-f340-452e-9d05-d1f54f677b81 | Current health/patient priorities | 0..1 | group |  |
CD-in-progress-5 | In progress | 0..1 | display |  | Enable When: MarkComplete-5 !=
CD-complete-5 | Complete | 0..1 | display |  | Enable When: MarkComplete-5 =
dcf182c0-a2bf-46ac-a19b-72e4d24ef24d | What are the important things for you in this health check today? | 0..1 | text |  |
a0c06f8d-3210-480b-9031-7b5eb5bf1dda | Is there anything you are worried about? | 0..1 | text |  |
96f3396e-f5f8-4347-8692-9abdecb97768 | Is there anything that you are worried about with your child's health or wellbeing? | 0..1 | text |  |
17651f83-8476-499c-a5ef-dd4e1a6c9f13 | Child Health Book | 0..1 | group |  |
2655e0e1-fe4b-431e-87af-30d4ff1aca76 | Does your child have a Child Health Book? | 0..1 | choice |  | Value Set: Yes/No
a30d0101-06ce-4481-b142-9fa2c091fe4f | Is it up to date? | 0..1 | choice |  | Enable When: 2655e0e1-fe4b-431e-87af-30d4ff1aca76 = Value Set: Yes/No
35b3f6d8-2907-4134-ae55-1e321b908f70 | Do you have any specific health goals? Is there anything in particular about your health and wellbeing that you would like to improve? | 0..1 | text |  |
7cd424e5-7672-4e99-8a99-30b1fb3043fd | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-5 | Mark section as complete | 0..1 | boolean |  |
28d5dbe4-1e65-487c-847a-847f544a6a91 | Medical history and current problems | 0..1 | group |  |
CD-in-progress-17 | In progress | 0..1 | display |  | Enable When: MarkComplete-17 !=
CD-complete-17 | Complete | 0..1 | display |  | Enable When: MarkComplete-17 =
b9de2b58-55e2-436d-95ab-49600508cdf7 | Birth history | 0..1 | group |  |
a10a7375-e9d3-4e71-a47a-282e9ba38ec1 | Gestation at birth | 0..1 | decimal |  |
f3899852-36c4-441f-9a7d-544ef1617f08 | weeks | 0..1 | display |  |
29b6d8ea-23b2-4a69-98d9-899198692de7 | Birth weight | 0..1 | decimal |  |
87cf1ecd-6d1b-4de1-894d-58bd77dcfde1 | kg | 0..1 | display |  |
medicalhistorysummary | Medical history summary | 0..1 | group |  |
92bd7d05-9b5e-4cf9-900b-703f361dad9d | Medical history summary | 0..* | group |  |
conditionId | null | 0..1 | string |  |
59b1900a-4f85-4a8c-b9cd-3fe2fd76f27e | Condition | 0..1 | open-choice |  | Value Set: Clinical Condition
88bcfad7-386b-4d87-b34b-2e50482e4d2c | Clinical status | 0..1 | choice |  | Value Set: Condition Clinical Status Codes
medicalhistory-status-hidden | null | 0..1 | choice |  | Value Set: Condition Clinical Status Codes
6ae641ad-95bb-4cdc-8910-5a52077e492c | Onset date | 0..1 | date |  |
e4524654-f6de-4717-b288-34919394d46b | Abatement date | 0..1 | date |  |
medicalhistory-abatementdate-hidden | null | 0..1 | date |  |
newdiagnosis | New diagnosis | 0..* | group |  |
2da85994-2d5e-42f1-8a81-abf44f397468 | Condition | 0..1 | open-choice |  | Value Set: Clinical Condition
4d55bffb-3286-4a23-a785-3b9c346d464d | Onset date | 0..1 | date |  |
newdiagnosis-comment | Comment | 0..1 | string |  |
62774152-8a6e-4449-af9f-87bdce8b9bf5 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-17 | Mark section as complete | 0..1 | boolean |  |
7dfe7c6a-ca7f-4ddf-9241-a7b918a9695a | Regular medications | 0..1 | group |  |
CD-in-progress-23 | In progress | 0..1 | display |  | Enable When: MarkComplete-23 !=
CD-complete-23 | Complete | 0..1 | display |  | Enable When: MarkComplete-23 =
regularmedications-instruction | Check medications are still required, appropriate dose, understanding of medication and adherence | 0..1 | display |  |
regularmedications-summary | Medication summary | 0..1 | group |  |
regularmedications-summary-current | Current medications | 0..* | group |  |
medicationStatementId | null | 0..1 | string |  |
regularmedications-summary-current-medication | Medication | 0..1 | open-choice |  | Value Set: Smart Health Checks Medicine Products
regularmedications-summary-current-status | Status | 0..1 | choice |  | Value Set: Medication Statement Status Limited
regularmedications-summary-current-status-hidden | null | 0..1 | choice |  | Value Set: Medication Statement Status Limited
regularmedications-summary-current-dosage | Dosage | 0..1 | text |  |
regularmedications-summary-current-dosage-hidden | null | 0..1 | text |  |
regularmedications-summary-current-reasoncode | Clinical indication | 0..* | open-choice |  | Value Set: Medication Reason Taken
regularmedications-summary-current-comment | Comment | 0..1 | text |  |
regularmedications-summary-current-comment-hidden | null | 0..1 | text |  |
regularmedications-summary-new | New medications | 0..* | group |  |
regularmedications-summary-new-medication | Medication | 0..1 | open-choice |  | Value Set: Smart Health Checks Medicine Products
regularmedications-summary-new-dosage | Dosage | 0..1 | text |  |
regularmedications-summary-new-reasoncode | Clinical indication | 0..* | open-choice |  | Value Set: Medication Reason Taken
regularmedications-summary-new-comment | Comment | 0..1 | text |  |
6eb59145-ed9a-4184-af83-3506d47e4d4e | Does your child take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice |  | Value Set: Yes/No
3a2d27b6-e918-4df5-aca9-b374fcf9faad | Do you take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)? | 0..1 | choice |  | Value Set: Yes/No
874ec8db-95c9-4cc0-95db-e45edaa3cd12 | Check the health record is up to date | 0..1 | boolean |  |
36290837-ad70-48b2-9c66-31533fec918b | Check medication understanding and adherence with patient | 0..1 | boolean |  | Enable When: 6eb59145-ed9a-4184-af83-3506d47e4d4e = 3a2d27b6-e918-4df5-aca9-b374fcf9faad =
aa9ff2ed-bcd2-406d-a9ff-89c201df2605 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-23 | Mark section as complete | 0..1 | boolean |  |
allergy | Allergies/adverse reactions | 0..1 | group |  |
CD-in-progress-3 | In progress | 0..1 | display |  | Enable When: MarkComplete-3 !=
CD-complete-3 | Complete | 0..1 | display |  | Enable When: MarkComplete-3 =
allergyinstruction | Adverse reaction risk summary | 0..1 | group |  |
allergysummary | Adverse reaction risk summary | 0..* | group |  |
allergyIntoleranceId | null | 0..1 | string |  |
allergysummary-substance | Substance | 0..1 | open-choice |  | Value Set: Adverse Reaction Agent
allergysummary-status | Status | 0..1 | choice |  | Value Set: Allergy Intolerance Clinical Status Minimal
allergysummary-status-hidden | null | 0..1 | choice |  | Value Set: Allergy Intolerance Clinical Status Minimal
allergysummary-manifestation | Manifestation | 0..* | open-choice |  | Value Set: Clinical Finding
allergysummary-comment | Comment | 0..1 | text |  |
allergysummary-comment-hidden | null | 0..1 | text |  |
allergynew | New adverse reaction risks | 0..* | group |  |
allergynew-substance | Substance | 1..1 | open-choice |  | Value Set: Adverse Reaction Agent
allergynew-manifestation | Manifestation | 0..* | open-choice |  | Value Set: Clinical Finding
allergynew-comment | Comment | 0..1 | text |  |
3e689aeb-69a1-4a9b-93bd-50377511dd9b | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-3 | Mark section as complete | 0..1 | boolean |  |
01f67f0b-e3be-48d8-a2ad-4c54f469cd13 | Family history | 0..1 | group |  |
CD-in-progress-9 | In progress | 0..1 | display |  | Enable When: MarkComplete-9 !=
CD-complete-9 | Complete | 0..1 | display |  | Enable When: MarkComplete-9 =
532e09ea-2c2d-48c6-81f8-e23380b329a0 | Provide relevant family history information | 0..1 | text |  |
df5b2081-a373-48ee-acab-96225dad3c1d | Provide relevant family history information (including diabetes, heart disease, cancer, mental health) | 0..1 | text |  |
49ee4583-c608-41d4-a1e9-c06cf4292369 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-9 | Mark section as complete | 0..1 | boolean |  |
0a3c9c93-5836-4a5b-93e5-d7de559e053a | Social and emotional wellbeing | 0..1 | group |  |
CD-in-progress-27 | In progress | 0..1 | display |  | Enable When: MarkComplete-27 !=
CD-complete-27 | Complete | 0..1 | display |  | Enable When: MarkComplete-27 =
c736d065-88f6-49c3-a5a4-91a2bd7a54bb | Stressful life events | 0..1 | group |  |
e7297156-cfed-4437-b877-c345f744168b | Have there been any particular stressful life events that are impacting on you/your health lately? | 0..1 | choice |  | Value Set: Yes/No
4c3427ce-062f-4f62-b566-2decb506a9cb | Details | 0..1 | text |  | Enable When: e7297156-cfed-4437-b877-c345f744168b =
7d783b71-7303-441b-822a-14e11a740038 | Social and emotional wellbeing assessment: consider tools such as Aboriginal and Torres Strait Islander Youth Social Emotional Wellbeing assessment question guide or HEEADSSS | 0..1 | display |  |
9e991b80-7080-40d5-9ad9-447dc47e3a68 | Consider conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text |  |
b5a00aad-2a8b-4ac3-87b2-4a5920ca22ee | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-27 | Mark section as complete | 0..1 | boolean |  |
a5cc8a8f-89cf-470c-a6bd-ce9da2f64ee9 | Social history: Information about family and child's living arrangements | 0..1 | group |  |
CD-in-progress-28 | In progress | 0..1 | display |  | Enable When: MarkComplete-28 !=
CD-complete-28 | Complete | 0..1 | display |  | Enable When: MarkComplete-28 =
1bb673a4-40f9-41c3-ad04-66c9f38fdc1b | Who lives in your household? / Who does the child live with? | 0..1 | text |  |
934d105e-a4d6-4926-9b64-55bb1049d839 | Stressful life events | 0..1 | group |  |
062f5234-686a-4bf3-afcd-3fcd988afd6c | Have there been any stressful life events that would cause you or your child to be upset? | 0..1 | choice |  | Value Set: Yes/No
1ea0a898-d680-4a5d-a0f1-91b57eb77a91 | Details | 0..1 | text |  | Enable When: 062f5234-686a-4bf3-afcd-3fcd988afd6c =
272af1cb-4309-4227-bab4-a6cc9fb47635 | If indicated, ask about depression and other mental health concerns | 0..1 | text |  |
76d51512-b94a-4092-b3ae-a656fbb9c360 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-28 | Mark section as complete | 0..1 | boolean |  |
819b3305-bf93-4502-9986-242ea2ae5f43 | Home and family | 0..1 | group |  |
CD-in-progress-12 | In progress | 0..1 | display |  | Enable When: MarkComplete-12 !=
CD-complete-12 | Complete | 0..1 | display |  | Enable When: MarkComplete-12 =
29bb209f-6dfc-4ed0-8b8d-741016c0ac61 | Who do you live with? | 0..1 | text |  |
64b979b6-cfc1-4024-868c-94e7be90d12b | Housing stability | 0..1 | group |  |
a7542da8-aad6-4a80-8b5b-806ca11d68d2 | Do you have stable housing? | 0..1 | choice |  | Value Set: Yes/No
476dae02-d0e8-4128-81a1-7ad71dd06e97 | Details | 0..1 | text |  | Enable When: a7542da8-aad6-4a80-8b5b-806ca11d68d2 =
367ac5dd-07fa-4bda-a775-d9f38b15affd | Home safety | 0..1 | group |  |
6f73d1ee-dd8e-419a-9142-ede367200e3b | Do you feel safe at home? | 0..1 | choice |  | Value Set: Yes/No
9bd5f571-8cbf-4c25-975c-5fc8395b75f5 | Details | 0..1 | text |  | Enable When: 6f73d1ee-dd8e-419a-9142-ede367200e3b =
08d2e80e-3bb4-4f67-8b1c-090b1ace225a | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-12 | Mark section as complete | 0..1 | boolean |  |
3e7d7246-98f8-4803-b063-8405ac30b086 | Learning and development | 0..1 | group |  |
CD-in-progress-15 | In progress | 0..1 | display |  | Enable When: MarkComplete-15 !=
CD-complete-15 | Complete | 0..1 | display |  | Enable When: MarkComplete-15 =
818c9aaa-1b00-4c76-9971-49df74edff7a | Is there anything that you are worried about with your child's development? | 0..1 | text |  |
e7ef5692-25e6-4598-aa08-d0107e21fe31 | Is there anything that you are worried about with your child's learning? | 0..1 | text |  |
fc658147-3fad-42a0-9c10-c14fbd30775e | Is there anything that you are worried about with your child's behaviour? | 0..1 | text |  |
582fcfe5-c7a4-4847-9881-815452b9eafe | Is there anything that you are worried about with your child's sleep? | 0..1 | text |  |
335f4c10-a6e6-455b-8a7e-2962158f5183 | What childcare/early learning centre/kindergarten does your child go to? How often? | 0..1 | text |  |
e5b886ad-840e-4f01-af04-55c5ea7f215d | How often does your child miss childcare/early learning centre/kindergarten? | 0..1 | text |  |
f0e0ea74-cffc-46a5-8554-67e8fcc667f1 | Is there anything you are worried about at school? | 0..1 | text |  |
73a40641-04c9-4da4-813e-a8b9ae3a2ecf | How often does your child miss school? | 0..1 | text |  |
47f09b28-9eea-4f8c-8d3c-7efef0504728 | Is your child having any difficulties making friends? | 0..1 | text |  |
9371dddc-49f4-4a8f-a9dc-a0e128f99636 | Are there any other concerns about your child's learning and development? | 0..1 | text |  |
5ab80929-5901-431d-bf68-67d532f5fa58 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-15 | Mark section as complete | 0..1 | boolean |  |
5437e30d-8a0a-4785-974e-00a10d2a1df0 | Learning and work | 0..1 | group |  |
CD-in-progress-33 | In progress | 0..1 | display |  | Enable When: MarkComplete-33 !=
CD-complete-33 | Complete | 0..1 | display |  | Enable When: MarkComplete-33 =
0e30e9b4-ec83-44ea-88ab-47963e52a2d7 | Learning | 0..1 | group |  |
0cd9e27b-1e98-41af-917b-0c6ee21c0819 | Are you studying at school/uni? | 0..1 | choice |  | Value Set: Yes/No/NA
18bdfa42-9845-4c6e-b737-843b14d54641 | Details | 0..1 | text |  |
c0ba8a79-a9c5-40cc-b0c2-041e736784e9 | Learning | 0..1 | group |  |
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1c648524-558e-4d24-bd83-c9f5cd35e97b | Details | 0..1 | text |  |
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aaead1e2-ea54-4979-be0a-647e61ab59a9 | Are you working? | 0..1 | choice |  | Value Set: Yes/No/NA
749a4e1e-35ab-4f37-ab28-cb3f0830bb2a | Details (occupation including occupational hazards, study, training, disability, etc) | 0..1 | text |  |
3569e514-a74b-4343-b31b-3395e58d991a | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-33 | Mark section as complete | 0..1 | boolean |  |
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CD-in-progress-16 | In progress | 0..1 | display |  | Enable When: MarkComplete-16 !=
CD-complete-16 | Complete | 0..1 | display |  | Enable When: MarkComplete-16 =
2bfc99a5-677c-4aea-a1ad-c37a181a3733 | Work | 0..1 | group |  |
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794fc001-6799-4a51-9a80-f2ed7c685a42 | Details (occupation including occupational hazards, study, training, disability, etc) | 0..1 | text |  |
MarkComplete-16 | Mark section as complete | 0..1 | boolean |  |
9559242e-9ffe-4e1f-a9fc-86d1fa62c4b9 | Mood | 0..1 | group |  |
CD-in-progress-19 | In progress | 0..1 | display |  | Enable When: MarkComplete-19 !=
CD-complete-19 | Complete | 0..1 | display |  | Enable When: MarkComplete-19 =
b3c510a7-bfd1-4ebe-8755-9f05e7a742ba | How have you been feeling lately? | 0..1 | text |  |
b4245702-afe5-4e4e-a102-1d3ceb4ad7c2 | If indicated, ask about depression (consider screening tools, eg aPHQ-9, K5 or K10) and complete risk assessment | 0..1 | text |  |
6a99da48-366b-40c9-97ec-d0f2d52964a8 | Explore other mental health concerns as indicated | 0..1 | text |  |
db9a8650-42a2-4bd3-8066-7e09394120d5 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-19 | Mark section as complete | 0..1 | boolean |  |
1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c | Memory and thinking | 0..1 | group |  |
CD-in-progress-18 | In progress | 0..1 | display |  | Enable When: MarkComplete-18 !=
CD-complete-18 | Complete | 0..1 | display |  | Enable When: MarkComplete-18 =
64fd0c95-b57b-4319-bf40-ad77d10a9832 | Personal concerns about your memory or thinking | 0..1 | group |  |
e29701be-2b79-471d-a42e-7e3830459080 | Do you have any worries about your memory or thinking? | 0..1 | choice |  | Value Set: Yes/No
69985e2e-4619-42fa-a111-e6fb3118ef74 | Details | 0..1 | text |  | Enable When: e29701be-2b79-471d-a42e-7e3830459080 =
44da9ba8-4636-4eaa-8bb1-aaa65f117fab | Family concerns about your memory or thinking | 0..1 | group |  |
06a67326-9e3d-4c4c-b271-af5b168d077c | Does anyone in your family have any worries about your memory or thinking? | 0..1 | choice |  | Value Set: Yes/No
43d2cb6c-29a7-4293-a6c8-87a228a82e19 | Details | 0..1 | text |  | Enable When: 06a67326-9e3d-4c4c-b271-af5b168d077c =
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 |  |
1f0e7fde-e964-4f36-9151-dbdc5e145f94 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-18 | Mark section as complete | 0..1 | boolean |  |
c5da020c-c4f3-437c-b658-ea7e7667514d | Chronic disease associated with ageing | 0..1 | group |  |
CD-in-progress-4 | In progress | 0..1 | display |  | Enable When: MarkComplete-4 !=
CD-complete-4 | Complete | 0..1 | display |  | Enable When: MarkComplete-4 =
12e244c0-2887-4230-8792-9521d4f1ab33 | For older people with chronic disease and/or conditions associated with ageing, consider assessing: Osteoporosis risk; Falls risk; Balance, coordination and mobility; Pain; Nutrition; Regularity of chronic disease management and review | 0..1 | text |  |
7292070b-8944-4a40-bcf6-9aaf1721e986 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-4 | Mark section as complete | 0..1 | boolean |  |
9674ffa0-2ad9-4ca3-80e6-e8bb0670a802 | Participation in screening programs | 0..1 | group |  |
CD-in-progress-24 | In progress | 0..1 | display |  | Enable When: MarkComplete-24 !=
CD-complete-24 | Complete | 0..1 | display |  | Enable When: MarkComplete-24 =
ed15e82b-803a-4d21-9344-9110b57b2313 | Cervical screening (age <=74 years) | 0..1 | group |  |
c1cf9c00-15ef-4b98-bab0-20a5f01b4932 | Cervical screening status | 0..1 | choice |  | Options: 5 options
4bd712ec-b11b-4ef9-aa0e-2cd2c02cf8bd | Cervical screening next due | 0..1 | date |  |
4e0c55a0-c559-45fd-b165-5aaea3451423 | Cervical screening details | 0..1 | text |  |
17ff5354-fe9c-429c-a752-c27a871d4ee7 | Breast screening (age <=74 years) | 0..1 | group |  |
29fada07-f981-44cf-8092-61c86365a965 | Breast screening status | 0..1 | choice |  | Options: 5 options
9410ff22-86a4-4d01-b6ff-da9b1e7d17da | Breast screening next due | 0..1 | date |  |
b63a03c8-2c7b-46a5-8f13-ebc7fb8b91ee | Breast screening details | 0..1 | text |  |
bb5d56e3-efb9-45fe-854d-e4550b327d26 | Bowel cancer screening (age <=74 years) | 0..1 | group |  |
521df1b1-ff36-458b-8f99-e41c2b1685c8 | Bowel cancer screening status | 0..1 | choice |  | Options: 5 options
df2fbba0-cb6f-4fb8-a413-e3acf1a3a98e | Bowel cancer screening next due | 0..1 | date |  |
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MarkComplete-24 | Mark section as complete | 0..1 | boolean |  |
ae7a3801-9491-4b1f-820c-678236d18f56 | Healthy eating | 0..1 | group |  |
CD-in-progress-11 | In progress | 0..1 | display |  | Enable When: MarkComplete-11 !=
CD-complete-11 | Complete | 0..1 | display |  | Enable When: MarkComplete-11 =
9ac8c78d-9c36-4bf5-8c6e-e48109902dfa | Child eating concerns | 0..1 | group |  |
e2942894-5537-47a6-ab43-06eb6761f9b5 | Is there anything that you are worried about with your child's feeding/eating? | 0..1 | choice |  | Value Set: Yes/No
69d92a26-95ac-4556-94da-5b0e09940bfd | Is there anything that you are worried about with your child's eating? | 0..1 | choice |  | Value Set: Yes/No
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ff6a46e6-0812-4718-a854-489b24805925 | Breastfeeding history | 0..1 | text |  |
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9266b946-74b3-4fc2-91ce-df557692e600 | Diet or weight concerns | 0..1 | group |  |
646302e9-d384-4943-99bc-11e638641703 | Do you have any worries about your diet or weight? | 0..1 | choice |  | Value Set: Yes/No
1d5c3354-6780-4b6a-b9af-7a17b0386781 | Details | 0..1 | text |  | Enable When: 646302e9-d384-4943-99bc-11e638641703 =
c4c51d01-7acf-4551-a652-82f9fdf58a6d | Unintended weight loss | 0..1 | group |  |
6dc96b26-cbc5-4434-8f6b-0260196311c2 | Have you lost weight without trying to in the last three months? | 0..1 | choice |  | Value Set: Yes/No
ce71f016-c5e4-4121-abe5-fe0c974c1bba | Details | 0..1 | text |  | Enable When: 6dc96b26-cbc5-4434-8f6b-0260196311c2 =
9f6adf74-f240-41a2-a509-d216d5308911 | Document conversation about age-appropriate healthy eating, which could include: current diet; transition to solids; dietary recommendations re fruit and vegetable intake, iron-rich foods, avoiding sugary drinks | 0..1 | text |  |
7a22a4c4-6611-4687-af00-37c80c3f8fc0 | Document conversation about healthy eating which could include: current diet including food and drinks; recommendations about fruit and vegetable intake, water as the main drink, avoiding sugary drinks, avoiding highly processed foods (including supermarket-bought and take-away like KFC, Maccas, etc) | 0..1 | text |  |
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12a41538-5dbd-4c1d-af69-52c59c48b1a9 | Are there any issues about availability of food? | 0..1 | choice |  | Value Set: Yes/No
92908e91-9453-4d22-99eb-23dad580c1cb | Details | 0..1 | text |  | Enable When: 12a41538-5dbd-4c1d-af69-52c59c48b1a9 =
301789b0-8c6a-470d-8787-0ac6597e3bea | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-11 | Mark section as complete | 0..1 | boolean |  |
74736baa-455b-41d2-af98-fb65cd463e97 | Physical activity and screen time | 0..1 | group |  |
CD-in-progress-34 | In progress | 0..1 | display |  | Enable When: MarkComplete-34 !=
CD-complete-34 | Complete | 0..1 | display |  | Enable When: MarkComplete-34 =
8c5e737f-820b-47a4-8c8a-27ce1eb18cf4 | Physical activity concerns | 0..1 | group |  |
304d0332-9bfd-42dc-a4be-a5122596fb89 | Is there anything that you are worried about with your child's level of physical activity? | 0..1 | choice |  | Value Set: Yes/No
26707b9a-4e3d-4063-a890-7ec2ff02ced1 | Details | 0..1 | text |  | Enable When: 304d0332-9bfd-42dc-a4be-a5122596fb89 =
e24d487b-3dd4-4a6d-a58e-85dfa8ce3f36 | Screen time concerns | 0..1 | group |  |
465eacce-f9ee-4022-9186-89065cf01ce2 | Is there anything that you are worried about with your child's level of screen time? | 0..1 | choice |  | Value Set: Yes/No
13040f64-5cbf-4592-a683-c03527c64ac6 | Details | 0..1 | text |  | Enable When: 465eacce-f9ee-4022-9186-89065cf01ce2 =
e9b6ac74-d810-4350-8b41-8ea2e4bd14fc | Physical activity or screen time concerns | 0..1 | group |  |
08320c7a-831b-4237-95e2-d79aee155b90 | Do you have any worries about physical activity or screen time? | 0..1 | choice |  | Value Set: Yes/No
57fa51e3-11c5-43f1-bdf0-73b2b48414c3 | Details | 0..1 | text |  | Enable When: 08320c7a-831b-4237-95e2-d79aee155b90 =
a9aaba01-5f11-4d4e-ad39-40b6bef745da | Document conversation about age-appropriate recommendations re physical activity and screen time | 0..1 | text |  |
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MarkComplete-34 | Mark section as complete | 0..1 | boolean |  |
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CD-complete-21 | Complete | 0..1 | display |  | Enable When: MarkComplete-21 =
015d986f-89cf-45b0-a753-9a3ab0c4b05b | Physical activity concerns | 0..1 | group |  |
b30d5d21-c6d6-4bb3-aab4-0fdee80b3093 | Do you have any worries about physical activity? | 0..1 | choice |  | Value Set: Yes/No
fd6beb79-ffc3-4879-913b-f42b0ec930ba | Details | 0..1 | text |  | Enable When: b30d5d21-c6d6-4bb3-aab4-0fdee80b3093 =
eb326905-3709-4088-8491-8b83c97f2da4 | Document conversation about recommendations re physical activity | 0..1 | text |  |
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MarkComplete-21 | Mark section as complete | 0..1 | boolean |  |
b9a6ce8b-7766-47a5-8e1c-1590a1edbfa8 | Red flags early identification guide for children | 0..1 | group |  |
CD-in-progress-22 | In progress | 0..1 | display |  | Enable When: MarkComplete-22 !=
CD-complete-22 | Complete | 0..1 | display |  | Enable When: MarkComplete-22 =
dfbf13b5-e9e1-4f2f-83fc-1b3b9e50c921 | This is based on material from the The State of Queensland, Red flags early identification guide (for children aged birth to five years). 2nd edn. South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. Updated: July 2016. | 0..1 | display |  |
0b520b20-98df-4024-b25d-2986f6b96e77 | What age group is the child closest to? | 0..1 | choice |  | Options: 8 options
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c10acb25-fdc3-401e-b0aa-d85b2921e5bb | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
b6bb38f6-8084-4c89-a0f2-9d77aacab61d | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
c0ad8dc5-4672-4b21-b30d-6dcc7a00109a | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
fc0977e1-fd83-4d0b-a57a-e94c7fd41fdb | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
70f7b96f-eaae-490b-8522-1214c1b1aede | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
03ff1391-f48d-4b99-894c-159f4d09eb33 | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
ee5f0a61-a8a1-473e-addf-ca5b1eaad7d3 | Social Emotional | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
2b23128e-1622-4880-abd6-c9cd429b48e3 | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
dfb86be5-b6ff-400e-b7d6-68701df086da | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
4d802a6d-c89e-4460-8091-874f855be4ad | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
b8e1a699-ed65-491f-9865-8ab855bb2d33 | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
6c3637ed-4afd-45be-a15c-9d5e7d8e78e8 | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
25d67a2f-8bbe-4f79-9488-1682d2ce49fa | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005 | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
3e06438a-ee7d-4880-83aa-68d2ade997ce | Communication | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
49d172b4-bc2f-46cd-95a8-2f3ecba8e852 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options
785ec313-7b25-4d0d-9421-382981286cbc | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options
2c2b263e-41a5-4dae-94e1-814f5bfca20a | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
d6d7d675-0fee-466d-85e8-5dae46adac40 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
c48e4138-0952-49a7-9c77-14b3e6d1dad3 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 1 option
433e768c-8458-476a-8330-3f59a4aa94b4 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
06d96181-2b2d-48de-b80f-bd5ccb2fb3c1 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
e08345d3-a919-4bf0-8775-5df84a173832 | Cognition, fine motor and self care | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 3 options
7f3861fd-b9f0-489d-8a39-5fdd18eeaf0e | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
68809920-fbf4-48e5-89f7-c0b49a8b8f78 | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 4 options
5cf7c9bc-b3ec-43ac-8de8-65078f57a82b | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
a1137862-767c-49fb-883b-92bee7588edc | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
dd83d558-6a7f-4b94-b677-7c2b31ccc52f | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
5ea4460c-a4c5-4025-bf85-64884a66458f | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
75b597b4-3b38-4efd-aeb2-ab1551d83c3c | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
f23ac52c-2064-4032-b283-6ce09fc306fa | Gross motor | 0..* | choice |  | Enable When: 0b520b20-98df-4024-b25d-2986f6b96e77 = Options: 2 options
758d4109-363a-48c9-95f3-8a8d8b1b32ec | Red flags at any age | 0..* | choice |  | Options: 7 options
MarkComplete-22 | Mark section as complete | 0..1 | boolean |  |
14a9fb5f-5b0e-4862-b143-08a11cd3ebf0 | Substance use, including tobacco | 0..1 | group |  |
CD-in-progress-29 | In progress | 0..1 | display |  | Enable When: MarkComplete-29 !=
CD-complete-29 | Complete | 0..1 | display |  | Enable When: MarkComplete-29 =
substanceuse-smoking | Smoking | 0..1 | group |  |
substanceuse-smoking-smokingstatus | Smoking status | 0..1 | group |  |
substanceuse-smoking-smokingstatus-group | Smoking status | 0..1 | group |  |
substanceuse-smoking-smokingstatus-group-laststatus | Last status | 0..1 | display |  |
substanceuse-smoking-smokingstatus-group-laststatusvalue | null | 0..1 | choice |  | Value Set: Tobacco Use Status
substanceuse-smoking-smokingstatus-group-laststatusdate | null | 0..1 | date |  |
b639a3a8-f476-4cc8-b5c7-f5d2abb23511 | New status | 0..1 | choice |  | Value Set: Tobacco Use Status
substanceuse-smoking-smokingstatus-group-newdate | New date | 0..1 | date |  |
96dc7c22-d003-459c-8a56-f6cd182fc077 | Quit status | 0..1 | choice |  | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = Value Set: Smoking Quit Status
9e86387d-1be4-4c26-9047-9dd6b03e1ee0 | How many? | 0..1 | string |  | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = b639a3a8-f476-4cc8-b5c7-f5d2abb23511 =
32e71641-f660-4ca2-af99-dff8917f07be | How long as a smoker? | 0..1 | string |  | Enable When: b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = b639a3a8-f476-4cc8-b5c7-f5d2abb23511 = b639a3a8-f476-4cc8-b5c7-f5d2abb23511 =
34feaee8-8088-43ee-991d-9729990b5550 | Alcohol and other substance use | 0..1 | group |  |
ea73d52c-f831-46be-a45d-2c42250a5210 | Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other | 0..1 | text |  |
f8e1cc1f-f1a1-4eb3-8255-77d600f52831 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-29 | Mark section as complete | 0..1 | boolean |  |
a7bb0dd2-4b2d-49c2-9da6-3cb0a4dd9240 | Gambling | 0..1 | group |  |
CD-in-progress-10 | In progress | 0..1 | display |  | Enable When: MarkComplete-10 !=
CD-complete-10 | Complete | 0..1 | display |  | Enable When: MarkComplete-10 =
fb489c43-f311-41f5-9d6a-1b61748e165f | Gambling issues | 0..1 | group |  |
a233c01e-a72e-474b-9a26-bab1504491fa | Have you or someone close to you ever had issues with gambling? | 0..1 | choice |  | Value Set: Yes/No
d1b68cfc-77cf-464e-83ce-0e8517bed9f3 | Details | 0..1 | text |  | Enable When: a233c01e-a72e-474b-9a26-bab1504491fa =
2ab74c97-55d9-4fd9-968f-8962d62ea573 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-10 | Mark section as complete | 0..1 | boolean |  |
4b49c291-6e93-4b7e-be3b-15ef8bc207ad | Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs) | 0..1 | group |  |
CD-in-progress-36 | In progress | 0..1 | display |  | Enable When: MarkComplete-36 !=
CD-complete-36 | Complete | 0..1 | display |  | Enable When: MarkComplete-36 =
e5aeda89-b820-4bb3-8fbd-d4f662207b7d | Puberty and sexual health concerns | 0..1 | group |  |
1d20138a-caf3-4c43-9693-04c08d37a84a | Is there anything that you are worried about in relation to puberty/your sexual health? | 0..1 | choice |  | Value Set: Yes/No/Not Asked/Asked But Declined
d7b92cad-4aa8-47d3-975c-92563f132325 | Details | 0..1 | text |  | Enable When: 1d20138a-caf3-4c43-9693-04c08d37a84a =
0fba3972-faa3-4f40-940c-c2f1c9b55329 | Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening | 0..1 | text |  |
b41572ba-cf36-4cec-addf-cb0b47fea63f | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-36 | Mark section as complete | 0..1 | boolean |  |
589b53a4-ceb2-41c0-850a-69438f9fd1cc | Genitourinary and sexual health | 0..1 | group |  |
CD-in-progress-35 | In progress | 0..1 | display |  | Enable When: MarkComplete-35 !=
CD-complete-35 | Complete | 0..1 | display |  | Enable When: MarkComplete-35 =
5f5d4886-ce06-47fa-a4d8-f6808b9081c0 | Sexual health concerns | 0..1 | group |  |
e56e79e5-8fbb-43f0-b2a3-018b55750bd0 | Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice |  | Value Set: Yes/No/Not Asked/Asked But Declined
5148c6c6-c99f-480d-bb05-569064ba7118 | Details | 0..1 | text |  | Enable When: e56e79e5-8fbb-43f0-b2a3-018b55750bd0 =
d844a31e-8e51-420b-855c-4f485a180a57 | Cervical screening | 0..1 | group |  |
37dbd343-6d02-477c-89bf-59ba022efbb7 | Cervical screening status | 0..1 | choice |  | Value Set: Cervical Screening Status
f93eb998-1502-4d8a-88a4-986117a387c5 | Next due | 0..1 | date |  |
862fc298-5b5e-4a46-badc-900c6ba1ff50 | Details | 0..1 | text |  |
39b02169-ea34-4af9-aa35-1c47f7f39333 | Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction | 0..1 | text |  |
efd0735c-c379-471f-83bb-93b0392093aa | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-35 | Mark section as complete | 0..1 | boolean |  |
02048954-e9d7-424e-8c7b-6a3c495d7ce4 | Genitourinary and sexual health | 0..1 | group |  |
CD-in-progress-25 | In progress | 0..1 | display |  | Enable When: MarkComplete-25 !=
CD-complete-25 | Complete | 0..1 | display |  | Enable When: MarkComplete-25 =
8172aaac-81c4-4b06-b4cd-6a891a227e9f | Sexual health concerns | 0..1 | group |  |
1c40a720-bdb7-4386-a9f6-be82b7349bf7 | Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health? | 0..1 | choice |  | Value Set: Yes/No/Not Asked/Asked But Declined
f93fe768-9215-4a15-9376-686e9530ea79 | Details | 0..1 | text |  | Enable When: 1c40a720-bdb7-4386-a9f6-be82b7349bf7 =
2e1ea1cc-1f74-4b2e-bfda-f6a1d41e1e50 | Continence issues | 0..1 | group |  |
64fd0f79-7e09-4934-905d-9bff6715f9ba | Do you have problems with urine leaking? | 0..1 | choice |  | Value Set: Yes/No
4fc14fd9-4c7e-48ec-90c0-c406523400fa | Details | 0..1 | text |  | Enable When: 64fd0f79-7e09-4934-905d-9bff6715f9ba =
8d75d1f1-290b-41fc-8e32-ad0681c650bb | Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms | 0..1 | text |  |
e9936322-e6fe-4cf7-ab61-22846a8fbb95 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-25 | Mark section as complete | 0..1 | boolean |  |
961da481-1698-4a1d-962b-a9c2185e335a | Eye health | 0..1 | group |  |
CD-in-progress-8 | In progress | 0..1 | display |  | Enable When: MarkComplete-8 !=
CD-complete-8 | Complete | 0..1 | display |  | Enable When: MarkComplete-8 =
0e30de87-8d5a-4b7a-893a-f1791c4f31c5 | Vision concerns | 0..1 | group |  |
bc49ee24-62a8-4252-a5ee-9c68bfed601c | Is there anything that you are worried about with your child's vision? | 0..1 | choice |  | Value Set: Yes/No
6286346d-c805-4519-8e82-bf364a215c58 | Is there anything that you are worried about with your vision? | 0..1 | choice |  | Value Set: Yes/No
468770e4-af95-4377-8af5-280deb585e01 | Details | 0..1 | text |  | Enable When: bc49ee24-62a8-4252-a5ee-9c68bfed601c = 6286346d-c805-4519-8e82-bf364a215c58 =
25d3e4b6-8c71-4c17-8f5a-aca90e232ed2 | Eye examination | 0..1 | group |  |
cb1b9349-2dd1-4bdd-904b-a529458e3b98 | Red reflex (up to six months) | 0..1 | group |  |
47ce0b44-ac12-4a1d-8657-2cc741a29d3a | Left eye | 0..1 | string |  |
3f192141-0845-44d6-85ad-94f0295e062f | Right eye | 0..1 | string |  |
3ff41163-549f-4834-8817-151144613988 | Evidence of squint or other abnormality | 0..1 | group |  |
83e65791-a04a-42e4-b3f2-1e552b8e8044 | Left eye | 0..1 | string |  |
2dd18bad-9491-436f-a2db-a4ed6022ac5c | Right eye | 0..1 | string |  |
2c0e12a5-2650-4886-8f50-405dc0ead9c5 | Visual acuity | 0..1 | group |  |
43825f29-c720-40a5-9fd1-de50ee35479c | Left eye | 0..1 | string |  |
e98428b4-bc8d-4272-a803-757a84813c3c | Right eye | 0..1 | string |  |
bac129ef-a5c0-4d94-915c-ceadc6016594 | Trachoma Check (endemic areas) | 0..1 | group |  |
202b5b91-541e-4a72-b1f6-1d474b59b7a3 | Left eye | 0..1 | choice |  | Options: 2 options
6ae69487-345e-46a0-a8db-b1356671ee59 | Right eye | 0..1 | choice |  | Options: 2 options
8dcdc04c-7655-4b47-88eb-8425f0cdc0d0 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-8 | Mark section as complete | 0..1 | boolean |  |
de71bbd0-178c-4974-9c75-55d5a48c66f7 | Ear health and hearing | 0..1 | group |  |
CD-in-progress-6 | In progress | 0..1 | display |  | Enable When: MarkComplete-6 !=
CD-complete-6 | Complete | 0..1 | display |  | Enable When: MarkComplete-6 =
f3473e82-4336-4858-96de-3a61eff5abfb | Child listening concerns | 0..1 | group |  |
f982c374-f023-4e68-8968-1f1f5d3969ae | Is there anything that you are worried about with your child's listening? | 0..1 | choice |  | Value Set: Yes/No
297114f4-8c3f-4916-b840-c38ea14d37b1 | Details | 0..1 | text |  | Enable When: f982c374-f023-4e68-8968-1f1f5d3969ae =
d2a3a346-7b20-4634-beb4-f2bdc7252fe5 | Child language concerns | 0..1 | group |  |
06c150f8-4d54-4d10-aeff-2ef7567b6812 | Is there anything you are worried about with your child's language/talking? | 0..1 | choice |  | Value Set: Yes/No
30dc1581-f6b7-49f0-be09-3902178a495f | Details | 0..1 | text |  | Enable When: 06c150f8-4d54-4d10-aeff-2ef7567b6812 =
6662bc91-fd05-4ea0-a96b-1cc124a9769a | Child snoring | 0..1 | group |  |
b326271b-e9b1-45a0-b899-125364833702 | Do you notice snoring/noisy breathing at night/while your child is sleeping? | 0..1 | choice |  | Value Set: Yes/No
36a3967c-e79a-49a7-8022-ac9561c4e656 | Details | 0..1 | text |  | Enable When: b326271b-e9b1-45a0-b899-125364833702 =
ec7b6e93-e1f0-41f5-b2c2-43c7ddff8aed | Hearing concerns | 0..1 | group |  |
3e53edc7-c90e-4681-a006-b7a05b91a02c | Is there anything that you are worried about with your hearing? | 0..1 | choice |  | Value Set: Yes/No
d72dacb8-a9b3-483b-ae24-8b062873b2cb | Details | 0..1 | text |  | Enable When: 3e53edc7-c90e-4681-a006-b7a05b91a02c =
11aa62ca-5a52-428b-952b-cfbcd2c75824 | Last hearing test (audiology) | 0..1 | date |  |
31452c47-30b2-4590-95f4-b2b75aad2fb6 | Ear examination | 0..1 | group |  |
44c3434d-ea52-43bd-b635-34184e5f037d | Otoscopy | 0..1 | group |  |
fe96046a-a202-4c22-ad3e-00419e717185 | Video otoscopy procedure recommended where possible as it allows for parental education and for images to be saved for tracking over time. | 0..1 | display |  |
2841915f-c8d2-4edb-8bc7-39b63385a2fb | Otoscopy findings | 0..1 | group |  |
dedfc83e-7451-404d-bd24-97b1254304eb | Left ear | 0..* | open-choice |  | Options: 10 options
23daa784-4476-447f-8aa2-42933b4490d9 | Right ear | 0..* | open-choice |  | Options: 10 options
361b3c80-375b-423e-bb61-5732826bc2f0 | Otoscopy findings | 0..1 | group |  |
079df9c5-234c-4129-8769-800dab47a59a | Left ear | 0..* | open-choice |  | Options: 6 options
ce1fc869-a412-4aea-aa53-36e794a14519 | Right ear | 0..* | open-choice |  | Options: 6 options
972afa06-9649-43d9-b8ce-c802f7f27e39 | Tympanometry | 0..1 | group |  |
a0d1413f-31e5-4b29-a00b-235f50f91cf7 | Left ear | 0..1 | text |  |
6423348a-943f-41e5-b4f2-ef5a34e56414 | Right ear | 0..1 | text |  |
ac87b23a-b022-4d62-9e82-1c56583bca34 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-6 | Mark section as complete | 0..1 | boolean |  |
bde9ab00-a20f-4a7c-9266-11f53f60c65f | Oral and dental health | 0..1 | group |  |
CD-in-progress-20 | In progress | 0..1 | display |  | Enable When: MarkComplete-20 !=
CD-complete-20 | Complete | 0..1 | display |  | Enable When: MarkComplete-20 =
70714d58-d936-4170-9763-82398f84a7a7 | Dental concerns | 0..1 | group |  |
e4cf4f15-7eed-4aa1-9f9d-61ccd659685c | Is there anything that you are worried about with your child's teeth or mouth? | 0..1 | choice |  | Value Set: Yes/No
cb287506-9a64-4ee8-8f24-ba7cb77756f3 | Is there anything that you are worried about with your teeth? | 0..1 | choice |  | Value Set: Yes/No
cf949305-5ff7-4767-b946-7a50efd21cfc | Details | 0..1 | text |  | Enable When: e4cf4f15-7eed-4aa1-9f9d-61ccd659685c = cb287506-9a64-4ee8-8f24-ba7cb77756f3 =
1f362cb2-911f-448b-b717-2614f1aced86 | Last dental checkup | 0..1 | date |  |
ffe81bde-608f-4e3f-98ae-39d0b9884dcc | Dentures? | 0..1 | choice |  | Value Set: Yes/No
5a3a56c6-b953-4d96-894d-95e07268473f | Teeth and mouth check | 0..1 | group |  |
6247ab4c-41cb-4e77-b028-c9c2a8c7da91 | Examination findings | 0..1 | text |  |
79e09f4d-dac6-4088-baa0-d95dc658fb0b | Document conversation about oral health and care of teeth | 0..1 | text |  |
875574fa-9769-42ca-8381-9e80c3e5233d | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-20 | Mark section as complete | 0..1 | boolean |  |
7d4772cb-a1cd-49d9-853f-883ccd8343a6 | Skin | 0..1 | group |  |
CD-in-progress-26 | In progress | 0..1 | display |  | Enable When: MarkComplete-26 !=
CD-complete-26 | Complete | 0..1 | display |  | Enable When: MarkComplete-26 =
0d23be6b-3a30-4a80-9ebe-158acf32eb09 | Skin problems | 0..1 | group |  |
829de3f8-eea9-4139-8a18-47c16182ac9e | Does your child have any skin problems? | 0..1 | choice |  | Value Set: Yes/No
353f528b-3518-4fb3-a0bd-3ed5ae6b036a | Is there anything that you are worried about with your skin? | 0..1 | choice |  | Value Set: Yes/No
b9332f4f-ed6c-4e87-a467-13d7e83bd550 | Details | 0..1 | text |  | Enable When: 829de3f8-eea9-4139-8a18-47c16182ac9e = 353f528b-3518-4fb3-a0bd-3ed5ae6b036a =
80e4349f-6d89-4017-8632-9a947e50e947 | Do you use sun protection? | 0..1 | choice |  | Value Set: Yes/No
206f4e35-3b87-4252-97fc-c78bf9fb6f5d | Document conversation about sun protection as appropriate (ie sunscreen, hats, shade). | 0..1 | text |  |
7cec4c99-90da-40bc-86a6-f77abb093933 | General skin examination findings | 0..1 | text |  |
88d23fa4-df88-43ab-a1d0-69315d55c3bf | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-26 | Mark section as complete | 0..1 | boolean |  |
205677d6-17c7-4285-a7c4-61aa02b6c816 | Immunisation | 0..1 | group |  |
CD-in-progress-13 | In progress | 0..1 | display |  | Enable When: MarkComplete-13 !=
CD-complete-13 | Complete | 0..1 | display |  | Enable When: MarkComplete-13 =
54de7714-b917-4426-acb4-29d48648a2d8 | Check Child Health Record/Book and Australian Immunisation Register | 0..1 | display |  |
d77c527d-6fde-4ed7-97b9-c71acf817f39 | Eligibility for funded vaccines may vary across jurisdictions | 0..1 | display |  |
77d87581-d4d7-4267-9f3c-ad6541ad0f46 | Check Australian Immunisation Register | 0..1 | display |  |
a2631d2c-2b5c-4147-9aca-05ae655a56a5 | Check recommended primary vaccinations completed and provide catch-up if required | 0..1 | display |  |
vaccinesprevious | Vaccines previously given | 0..* | group |  |
vaccinesprevious-vaccine | Vaccine | 0..1 | open-choice |  | Value Set: Australian Medicines Terminology Vaccine
vaccinesprevious-batch | Batch number | 0..1 | string |  |
vaccinesprevious-date | Administration date | 0..1 | date |  |
vaccinesprevious-comment | Comment | 0..1 | string |  |
vaccinesair | Immunisations are up to date? | 0..1 | choice |  | Value Set: Yes/No
vaccinesdue | Immunisations due | 0..* | open-choice |  | Value Set: Australian Medicines Terminology Vaccine
vaccinestoday | Vaccines given today | 0..* | group |  |
vaccinestoday-vaccine | Vaccine | 0..1 | open-choice |  | Value Set: Australian Medicines Terminology Vaccine
vaccinestoday-batch | Batch number | 0..1 | string |  |
vaccinestoday-date | Administration date | 0..1 | date |  |
vaccinestoday-comment | Comment | 0..1 | string |  |
vaccinesrecorded | Have all vaccines been recorded on the Australian Immunisation Register? | 0..1 | choice |  | Value Set: Yes/No
bcd1c9f2-889e-41e5-8c2b-a70221c5cec5 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-13 | Mark section as complete | 0..1 | boolean |  |
c587e3b6-b91a-40dc-9a16-179342d001e9 | Examination | 0..1 | group |  |
CD-in-progress-7 | In progress | 0..1 | display |  | Enable When: MarkComplete-7 !=
CD-complete-7 | Complete | 0..1 | display |  | Enable When: MarkComplete-7 =
d15824f8-eafc-4fa0-80a2-82f0ec7f8728 | Growth measures recorded on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) growth charts for centile and tracking overtime | 0..1 | display |  |
53d5d5a6-3198-4bec-92ac-03fe7d77fb68 | The tabled observations will display the most recent results available from the patient record. New observations may be added. | 0..1 | group |  |
4e32e9b2-82e6-41ea-9545-79e928f7d6c2 | Length/Height | 0..1 | group |  |
837cd0ce-4a9e-4c8b-8679-007ed961f121 | Last result | 0..1 | display |  |
obs-lengthheight-lastresult | null | 0..1 | decimal |  |
obs-lengthheight-lastdate | null | 0..1 | date |  |
obs-lengthheight-newresult | New result | 0..1 | decimal |  |
obslengthheight-newresult-unit | cm | 0..1 | display |  |
obs-lengthheight-newdate | New result date | 0..1 | date |  |
6226a5c5-b5c3-4ebb-a689-2b286322cfe0 | Height | 0..1 | group |  |
7035c7e7-ada3-4c6b-9ea8-f39666f5d4ea | Last result | 0..1 | display |  |
obs-height-lastresult | null | 0..1 | decimal |  |
obs-height-lastdate | null | 0..1 | date |  |
obs-height-newresult | New result | 0..1 | decimal |  |
obs-height-newresult-unit | cm | 0..1 | display |  |
obs-height-newdate | New result date | 0..1 | date |  |
97ed4c86-8820-4e4d-9234-0e0e8b6ca44a | Weight | 0..1 | group |  |
443bd584-684a-449c-ab6e-9d07da4df9fa | Last result | 0..1 | display |  |
obs-weight-lastresult | null | 0..1 | decimal |  |
obs-weight-lastdate | null | 0..1 | date |  |
obs-weight-newresult | New result | 0..1 | decimal |  |
obs-weight-newresult-unit | kg | 0..1 | display |  |
obs-weight-newdate | New result date | 0..1 | date |  |
bc209c5e-ed28-48e3-b1a1-55cb7e435d8b | BMI (calculated) | 0..1 | group |  |
2ada6633-03c6-4b05-bc23-18dec84ec150 | Last result | 0..1 | display |  |
obs-bmi-lastresult | null | 0..1 | decimal |  |
obs-bmi-newresult | New result | 0..1 | decimal |  |
obs-bmi-newresult-unit | kg/m2 | 0..1 | display |  |
d3557f55-1abf-401c-aada-2d4380151c56 | Head circumference | 0..1 | group |  |
7a4a6aac-558e-4bec-86c5-326ae07e37d6 | Last result | 0..1 | display |  |
obs-headcircumference-lastresult | null | 0..1 | decimal |  |
obs-headcircumference-lastdate | null | 0..1 | date |  |
obs-headcircumference-newresult | New result | 0..1 | decimal |  |
obs-headcircumference-newresult-unit | cm | 0..1 | display |  |
obs-headcircumference-newdate | New result date | 0..1 | date |  |
ec884b64-ed8d-485b-930f-e7ac18ad4cc9 | Waist circumference | 0..1 | group |  |
8df0f5d8-821d-4f71-b3c1-d164616ea2f5 | Last result | 0..1 | display |  |
obs-waistcircumference-lastresult | null | 0..1 | decimal |  |
obs-waistcircumference-lastdate | null | 0..1 | date |  |
obs-waistcircumference-newresult | New result | 0..1 | decimal |  |
obs-waistcircumference-newresult-unit | cm | 0..1 | display |  |
obs-waistcircumference-newdate | New result date | 0..1 | date |  |
3d3e1079-d225-447b-959b-4caddc057f7d | Heart rate | 0..1 | group |  |
49029ef0-eaa8-44f8-b26a-177820c82dfd | Last result | 0..1 | display |  |
obs-heartrate-lastresult | null | 0..1 | integer |  |
obs-heartrate-lastdate | null | 0..1 | date |  |
obs-heartrate-newresult | New result | 0..1 | integer |  |
obs-heartrate-newresult-unit | /min | 0..1 | display |  |
obs-heartrate-newdate | New result date | 0..1 | date |  |
8d3d05cc-64bc-47ae-b989-060bac838d1c | Heart rhythm | 0..1 | group |  |
99a8eb6f-a36a-4daf-99d7-27bfde0d4bb1 | Last result | 0..1 | display |  |
obs-heartrhythm-lastresult | null | 0..1 | choice |  | Value Set: Heart Rhythm
obs-heartrhythm-lastdate | null | 0..1 | date |  |
obs-heartrhythm-newresult | New result | 0..1 | choice |  | Value Set: Heart Rhythm
obs-heartrhythm-newdate | New result date | 0..1 | date |  |
3639c586-9576-48d3-a52b-e91fd2138581 | Blood pressure | 0..1 | group |  |
705f6d04-acab-4d14-baab-98f9bfc4808e | Blood pressure | 0..1 | group |  |
bp-bp-lastresult | Last result | 0..1 | display |  |
bp-lastbp-systolic | null | 0..1 | integer |  |
bp-lastbp-diastolic | null | 0..1 | integer |  |
bp-lastbp-date | null | 0..1 | date |  |
bp-newbp-systolic | Systolic | 0..1 | integer |  |
bp-newbp-systolic-unit | mm Hg | 0..1 | display |  |
bp-newbp-diastolic | Diastolic | 0..1 | integer |  |
bp-newbp-diastolic-unit | mm Hg | 0..1 | display |  |
bp-newbp-date | Date performed | 0..1 | date |  |
213a3eac-e530-4e27-859c-407136c7a0a6 | Cardiac auscultation | 0..1 | text |  |
8886f3bb-52de-4294-a5cb-8f960e2a6bbe | Abdominal examination | 0..1 | text |  |
5e10229c-390d-4968-90d3-f896840f3c50 | Gait examination (musculoskeletal structure, balance, coordination) | 0..1 | text |  |
6c69ee91-f777-494c-bf09-d963773cd4ae | Newborn examination (if indicated, infant aged <=6 weeks) | 0..1 | text |  |
7a431d03-1726-4905-aae7-49f62a10ce5e | Haemoglobin (children at risk of iron deficiency anaemia) | 0..1 | string |  |
fcbfa6e1-c101-4675-969d-aa11027859c2 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-7 | Mark section as complete | 0..1 | boolean |  |
d95abe99-8ef2-4b97-bc88-a2901e2ebc9c | Absolute cardiovascular disease risk calculation | 0..1 | group |  |
CD-in-progress-2 | In progress | 0..1 | display |  | Enable When: MarkComplete-2 !=
CD-complete-2 | Complete | 0..1 | display |  | Enable When: MarkComplete-2 =
Guidance-CVDRisk | The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the Aus CVD Risk calculator. | 0..1 | display |  |
dabdc7b4-51db-44a0-9d59-77a88587cbe9 | CVD risk result | 0..1 | group |  |
cvdrisk-latestresult | Latest available result | 0..1 | string |  |
cvdrisk-newassessmentquestion | A previous CVD risk result has been found. Do you want to perform a new assessment? | 0..1 | boolean |  |
cvdrisk-auscvdriskiaccess | Do you have access to the Aus CVD Risk-i application from your clinical system? | 0..1 | boolean |  |
cvdrisk-auscvdriskiguidance | Using the Aus CVD Risk-i application, calculate the CVD risk result and save it to the patient record. This form can then be repopulated to retrieve and include the result above. | 0..1 | display |  |
cvdrisk-repopulateoverride | Do you need to manually enter a new CVD risk result instead of repopulating? | 0..1 | boolean |  |
cvdrisk-cvdriskresultgroup | New CVD risk result | 0..1 | group |  |
cvdrisk-onlincecalculatorguidance | Use the online Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator | 0..1 | display |  |
4c52fcec-0695-4916-b185-24a5c2711631 | Risk result score | 0..1 | integer |  |
0162854e-c124-4b58-acd9-93c17562d407 | % | 0..1 | display |  |
28ff9463-b77f-435d-9ba7-427682a61f96 | Assessed risk category | 0..1 | choice |  | Options: 3 options
8d02ef36-3f48-4912-b001-e9fec6aa7101 | CVD risk calculator variables | 0..1 | group |  |
6909cb38-a6f4-44c9-abae-0e5d697a21f5 | Age | 0..1 | integer |  |
b9aba16c-f910-4948-9267-e07851f69572 | years | 0..1 | display |  |
3dbb0e63-3b28-4567-8ef3-bac242fd95f6 | Sex at birth | 0..1 | choice |  | Value Set: Biological Sex
fe9feec6-593a-4106-8a7d-f9965a632ea2 | Observation values | 0..1 | group |  |
bac0f824-3784-400e-80f9-ad18d46bd8cb | Smoking status | 0..1 | group |  |
333007c7-47a9-482b-af11-e55484abf2ae | Value | 0..1 | choice |  | Options: 6 options
cvdrisk-smokingstatus-date | Date performed | 0..1 | date |  |
fa4f73a3-7633-410c-9177-8aa43b117122 | Systolic Blood Pressure | 0..1 | group |  |
818ce640-c8dd-457d-b607-3aaa8da38524 | Value | 0..1 | integer |  |
ddea5a62-a8c1-4b15-b667-7b69babec8cd | mm Hg | 0..1 | display |  |
85d8faf7-ddb0-446c-b489-28d786d6de50 | Date performed | 0..1 | date |  |
e693c7d2-be69-4f1f-b72d-7ff2ea3cd536 | Total Cholesterol | 0..1 | group |  |
99932a93-8135-47b2-933b-fd751b34b7af | Value | 0..1 | decimal |  |
fcfbfc9f-e400-4aae-993f-ea54096e7361 | mmol/L | 0..1 | display |  |
16cbe87b-5c8d-4385-b7d9-da3f07f63f8a | Date performed | 0..1 | date |  |
87eefaf6-010f-4b0d-9f51-2c33e46e6c69 | HDL Cholesterol | 0..1 | group |  |
c14b4513-1e20-461d-97f4-4631711adc65 | Value | 0..1 | decimal |  |
2ba61002-b642-4b28-9e66-dc2b060c4e0e | mmol/L | 0..1 | display |  |
6407e0a7-c416-4a75-933b-904c0dcf88ca | Date performed | 0..1 | date |  |
fa8f03ca-9a5a-4ed1-a866-db26e567352a | Postcode | 0..1 | string |  |
1c1eea28-6c82-4b7b-aaa3-8655ce70f2fd | Type 2 diabetes mellitus | 0..1 | boolean |  |
f8022f3f-21fe-42c0-8abd-95f24e2e37e5 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-2 | Mark section as complete | 0..1 | boolean |  |
918f7f32-cdaf-4742-b33a-8254eda2d8bd | Investigations | 0..1 | group |  |
CD-in-progress-14 | In progress | 0..1 | display |  | Enable When: MarkComplete-14 !=
CD-complete-14 | Complete | 0..1 | display |  | Enable When: MarkComplete-14 =
740cbc59-08e3-41e8-bc00-de22c1ad45a0 | Full blood count, HbA1c or blood glucose level, serum lipids, Kidney function including eGFR, Liver function tests, ACR | 0..1 | text |  |
73e1e470-5c41-4644-b279-03f57bde036d | Chlamydia, gonorrhoea: <=30, first void urine (male and female) and/or endocervical swab or self-administered vaginal swab (female) or throat and anal swab (men who have sex with men [MSM]) | 0..1 | text |  |
77847d34-103e-497d-a7d5-f62cbaf4f698 | Syphilis (endemic areas, MSM, others at high risk) | 0..1 | text |  |
4aa47bda-d740-4294-9466-52b1be2ec15b | Trichomoniasis (<=30, male and female, remote areas and other endemic areas, first void urine and/or endocervical swab or self-administered vaginal swab) | 0..1 | text |  |
b919de86-d81c-470d-8cb2-9caa4f8d3a42 | Blood-borne virus screening: HBV if status not known/not recorded on file, HCV if risk factors, HIV if risk factors | 0..1 | text |  |
96a8d946-6078-4c85-9de8-3bf18d2c8150 | Health priorities, actions and follow-up | 0..1 | text |  |
MarkComplete-14 | Mark section as complete | 0..1 | boolean |  |
e2c778e2-83df-40d5-89ea-f0f91b666b04 | Health Priorities, Actions And Follow-Up Summary | 0..1 | group |  |
f948fb81-48e9-4bc6-bf81-8d778ac4375a | The following information is a read-only collection of the 'Health priorities, actions and follow-up' sections entered in the previous tabs. Only sections where previous information entered will be displayed here. | 0..1 | display |  |
4b03d116-84ee-488c-b132-427472d21fcd | Current health/patient priorities | 0..1 | text |  |
c848098c-85f3-487b-91af-01da4eba3aba | Medical history and current problems | 0..1 | text |  |
0c0a389e-c23a-4687-84d9-e00c5a258c7a | Regular medications | 0..1 | text |  |
34b7c4f3-c848-4dcb-ba9b-0b4c5ccd0785 | Allergies/adverse reactions | 0..1 | text |  |
f81c85c7-587e-47de-8b02-9c1eeee13949 | Family history | 0..1 | text |  |
a57d29d3-b875-47ac-b8ed-c95eaa6a027d | Social and emotional wellbeing | 0..1 | text |  |
ad9b85fc-24fe-495d-a980-941e2ad16533 | Social history | 0..1 | text |  |
622f0877-80ec-4b91-bb1c-e741e5657e4c | Home and family | 0..1 | text |  |
9a88bdf6-e97a-4c54-96ff-1dad9701b5ab | Learning and development | 0..1 | text |  |
aefbee8b-64fc-4cdc-9902-d6c3f50a2e18 | Learning and work | 0..1 | text |  |
a96cce74-cda3-4b6b-adc4-1b7d73df2317 | Work | 0..1 | text |  |
58bf5a0f-6c68-4d1f-b352-bfcba8e1e05e | Mood | 0..1 | text |  |
d963364a-e2d3-4382-8430-c47c19fc206c | Memory and thinking | 0..1 | text |  |
1877223d-8cae-48af-8add-fd6b10b37209 | Chronic disease associated with ageing | 0..1 | text |  |
b031bccf-5413-4c57-8e70-f464d24a6e6c | Participation in screening programs | 0..1 | text |  |
6ef556cb-2a69-4d28-a6cf-b4866303a564 | Healthy eating | 0..1 | text |  |
b7e32f62-a4e7-4419-a728-6addceefeb02 | Physical activity and screen time | 0..1 | text |  |
f1c3d1ba-240c-4e68-8afc-62c50cc313d1 | Physical activity | 0..1 | text |  |
c94f2749-4353-4f51-9c75-106f81c5b69f | Substance use, including tobacco | 0..1 | text |  |
931457d4-0de0-434c-88af-eb1b17746953 | Gambling | 0..1 | text |  |
797402ac-95de-4c0b-a04f-44b669755f7c | Sexual health | 0..1 | text |  |
e4df6f14-7a9c-445c-8cf5-3fc489db7307 | Genitourinary and sexual health | 0..1 | text |  |
23e293c4-537f-46ca-90f9-c8dfb7630211 | Genitourinary and sexual health | 0..1 | text |  |
4b1bf353-a422-40fb-a6d3-42807ebf1a6a | Eye health | 0..1 | text |  |
c292557b-2798-4b45-854d-58c20ecf8233 | Ear health and hearing | 0..1 | text |  |
93c33ba0-e4cc-4e9d-978b-49f57ce4a5eb | Oral and dental health | 0..1 | text |  |
0ccc2bce-899f-42b0-9100-05e6874372a3 | Skin | 0..1 | text |  |
8a33280b-19b9-4e0f-a26f-d9a0f95a7714 | Immunisation | 0..1 | text |  |
a889034b-7942-460d-ada6-b728a9f57dc0 | Examination | 0..1 | text |  |
fd51cc3f-f53d-4a7d-a3a3-4a3b7232d4ee | Absolute cardiovascular risk calculation | 0..1 | text |  |
84fa4cca-aff7-4357-8d92-bb827074dc6a | Investigations | 0..1 | text |  |
16971bd2-5494-483d-9713-eda182c47f02 | Finalising the health check | 0..1 | group |  |
CD-in-progress-31 | In progress | 0..1 | display |  | Enable When: MarkComplete-31 !=
CD-complete-31 | Complete | 0..1 | display |  | Enable When: MarkComplete-31 =
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 |  |
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 |  |
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 |  |
d0e58402-a08a-49ca-b2ca-9f4bbdb89da0 | Brief intervention: advice and information provided during health check | 0..* | open-choice |  | Options: 9 options
0f70dec3-c1f2-4b36-b1f6-bd7f5743d5f8 | Brief intervention: advice and information provided during health check | 0..* | open-choice |  | Options: 7 options
eaed9770-95f4-4c6a-b06c-d573427a2616 | Brief intervention: advice and information provided during health check | 0..* | open-choice |  | Options: 9 options
25f27e83-fcf0-49c8-86c1-e285e201a043 | Brief intervention: advice and information provided during health check | 0..* | open-choice |  | Options: 10 options
2657da9c-a27e-4939-af7a-08a19b9ab6f7 | Brief intervention: advice and information provided during health check | 0..* | open-choice |  | 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 |  |
4b3015f6-5b0a-4dfa-9791-994e4059f921 | Identified needs and plan (including new diagnoses) | 0..1 | text |  |
5760a1f9-d725-4b9e-b74d-50800615a689 | Follow-up | 0..1 | group |  |
b4110a63-8547-4aa2-84c6-c1f64f0d24da | Consider what follow-up appointments can be made at the time of the health check. | 0..1 | display |  |
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 |  |
1be25c55-2a2d-4b94-b826-bd17d9e35e92 | Referrals and appointments | 0..* | group |  |
4044d0b4-94b2-4a89-b826-a14614298511 | Who | 0..1 | open-choice |  | Options: 12 options
f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a | Who | 0..1 | open-choice |  | Options: 10 options
07cfe077-ba93-4f93-b2a5-027023faa33b | Who | 0..1 | open-choice |  | Options: 11 options
a525c370-d8c3-4764-ab3a-bf62081725e0 | Who | 0..1 | open-choice |  | Options: 13 options
d68d9693-48d3-4663-9dbb-dd3a7aec5278 | Who | 0..1 | open-choice |  | Options: 16 options
0ef84b09-ca34-44c2-96d1-fcbbea0bae66 | When | 0..1 | date |  | Enable When: 4044d0b4-94b2-4a89-b826-a14614298511 exists f97f211a-ef2a-49a3-aef7-c4e9cd08aa2a exists 07cfe077-ba93-4f93-b2a5-027023faa33b exists a525c370-d8c3-4764-ab3a-bf62081725e0 exists d68d9693-48d3-4663-9dbb-dd3a7aec5278 exists
a400fe69-c99f-47ed-bee1-083c3e4be467 | Recalls | 0..1 | group |  |
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 |  |
fece6a3c-f8f1-4592-a166-5ea5a3c60c8e | Recall entered | 0..* | string |  |
5a0c98f8-5349-4045-9ba0-27a4f35630b9 | Parent/carer actions | 0..1 | text |  |
cde03bf0-182a-4998-a37e-7b3f22786617 | Parent/patient actions | 0..1 | text |  |
51ff0c15-312a-45ce-a25a-6c6a4bf0e17e | Patient actions | 0..1 | text |  |
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 |  | Options: 3 options
MarkComplete-31 | Mark section as complete | 0..1 | boolean |  |
Documentation for this format

Options Sets

Answer options for 5bbfb4a3-a667-4ef2-98c2-76e76da55c03

- http://snomed.info/sct#257585005 ("Clinic")
- http://snomed.info/sct#264362003 ("Home")
- http://snomed.info/sct#257698009 ("School")

Answer options for 9a51c056-021d-445d-8eaa-2123a69aa9c2

- http://snomed.info/sct#257585005 ("Clinic")
- http://snomed.info/sct#264362003 ("Home")
- http://snomed.info/sct#224848004 ("Early learning centre")

Answer options for c1cf9c00-15ef-4b98-bab0-20a5f01b4932

- Up to date
- Discussed today
- Not required
- Declined
- Next due

Answer options for 29fada07-f981-44cf-8092-61c86365a965

- Up to date
- Discussed today
- Not required
- Declined
- Next due

Answer options for 521df1b1-ff36-458b-8f99-e41c2b1685c8

- Up to date
- Discussed today
- Not required
- Declined
- Next due

Answer options for 0b520b20-98df-4024-b25d-2986f6b96e77

- 6 months
- 9 months
- 12 months
- 18 months
- 2 years
- 3 years
- 4 years
- 5 years

Answer options for 9c717263-341e-416f-aad8-7aec7d2167c9

- Does not smile or interact with people

Answer options for c10acb25-fdc3-401e-b0aa-d85b2921e5bb

- Not sharing enjoyment with others using eye contact or facial expression

Answer options for b6bb38f6-8084-4c89-a0f2-9d77aacab61d

- Does not notice someone new
- Does not play early turn taking games (e.g. peekaboo, rolling a ball)

Answer options for c0ad8dc5-4672-4b21-b30d-6dcc7a00109a

- Lacks interest in playing and interacting with others

Answer options for fc0977e1-fd83-4d0b-a57a-e94c7fd41fdb

- When playing with toys tends to bang, drop, or throw them rather than use them for their purpose (e.g. cuddle doll, build blocks)

Answer options for 70f7b96f-eaae-490b-8522-1214c1b1aede

- No interest in pretend play or interacting with other children
- Difficulty noticing and understanding feelings in themselves and others (eg happy, sad)

Answer options for 03ff1391-f48d-4b99-894c-159f4d09eb33

- Unwilling or unable to play cooperatively

Answer options for ee5f0a61-a8a1-473e-addf-ca5b1eaad7d3

- Play is different than their friends

Answer options for 2b23128e-1622-4880-abd6-c9cd429b48e3

- Not starting to babble (e.g. aahh, oohh)

Answer options for dfb86be5-b6ff-400e-b7d6-68701df086da

- Not using gestures (e.g. pointing, showing, waving)
- Not using two part babble (e.g. bubu, dada)

Answer options for 4d802a6d-c89e-4460-8091-874f855be4ad

- No babbled phrases that sound like talking
- No response to familiar words (e.g. bottle, daddy)

Answer options for b8e1a699-ed65-491f-9865-8ab855bb2d33

- No clear words
- Cannot understand short requests (e.g. 'Where is the ball?')

Answer options for 6c3637ed-4afd-45be-a15c-9d5e7d8e78e8

- Not learning new words
- Not putting words together (e.g. 'push car')

Answer options for 25d67a2f-8bbe-4f79-9488-1682d2ce49fa

- Speech is difficult for familiar people to understand
- Not using simple sentences (e.g. big car go)

Answer options for f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005

- Speech difficult to understand
- Not able to follow directions with two steps (e.g. 'Put your bag away and then go play')

Answer options for 3e06438a-ee7d-4880-83aa-68d2ade997ce

- Difficulty telling a parent what is wrong
- Not able to answer questions in a simple conversation (e.g. What's your name? Who is your family?)

Answer options for 49d172b4-bc2f-46cd-95a8-2f3ecba8e852

- Not reaching for and holding (grasping) toys
- Hands frequently clenched
- Does not explore objects with hand and mouth
- Does not bring hands together at midline

Answer options for 785ec313-7b25-4d0d-9421-382981286cbc

- Does not hold objects
- Does not 'give' objects on request
- Cannot move toy from one hand to another

Answer options for 2c2b263e-41a5-4dae-94e1-814f5bfca20a

- Does not feed self finger foods or hold own bottle/cup
- Unable to pick up small items using index finger and thumb

Answer options for d6d7d675-0fee-466d-85e8-5dae46adac40

- Does not scribble with a crayon
- Does not attempt to stack blocks after demonstration

Answer options for c48e4138-0952-49a7-9c77-14b3e6d1dad3

- Does not attempt to feed self using a spoon and/or help with dressing

Answer options for 433e768c-8458-476a-8330-3f59a4aa94b4

- Does not attempt everyday care skills (such as feeding or dressing)
- Difficulty in manipulating small objects (e.g. threading beads)

Answer options for 06d96181-2b2d-48de-b80f-bd5ccb2fb3c1

- Not toilet trained by day
- Not able to draw lines and circles

Answer options for e08345d3-a919-4bf0-8775-5df84a173832

- Concerns from teacher about school readiness
- Not independently able to complete everyday routines such as feeding and dressing
- Cannot draw simple pictures (e.g. stick person)

Answer options for 7f3861fd-b9f0-489d-8a39-5fdd18eeaf0e

- Not holding head and shoulders up with good control when lying on tummy
- Not holding head with good control in supported sitting

Answer options for 68809920-fbf4-48e5-89f7-c0b49a8b8f78

- Not rolling
- Not sitting independently/ without support
- Not moving (eg creeping, crawling)
- Not taking weight on legs when held in standing

Answer options for 5cf7c9bc-b3ec-43ac-8de8-65078f57a82b

- No form of independent mobility (e.g. crawling, commando crawling, bottom shuffle)
- Not pulling to stand independently and holding on for support

Answer options for a1137862-767c-49fb-883b-92bee7588edc

- Not standing independently
- Not attempting to walk without support

Answer options for dd83d558-6a7f-4b94-b677-7c2b31ccc52f

- Not able to walk independently
- Not able to walk up and down stairs holding on

Answer options for 5ea4460c-a4c5-4025-bf85-64884a66458f

- Not able to walk up and down stairs independently
- Not able to run or jump

Answer options for 75b597b4-3b38-4efd-aeb2-ab1551d83c3c

- Not able to walk, run, climb, jump and uses stairs confidently
- Cannot catch, throw or kick a ball

Answer options for f23ac52c-2064-4032-b283-6ce09fc306fa

- Not able to walk, run, climb, jump and use stairs confidently
- Not able to hop five times on one leg and stand on one leg for five seconds

Answer options for 758d4109-363a-48c9-95f3-8a8d8b1b32ec

- Strong parental concerns
- Significant loss of skills
- Lack of response to sound or visual stimuli
- Poor interaction with adults or other children
- Lack of, or limited eye contact
- Differences between right and left sides of body in strength, movement or tone
- Marked low tone (floppy) or high tone (stiff and tense) and significantly impacting on development and functional motor skills

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 dedfc83e-7451-404d-bd24-97b1254304eb

- Clear and intact
- Dull and intact
- Discharge
- Retracted
- Unable to view eardrum
- Wax
- Grommet in canal
- Grommet in eardrum
- Perforation
- Red/bulging

Answer options for 23daa784-4476-447f-8aa2-42933b4490d9

- Clear and intact
- Dull and intact
- Discharge
- Retracted
- Unable to view eardrum
- Wax
- Grommet in canal
- Grommet in eardrum
- Perforation
- Red/bulging

Answer options for 079df9c5-234c-4129-8769-800dab47a59a

- Clear and intact
- Dull and intact
- Discharge
- Retracted
- Unable to view eardrum
- Wax

Answer options for ce1fc869-a412-4aea-aa53-36e794a14519

- Clear and intact
- Dull and intact
- Discharge
- Retracted
- Unable to view eardrum
- Wax

Answer options for 28ff9463-b77f-435d-9ba7-427682a61f96

- High Risk
- Intermediate Risk
- Low Risk

Answer options for 333007c7-47a9-482b-af11-e55484abf2ae

- http://snomed.info/sct#266919005 ("Lifetime non-smoker")
- http://snomed.info/sct#77176002 ("Current smoker")
- http://snomed.info/sct#8517006 ("Ex-smoker")
- http://snomed.info/sct#16090371000119103 ("Exposure to second hand tobacco smoke")
- Wants to quit
- Other tobacco use

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

## Contained Resources

This ValueSet requires the Code system Supplement Health Checks Expanded Yes No Indicator Supplement.

Expansion based on:

- codesystem expandedYes-NoIndicator v2.0.0 (CodeSystem)
- supplement Health Checks Expanded Yes No Indicator Supplement v0.3.0 (CodeSystem)

This value set contains 3 concepts

System | Version | Code | Display
`http://terminology.hl7.org/CodeSystem/v2-0532` | 2.0.0 | `Y` | Yes
`http://terminology.hl7.org/CodeSystem/v2-0532` | 2.0.0 | `N` | No
`http://terminology.hl7.org/CodeSystem/v2-0532` | 2.0.0 | `NA` | N/A

This ValueSet requires the Code system Supplement Health Checks Australian Indigenous Status Supplement.

Expansion based on:

- codesystem australian-indigenous-status-1 version 1.0.5
- supplement Health Checks Australian Indigenous Status Supplement v0.3.0 (CodeSystem)

This value set contains 3 concepts

System | Version | Code | Display
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1` | 1.0.5 | 1 | Aboriginal
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1` | 1.0.5 | 2 | Torres Strait Islander
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-indigenous-status-1` | 1.0.5 | 3 | Aboriginal and Torres Strait Islander

Expansion based on:

- codesystem NullFlavor v3.0.0 (CodeSystem)
- codesystem RoleCode v3.0.0 (CodeSystem)

This value set contains 4 concepts

System | Code | Display (en-US)
`http://terminology.hl7.org/CodeSystem/v3-RoleCode` | MTH | mother
`http://terminology.hl7.org/CodeSystem/v3-RoleCode` | FTH | father
`http://terminology.hl7.org/CodeSystem/v3-RoleCode` | GRPRN | grandparent
`http://terminology.hl7.org/CodeSystem/v3-NullFlavor` | NA | not applicable

Profile: Shareable ValueSet

Expansion based on codesystem AdministrativeGender v4.0.1 (CodeSystem)

This value set contains 4 concepts

System | Code | Display (en-US) | v2 map for AdministrativeGender | v3 map for AdministrativeGender
`http://hl7.org/fhir/administrative-gender` | male | Male | ~M | ~M
`http://hl7.org/fhir/administrative-gender` | female | Female | ~F | ~F
`http://hl7.org/fhir/administrative-gender` | other | Other | <A <O | <UN
`http://hl7.org/fhir/administrative-gender` | unknown | Unknown | ~U | ~UNK

Expansion based on:

- Loinc v2.80
- codesystem DataAbsentReason v1.0.0 (CodeSystem)

This value set contains 7 concepts

System | Code | Display (en-US)
`http://loinc.org` | LA29518-0 | he/him/his/his/himself
`http://loinc.org` | LA29519-8 | she/her/her/hers/herself
`http://loinc.org` | LA29520-6 | they/them/their/theirs/themselves
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | unknown | Unknown
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-declined | Asked But Declined
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | not-asked | Not Asked
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-unknown | Asked But Unknown

Expansion based on:

- SNOMED CT Australian Edition edition 31-Oct 2025
- codesystem DataAbsentReason v1.0.0 (CodeSystem)

This value set expansion contains 6 concepts.

System | Code | Display (en)
`http://snomed.info/sct` | 446151000124109 | Identifies as male gender
`http://snomed.info/sct` | 446141000124107 | Identifies as female gender
`http://snomed.info/sct` | 33791000087105 | Identifies as nonbinary gender
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | unknown | Unknown
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-declined | Asked But Declined
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | not-asked | Not Asked

Profiles: Shareable ValueSet, `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

Expansion based on:

- SNOMED CT Australian Edition edition 31-Oct 2025
- codesystem DataAbsentReason v1.0.0 (CodeSystem)

This value set expansion contains 8 concepts.

System | Code | Display (en)
`http://snomed.info/sct` | 248152002 | Female
`http://snomed.info/sct` | 32570681000036106 | Indeterminate sex
`http://snomed.info/sct` | 32570691000036108 | Intersex
`http://snomed.info/sct` | 248153007 | Male
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-unknown | Asked But Unknown
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | unknown | Unknown
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-declined | Asked But Declined
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | not-asked | Not Asked

Profiles: Shareable ValueSet, `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

Expansion based on codesystem australian-states-territories-1 version 1.1.3

This value set contains 9 concepts

System | Code | Display (en-US)
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | ACT | Australian Capital Territory
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | NSW | New South Wales
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | NT | Northern Territory
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | OTHER | Other territories
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | QLD | Queensland
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | SA | South Australia
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | TAS | Tasmania
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | VIC | Victoria
`https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1` | WA | Western Australia

Expansion based on codesystem expandedYes-NoIndicator v2.0.0 (CodeSystem)

This value set contains 2 concepts

System | Code | Display
`http://terminology.hl7.org/CodeSystem/v2-0532` | `Y` | Yes
`http://terminology.hl7.org/CodeSystem/v2-0532` | `N` | No

Expansion based on codesystem Condition Clinical Status Codes v3.0.0 (CodeSystem)

This value set contains 7 concepts

Level | System | Code | Display (en-US)
1 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | active | Active
2 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | recurrence | Recurrence
2 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | relapse | Relapse
1 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | inactive | Inactive
2 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | remission | Remission
2 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | resolved | Resolved
1 | `http://terminology.hl7.org/CodeSystem/condition-clinical` | unknown | Unknown

Profiles: Shareable ValueSet, `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept in 32570581000036105 (Problem/Diagnosis reference set)

clinicalStatus: Active

category: Problem List Item

code:

subject: ?rref?

onset: `Extract Template - Extract value:` item.where(linkId='4d55bffb-3286-4a23-a785-3b9c346d464d').answer.value.toDateTime()

note:

## Parameters

operation |
type | add
path | Condition
name | clinicalStatus
value |
pathLabel | Clinical status
operation |
type | add
path | Condition
name | abatement
value | `Extract Template - Extract value:` item.where(linkId='e4524654-f6de-4717-b288-34919394d46b').answer.value.first()
pathLabel | Abatement date

- Include codes from`http://snomed.info/sct` version 📍 where constraint = ^ 929360081000036101|Medicinal product pack reference set| OR ^ 929360071000036103|Medicinal product unit of use reference set| OR ^ 929360041000036105|Trade product pack reference set| OR ^ 929360031000036100|Trade product unit of use reference set| OR ^ 929360051000036108|Containered trade product pack reference set|

Profiles: Shareable ValueSet, `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where constraint = ^32570581000036105|Problem/Diagnosis reference set| OR ^1184831000168105|Drug prophylaxis reference set| OR <<399097000|Administration of anaesthesia| OR 169443000|Preventive procedure|

status: active

status: recorded

subject: ?rref?

dateAsserted: `Extract Template - Extract value:` now()

note:

### Dosages

- | Extension | Text
* |  | `Extract Template - Extract value:` $this

## Parameters

operation |
type | add
path | MedicationStatement
name | status
value |
pathLabel | Status
operation |
type | add
path | `Extract Template - Extract value:` iif(item.where(linkId='regularmedications-summary-current-dosage-hidden').answer.value.exists(), 'MedicationStatement.dosage[0]', 'MedicationStatement')
name | `Extract Template - Extract value:` iif(item.where(linkId='regularmedications-summary-current-dosage-hidden').answer.value.exists(), 'text', 'dosage')
| `Extract Template - Extract value:` iif(item.where(linkId='regularmedications-summary-current-dosage-hidden').answer.value.exists(), item.where(linkId='regularmedications-summary-current-dosage').answer.value.first())
| No display for Dosage
pathLabel | Dosage
operation |
type | add
path | `Extract Template - Extract value:` iif(item.where(linkId='regularmedications-summary-current-comment-hidden').answer.value.exists(), 'MedicationStatement.note[0]', 'MedicationStatement')
name | `Extract Template - Extract value:` iif(item.where(linkId='regularmedications-summary-current-comment-hidden').answer.value.exists(), 'text', 'note')
pathLabel | Comment

Expansion based on codesystem Medication status codes v4.0.1 (CodeSystem)

This value set contains 4 concepts

System | Code | Display
`http://hl7.org/fhir/CodeSystem/medication-statement-status` | active | Active
`http://hl7.org/fhir/CodeSystem/medication-statement-status` | completed | Completed
`http://hl7.org/fhir/CodeSystem/medication-statement-status` | stopped | Stopped
`http://hl7.org/fhir/CodeSystem/medication-statement-status` | on-hold | On Hold

clinicalStatus: Active

code:

patient: ?rref?

note:

> reaction

> manifestation: No display for AllergyIntolerance.reaction.manifestation (concept: null), No display for AllergyIntolerance.reaction.manifestation (concept: )

## Parameters

operation |
type | add
path | AllergyIntolerance
name | clinicalStatus
value |
pathLabel | Clinical status
operation |
type | add
path | `Extract Template - Extract value:` iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'AllergyIntolerance.note[0]', 'AllergyIntolerance')
name | `Extract Template - Extract value:` iif(item.where(linkId='allergysummary-comment-hidden').answer.value.exists(), 'text', 'note')
pathLabel | Comment

Expansion based on codesystem AllergyIntolerance Clinical Status Codes v1.0.0 (CodeSystem)

This value set contains 2 concepts

System | Code | Display
`http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical` | active | Active
`http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical` | inactive | Inactive

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.

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)

This value set expansion contains 2 concepts.

System | Version | Code | Display
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 48031000119106 | Quit >12 months
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 735128000 | Quit <12 months

This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.

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)

This value set expansion contains 6 concepts.

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

Expansion based on:

- codesystem DataAbsentReason v1.0.0 (CodeSystem)
- codesystem expandedYes-NoIndicator v2.0.0 (CodeSystem)

This value set contains 4 concepts

System | Code | Display
`http://terminology.hl7.org/CodeSystem/v2-0532` | `Y` | Yes
`http://terminology.hl7.org/CodeSystem/v2-0532` | `N` | No
`http://terminology.hl7.org/CodeSystem/v2-0532` | `NASK` | Not Asked
`http://terminology.hl7.org/CodeSystem/data-absent-reason` | asked-declined | Asked But Declined

This ValueSet requires the Code system Supplement SNOMED CT Supplement for Aboriginal and Torres Strait Islander Health Check.

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)

This value set expansion contains 4 concepts.

System | Version | Code | Display
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 736595007 | Declined
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 410527000 | Offered
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 171154002 | Not required
`http://snomed.info/sct` | http://snomed.info/sct/32506021000036107/version/20251031 | 171155001 | Up to date

Profiles: Shareable ValueSet, `https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4`

- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept in 1156291000168106 (Vaccine reference set)

status: Completed

vaccineCode:

lotNumber: `Extract Template - Extract value:` item.where(linkId='vaccinestoday-batch').answer.value

patient: ?rref?

occurrence: `Extract Template - Extract value:` item.where(linkId='vaccinestoday-date').answer.value.toDateTime()

note:

Expansion based on SNOMED CT Australian Edition edition 31-Oct 2025

This value set expansion contains 2 concepts.

System | Code | Display (en)
`http://snomed.info/sct` | 933506231000036108 | Regular heart rhythm
`http://snomed.info/sct` | 361137007 | Irregular heart rhythm

status: Final

category: Vital Signs

code: Height

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-height-newdate').answer.value.toDateTime()

value: cm (Details: UCUM codecm = 'cm')

status: Final

category: Vital Signs

code: Height

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-lengthheight-newdate').answer.value.toDateTime()

value: cm (Details: UCUM codecm = 'cm')

status: Final

category: Vital Signs

code: Weight

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-weight-newdate').answer.value.toDateTime()

value: kg (Details: UCUM codekg = 'kg')

status: Final

category: Vital Signs

code: Waist circumference

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-waistcircumference-newdate').answer.value.toDateTime()

value: cm (Details: UCUM codecm = 'cm')

status: Final

category: Vital Signs

code: Head circumference

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-headcircumference-newdate').answer.value.toDateTime()

value: cm (Details: UCUM codecm = 'cm')

status: Final

category: Vital Signs

code: Heart rate

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-heartrate-newdate').answer.value.toDateTime()

value: /min (Details: UCUM code/min = '/min')

status: Final

category: Vital Signs

code: Heart rhythm

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='obs-heartrhythm-newdate').answer.value.toDateTime()

value:

status: Final

category: Vital Signs

code: Blood pressure

subject: ?rref?

effective: `Extract Template - Extract value:` %resource.repeat(item).where(linkId='bp-newbp-date').answer.value.toDateTime()

> component

> code: Systolic

> value: mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

> component

> code: Diastolic

> value: mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')