Smart Health Checks
0.3.0-draft - trial-use Australia flag

This page is part of the Smart Forms (v0.3.0-draft: R1 Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Example Patient: pat-sf

Clever Form Female, DoB: 1968-10-11 ( Medicare Number: 69514496771 (, period: (?) --> 2024-08))


Other Id:IHI/8003608833357361
Alt. Name:Mrs. Smart Form(Official)
Contact Detail
  • ph: 0491 572 665(Mobile)
  • ph: 0123456879(Home)
  • 4 Brisbane Street Brisbane QLD 4112 AU (home)
  • PO Box Number Brisbane QLD 4112 AU (temp)
Language:Yugambal
Emergency Contact:
  • Ms Phone A Friend
  • ph: 0987654321
Individual Pronouns:
  • value: they/them/their/theirs/themselves
  • period: 2018-02 --> 2022-06
Individual Pronouns:
  • value: she/her/her/hers/herself
  • period: 2022-06 --> (ongoing)
Person Recorded Sex Or Gender:
  • value: Female
  • type: Sex at Birth
  • effectivePeriod: 2022-06 --> (ongoing)
Person Recorded Sex Or Gender:
  • value: Indeterminate sex
  • type: Sex at Birth
  • effectivePeriod: 2018-02 --> 2022-06
Australian Indigenous Statusaustralian-indigenous-status-1 1: Aboriginal but not Torres Strait Islander origin
Individual Gender Identity:
  • value: Identifies as female gender