This page is part of the Smart Forms (v0.2.0-draft: R1 Draft) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, 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: 0.1.0-assembled | |||
| Draft as of 2024-04-02 | 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/. |
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Aboriginal and Torres Strait Islander Health Check assessment form.
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:
- Infants and preschool (birth-5 years)
- Primary school age (5-12 years)
- Adolescents and young people (12-24 years)
- Adults (25-49 years)
- Older people (50+ years)
These example templates can be downloaded from the RACGP.
This resource is FHIR Questionnaire representation of the templates above.
Generated Narrative: Questionnaire AboriginalTorresStraitIslanderHealthCheck
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  AboriginalTorresStraitIslanderHealthCheck | Aboriginal and Torres Strait Islander Health Check assessment form. | Questionnaire | http://www.health.gov.au/assessments/mbs/715#0.1.0-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 = | |
| RecordUpdate-About | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
 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 | date | ||
| 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 = | |
| RecordUpdate-Patient | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
| 17596726-34cf-4133-9960-7081e1d63558 | Name | 0..1 | string | | |
| 57093a06-62f7-4b8b-8cb4-2c9f451ac851 | Preferred name | 0..1 | string | | |
| 540b1034-7c9a-4aba-a9ef-afb77d445a58 | Preferred pronouns | 0..1 | choice | | Value Set: Australian Pronouns |
| f669a4fe-4818-429a-8847-d20da88d2bb3 | Gender identity | 0..1 | choice | | Value Set: Gender Identity Response |
| 418e4a02-de77-48a0-a92a-fe8fcc52b1aa | Administrative gender | 0..1 | choice |  | Value Set: AdministrativeGender |
| 56ef44bb-3d1d-4972-aad1-834b69185d61 | Sex assigned at birth | 0..1 | choice | | Value Set: Biological Sex |
| 90ad8f16-16e4-4438-a7aa-b3189f510da2 | Date of birth | 0..1 | date | | |
 e2a16e4d-2765-4b61-b286-82cfc6356b30 | Age | 0..1 | integer | | |
| 8acde9f8-7a91-4f0c-9216-38531ec984ef | Aboriginal and/or Torres Strait Islander status | 0..1 | choice | | Value Set: Aboriginal and/or Torres Strait Islander |
| c8852db9-efe9-4102-96db-cef3a8be0a5f | Parents/primary carer/s | 0..* | choice | Value Set: Primary Carer Of Parent Or Grandparent | |
| 7089c48e-4216-4089-a548-034cd585e4da | Other family | 0..* | string | ||
| 70c45932-99dc-42a3-9650-4683892a0892 | details | 0..1 | display | ||
| 42b1f5e0-bf4a-47d9-86a4-f2fe946ac01f | Other | 0..* | string | ||
| dcbd3a54-9b68-4486-bf30-f6f1723bc39c | details | 0..1 | display | ||
| 06737e46-e880-4037-9a2c-bcd278cd70ba | Parents/primary carer/s details | 0..* | group | ||
| cc20ce96-af06-4cd7-aa9b-c2601a6169ad | Name of parent/primary carer | 0..1 | string | ||
| 372d79bb-9d0b-42d2-a98c-cbe332bd3745 | Relationship to child | 0..1 | string | ||
| f1262ade-843c-4eba-a86d-51a9c97d134b | Home address | 0..1 | group | ||
| 311d83bb-f22e-4f60-9b50-b6e38dd2059b | No fixed address | 0..1 | boolean | Definition: Address.extension:noFixedAddress | |
| 4e0dc185-f83e-4027-b7a8-ecb543d42c6d | null | 0..* | group | Enable When: 311d83bb-f22e-4f60-9b50-b6e38dd2059b != | |
| 2fee2d51-7828-4178-b8c1-35edd32ba338 | Street address | 0..1 | string | Definition: Address.line | |
| ddb65ed1-f4b2-4730-af2a-2f98bc73c76f | City | 0..1 | string | Definition: Address.city | |
| d9a1236c-8d6e-4f20-a12a-9d5de5a1d0f6 | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
| 3f61a1ea-1c74-4f52-8519-432ce861a74f | Postcode | 0..1 | string | Definition: Address.postalCode | |
| edc081ea-b5ba-4234-9234-8ee598c2f95f | Postal address | 0..* | group | | |
| 622970f1-3cf1-4f0a-bf05-b00a08046eba | Purpose of use | 0..1 | string | Definition: Address.use | |
| 2e8437cd-5ea0-4d44-8ab2-d2aa9ef18ba7 | Address | 0..1 | string | Definition: Address.line | |
| 2bde25e5-2c4c-4c0c-b6f3-c6859535a764 | City | 0..1 | string | Definition: Address.city | |
| b41a8b11-8dbf-4999-9d0a-71d39240fed1 | State | 0..1 | choice | Definition: Address.state Value Set: Australian States and Territories | |
| 28b58e50-2a04-4192-9655-efc8d72f32fa | Postcode | 0..1 | string | Definition: Address.postalCode | |
| 9541f0b0-f5ba-4fe7-a8e9-ad003cef897b | Home phone | 0..* | string | ||
| 4037a02b-4a85-40e0-9be6-5b17df1aac56 | Mobile phone | 0..* | string | ||
| c22390d3-1be6-4fd1-b775-6443b7239a6b | Emergency contact | 0..* | group | ||
| d7f2dd75-20c8-480f-8c22-71d604ebee8d | Name | 0..1 | string | ||
| aa35d559-f45b-4d35-9453-dd02e4a790f3 | Relationship to child | 0..1 | string | ||
| 27099697-d6d1-42c0-bb0a-5e9ff7372a96 | Relationship to patient | 0..1 | string | ||
| 626e3723-6310-4b99-81c1-525676b027c8 | Phone | 0..* | string | ||
| df1475ea-bf7e-4bf0-a69f-7f9608c3ed3c | Medicare number | 0..1 | group | ||
| eb2a59ed-9632-4df1-b5b1-1e85c3b4b7cf | Number | 0..1 | string | ||
| d6253253-a124-494e-a1d8-7ce02c69ec11 | Reference number | 0..1 | string | ||
| c520e213-5313-42c3-860a-d30206620290 | Expiry | 0..1 | string | ||
| c1e4e967-c0aa-4280-b5d4-ab1f375ed9ac | Pensioner Card Number | 0..1 | string | Max Length: 10 | |
| a7e97574-3cea-4dfa-bef2-2665e7748364 | Health Care Card Number | 0..1 | string | Max Length: 10 | |
| 83814495-3a81-43f4-88df-42186cce516a | Registered for Closing the Gap PBS Co-payment Measure (CTG) | 0..1 | choice | | Value Set: Yes/No/NA |
| e63547c6-1623-412f-963f-5f1ebf23563f | Child has a birth certificate | 0..1 | choice | | Value Set: Yes/No/NA |
| a8143230-b30d-4b85-9805-5f2f73f2dffa | My Aged Care | 0..1 | group | ||
| 7165c072-e3d8-4564-9d1d-d17f6807787c | Registered for My Aged Care | 0..1 | choice | | Value Set: Yes/No/NA |
| 04e50521-dc85-4744-b7ab-6f8682aacb11 | My Aged Care Number | 0..1 | string | Enable When: 7165c072-e3d8-4564-9d1d-d17f6807787c = | |
| 2bfe50cb-7913-4f31-bce2-763c17ff8b1a | National Disability Insurance Scheme | 0..1 | group | ||
| 924b4500-53ac-4c4e-831b-7ab5569ff981 | Registered for NDIS | 0..1 | choice | | Value Set: Yes/No/NA |
| 7379a0fd-d95b-4ecb-a781-9f43d1394f10 | NDIS Number | 0..1 | string | Enable When: 924b4500-53ac-4c4e-831b-7ab5569ff981 = | |
| 9bc882bc-e989-4600-9587-8089fb757641 | Children | 0..1 | group | ||
| e90b436b-2751-4e07-a40c-adfe951b6528 | Do you have children? | 0..1 | choice | | Value Set: Yes/No/NA |
| 241f5fca-f61a-49bd-8972-52613c0e6d15 | Number of children | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
| 74ce4c60-31d6-4e78-9056-579937379451 | Number of children in your care | 0..1 | integer | Enable When: e90b436b-2751-4e07-a40c-adfe951b6528 = | |
| 2b5ae784-4341-4172-875d-1698cc8069f0 | Someone's carer | 0..1 | group | ||
| a08271f1-194b-4fe9-91f9-4f3398858eb0 | Are you responsible for caring for someone else? | 0..1 | choice | | Value Set: Yes/No/NA |
| 4c14b158-3ae4-4994-8446-76e02640702c | Details | 0..1 | text | Enable When: a08271f1-194b-4fe9-91f9-4f3398858eb0 = | |
| 6c80c675-1320-4ca3-ae3f-51ad173da741 | Your carer | 0..1 | group | ||
| d05558fb-a3cc-4bd6-b803-b672b36b9c51 | Do you have a carer? | 0..1 | choice | | Value Set: Yes/No/NA |
| b9991e7e-ce03-465d-b4b0-5a1725b24e02 | Details | 0..1 | text | Enable When: d05558fb-a3cc-4bd6-b803-b672b36b9c51 = | |
| 3494631c-6b56-46dc-abf7-a17bfc1d025f | Providers | 0..1 | group | ||
| 41210be5-d441-4c44-b9c2-8dd94a44cbb4 | Are name and contact details of other key providers (eg case workers, support services) up to date? | 0..1 | choice | | Value Set: Yes/No/NA |
| 6733d6ec-5b6b-4ee2-a21e-0e9474c2b22b | Details | 0..1 | text | ||
| 38f81a73-447f-4ecd-a8eb-6eccd9dee050 | Advance care planning | 0..1 | group | ||
| c023ef16-b554-4ed9-8993-1331e5f5a3b4 | Enduring Power of Attorney | 0..1 | group | ||
| 036eace9-ea83-46ec-9d01-f2093f710816 | Enduring Power of Attorney | 0..1 | choice | | Value Set: Yes/No/NA |
| 83518215-7151-4365-b745-d7464bbb9528 | Discussed today | 0..1 | text | ||
| c4f68251-26af-462f-879a-a69b449066ff | Advance Health Directive | 0..1 | group | ||
| b0632039-c12b-4748-9e94-52073590c0ba | Advance Health Directive | 0..1 | choice | | Value Set: Yes/No/NA |
| c4bc2d84-e411-488d-9c0d-761f0377a026 | Discussed today | 0..1 | text | ||
| MarkComplete-32 | Mark section as complete | 0..1 | boolean | ||
| 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 | ||
| 3ac0c629-9acc-48af-bafe-6b05dfd06281 | details | 0..1 | display | ||
| a0c06f8d-3210-480b-9031-7b5eb5bf1dda | Is there anything you are worried about? | 0..1 | text | ||
| 43fb3316-64a4-41dc-b12c-2f3fcee3eb84 | details | 0..1 | display | ||
| 96f3396e-f5f8-4347-8692-9abdecb97768 | Is there anything that you are worried about with your child's health or wellbeing? | 0..1 | text | ||
| 75b39c42-8a15-4fdf-9129-936072336456 | details | 0..1 | display | ||
| 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 | ||
| bb176839-5cc8-4fb5-a919-0904968418be | details | 0..1 | display | ||
| 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 = | |
| RecordUpdate-MedHistory | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
 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 | ||
| 92bd7d05-9b5e-4cf9-900b-703f361dad9d | Medical history and current problems list | 0..* | group | ||
| 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 | |
| 6ae641ad-95bb-4cdc-8910-5a52077e492c | Onset Date | 0..1 | date | ||
| 18b9e159-2ed7-4047-82b7-deb2a171de4f | Recorded Date | 0..1 | date | ||
| 4484cacd-a260-4e5f-83c1-168ca2396c04 | New diagnoses list | 0..* | group | ||
| 2da85994-2d5e-42f1-8a81-abf44f397468 | Condition | 0..1 | open-choice | Value Set: Clinical Condition | |
| a7e056be-fb6f-4f7f-b04d-5b809e1e18e3 | Clinical Status | 0..1 | choice | Value Set: Condition Clinical Status Codes | |
| e4524654-f6de-4717-b288-34919394d46b | Onset Date | 0..1 | date | ||
| 5bc1d8f4-6e8c-4695-916c-1ef767306e46 | Recorded Date | 0..1 | date | ||
| 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: check if still required, appropriate dose, understanding of medication and adherence | 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 = | |
| 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 | Up to date in the health record? | 0..1 | boolean | Enable When: | |
| 36290837-ad70-48b2-9c66-31533fec918b | Medication understanding and adherence has been checked with patient | 0..1 | boolean | Enable When: | |
| aa9ff2ed-bcd2-406d-a9ff-89c201df2605 | Health priorities, actions and follow-up | 0..1 | text | ||
| MarkComplete-23 | Mark section as complete | 0..1 | boolean | ||
| d4e4db07-a795-4a30-bd0f-9c109f96a22b | 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 = | |
| 8a1d70bf-a68b-4b7b-be73-ba6956fccc78 | Up to date in the health record? | 0..1 | boolean | ||
| 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 | ||
| 9bc2daf9-6d13-4747-90c3-4a1862f6199a | Details | 0..1 | display | ||
| df5b2081-a373-48ee-acab-96225dad3c1d | Provide relevant family history information (including diabetes, heart disease, cancer, mental health) | 0..1 | text | ||
| 8f801e02-bfe8-437f-ba51-07c8f3631a0e | Details | 0..1 | display | ||
| 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 | ||
| 2740f866-2cd7-41a1-912c-ba29cbe7a582 | Details | 0..1 | display | ||
| 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 | ||
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| CD-complete-12 | Complete | 0..1 | display | Enable When: MarkComplete-12 = | |
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| CD-complete-15 | Complete | 0..1 | display | Enable When: MarkComplete-15 = | |
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| CD-complete-19 | Complete | 0..1 | display | Enable When: MarkComplete-19 = | |
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| CD-in-progress-18 | In progress | 0..1 | display | Enable When: MarkComplete-18 != | |
| CD-complete-18 | Complete | 0..1 | display | Enable When: MarkComplete-18 = | |
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| CD-in-progress-4 | In progress | 0..1 | display | Enable When: MarkComplete-4 != | |
| CD-complete-4 | Complete | 0..1 | display | Enable When: MarkComplete-4 = | |
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| CD-complete-24 | Complete | 0..1 | display | Enable When: MarkComplete-24 = | |
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| 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 | ||
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| c4c51d01-7acf-4551-a652-82f9fdf58a6d | Unintended weight loss | 0..1 | group | ||
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| 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 | ||
| d3c0033f-20d0-40ab-b4d5-6eb3f67be492 | details | 0..1 | display | ||
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| CD-complete-34 | Complete | 0..1 | display | Enable When: MarkComplete-34 = | |
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| e24d487b-3dd4-4a6d-a58e-85dfa8ce3f36 | Screen time concerns | 0..1 | group | ||
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| 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 | ||
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| 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 | ||
| 64c5bab2-575b-4304-bb50-3840bae351ea | Details | 0..1 | display | ||
| b2269be8-3ea5-494c-9368-06912b629789 | Document conversation about social connection, which could include questions about sports/hobbies/clubs/other activities | 0..1 | text | ||
| d35063fc-688b-4fab-ae3a-9aae18806043 | Details | 0..1 | display | ||
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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 = | |
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| 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 | ||
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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 = | |
| RecordUpdate-SubstanceUse | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
| 515eda6e-973a-4b10-910a-0d4bf4f2efff | Smoking | 0..1 | group | ||
| b639a3a8-f476-4cc8-b5c7-f5d2abb23511 | Smoking status | 0..1 | choice | Options: 6 options | |
| 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: | |
| 32e71641-f660-4ca2-af99-dff8917f07be | How long as a smoker? | 0..1 | string | Enable When: | |
| 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 | ||
| 232cf24c-db60-4601-869d-525fb6e05988 | details | 0..1 | display | ||
| 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: | |
| 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: | |
| 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 | ||
| 39ddbf92-847d-4c98-adff-6aa3013f8b39 | Details | 0..1 | display | ||
| 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: | |
| 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 | ||
| 03f9df0e-dd04-43b2-b556-ff65a70c5a0d | Details | 0..1 | display | ||
| 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 = | |
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| d77c527d-6fde-4ed7-97b9-c71acf817f39 | Eligibility for funded vaccines may vary across jurisdictions | 0..1 | display | ||
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| CD-in-progress-7 | In progress | 0..1 | display | Enable When: MarkComplete-7 != | |
| CD-complete-7 | Complete | 0..1 | display | Enable When: MarkComplete-7 = | |
| RecordUpdate-Exam | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first. | 0..1 | display | ||
| 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 | ||
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| a709b8ec-9e65-40f0-a781-500cb3e56f3c | kg/m2 | 0..1 | display | ||
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| 49029ef0-eaa8-44f8-b26a-177820c82dfd | Value | 0..1 | integer | ||
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| 99a8eb6f-a36a-4daf-99d7-27bfde0d4bb1 | Value | 0..1 | choice | Options: 2 options | |
| eeb56682-0eae-4428-9c37-0e63852026c0 | Date performed | 0..1 | date | ||
| 3639c586-9576-48d3-a52b-e91fd2138581 | null | 0..1 | group | ||
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| 197d212d-72cc-4c85-91dc-2f030d384391 | mm Hg | 0..1 | display | ||
| 867b0022-f812-4f80-b287-79686c972b15 | Diastolic | 0..1 | integer | ||
| 416ee494-4fa2-4b29-af0b-3d022f686e39 | mm Hg | 0..1 | display | ||
| a005050c-ed79-46ed-ac14-2fc1496059a5 | 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 = | |
| RecordUpdate-CVDRisk | Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there. | 0..1 | display | ||
| Guidance-CVDRisk | Australian CVD risk calculator - https://www.cvdcheck.org.au/calculator | 0..1 | display | ||
| 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 | |
| bac0f824-3784-400e-80f9-ad18d46bd8cb | Smoking status | 0..1 | choice | Options: 6 options | |
| fe9feec6-593a-4106-8a7d-f9965a632ea2 | null | 0..1 | group | ||
| 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 | ||
| dabdc7b4-51db-44a0-9d59-77a88587cbe9 | CVD risk result | 0..1 | group | ||
| 4c52fcec-0695-4916-b185-24a5c2711631 | Calculated risk | 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 | |
| 041a589e-7bb5-441d-a4ba-a22db8040b3f | Reclassification decision | 0..1 | choice | Options: 3 options | |
| 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: | |
| a400fe69-c99f-47ed-bee1-083c3e4be467 | Recalls entered (eg clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations) | 0..* | group | ||
| 40e3933d-77bb-40f3-8609-0c38ebb4421e | recall-subject | 0..1 | string | | Definition: http://aehrc.com/fhir/StructureDefinition/AUPrimaryCareFollowUp#CarePlan.subject.reference |
| fece6a3c-f8f1-4592-a166-5ea5a3c60c8e | Recall | 0..1 | text | Definition: http://aehrc.com/fhir/StructureDefinition/AUPrimaryCareFollowUp#CarePlan.title | |
| 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 offerered - 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#413817003 ("Child day care 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 pay early turn taking games (eg 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 (eg 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 (eg aahh, oohh)
Answer options for dfb86be5-b6ff-400e-b7d6-68701df086da
- Not using gestures (eg pointing, showing, waving)
- Not using two part babble (eg bubu, dada)
Answer options for 4d802a6d-c89e-4460-8091-874f855be4ad
- No babbled phrases that sound like talking
- No response to familiar words (eg bottle, daddy)
Answer options for b8e1a699-ed65-491f-9865-8ab855bb2d33
- No clear words
- Cannot understand short requests (eg 'Where is the ball?')
Answer options for 6c3637ed-4afd-45be-a15c-9d5e7d8e78e8
- Not learning new words
- Not putting words together (eg 'push car')
Answer options for 25d67a2f-8bbe-4f79-9488-1682d2ce49fa
- Speech is difficult for familiar people to understand
- Not using simple sentences (eg big car go)
Answer options for f00b5ae1-cc33-44f9-bd9b-f9b6c93cc005
- Speech difficult to understand
- Not able to follow directions with two steps (eg '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 (eg 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 (eg 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 (eg 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 (eg 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 b639a3a8-f476-4cc8-b5c7-f5d2abb23511
- 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 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 99a8eb6f-a36a-4daf-99d7-27bfde0d4bb1
- http://snomed.info/sct#271636001 ("Pulse regular")
- http://snomed.info/sct#61086009 ("Pulse irregular")
Answer options for bac0f824-3784-400e-80f9-ad18d46bd8cb
- 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 28ff9463-b77f-435d-9ba7-427682a61f96
- High Risk
- Intermediate Risk
- Low Risk
Answer options for 041a589e-7bb5-441d-a4ba-a22db8040b3f
- Reclassified up
- Reclassified down
- Did not reclassify
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
Generated Narrative: ValueSet #YesNoNA
Expansion based on system expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 3 concepts
| Code | System | Display | Definition |
| Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
| N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
| NA | http://terminology.hl7.org/CodeSystem/v2-0532 | N/A | not applicable |
Generated Narrative: ValueSet #AboriginalTorresStraitIslander
Expansion based on system australian-indigenous-status-1 version1.0.3
This value set contains 3 concepts
Generated Narrative: ValueSet #PrimaryCarerParentGrandparent
Expansion based on:
- system NullFlavor version2018-08-12
- system RoleCode version2018-08-12
This value set contains 4 concepts
| Code | System | Display | Definition |
| MTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | mother | The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child). |
| FTH | http://terminology.hl7.org/CodeSystem/v3-RoleCode | father | The player of the role is a male who begets or raises or nurtures the scoping entity (child). |
| GRPRN | http://terminology.hl7.org/CodeSystem/v3-RoleCode | grandparent | The player of the role is a parent of the scoping person's mother or father. |
| NA | http://terminology.hl7.org/CodeSystem/v3-NullFlavor | not applicable | Known to have no proper value (e.g., last menstrual period for a male). |
Generated Narrative: ValueSet #administrative-gender
Expansion based on system AdministrativeGender v4.0.1 (CodeSystem)
This value set contains 4 concepts
| Code | System | Display | Definition | v2 map for AdministrativeGender | v3 map for AdministrativeGender |
| female | http://hl7.org/fhir/administrative-gender | Female | Female. | ~F | ~F |
| male | http://hl7.org/fhir/administrative-gender | Male | Male. | ~M | ~M |
| other | http://hl7.org/fhir/administrative-gender | Other | Other. | <A <O | <UN |
| unknown | http://hl7.org/fhir/administrative-gender | Unknown | Unknown. | ~U | ~UNK |
Generated Narrative: ValueSet #australian-pronouns-1
Expansion based on:
- Loinc v2.77
- system DataAbsentReason version5.0.0-ballot
This value set contains 7 concepts
| Code | System | Display | Definition |
| LA29518-0 | http://loinc.org | he/him/his/his/himself | |
| LA29519-8 | http://loinc.org | she/her/her/hers/herself | |
| LA29520-6 | http://loinc.org | they/them/their/theirs/themselves | |
| asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
| asked-unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Unknown | The source was asked but does not know the value. |
| not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
| unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
Generated Narrative: ValueSet #gender-identity-response-1
Expansion based on:
- SNOMED CT Australian edition 31-Mar 2024
- system DataAbsentReason version5.0.0-ballot
This value set contains 6 concepts
| Code | System | Display | Definition |
| 446151000124109 | http://snomed.info/sct | Identifies as male gender | |
| 446141000124107 | http://snomed.info/sct | Identifies as female gender | |
| 33791000087105 | http://snomed.info/sct | Identifies as nonbinary gender | |
| unknown | http://terminology.hl7.org/CodeSystem/data-absent-reason | Unknown | The value is expected to exist but is not known. |
| asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
| not-asked | http://terminology.hl7.org/CodeSystem/data-absent-reason | Not Asked | The workflow didn't lead to this value being known. |
Generated Narrative: ValueSet #biological-sex-1
Expansion based on SNOMED CT Australian edition 31-Aug 2023
This value set contains 4 concepts
| Code | System | Display |
| 248152002 | http://snomed.info/sct | Female |
| 32570681000036106 | http://snomed.info/sct | Indeterminate sex |
| 32570691000036108 | http://snomed.info/sct | Intersex |
| 248153007 | http://snomed.info/sct | Male |
Generated Narrative: ValueSet #australian-states-territories-2
Expansion based on system australian-states-territories-1 version1.1.3
This value set contains 9 concepts
Generated Narrative: ValueSet #YesNo
Expansion based on system expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 2 concepts
| Code | System | Display | Definition |
| Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
| N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
Generated Narrative: ValueSet #condition-clinical
Expansion based on system Condition Clinical Status Codes version4.0.1
This value set contains 6 concepts
| Code | System | Display | Definition |
| active | http://terminology.hl7.org/CodeSystem/condition-clinical | Active | The subject is currently experiencing the condition or situation, there is evidence of the condition or situation, or considered to be a significant risk. |
| inactive | http://terminology.hl7.org/CodeSystem/condition-clinical | Inactive | The subject is no longer experiencing the condition or situation and there is no longer evidence or appreciable risk of the condition or situation. |
| recurrence | http://terminology.hl7.org/CodeSystem/condition-clinical | Recurrence | The subject is experiencing a reoccurence or repeating of a previously resolved condition or situation, e.g. urinary tract infection, food insecurity. |
| relapse | http://terminology.hl7.org/CodeSystem/condition-clinical | Relapse | The subject is experiencing a return of a condition or situation after a period of improvement or remission, e.g. relapse of cancer, alcoholism. |
| remission | http://terminology.hl7.org/CodeSystem/condition-clinical | Remission | The subject is not presently experiencing the condition or situation, but there is a risk of the condition or situation returning. |
| resolved | http://terminology.hl7.org/CodeSystem/condition-clinical | Resolved | The subject is not presently experiencing the condition or situation and there is a negligible perceived risk of the condition or situation returning. |
Generated Narrative: ValueSet #clinical-condition-1
- Include codes from
http://snomed.info/sctwhere concept in 32570581000036105 (Problem/Diagnosis reference set)
Generated Narrative: ValueSet #SmokingQuitStatus-1
Expansion based on SNOMED CT Australian edition 31-Mar 2024
This value set contains 2 concepts
| Code | System | Display |
| 48031000119106 | http://snomed.info/sct | Quit >12 months |
| 735128000 | http://snomed.info/sct | Quit <12 months |
Generated Narrative: ValueSet #YesNoNotAskedDeclined
Expansion based on:
- system DataAbsentReason version5.0.0-ballot
- system expandedYes-NoIndicator v2.1.0 (CodeSystem)
This value set contains 4 concepts
| Code | System | Display | Definition |
| Y | http://terminology.hl7.org/CodeSystem/v2-0532 | Yes | Yes |
| N | http://terminology.hl7.org/CodeSystem/v2-0532 | No | No |
| NASK | http://terminology.hl7.org/CodeSystem/v2-0532 | Not Asked | not asked |
| asked-declined | http://terminology.hl7.org/CodeSystem/data-absent-reason | Asked But Declined | The source was asked but declined to answer. |
Generated Narrative: ValueSet #CervicalScreeningStatus-1
Expansion based on SNOMED CT Australian edition 31-Mar 2024
This value set contains 4 concepts
| Code | System | Display |
| 736595007 | http://snomed.info/sct | Declined |
| 410527000 | http://snomed.info/sct | Offered |
| 171154002 | http://snomed.info/sct | Not required |
| 171155001 | http://snomed.info/sct | Up to date |