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 - Consent
| Official URL: http://www.health.gov.au/assessments/mbs/715/Consent | Version: 0.2.0-draft | |||
| Draft as of 2024-04-02 | Computable Name: Consent | |||
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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Consent sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.
Generated Narrative: Questionnaire Consent
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  Consent | Consent sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. | Questionnaire | http://www.health.gov.au/assessments/mbs/715/Consent#0.2.0-draft | ||
  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 | ||
| 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")
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 |