Smart Forms
0.2.0-draft - trial-use

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/.

Consent sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.

Generated Narrative: Questionnaire Consent

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. ConsentConsent sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.Questionnairehttp://www.health.gov.au/assessments/mbs/715/Consent#0.2.0-draft
... 1016f79d-9756-4daf-b6ee-29add134b34fConsent0..1group
.... CD-in-progress-30In progress0..1displayEnable When: MarkComplete-30 !=
.... CD-complete-30Complete0..1displayEnable When: MarkComplete-30 =
.... d1e1ab3d-1c6c-430b-8ae7-af56b8f0af55Consent given after discussion of process and benefits of a health check0..1choiceiconiconValue Set: Yes/No/NA
.... 7fa8bc57-f3f9-4ddc-bf9b-12a9b9885dbdConsent given by parent/primary carer after discussion of process and benefits of a health check0..1choiceiconiconValue Set: Yes/No/NA
.... 80a6a405-49a4-44fb-bff3-212902096b95Parent/primary caregiver present0..1group
..... c72933c7-349f-4fef-94ff-c424c69da6f3Parent/primary caregiver is present for health check?0..1choiceiconiconValue Set: Yes/No/NA
..... b7d116f9-0425-4cf1-8cde-fbf4dfaee550Relationship to child0..*stringEnable When: c72933c7-349f-4fef-94ff-c424c69da6f3 =
.... d8c88bff-75ea-476f-8f83-e9b72fc9e1a0Consent for sharing of information0..1group
..... 057483ce-f265-46df-a1c5-7a18d492c1baConsent given for sharing of information with relevant healthcare providers?0..1choiceiconiconValue Set: Yes/No/NA
..... 43517c44-5cd2-4d9a-9f18-d6bf8124f4aeWho/details0..*textEnable When: 057483ce-f265-46df-a1c5-7a18d492c1ba =
.... 84162f36-f4af-4509-b178-ef2a3849d0b6Date0..1date
.... 0f92eb2d-4629-4215-96f8-46722a2efa73Doctor0..1string
.... 8b94a129-3aab-4d13-bb6d-7a748f5c41e5Nurse0..1string
.... 2a517291-e2f1-4f66-ad1f-ae5b091d2f8aAboriginal and/or Torres Strait Islander Health Worker / Health Practitioner0..1string
.... 5bbfb4a3-a667-4ef2-98c2-76e76da55c03Location of health check0..1open-choiceOptions: 3 options
.... 9a51c056-021d-445d-8eaa-2123a69aa9c2Location of health check0..1open-choiceOptions: 3 options
.... MarkComplete-30Mark section as complete0..1boolean

doco 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

CodeSystemDisplayDefinition
  Yhttp://terminology.hl7.org/CodeSystem/v2-0532Yes

Yes

  Nhttp://terminology.hl7.org/CodeSystem/v2-0532No

No

  NAhttp://terminology.hl7.org/CodeSystem/v2-0532N/A

not applicable