| Source | csiro.fhir.au.smartforms#current:Smart Forms (v4.0.1) |
| resourceType | Questionnaire |
| id | Examination |
| canonical | http://www.health.gov.au/assessments/mbs/715/Examination |
| version | 0.1.0 |
| status | draft |
| publisher | AEHRC CSIRO |
| name | Examination |
| title | Aboriginal and Torres Strait Islander Health Check - Examination |
| date | 2022-05-24 |
| experimental | false |
| description | Examination sub-questionnaire for Aboriginal and Torres Strait Islander Health Check. |
| copyright | CSIRO © 2022+; Licensed under Apache License, Version 2.0 |
| jurisdictions | au |
| Usages | (none) |
Examination
In progress
Complete
Important: The patient record will not be updated with information entered here. Information intended for the patient record should be entered there first.
Growth measures recorded on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) growth charts for centile and tracking overtime
Length/Height
Value
cm
Date performed
Height
Value
cm
Date performed
Weight
Value
kg
Date performed
BMI
Value
kg/m2
Head circumference
Value
cm
Date performed
Waist circumference
Value
cm
Date performed
Blood pressure (Systolic)
Value
mm Hg
Date performed
Blood pressure (Diastolic)
Value
mm Hg
Date performed
Heart rate
Value
/min
Date performed
Heart rhythm
Value
Date performed
Blood pressure
Systolic
mm Hg
Diastolic
mm Hg
Date performed
Waist circumference
cm
Date performed
Height
cm
Date performed
Weight
kg
Date performed
Length/Height
cm
Height
cm
Weight
kg
BMI
kg/m2
Head circumference
cm
Waist circumference
cm
Blood pressure
Systolic
mm Hg
Diastolic
mm Hg
Heart rate
/min
Heart rhythm
Cardiac auscultation
Abdominal examination
Gait examination (musculoskeletal structure, balance, coordination)
Newborn examination (if indicated, infant aged <=6 weeks)
Haemoglobin (children at risk of iron deficiency anaemia)
Health priorities, actions and follow-up
Mark section as complete
Produced 08 Sep 2023