Questionnaire-HomeAndFamily

Sourcecsiro.fhir.au.smartforms#current:Smart Forms (v4.0.1)
resourceTypeQuestionnaire
idHomeAndFamily
canonicalhttp://www.health.gov.au/assessments/mbs/715/HomeAndFamily
version0.1.0
statusdraft
publisherAEHRC CSIRO
nameHomeAndFamily
titleAboriginal and Torres Strait Islander Health Check - Home And Family
date2022-05-24
experimentalfalse
descriptionHome And Family sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.
copyrightCSIRO © 2022+; Licensed under Apache License, Version 2.0
jurisdictionsau
Usages(none)

Home and family

  • linkId: 819b3305-bf93-4502-9986-242ea2ae5f43

In progress

  • linkId: CD-in-progress-12
  • Enable When: todo

Complete

  • linkId: CD-complete-12
  • Enable When: todo

Who do you live with?

  • linkId: 29bb209f-6dfc-4ed0-8b8d-741016c0ac61

Details

  • linkId: f3e122f3-77ff-4e07-a45b-1511a85a9a83

Housing stability

  • linkId: 64b979b6-cfc1-4024-868c-94e7be90d12b

Do you have stable housing?

  • linkId: a7542da8-aad6-4a80-8b5b-806ca11d68d2
  • Answers: #YesNo

Details

  • linkId: 476dae02-d0e8-4128-81a1-7ad71dd06e97
  • Enable When: todo

Home safety

  • linkId: 367ac5dd-07fa-4bda-a775-d9f38b15affd

Do you feel safe at home?

  • linkId: 6f73d1ee-dd8e-419a-9142-ede367200e3b
  • Answers: #YesNo

Details

  • linkId: 9bd5f571-8cbf-4c25-975c-5fc8395b75f5
  • Enable When: todo

Health priorities, actions and follow-up

  • linkId: 08d2e80e-3bb4-4f67-8b1c-090b1ace225a

Mark section as complete

  • linkId: MarkComplete-12

Produced 08 Sep 2023