Questionnaire-MemoryAndThinking

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

Memory and thinking

  • linkId: 1bd58e7b-2cb7-45fb-965f-d5fa33d0bb4c

In progress

  • linkId: CD-in-progress-18
  • Enable When: todo

Complete

  • linkId: CD-complete-18
  • Enable When: todo

Personal concerns about your memory or thinking

  • linkId: 64fd0c95-b57b-4319-bf40-ad77d10a9832

Do you have any worries about your memory or thinking?

  • linkId: e29701be-2b79-471d-a42e-7e3830459080
  • Answers: #YesNo

Details

  • linkId: 69985e2e-4619-42fa-a111-e6fb3118ef74
  • Enable When: todo

Family concerns about your memory or thinking

  • linkId: 44da9ba8-4636-4eaa-8bb1-aaa65f117fab

Does anyone in your family have any worries about your memory or thinking?

  • linkId: 06a67326-9e3d-4c4c-b271-af5b168d077c
  • Answers: #YesNo

Details

  • linkId: 43d2cb6c-29a7-4293-a6c8-87a228a82e19
  • Enable When: todo

If any concerns are raised and/or high risk for cognitive impairment identified, follow up with cognitive screening (eg clock test, GPCOG, KICA-Cog, MMSE)

  • linkId: 4ebb3c30-936b-4932-a330-f1e643b5ccd4

Details

  • linkId: c563f52d-d3cc-4687-9863-0f1b7d00d942

Health priorities, actions and follow-up

  • linkId: 1f0e7fde-e964-4f36-9151-dbdc5e145f94

Mark section as complete

  • linkId: MarkComplete-18

Produced 08 Sep 2023