Questionnaire-SocialHistoryChild

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

Social history: Information about family and child's living arrangements

  • linkId: a5cc8a8f-89cf-470c-a6bd-ce9da2f64ee9

In progress

  • linkId: CD-in-progress-28
  • Enable When: todo

Complete

  • linkId: CD-complete-28
  • Enable When: todo

Who lives in your household? / Who does the child live with?

  • linkId: 1bb673a4-40f9-41c3-ad04-66c9f38fdc1b

Details

  • linkId: 5b8134d2-f87e-4449-bfc1-eac1d8d3d58b

Stressful life events

  • linkId: 934d105e-a4d6-4926-9b64-55bb1049d839

Have there been any stressful life events that would cause you or your child to be upset?

  • linkId: 062f5234-686a-4bf3-afcd-3fcd988afd6c
  • Answers: #YesNo

Details

  • linkId: 1ea0a898-d680-4a5d-a0f1-91b57eb77a91
  • Enable When: todo

If indicated, ask about depression and other mental health concerns

  • linkId: 272af1cb-4309-4227-bab4-a6cc9fb47635

Details

  • linkId: 4048e200-1c09-441d-b25d-f8a946fac411

Health priorities, actions and follow-up

  • linkId: 76d51512-b94a-4092-b3ae-a656fbb9c360

Mark section as complete

  • linkId: MarkComplete-28

Produced 08 Sep 2023