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Category 1 - PROFESSIONAL ATTENDANCES
AN.7.14
Prescribed Medical Practitioner Health Assessment for an Aboriginal and Torres Strait Islander Child less than 15 years of age (Item 228)
Last reviewed: 1 November 2023
An Aboriginal and Torres Strait Islander child health assessment must include:
a. a personal attendance by a prescribed medical practitioner (see note AN.7.1);
b. taking the patient's medical history, including the following:
i. mother's pregnancy history;
ii. birth and neo-natal history:
iii. breastfeeding history;
iv. weaning, food access and dietary history;
v. physical activity;
vi. previous presentations, hospital admissions and medication usage;
vii. relevant family medical history;
viii. immunisation status;
ix. vision and hearing (including neonatal hearing screening);
x. development (including achievement of age appropriate milestones);
xi. family relationships, social circumstances and whether the person is cared for by another person;
xii. exposure to environmental factors (including tobacco smoke);
xiii. environmental and living conditions;
xiv. educational progress;
xv. stressful life events;
xvi. mood (including incidence of depression and risk of self-harm);
xvii. substance use;
xviii. sexual and reproductive health; and
xix. dental hygiene (including access to dental services).
c. examination of the patient, including the following:
i. measurement of height and weight to calculate body mass index and position on the growth curve;
ii. newborn baby check (if not previously completed);
iii. vision (including red reflex in a newborn);
iv. ear examination (including otoscopy);
v. oral examination (including gums and dentition);
vi. trachoma check, if indicated;
vii. skin examination, if indicated;
viii. respiratory examination, if indicated;
ix. cardiac auscultation, if indicated;
x. development assessment, if indicated, to determine whether age appropriate milestones have been achieved;
xi. assessment of parent and child interaction, if indicated; and
xii. other examinations in accordance with national or regional guidelines or specific regional needs, or as indicated by a previous child health assessment.
d. undertaking or arranging any required investigation, considering the need for the following tests, in particular:
i. haemoglobin testing for those at a high risk of anaemia; and
ii. audiometry, if required, especially for those of school age
e. assessing the patient using the information gained in the child health check; and
f. making or arranging any necessary interventions and referrals, and documenting a simple strategy for the good health of the patient.
Related Items: 228
Related Items
Category 1 - PROFESSIONAL ATTENDANCES
228 - Additional Information
Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—applicable not more than once in a 9 month period and only if the following items are not applicable within the same 9 month period:
(a) item 715;
(b) item 92004 or 92011 of the Telehealth and Telephone Determination
Fee: $186.90 Benefit: 100% = $186.90
(See para AN.7.1, AN.7.13, AN.7.14, AN.7.15, AN.7.16 of explanatory notes to this Category)
Legend
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change