Smart Forms
0.1.0 - ci-build

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Questionnaire: Aboriginal and Torres Strait Islander Health Check - Sexual Health

Official URL: http://www.health.gov.au/assessments/mbs/715/SexualHealth Version: 0.1.0
Draft as of 2022-05-24 Realm: Australia flag Computable Name: SexualHealth

Copyright/Legal: CSIRO © 2022+; Licensed under Apache License, Version 2.0

Sexual Health sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.

Structure
LinkIdTextCardinalityTypeFlagsDescription & Constraintsdoco
.. SexualHealthSexual Health sub-questionnaire for Aboriginal and Torres Strait Islander Health Check.Questionnairehttp://www.health.gov.au/assessments/mbs/715/SexualHealth#0.1.0
... 4b49c291-6e93-4b7e-be3b-15ef8bc207adSexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs)0..1groupExpressions:
.... CD-in-progress-36In progress0..1displayEnable When: MarkComplete-36 = false
.... CD-complete-36Complete0..1displayEnable When: MarkComplete-36 = true
.... e5aeda89-b820-4bb3-8fbd-d4f662207b7dPuberty and sexual health concerns0..1group
..... 1d20138a-caf3-4c43-9693-04c08d37a84aIs there anything that you are worried about in relation to puberty/your sexual health?0..1choiceiconiconValue Set: Yes/No/Not Asked/Asked But Declined
..... d7b92cad-4aa8-47d3-975c-92563f132325Details0..1textEnable When: 1d20138a-caf3-4c43-9693-04c08d37a84a = Yes (v2 Y/N Indicator#Y)
.... 0fba3972-faa3-4f40-940c-c2f1c9b55329Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening0..1text
.... b41572ba-cf36-4cec-addf-cb0b47fea63fHealth priorities, actions and follow-up0..1text
.... MarkComplete-36Mark section as complete0..1boolean
... 589b53a4-ceb2-41c0-850a-69438f9fd1ccGenitourinary and sexual health0..1groupExpressions:
.... CD-in-progress-35In progress0..1displayEnable When: MarkComplete-35 = false
.... CD-complete-35Complete0..1displayEnable When: MarkComplete-35 = true
.... 5f5d4886-ce06-47fa-a4d8-f6808b9081c0Sexual health concerns0..1group
..... e56e79e5-8fbb-43f0-b2a3-018b55750bd0Is there anything that you are worried about in relation to your sexual health?0..1choiceiconiconValue Set: Yes/No/Not Asked/Asked But Declined
..... 5148c6c6-c99f-480d-bb05-569064ba7118Details0..1textEnable When: e56e79e5-8fbb-43f0-b2a3-018b55750bd0 = Yes (v2 Y/N Indicator#Y)
.... d844a31e-8e51-420b-855c-4f485a180a57Cervical screening0..1group
..... 37dbd343-6d02-477c-89bf-59ba022efbb7Cervical screening status0..1choiceOptions: 4 options
..... f93eb998-1502-4d8a-88a4-986117a387c5Next due0..1date
..... 862fc298-5b5e-4a46-badc-900c6ba1ff50Details0..1text
.... 39b02169-ea34-4af9-aa35-1c47f7f39333Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction0..1text
.... efd0735c-c379-471f-83bb-93b0392093aaHealth priorities, actions and follow-up0..1text
.... MarkComplete-35Mark section as complete0..1boolean
... 02048954-e9d7-424e-8c7b-6a3c495d7ce4Genitourinary and sexual health0..1groupExpressions:
.... CD-in-progress-25In progress0..1displayEnable When: MarkComplete-25 = false
.... CD-complete-25Complete0..1displayEnable When: MarkComplete-25 = true
.... 8172aaac-81c4-4b06-b4cd-6a891a227e9fSexual health concerns0..1group
..... 1c40a720-bdb7-4386-a9f6-be82b7349bf7Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health?0..1choiceiconiconValue Set: Yes/No/Not Asked/Asked But Declined
..... f93fe768-9215-4a15-9376-686e9530ea79Details0..1textEnable When: 1c40a720-bdb7-4386-a9f6-be82b7349bf7 = Yes (v2 Y/N Indicator#Y)
.... 2e1ea1cc-1f74-4b2e-bfda-f6a1d41e1e50Continence issues0..1group
..... 64fd0f79-7e09-4934-905d-9bff6715f9baDo you have problems with urine leaking?0..1choiceiconiconValue Set: Yes/No
..... 4fc14fd9-4c7e-48ec-90c0-c406523400faDetails0..1textEnable When: 64fd0f79-7e09-4934-905d-9bff6715f9ba = Yes (v2 Y/N Indicator#Y)
.... 8d75d1f1-290b-41fc-8e32-ad0681c650bbConsider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms0..1text
.... e9936322-e6fe-4cf7-ab61-22846a8fbb95Health priorities, actions and follow-up0..1text
.... MarkComplete-25Mark section as complete0..1boolean

doco Documentation for this format

Option Sets

Answer options for 37dbd343-6d02-477c-89bf-59ba022efbb7

  • http://snomed.info/sct#736595007 ("Declined")
  • http://snomed.info/sct#410527000 ("Offered")
  • http://snomed.info/sct#171154002 ("Not required")
  • http://snomed.info/sct#171155001 ("Up to date")