Questionnaire-SexualHealth

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

Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs)

  • linkId: 4b49c291-6e93-4b7e-be3b-15ef8bc207ad

In progress

  • linkId: CD-in-progress-36
  • Enable When: todo

Complete

  • linkId: CD-complete-36
  • Enable When: todo

Puberty and sexual health concerns

  • linkId: e5aeda89-b820-4bb3-8fbd-d4f662207b7d

Is there anything that you are worried about in relation to puberty/your sexual health?

  • linkId: 1d20138a-caf3-4c43-9693-04c08d37a84a
  • Answers: #YesNoNotAskedDeclined

Details

  • linkId: d7b92cad-4aa8-47d3-975c-92563f132325
  • Enable When: todo

Consider 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 screening

  • linkId: 0fba3972-faa3-4f40-940c-c2f1c9b55329

Health priorities, actions and follow-up

  • linkId: b41572ba-cf36-4cec-addf-cb0b47fea63f

Mark section as complete

  • linkId: MarkComplete-36

Genitourinary and sexual health

  • linkId: 589b53a4-ceb2-41c0-850a-69438f9fd1cc

In progress

  • linkId: CD-in-progress-35
  • Enable When: todo

Complete

  • linkId: CD-complete-35
  • Enable When: todo

Sexual health concerns

  • linkId: 5f5d4886-ce06-47fa-a4d8-f6808b9081c0

Is there anything that you are worried about in relation to your sexual health?

  • linkId: e56e79e5-8fbb-43f0-b2a3-018b55750bd0
  • Answers: #YesNoNotAskedDeclined

Details

  • linkId: 5148c6c6-c99f-480d-bb05-569064ba7118
  • Enable When: todo

Cervical screening

  • linkId: d844a31e-8e51-420b-855c-4f485a180a57

Cervical screening status

Next due

  • linkId: f93eb998-1502-4d8a-88a4-986117a387c5

Details

  • linkId: 862fc298-5b5e-4a46-badc-900c6ba1ff50

Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction

  • linkId: 39b02169-ea34-4af9-aa35-1c47f7f39333

Health priorities, actions and follow-up

  • linkId: efd0735c-c379-471f-83bb-93b0392093aa

Mark section as complete

  • linkId: MarkComplete-35

Genitourinary and sexual health

  • linkId: 02048954-e9d7-424e-8c7b-6a3c495d7ce4

In progress

  • linkId: CD-in-progress-25
  • Enable When: todo

Complete

  • linkId: CD-complete-25
  • Enable When: todo

Sexual health concerns

  • linkId: 8172aaac-81c4-4b06-b4cd-6a891a227e9f

Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health?

  • linkId: 1c40a720-bdb7-4386-a9f6-be82b7349bf7
  • Answers: #YesNoNotAskedDeclined

Details

  • linkId: f93fe768-9215-4a15-9376-686e9530ea79
  • Enable When: todo

Continence issues

  • linkId: 2e1ea1cc-1f74-4b2e-bfda-f6a1d41e1e50

Do you have problems with urine leaking?

  • linkId: 64fd0f79-7e09-4934-905d-9bff6715f9ba
  • Answers: #YesNo

Details

  • linkId: 4fc14fd9-4c7e-48ec-90c0-c406523400fa
  • Enable When: todo

Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms

  • linkId: 8d75d1f1-290b-41fc-8e32-ad0681c650bb

Health priorities, actions and follow-up

  • linkId: e9936322-e6fe-4cf7-ab61-22846a8fbb95

Mark section as complete

  • linkId: MarkComplete-25

Produced 08 Sep 2023