Source | fhir.nachc.hiv-cds#current:HIV Screening Clinical Guidelines Implementation Guide (v4.0.1) |
resourceType | Questionnaire |
id | NACHCH1 |
canonical | http://fhir.org/guides/nachc/hiv-cds/Questionnaire/NACHCH1 |
version | 0.1.0 |
status | active |
publisher | National Association of Community Health Centers, Inc. (NACHC) |
name | NACHCH1 |
title | NACHC.H1 Risk Factors |
date | 2023-04-02T05:45:56+00:00 |
experimental | false |
description | TODO: description goes here |
copyright | Copyright National Association of Community Health Centers, Inc. (NACHC) |
Usages | (none) |
Whether the patient has previously been screened for HIV?
Whether the patient has previously been diagnosed with HIV?
Whether the patient is currently pregnant?
Whether the patient has been diagnosed with HCV?
Whether the patient has been diagnosed with Syphilis?
Whether the patient has been diagnosed with Gonorrhea?
Whether the patient has been diagnosed with Chlamydia?
Whether the patient has been using Injection Drugs?
Whether the patient is currently seeking evaluation and treatment of an STD?
Whether the patient has previously been given PREP?
Have you been sexually active in the past year?
Have you ever been sexually active?
Do you have sex with men?
Do you have sex with women?
Have you had more than 1 sexual partner since last being tested for HIV?
In the past 3 months, have you had sex with someone you didn’t know or had just met?
Do you know whether your partner has other sexual partners?
Do you know whether your partner has had more than 1 sexual partner since their last HIV test?
Do you know whether your partner has HIV?
Have you or any of your partners used alcohol or drugs when you had sex?
Have you ever exchanged sex for drugs or money?
Have you ever been coerced or pressured to have sex?
In the past 3 months have you had anal sex?
If Male: In the past 3 months have you had receptive anal sex?
If Male: In the past 3 months have you had insertive anal sex?
In the past 3 months have you had vaginal sex?
Produced 06 Apr 2023