Questionnaire-NACHCH2

Sourcefhir.nachc.hiv-cds#current:HIV Screening Clinical Guidelines Implementation Guide (v4.0.1)
resourceTypeQuestionnaire
idNACHCH2
canonicalhttp://fhir.org/guides/nachc/hiv-cds/Questionnaire/NACHCH2
version0.1.0
statusactive
publisherNational Association of Community Health Centers, Inc. (NACHC)
nameNACHCH2
titleNACHC.H2 DAST 10
date2023-04-02T05:45:56+00:00
experimentalfalse
descriptionTODO: description goes here
copyrightCopyright National Association of Community Health Centers, Inc. (NACHC)
Usages(none)

Have you used drugs other than those required for medical reasons?

Do you use more than one drug at a time?

Are you always able to stop using drugs when you want to?

Have you had blackouts or flashbacks as a result of drug use?

Do you ever feel bad or guilty about your drug use? 

Does your spouse (or parents) ever complain about your involvement with drugs?

Have you neglected your family because of your use of drugs?

Have you engaged in illegal activities in order to obtain drugs?

Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?

Substance Abuse Prescription Illicit Substance Over the Counter Product Screening Test Score


Produced 06 Apr 2023