STI Screening Questionnaire
Applies to patients >=15 years old
All questions require mandatory response:
Question | Response Options | If "Yes" |
Genital Sore | Yes/No | # days |
Genital Wart | Yes/No | # days |
Lower Abdominal Pain (Womb Pain) | Yes/No | # days |
Discharge | Yes/No | Provide Details |
STI Screening Logic
Positive (if any of the conditions below are met)
Genital sore = "Yes"
Genital wart = "Yes"
Womb Pain = "Yes"
Discharge = "Yes"
Negative
All responses are "No"
Additional Clarifications
All Yes/No responses stall be stored as "Yes"=1, and "No" = 0
Discharge color options are Text "Green", "Yellow", "Cloudy", or "Clear"
Result "Positive" = 1, and "Negative" = 0