SMART DAK Cervical Cancer Screening, published by Dan Heslinga (independent contributor). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/dhes/smart-dak-cxca/ and changes regularly. See the Directory of published versions
Questionnaire: QCXCAD1 — Cervical Cancer Screening Anamnesis
Branch:Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire that captures the cervical cancer screening anamnesis required by Mongolia MOH Order A/641 (2020) Op.Inst. 5.1. Paired with CXCAD1 LogicalModel; linkId values match LogicalModel element names so a StructureMap-based extraction can be authored mechanically. | Questionnaire | http://smart.who.int/cxca/Questionnaire/QCXCAD1#0.0.1 | |
  clientAge | Client's age in years on the encounter date | 1..1 | integer | Value Set: |
 clientEducation | Highest level of education completed | 0..1 | string | Value Set: |
| numberOfPregnancies | Total number of pregnancies (any outcome) | 0..1 | integer | Value Set: |
| numberOfBirths | Number of live births | 0..1 | integer | Value Set: |
 lastMenstrualPeriod | First day of the client's most recent menstrual period | 0..1 | date | Value Set: |
 currentlyPregnant | Is the client currently pregnant? | 0..1 | boolean | Value Set: |
| gestationalAgeWeeks | If currently pregnant, gestational age in weeks | 0..1 | integer | Enable When: currentlyPregnant = true Value Set: |
| currentContraception | Current contraception method | 0..1 | string | Value Set: |
| pastContraception | Past contraception methods used | 0..1 | string | Value Set: |
| ageAtFirstSexualContact | Age at first sexual contact | 0..1 | integer | Value Set: |
| ageAtFirstDelivery | Age at first delivery (if any) | 0..1 | integer | Value Set: |
| numberOfSexualPartners | Lifetime number of sexual partners | 0..1 | integer | Value Set: |
| hasHadSTI | Has the client ever had a sexually transmitted infection? | 0..1 | boolean | Value Set: |
 hivStatus | HIV status | 0..1 | choice | Value Set: Options: 3 options |
| currentlyOnART | If HIV-positive, currently on antiretroviral therapy? | 0..1 | boolean | Enable When: hivStatus = HIV-positive (CXCA Data Dictionary#DE17) Value Set: |
| lastScreeningDate | Date of most recent prior cervical cancer screening (leave blank if never) | 0..1 | date | Value Set: |
| lastScreeningType | Type of most recent prior screening | 0..1 | choice | Value Set: Options: 3 options |
| lastScreeningResult | Result category of most recent prior screening | 0..1 | choice | Value Set: Options: 3 options |
| hadHysterectomy | Has the client had a hysterectomy? | 0..1 | boolean | Value Set: |
| hysterectomyForCervicalCancer | If yes, was the hysterectomy for cervical cancer? | 0..1 | boolean | Enable When: hadHysterectomy = true Value Set: |
| smokingStatus | Smoking status | 0..1 | choice | Value Set: Options: 3 options |
| alcoholUse | Does the client consume alcohol regularly? | 0..1 | boolean | Value Set: |
| hasPostcoitalBleeding | Bleeding after intercourse? | 0..1 | boolean | Value Set: |
| hasIntermenstrualBleeding | Bleeding between menstrual periods? | 0..1 | boolean | Value Set: |
 hasUnusualDischarge | Unusual vaginal discharge? | 0..1 | boolean | Value Set: |
| Documentation for this format | ||||
Options Sets
Answer options for hivStatus
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE17 ("HIV-positive")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE18 ("HIV-negative")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE19 ("HIV status unknown")
Answer options for lastScreeningType
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE23 ("Past screening: HPV high-risk DNA test")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE24 ("Past screening: cytology only")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE25 ("Past screening: VIA (visual inspection with acetic acid)")
Answer options for lastScreeningResult
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE26 ("Past screening: normal / negative")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE27 ("Past screening: abnormal / positive")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE28 ("Past screening: result unknown")
Answer options for smokingStatus
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE20 ("Current smoker")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE21 ("Former smoker")
- http://smart.who.int/cxca/CodeSystem/CXCA.D#DE22 ("Never smoker")