Discussed these methods to include contraindications, indications, and possible side effects: [checkbox value="oral combination estrogen/progesterone pills|oral progesterone only pills|hormone-releasing IUD|Copper IUD|progesterone IM injections|Nuvaring|Transdermal patches|Nexplanon|periodic abstinence|barrier methods (condom and diaphragm in combination with spermicidal lubrication)|withdrawal methods|permanent sterilization methods (tubal ligation, vasectomy, and essure)|abstinence|birth control while breastfeeding and lactation amenorrhea"]. Patient appears a reasonable candidate for any of these for: [checkbox value="prevention of pregnancy|regulating irregular menstrual cycles|dysmenorrhea|menorrhagia|acne|other-"] [text size="50"] Discussed relative risks/benefits of each, and relative/absolute contraindications of each. Patient opted for: [select value="oral combination estrogen/progesterone pills|progesterone only pills|Nuvaring|Orth-Evra patches|progesterone IM injections q3mo|Nexplanon|Mirena|Skyla|Paragard|condoms|vasectomy for partner|tubal ligation|no contraception|natural family planning"]. HCG testing warranted: [select value="n/a|meets CDC criteria for not testing|will verify negative result prior to patient starting contraceptive method"] Next action: [checkbox value="Pills prescribed and patient to pickup in pharmacy."][checkbox value="Applicable procedure performed same visit - see procedure note."][checkbox value="Applicable procedure performed same visit - see procedure note."][checkbox value="Patient will be scheduled for applicable procedure."][checkbox value="Patient referred to procedures clinic for scheduling of applicable procedure."]
There are 10 form elements.
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Sandbox Metrics: Structured Data Index 0.9, 10 form elements, 41 boilerplate words, 1 text boxes, 7 checkboxes, 2 drop downs, 28 total clicks
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