Contraception Quick Start Algorithm

[select name="Q1" value="choose below|Less than or equal to 5 days ago|More than 5 days ago"] <-- First day of last menstrual period?[conditional field="Q1" condition="(Q1).is('Less than or equal to 5 days ago')"]
Plan --> Start method today[/conditional][conditional field="Q1" condition="(Q1).is('More than 5 days ago')"]
[select name="Q2" value="choose below|None|Less than or equal to 5 days ago|More than 5 days ago|Both less than and more than 5 days ago"] <-- Unprotected sex since last menstrual period?[/conditional][conditional field="Q1|Q2" condition="(Q1).is('More than 5 days ago')&&(Q2).is('None')"]
Plan --> Start pill/patch/ring/injection today, use back-up method 1st week [/conditional][conditional field="Q1|Q2" condition="(Q1).is('More than 5 days ago')&&((Q2).is('Less than or equal to 5 days ago')||(Q2).is('More than 5 days ago')||(Q2).is('Both less than and more than 5 days ago'))"]
[select name="Q3" value="choose below|Negative|POSITIVE"] <-- Urine pregnancy test result?[/conditional][conditional field="Q3" condition="(Q3).is('POSITIVE')"]
Plan --> Provide options counseling[/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('More than 5 days ago')&&(Q2).is('Less than or equal to 5 days ago')&&(Q3).is('Negative')"]
Offer hormonal emergency contraception today  [link url="//ec.princeton.edu/" memo="more information"][/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('More than 5 days ago')&&(Q2).is('More than 5 days ago')&&(Q3).is('Negative')"]
Advise that negative pregnancy test is not conclusive, but hormones will not harm embryo[/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('More than 5 days ago')&&(Q2).is('Both less than and more than 5 days ago')&&(Q3).is('Negative')"]
Offer hormonal emergency contraception today [link url="//ec.princeton.edu/" memo="more information"][/conditional][conditional field="Q1|Q2|Q3" condition="(Q1).is('More than 5 days ago')&&(Q2).isNot('None')&&(Q3).is('Negative')"]
[select name="Q4" value="choose below|Yes|No"] <-- Patient wants to start new method now?[/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('More than 5 days ago')&&((Q2).is('Less than or equal to 5 days ago')||(Q2).is('More than 5 days ago')||(Q2).is('Both less than and more than 5 days ago'))&&(Q3).is('Negative')&&(Q4).is('Yes')"]
Plan -->
Start pill/patch/ring/injection, use back up method 1st week
Timing:  start new method TODAY even if taking emergency contraception today
If repeat urine pregnancy test in 2 weeks is negative --> continue pill/patch/ring/injection[/conditional][conditional field="Q1|Q2|Q3|Q4" condition="(Q1).is('More than 5 days ago')&&((Q2).is('Less than or equal to 5 days ago')||(Q2).is('More than 5 days ago')||(Q2).is('Both less than and more than 5 days ago'))&&(Q3).is('Negative')&&(Q4).is('No')"]
Plan -->
Prescription for chosen method given
Patient advised to use barrier method until next menses
Start pill/patch/ring on 1st day of menses
Return for injection within 5 days of menses[/conditional]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:  [link url="http://www.reproductiveaccess.org/contraception/quickstart_algorithm.htm" memo="Reproductive Health Access Project"][/conditional]