Documenting a chlamydia consultation
The autofill (Best Practice) or management/comment (Medical Director) shortcut function in your medical practice software can be used to quickly insert information about chlamydia management into patient notes during a consult. This text was developed as part of a National Health and Medical Research Council (NHMRC) partnership grant (APP1150014), Management of Chlamydia Cases in Australia (MoCCA). You can tailor the specific text to your own needs. Please refer to the National STI Guidelines for the most up-to-date information: https://sti.guidelines.org.au/
NAME OF SHORTCUT: CTMX
SUGGESTED AUTOFILL TEXT
Positive chlamydia test.  Attended for treatment. 
Site of infection [genital, anal, oropharyngeal]
Treatment
Discussed known allergies to antibiotics [specify known allergies]
[insert name of antibiotic] prescribed 
Pelvic inflammatory disease review (FOR PEOPLE WITH FEMALE REPRODUCTIVE ORGANS)
[No symptoms of PID - Advised to return if pelvic pain or pain on sex develop] 
PID symptoms [New onset lower abdominal pain (past xx days/weeks), Dyspareunia, other PID symptoms (specify), 
Partner management 
Discussed importance of notifying all partners from the past 6 months, if the patient feels safe to do so. 
Discussed ways of informing partners [Phone / In Person / Online / Patient Delivered]
Retesting
Discussed need to retest to check for reinfection. 
Retest organised for 3 months from today [insert date] via [insert method]
Other infections
Testing organised for other STIs [gonorrhoea / syphilis, other STIs (specify)] 
Education and follow up
Chlamydia factsheet provided. 
Discussed that complications can include infertility and the risk of complications is higher with repeat infection.  
Advised no sexual contact for 7 days after treatment and that using condoms prevents infection.

For further chlamydia management information and resources go to: https://sti.guidelines.org.au/