WHO SMART Guidelines - HIV
0.4.3 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Questionnaire HIV.D8CaptureOrUpdateClientHistory
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
---|---|---|---|---|---|
![]() ![]() | Questionnaire for capture or update client history | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.D8CaptureOrUpdateClientHistory#0.4.3 | ||
![]() ![]() ![]() | Currently pregnant | 0..1 | boolean | ||
![]() ![]() ![]() | Breastfeeding | 0..1 | boolean | ||
![]() ![]() ![]() | Number of pregnancies (gravida) | 0..1 | integer | ||
![]() ![]() ![]() | Number of miscarriages and/or abortions | 0..1 | integer | ||
![]() ![]() ![]() | Number of live births | 0..1 | integer | ||
![]() ![]() ![]() | Parity | 0..1 | integer | ||
![]() ![]() ![]() | Serodiscordant partner | 0..1 | boolean | ||
![]() ![]() ![]() | On ART | 1..1 | boolean | ||
![]() ![]() ![]() | ART start date | 0..1 | date | ||
![]() ![]() ![]() | Stopped ART | 0..1 | boolean | ||
![]() ![]() ![]() | Date ART stopped | 0..1 | date | ||
![]() ![]() ![]() | Established on ART | 0..1 | boolean | ||
![]() ![]() ![]() | ART start type | 0..1 | choice | Value Set: #HIV.D.DE43 | |
![]() ![]() ![]() | Date of initiation on ART | 0..1 | date | ||
![]() ![]() ![]() | Time on ART | 0..1 | integer | ||
![]() ![]() ![]() | Date(s) ART restarted | 0..1 | date | ||
![]() ![]() ![]() | ART cohort | 0..1 | date | ||
![]() ![]() ![]() | Transfer in for HIV care | 0..1 | boolean | ||
![]() ![]() ![]() | Date of transfer in | 0..1 | date | ||
![]() ![]() ![]() | Facility transferred from | 0..1 | choice | Value Set: #HIV.D.DE52 | |
![]() ![]() ![]() | Date enrolled in HIV care | 0..1 | date | ||
![]() ![]() ![]() | Age at enrolment | 0..1 | integer | ||
![]() ![]() ![]() | Facility where client first enrolled in HIV care | 0..1 | choice | Value Set: #HIV.D.DE55 | |
![]() ![]() ![]() | Antiretroviral (ARV) drugs received prior to enrolment | 0..1 | choice | Value Set: #HIV.D.DE56 | |
![]() ![]() ![]() | Date ARV drugs received prior to enrolment | 0..1 | date | ||
![]() ![]() ![]() | Location ARV drugs received prior to enrolment | 0..1 | choice | Value Set: #HIV.D.DE63 | |
![]() ![]() ![]() | ARV drug regimen received prior to enrolment | 0..1 | choice | Value Set: #HIV.D.DE64 | |
![]() ![]() ![]() | Existing chronic health conditions | 0..1 | choice | Value Set: #HIV.D.DE65 | |
![]() ![]() ![]() | Other (specify) | 0..1 | string | ||
![]() ![]() ![]() | Original first-line ART regimen | 0..1 | choice | Value Set: #HIV.D.DE74 | |
![]() ![]() ![]() | Current ART regimen | 0..1 | choice | Value Set: #HIV.D.DE75 | |
![]() ![]() ![]() | Current ART regimen start date | 0..1 | date | ||
![]() ![]() ![]() | Preferred first-line ART regimen | 0..1 | choice | Value Set: #HIV.D.DE77 | |
![]() ![]() ![]() | Alternative first-line ART regimen | 0..1 | choice | Value Set: #HIV.D.DE78 | |
![]() ![]() ![]() | First-line ART regimen under special circumstances | 0..1 | choice | Value Set: #HIV.D.DE79 | |
![]() ![]() ![]() | Preferred second-line ART regimen | 0..1 | choice | Value Set: #HIV.D.DE80 | |
![]() ![]() ![]() | Alternative second-line ART regimen | 0..1 | choice | Value Set: #HIV.D.DE81 | |
![]() ![]() ![]() | Optimal regimen for transition | 0..1 | choice | Value Set: #HIV.D.DE82 | |
![]() ![]() ![]() | Current ART regimen (first-, second-, or third-line) | 0..1 | choice | Value Set: #HIV.D.DE83 | |
![]() ![]() ![]() | ART regimen | 0..1 | choice | Value Set: #HIV.D.DE90 | |
![]() ![]() ![]() | Other (specify) | 0..1 | string | ||
![]() ![]() ![]() | ART regimen composition | 0..1 | choice | Value Set: #HIV.D.DE128 | |
![]() ![]() ![]() | ART regimen drug class | 0..1 | choice | Value Set: #HIV.D.DE146 | |
![]() ![]() ![]() | HIV clinical stage | 0..1 | choice | Value Set: #HIV.D.DE186 | |
![]() ![]() ![]() | Number of missed doses | 0..1 | integer | ||
![]() ![]() ![]() | Reasons for delayed ART initiation | 0..1 | choice | Value Set: #HIV.D.DE370 | |
![]() ![]() ![]() | Other (specify) | 0..1 | string | ||
![]() ![]() ![]() | ART initiated within 7 days of diagnosis | 0..1 | boolean | ||
![]() ![]() ![]() | Time to start ART | 0..1 | choice | Value Set: #HIV.D.DE383 | |
![]() ![]() ![]() | Regimen start date | 0..1 | date | ||
![]() ![]() ![]() | Current medications | 1..1 | choice | Value Set: #HIV.D.DE537 | |
![]() ![]() ![]() | Other medications (specify) | 0..1 | string | ||
![]() ![]() ![]() | Allergies | 1..1 | choice | Value Set: #HIV.D.DE560 | |
![]() ![]() ![]() | Other allergies (specify) | 0..1 | string | ||
![]() ![]() ![]() | Family planning method used | 0..1 | choice | Value Set: #HIV.D.DE569 | |
![]() ![]() ![]() | Medication status | 0..1 | choice | Value Set: #HIV.D.DE593 | |
![]() ![]() ![]() | AIDS-related death | 0..1 | boolean | ||
![]() ![]() ![]() | Date of first AIDS diagnosis | 0..1 | date | ||
![]() ![]() ![]() | Age at final HPV vaccination dose received | 0..1 | integer | ||
![]() ![]() ![]() | TB disease | 0..1 | boolean | ||
![]() ![]() ![]() | TB diagnosis result | 0..1 | choice | Value Set: #HIV.D.DE939 | |
![]() ![]() ![]() | Method of TB diagnosis | 0..1 | choice | Value Set: #HIV.D.DE942 | |
![]() ![]() ![]() | Presumptive TB | 0..1 | boolean | ||
![]() ![]() ![]() | Presumptive TB registration date | 0..1 | date | ||
![]() ![]() ![]() | TB treatment history | 0..1 | choice | Value Set: #HIV.D.DE947 | |
![]() ![]() ![]() | Date of TB diagnosis | 0..1 | date | ||
![]() ![]() ![]() | Currently on TB preventive treatment (TPT) | 1..1 | boolean | ||
![]() ![]() ![]() | TB preventive treatment (TPT) start date | 0..1 | date | ||
![]() ![]() ![]() | TB preventive treatment (TPT) completion date | 0..1 | date | ||
![]() ![]() ![]() | TB treatment started | 0..1 | boolean | ||
![]() ![]() ![]() | TB treatment start date | 0..1 | date | ||
![]() ![]() ![]() | TB treatment outcome | 0..1 | choice | Value Set: #HIV.D.DE1002 | |
![]() ![]() ![]() | TB treatment completion date | 0..1 | date | ||
![]() ![]() ![]() | TB treatment regimen composition | 0..1 | choice | Value Set: #HIV.D.DE1010 | |