http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions
type: Questionnaire
node role: treeRoot
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap
    l: sdc-questionnaire-extr-smap
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablequestionnaire
    l: crmi-shareablequestionnaire
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablequestionnaire
    l: crmi-publishablequestionnaire
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire HIV.D21DetermineRegimenAndTreatmentOptions Language: en Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Questionnaire for determine regimen and treatment options Questionnaire http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions#0.4.4 #xD; HIV.D.DE418 Reason for ARV drug regimen substitution 0..1 choice Value Set: #HIV.D.DE418 #xD; HIV.D.DE426 Other reason for regimen substitution (specify) 0..1 string #xD; HIV.D.DE427 Switch to second-line ART regimen recommended 0..1 boolean #xD; HIV.D.DE428 Switch to third-line ART regimen recommended 0..1 boolean #xD; HIV.D.DE466 Type of treatment-limiting toxicity 0..1 choice Value Set: #HIV.D.DE466 #xD; HIV.D.DE480 Unexpected adverse drug reaction (specify) 0..1 string #xD; HIV.D.DE481 Date(s) of substitution within first-line regimen 0..1 date #xD; HIV.D.DE482 Reason(s) for substitution within first-line regimen 0..1 choice Value Set: #HIV.D.DE482 #xD; HIV.D.DE483 New antiretroviral regimen after substitution within first-line regimen 0..1 choice Value Set: #HIV.D.DE483 #xD; HIV.D.DE484 Date of switch to second-line regimen 0..1 date #xD; HIV.D.DE485 New regimen after switch to second-line regimen 0..1 choice Value Set: #HIV.D.DE485 #xD; HIV.D.DE486 Reason for switch to second-line regimen 0..1 choice Value Set: #HIV.D.DE486 #xD; HIV.D.DE487 Date(s) of substitution within second-line regimen 0..1 date #xD; HIV.D.DE488 Reason(s) for substitution within second-line regimen 0..1 choice Value Set: #HIV.D.DE488 #xD; HIV.D.DE489 New regimen(s) after substitution within second-line regimen 0..1 choice Value Set: #HIV.D.DE489 #xD; HIV.D.DE490 Date of switch to third-line regimen 0..1 date #xD; HIV.D.DE491 New regimen after switch to third-line regimen 0..1 choice Value Set: #HIV.D.D…
url:
  v: http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions
version:
  v: 0.4.4
title:
  v: Determine regimen and treatment options
status:
  v: draft
experimental:
  v: true
subject type:
  v: Patient
date:
  v: 2025-12-10T09:22:27+00:00
publisher:
  v: WHO
contact:
  name:
    v: WHO
  telecom:
    system:
      v: url
    value:
      v: http://who.int
description:
  v: Questionnaire for determine regimen and treatment options
item:
  id:
    v: HIV.D.DE418
  link id:
    v: HIV.D.DE418
  text:
    v: Reason for ARV drug regimen substitution
  type:
    v: choice
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
  answer value set:
    v: #HIV.D.DE418
    l: HIV.D.DE418
item:
  id:
    v: HIV.D.DE426
  link id:
    v: HIV.D.DE426
  text:
    v: Other reason for regimen substitution (specify)
  type:
    v: string
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE427
  link id:
    v: HIV.D.DE427
  text:
    v: Switch to second-line ART regimen recommended
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE428
  link id:
    v: HIV.D.DE428
  text:
    v: Switch to third-line ART regimen recommended
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE466
  link id:
    v: HIV.D.DE466
  text:
    v: Type of treatment-limiting toxicity
  type:
    v: choice
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
  answer value set:
    v: #HIV.D.DE466
    l: HIV.D.DE466
item:
  id:
    v: HIV.D.DE480
  link id:
    v: HIV.D.DE480
  text:
    v: Unexpected adverse drug reaction (specify)
  type:
    v: string
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE481
  link id:
    v: HIV.D.DE481
  text:
    v: Date(s) of substitution within first-line regimen
  type:
    v: date
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE482
  link id:
    v: HIV.D.DE482
  text:
    v: Reason(s) for substitution within first-line regimen
  type:
    v: choice
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
  answer value set:
    v: #HIV.D.DE482
    l: HIV.D.DE482
item:
  id:
    v: HIV.D.DE483
  link id:
    v: HIV.D.DE483
  text:
    v: New antiretroviral regimen after substitution within first-line regimen
  type:
    v: choice
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
  answer value set:
    v: #HIV.D.DE483
    l: HIV.D.DE483
item:
  id:
    v: HIV.D.DE484
  link id:
    v: HIV.D.DE484
  text:
    v: Date of switch to second-line regimen
  type:
    v: date

v: false

v: false

v: false

id:
  v: HIV.D.DE485
link id:
  v: HIV.D.DE485
text:
  v: New regimen after switch to second-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE485
  l: HIV.D.DE485

id:
  v: HIV.D.DE486
link id:
  v: HIV.D.DE486
text:
  v: Reason for switch to second-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE486
  l: HIV.D.DE486

id:
  v: HIV.D.DE487
link id:
  v: HIV.D.DE487
text:
  v: Date(s) of substitution within second-line regimen
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE488
link id:
  v: HIV.D.DE488
text:
  v: Reason(s) for substitution within second-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE488
  l: HIV.D.DE488

id:
  v: HIV.D.DE489
link id:
  v: HIV.D.DE489
text:
  v: New regimen(s) after substitution within second-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE489
  l: HIV.D.DE489

id:
  v: HIV.D.DE490
link id:
  v: HIV.D.DE490
text:
  v: Date of switch to third-line regimen
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE491
link id:
  v: HIV.D.DE491
text:
  v: New regimen after switch to third-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE491
  l: HIV.D.DE491

id:
  v: HIV.D.DE492
link id:
  v: HIV.D.DE492
text:
  v: Reason for switch to third-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE492
  l: HIV.D.DE492

id:
  v: HIV.D.DE493
link id:
  v: HIV.D.DE493
text:
  v: Date(s) of substitution within third-line regimen
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE494
link id:
  v: HIV.D.DE494
text:
  v: Reason(s) for substitution within third-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE494
  l: HIV.D.DE494

id:
  v: HIV.D.DE495
link id:
  v: HIV.D.DE495
text:
  v: New regimen(s) after substitution within third-line regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE495
  l: HIV.D.DE495

id:
  v: HIV.D.DE643
link id:
  v: HIV.D.DE643
text:
  v: Malaria prophylaxis
type:
  v: boolean
required:
  v: true
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE644
link id:
  v: HIV.D.DE644
text:
  v: IPTp-SP dose number provided
type:
  v: integer
required:
  v: true
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE645
link id:
  v: HIV.D.DE645
text:
  v: Date IPTp-SP dose provided
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE646
link id:
  v: HIV.D.DE646
text:
  v: Reason malaria prophylaxis not provided
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE646
  l: HIV.D.DE646

id:
  v: HIV.D.DE651
link id:
  v: HIV.D.DE651
text:
  v: Other reason not provided (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE652
link id:
  v: HIV.D.DE652
text:
  v: >28 days since last missed appointment
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE760
link id:
  v: HIV.D.DE760
text:
  v: Eligible for DSD ART
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE761
link id:
  v: HIV.D.DE761
text:
  v: Date DSD ART eligibility assessed
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE762
link id:
  v: HIV.D.DE762
text:
  v: Currently enrolled in DSD ART model
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE763
link id:
  v: HIV.D.DE763
text:
  v: DSD ART start date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE764
link id:
  v: HIV.D.DE764
text:
  v: DSD ART model(s)
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE764
  l: HIV.D.DE764

id:
  v: HIV.D.DE771
link id:
  v: HIV.D.DE771
text:
  v: Other DSD ART model (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE903
link id:
  v: HIV.D.DE903
text:
  v: Medication/drug
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE903
  l: HIV.D.DE903

id:
  v: HIV.D.DE932
link id:
  v: HIV.D.DE932
text:
  v: Other (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE933
link id:
  v: HIV.D.DE933
text:
  v: Medication change recommended
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE1023
link id:
  v: HIV.D.DE1023
text:
  v: TB prevention services accepted
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false