Generated Narrative: StructureDefinition HIVEPMTCT Profiles: CRMI Shareable StructureDefinition, CRMI Publishable StructureDefinition Name Flags Card. Type Description & Constraints HIVEPMTCT 0..* Base HIV.E-F PMTCT Instances of this logical model can be the target of a Reference #xD; pregnantWomanFirstName 0..1 string Pregnant woman's first name #xD; pregnantWomanSurname 0..1 string Pregnant woman's surname #xD; pregnantWomanUniqueId 0..1 Identifier Pregnant woman's unique ID #xD; antenatalCareNumber 0..1 Identifier Antenatal care number #xD; gestationalAge 1..1 integer Gestational age #xD; sourceOfGestationalAge 1..1 Coding Source of gestational age Binding: Source of gestational age ValueSet (required) #xD; expectedDateOfDeliveryEdd 1..1 date Expected date of delivery (EDD) #xD; numberOfPregnanciesGravida 1..1 integer Number of pregnancies (gravida) #xD; numberOfPreviousPregnancies 1..1 integer Number of previous pregnancies #xD; numberOfMiscarriagesAndOrAbortions 1..1 integer Number of miscarriages and/or abortions #xD; numberOfLiveBirths 1..1 integer Number of live births #xD; numberOfCaesarianSections 1..1 integer Number of caesarian sections #xD; numberOfStillbirths 1..1 integer Number of stillbirths #xD; pastPregnancyComplications 0..* Coding Past pregnancy complications Binding: Past pregnancy complications ValueSet (required) #xD; otherPastPregnancyProblemsSpecify 0..1 string Other past pregnancy problems (specify) #xD; parity 1..1 integer Parity #xD; pregnancyInHivInfectedWoman 0..1 boolean Pregnancy in HIV-infected woman #xD; dateNewPregnancyOfHivPositiveWomanIdentified 0..1 date Date new pregnancy of HIV-positive woman identified #xD; ancContactDuringPregnancy 0..1 boolean ANC contact during pregnancy #xD; dateOfFirstAncVisit 0..1 date Date of first ANC visit #xD; timingOfArtInitiation 0..1 Coding Timing of ART initiation Binding: Timing of ART initiation ValueSet (required) #xD; maternalUseOfRecommendedArtRegimen 0..1 boolean Maternal use of recommended ART regimen #xD; deliveryDate 1..1 date Delivery date #xD; pregnancyOutcome 0..1 Coding Pregnancy outcome Binding: Pregnancy outcome ValueSet (required) #xD; deliveryMode 0..1 Coding Delivery mode Binding: Delivery mode ValueSet (required) #xD; indicationsForCaesarianSectionCS 0..1 string Indications for caesarian section (C/S) #xD; obstetricComplications 0..1 string Obstetric complications #xD; liveBirth 0..1 boolean Live birth #xD; liveBirthToAnHivPositiveWoman 0..1 boolean Live birth to an HIV-positive woman #xD; gestationalAgeAtBirth 0..1 integer Gestational age at birth #xD; <a href="StructureDefinition-HIVEPMTCT-definitions.html#HIVEPMTCT.smallForGestationalAgeSga" title="Whether the infant was small for gestational age (SGA) at birth (<10th percentile)">smallForGestationalAgeSga 0..1 boolean Small for gestational age (SGA) #xD; pretermBirthStatus 0..1 Coding Preterm birth status Binding: Preterm birth status ValueSet (required) #xD; maternalArtStartDate 0..1 date Maternal ART start date #xD; placeOfDelivery 1..1 Coding Place of delivery Binding: Place of delivery ValueSet (required) #xD; otherPlaceOfDelivery 0..1 string Other (specify) #xD; deliveryFacility 0..1 string Delivery facility #xD; dateOfMiscarriageOrAbortion 0..1 date Date of miscarriage or abortion #xD; dateOfDeathOfMother 0..1 date Date of death of mother #xD; causeOfDeathOfMother 0..1 Coding Cause of death of mother Binding: Cause of death of mother ValueSet (required) #xD; infantFirstName 1..1 string Infant's first name #xD; infantSurname 1..1 string Infant's surname #xD; infantUniqueId 1..1 Identifier Infant's unique ID #xD; motherFirstName 0..1 string Mother's first name #xD; motherSurname 0..1 string Mother's surname #xD; motherUniqueId 0..1 Identifier Mother's unique ID #xD; caregiverFirstName 0..1 string Caregiver's first name #xD; caregiverSurname 0..1 string Caregiver's surname #xD; caregiverUniqueIdentifier 0..1 Identifier Caregiver's unique identifier #xD; ancContactDate 1..1 dateTime ANC contact date #xD; referral 1..1 boolean Referral #xD; infantDateOfBirth 0..1 date Infant date of birth #xD; dateOfBirthOfInfantUnknown 0..1 boolean Date of birth of infant unknown #xD; estimatedAgeOfInfant 0..1 integer Estimated age of infant #xD; ageOfInfant 0..1 integer Age of infant #xD; genderOfInfant 1..1 Coding Gender of infant Binding: Gender of infant ValueSet (required) #xD; infantHeight 0..1 integer Infant height #xD; infantWeight 0..1 integer Infant weight #xD; birthWeight 0..1 integer Birth weight #xD; <a href="StructureDefinition-HIVEPMTCT-definitions.html#HIVEPMTCT.lowBirthWeight" title="Note if infant </¬¨‚â•2500 g at birth">lowBirthWeight 0..1 boolean Low birth weight #xD; lengthOfInfant 0..1 integer Length of infant #xD; headCircumference 0..1 integer Head circumference #xD; motherHivTestConducted 0..1 boolean Mother HIV test conducted #xD; motherHivTestOrdered 0..1 boolean Mother HIV test ordered #xD; motherHivTestDate 0..1 dateTime Mother HIV test date #xD; maternalHivTestResult 0..1 Coding Maternal HIV test result Binding: Maternal HIV test result ValueSet (required) #xD; infantOrChildExposureToHiv 1..1 Coding Infant or child exposure to HIV Binding: Infant or child exposure to HIV ValueSet (required) #xD; hivExposedInfantOrChild 0..1 boolean HIV-exposed infant or child #xD; keyPopulationMember 0..1 boolean Key population member #xD; keyPopulationMemberType 0..* Coding Key population member type Binding: Key population member type ValueSet (required) #xD; postpartumFamilyPlanningCounsellingConducted 0..1 boolean Postpartum family planning counselling conducted #xD; ageOfInfantOnHivTestDate 0..1 integer Age of infant on HIV test date #xD; arvAdherenceCounselling 0..1 boolean ARV adherence counselling #xD; infantFeedingCounsellingProvided 0..1 boolean Infant feeding counselling provided #xD; dateInfantFeedingCounsellingProvided 0..1 date Date infant feeding counselling provided #xD; malariaPreventionCounsellingConducted 0..1 boolean Malaria prevention counselling conducted #xD; insecticideTreatedBednetItnProvidedOrReferred 0..1 boolean Insecticide treated bednet (ITN) provided or referred #xD; maternalSyphilisTreatment 1..1 boolean Maternal syphilis treatment #xD; infantFeedingPractice 0..1 Coding Infant feeding practice Binding: Infant feeding practice ValueSet (required) #xD; infantFeedingPracticeRecordedDate 0..1 date Infant feeding practice recorded date #xD; stoppedBreastfeeding 0..1 boolean Stopped breastfeeding #xD; dateStoppedBreastfeeding 0..1 date Date stopped breastfeeding #xD; takingIronAndFolicAcidIfaTablets 0..1 boolean Taking iron and folic acid (IFA) tablets #xD; amountOfIronPrescribed 0..1 integer Amount of iron prescribed #xD; typeOfIronSupplementDosageProvided 0..1 Coding Type of iron supplement dosage provided Binding: Type of iron supplement dosage provided ValueSet (required) #xD; amountOfDailyDoseOfFolicAcidPrescribed 0..1 integer Amount of daily dose of folic acid prescribed #xD; dateInfantArvProphylaxisDispensedOrStarted 0..1 date Date infant ARV prophylaxis dispensed (or started) #xD; maternalHivStatus 0..1 Coding Maternal HIV status Binding: Maternal HIV status ValueSet (required) #xD; maternalHivStatusAtFirstAncVisit 0..1 Coding Maternal HIV status at first ANC visit Binding: Maternal HIV status at first ANC visit ValueSet (required) #xD; maternalSyphilisTestResult 0..1 Coding Maternal syphilis test result Binding: Maternal syphilis test result ValueSet (required) #xD; hypertension 0..1 boolean Hypertension #xD; preEclampsia 0..1 boolean Pre-eclampsia #xD; signsOfSubstantialRiskOfHivInfection 1..* Coding Signs of substantial risk of HIV infection Binding: Signs of substantial risk of HIV infection ValueSet (required) #xD; serodiscordantPartner 0..1 boolean Serodiscordant partner #xD; dateWomanReceivedCounsellingForCpt 0..1 date Date woman received counselling for CPT #xD; dateWomanReceivedCounsellingForTpt 0..1 date Date woman received counselling for TPT #xD; infantCoTrimoxazoleProphylaxisStartDate 0..1 date Infant's co-trimoxazole prophylaxis start date #xD; infantAgeWhenCoTrimoxazoleProphylaxisWasStarted 0..1 integer Infant's age when co-trimoxazole prophylaxis was started #xD; presumptiveClinicalDiagnosisOfSevereHivInfectionInInfants 0..1 boolean Presumptive clinical diagnosis of severe HIV infection in infants #xD; infantArvProphylaxis 0..1 boolean Infant ARV prophylaxis #xD; infantArvProphylaxisStartDate 0..1 date Infant ARV prophylaxis start date #xD; hivTestType 0..1 Coding HIV test type Binding: HIV test type ValueSet (required) #xD; maternalAndChildHealthServiceVisit 0..1 Coding Maternal and child health service visit Binding: Maternal and child health service visit ValueSet (required) #xD; weeksPostpartum 0..1 integer Weeks postpartum #xD; birthCohort 1..1 date Birth cohort #xD; registeredInBirthCohort 1..1 boolean Registered in birth cohort #xD; eidSampleNumber 0..1 Coding EID sample number Binding: EID sample number ValueSet (required) #xD; eidTestNumber 0..1 Coding EID test number Binding: EID test number ValueSet (required) #xD; eidTestNumber1TestResult 0..1 Coding EID test number 1 test result Binding: EID test number 1 test result ValueSet (required) #xD; eidTestNumber2TestResult 0..1 Coding EID test number 2 test result Binding: EID test number 2 test result ValueSet (required) #xD; assayNumberInTestingStrategy 0..1 Coding Assay number in testing strategy Binding: Assay number in testing strategy ValueSet (required) #xD; testResultOfHivAssay1 0..1 Coding Test result of HIV assay 1 Binding: Test result of HIV assay 1 ValueSet (required) #xD; testResultOfHivAssay2 0..1 Coding Test result of HIV assay 2 Binding: Test result of HIV assay 2 ValueSet (required) #xD; testResultOfHivAssay3 0..1 Coding Test result of HIV assay 3 Binding: Test result of HIV assay 3 ValueSet (required) #xD; testResultOfHivAssay1Repeated 0..1 Coding Test result of HIV assay 1 repeated Binding: Test result of HIV assay 1 repeated ValueSet (required) #xD; testResultOfSyphilisAssay1 0..1 Coding Test result of syphilis assay 1 Binding: Test result of syphilis assay 1 ValueSet (required) #xD; testResultOfSyphilisAssay1Repeated 0..1 Coding Test result of syphilis assay 1 repeated Binding: Test result of syphilis assay 1 repeated ValueSet (required) #xD; hivTestDate 0..1 date HIV test date #xD; infantHivStatus 1..1 Coding Infant HIV status Binding: Infant HIV status ValueSet (required) #xD; infantArtStartDate 0..1 date Infant ART start date #xD; finalDiagnosisOfHivExposedInfant 0..1 Coding Final diagnosis of HIV-exposed infant Binding: Final diagnosis of HIV-exposed infant ValueSet (required) #xD; hivExposedInfantReasonForUnknownFinalStatus 0..1 Coding HIV-exposed infant reason for unknown final status Binding: HIV-exposed infant reason for unknown final status ValueSet (required) #xD; dateOfDeathOfInfant 0..1 dateTime Date of death of infant #xD; causeOfDeathOfInfant 0..1 Coding Cause of death of infant Binding: Cause of death of infant ValueSet (required) #xD; infantDiedWithin24HoursOfChildbirth 0..1 boolean Infant died within 24 hours of childbirth #xD; actionsNeededDuringInfantFollowUpVisit 0..1 string Action(s) needed during infant follow-up visit #xD; timingOfAdditionalInfantHivTest 0..1 integer Timing of additional infant HIV test #xD; dateOfSampleCollectionOfAdditionalInfantHivTest 0..1 date Date of sample collection of additional infant HIV test #xD; haemoglobinHbResult 0..1 integer Haemoglobin (Hb) result #xD; bloodGroupAndRhFactor 0..1 Coding Blood group and Rh factor Binding: Blood group and Rh factor ValueSet (required) #xD; asymptomaticBacteriuriaAsbTestResult 0..1 Coding Asymptomatic bacteriuria (ASB) test result Binding: Asymptomatic bacteriuria (ASB) test result ValueSet (required) #xD; urineProteinTestResult 0..1 Coding Urine protein test result Binding: Urine protein test result ValueSet (required) #xD; typeOfHypertensiveDisorder 0..* Coding Type of hypertensive disorder Binding: Type of hypertensive disorder ValueSet (required) #xD; Documentation for this format
This tab describes the data that are collected relevant to HIV care and treatment of pregnant and postpartum women and their newborns during the delivery and postpartum care and the infant diagnosis and final HIV status workflows (HIV.E and HIV.F)
Pregnant woman's family name or last name
Unique identifier generated for new clients or a universal ID, if used in the country
Identification number assigned to woman at first visit to the ANC based on national system
Gestational age in weeks and/or days depending on the source of gestational age
Gestational age can be calculated multiple ways. This data element describes where the gestational age above has been calculated from.
Expected date of delivery based on gestational age
Total number of times the woman has been pregnant (including this pregnancy). Also referred to as gravida.
This calculates the total number of all previous pregnancies (i.e. not including this current pregnancy). This is done for easier obstetric history calculations.
Total number of pregnancies lost or ended due to miscarriages and/or abortions before 22 weeks / 5 months
Total number of live births after 22 weeks
Total number of stillbirths after 22 weeks
Whether the woman has had any complications or problems in any previous pregnancy
Woman experienced other past pregnancy problems not described above (specify)
Total number of live and stillbirths (calculated)
Any HIV diagnosis in a pregnant woman as determined by the national HIV testing algorithm, or a pregnancy in a woman previously diagnosed with HIV
Date new pregnancy of HIV-positive woman identified
Earliest date when a new pregnancy of an HIV-positive woman is recorded
Whether the mother had at least one ANC contact (visit)
Date of the pregnant woman's first ANC visit
When the pregnant woman or mother initiated ART, for women living with HIV.
Whether the mother is taking a recommended ART regimen
Serious or life-threatening obstetric complications during pregnancy, delivery or postpartum experienced by mother or her newborn
A woman living with HIV had a live birth
Best estimate of gestational age in completed weeks when infant was born (an indication of prematurity, preterm and extreme preterm)
Whether the infant was small for gestational age (SGA) at birth (<10th percentile)
The woman gave birth when the gestational age is less than 37 weeks
The date on which the infant was started or restarted on ART
The type of place where the woman delivered
The woman delivered at another location that is not at home or at a health facility (specify)
Facility where the infant or child was born
Biological mother's family name or last name
The date and time of the client's ANC contact (in the ANC DAK this is called 'Contact date')
The infant's date of birth (DOB) if known
If DOB is unknown, enter the client's estimated age. Display client's age in number of years
Infant age calculated using date of birth
The infant's current weight in kilograms
Head circumference of infant at birth in cm
Whether an HIV test of the mother was conducted
Whether an HIV test of the mother was ordered
Date when a mother's HIV test was conducted
Test result for mother after applying the testing strategy
Whether the infant or child was determined to have had HIV exposure through mother
Whether the infant or child was determined to have had HIV exposure
Mother is a member of a key population which has an increased risk of HIV
The type of key population that the infant's mother is included in
Postpartum family planning counselling conducted
Provide family planning and contraception counselling
Infant's age when an HIV test is performed in months and years (calculated from date of birth)
Counselling was carried out during visit
Support on infant and child feeding to mother or caregiver provided
Date infant feeding counselling provided
Date support on infant and child feeding to mother or caregiver provided
Malaria prevention counselling conducted
Counselling provided on how to prevent malaria
Insecticide treated bednet (ITN) provided or referred
An insecticide treated bednet (ITN) was provided or the client was referred
Whether or not mother was treated for syphilis
Date on which infant feeding practice was recorded
The mother has fully stopped breastfeeding the infant or child
The date on which the mother stopped breastfeeding the infant
Taking iron and folic acid (IFA) tablets
Is client taking her iron and folic acid (IFA) tablets? Select whether the woman is continuing to take IFA supplements
Amount of iron supplements prescribed in milligrams for intake
Whether the amount of iron prescribed is for daily or weekly intake
Amount of daily dose of folic acid prescribed
Amount of folic acid supplements prescribed in milligrams for daily intake
Date infant ARV prophylaxis dispensed (or started)
Date HIV-exposed infant received ARV prophylaxis (for the first time)
The HIV status of the infant's mother at first ANC visit
Whether the client has developed hypertension associated with pregnancy
Signs of substantial risk of HIV infection
Signs the client is at a substantial risk of HIV infection
Mother's HIV status is different from a current partner's HIV status
Date woman received counselling for co-trimoxazole preventive therapy (CPT)
Date woman received counselling for TB preventive therapy
Infant's co-trimoxazole prophylaxis start date
Start date of co-trimoxazole prophylaxis
Infant's age when co-trimoxazole prophylaxis was started
The number of weeks or months infant was when started on co-trimoxazole (CTX) prophylaxis preventive therapy
Presumptive clinical diagnosis of severe HIV infection in infants
Infant is taking an antiretroviral prophylaxis to prevent infection from HIV exposure
The date on which the infant was started on an antiretroviral prophylaxis
Maternal and child health service visit attended by an HIV-exposed infant
Number of weeks postpartum on this visit date
Month and year of infant's birth, which the infant is registered into. The cohort is a group of infants born in the same month, whose status is followed over time.
Whether the infant has been registered in a birth cohort
Early infant diagnosis (EID) sample number
Early infant diagnosis (EID) HIV test number using the same sample
Early infant diagnosis test number 1 test result
Early infant diagnosis test number 2 test result
The number of the assay (test kit) in the HIV testing strategy
The result of the first HIV assay in the testing strategy
The result of the second HIV assay in the testing strategy
The result of the third HIV assay in the testing strategy
The result of the repeated first HIV assay in the testing strategy
The result of the first syphilis assay in the testing strategy
Test result of syphilis assay 1 repeated
The result of the first syphilis assay repeated in the testing strategy
HIV status reported after applying the HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.
The date on which the infant was started or restarted on antiretroviral therapy (ART)
HIV-exposed infant final status at 18 months or 3 months after cessation of breastfeeding (whichever is later).
HIV-exposed infant reason for unknown final status
The outcome for the infant does not have a final outcome, which may because of death, stopped treatment or lost to follow-up.
Infant died within 24 hours of childbirth
The infant died within 24 hours of childbirth
Action(s) needed during infant follow-up visit
Any actions needed during infant follow-up visit
Age in months when additional infant HIV test is performed
Date of sample collection of additional infant HIV test
Result of woman's haemoglobin test during ANC, labour or delivery. Full blood count testing is recommended, and if not available, use of haemoglobinometer over haemoglobin colour scale.
Asymptomatic bacteriuria (ASB) test result
Result of urine culture (or urine Gram-staining if not available over dipstick tests) for diagnosing asymptomatic bacteriuria
Results of urine protein test of mother during ANC visit
Type of hypertensive disorder of the mother