Ethiopia FHIR Implementation Guide - HIV Treatment & Care Services
1.0.1 - ci-build
Ethiopia FHIR Implementation Guide - HIV Treatment & Care Services, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/ethiopia-hiv/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
Questionnaire - Family Index Case Contacts |
A questionaire that assesses the HIV and health status for index case contacts. |
Questionnaire - Index Case Assessment |
A questionaire that assesses the index case during interviews. |
Questionnaire - Index Case Screening |
A questionaire that provides eligibility criteria for the index case screening. |
Questionnaire - Pregnancy Status and Family Planning Method (FPM) |
A questionaire that provides the questions to for pregnancy status and FPM. |
Questionnaire - Sex Partner Information |
A questionaire that captures information for index case sex partners. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
Blood Pressure Observation |
Represents the patient's blood pressure. |
Care Plan - ART Treatment |
Used to record the ART treatment and care details for the patient. |
Care Plan - Cervical Cancer |
Used to record the cervical cancer details for the patient. |
Care Plan - Cotrimoxazole Preventive Therapy |
Used to record the cotrimoxazole preventive therapy details for the patient. |
Care Plan - TB Preventive Therapy (TPT) |
Used to record the TPT details for the patient. |
Care Plan - TB Treatment |
Used to record the TB treatment details for the patient. |
Condition - Generic |
Base Condition elements that are inherited by other Condition profiles. |
Condition - Opportunistic Infection |
Captures the opportunistic infections that the patient is currently/was previsouly suffering from. |
Diagnostic Report - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Represents the results for AST and ALT. |
Diagnostic Report - CD4 |
Represents the results for CD4. |
Diagnostic Report - Cervical Cancer |
Represents the results for the cervical cancer screening. |
Diagnostic Report - Creatinine |
Represents the results for creatinine. |
Diagnostic Report - Generic |
Base DiagnosticReport elements that are inherited by other DiagnosticReport profiles. |
Diagnostic Report - HGB |
Represents the results for Hemoglobin (HGB). |
Diagnostic Report - Viral Load |
Represents the results for viral load. |
Encounter - Entry Point From Outside the Current Facility |
Represents the other facility where the patient did receive health services and is now continuing care at the current facility. |
Encounter - Initiated By The Facility Providing the Service |
Represents the current facility at which the patient is receiving health services. |
Episode of Care |
Records the health related activities for patients associated with HIV, TB and Cervical Cancer treatment and care services. |
Group - Patient's Family Members |
Represents the patient and the family members being referenced as part of healthcare-related activity |
List - History of Past Medication |
Documents the medication history of previsouly prescribed (cotrimoxazole, isoniazid and ARV) treatment for the patient. |
List - History of Presenting Symptoms |
Documents the point in time symptoms presented by the patient in the context of the encounter. |
List - Medical History |
Documents the medical history for the patient |
Location - Encounter Entry Point |
Physical location type where health services are provided. |
Medication - Represents Medication For Opportunistic Infections |
Used to record the OI medication that will be prescribed to the patient. |
Medication - Represents a medication for TB Preventive Therapy (TPT) |
Used to record the TPT medication that will be prescribed to the patient. |
Medication - Represents an ARV Regimen |
Used to record the ARV regimen that will be prescribed to the patient. |
Medication Administration - For Prescribed ARV Medication |
Used to record the medication administration period for prescribed ARV medication. |
Medication Administration - For Prescribed Cotrimoxazole Preventive Therapy Medication |
Used to record the medication administration period for prescribed cotrimoxazole preventive therapy medication. |
Medication Administration - For Prescribed Fluconazole Preventive Therapy Medication |
Used to record the medication administration period for prescribed fluconazole preventive therapy medication. |
Medication Dispense - ARV |
Used to represent dispensed ARV medication prescribed to a patient. |
Medication Dispense - Cotrimoxazole Preventive Therapy |
Used to represent dispensed medication prescribed to a patient receiving cotrimoxazole preventive therapy. |
Medication Dispense - Generic |
Base Medication Request elements that are inherited by other Medication Request profiles. |
Medication Request - ARV |
Used to record requests for ARV medication that are prescribed to a patient. |
Medication Request - Cotrimoxazole Preventive Therapy |
Used to record requests for medication that are prescribed to a patient receiving cotrimoxazole preventive therapy. |
Medication Request - Generic |
Base Medication Request elements that are inherited by other Medication Request profiles. |
Medication Request - TB Preventive Therapy (TPT) |
Used to record requests for TPT medication that are prescribed to a patient. |
Medication Statement - ART |
Records the medication history for the HIV+ patient. |
Medication Statement - Generic |
Base Medication Statement elements that are inherited by other Medication Statement profiles. |
Medication Statement - Opportunisic Infections (OI) |
Records the medication history for a patient suffering from OI's. |
Medication Statement - TB Preventive Therapy (TPT) |
Records the medication history for the patient receiving TPT medication. |
Observation - ART Eligibility Status |
Represents the patient's eligibility status for ART |
Observation - ART Follow-up Status |
Represents the patient's current ART follow-up status. |
Observation - ART Not Started Plan For Next Step |
Represents the plan for next steps for a patient who did not start ART. |
Observation - ARV Adherence |
Represents the patient's ARV Adherence |
Observation - ARV Regimen Category Type |
This is used to record the type for the ARV regimen change category. |
Observation - ARV Regimen Change |
This is used to capture the ARV regimen change category and its details. |
Observation - ARV Regimen Change Reason |
This is used to capture the reason for the ARV regimen change. |
Observation - ARV Regimen Side Effects |
This is used to capture the any side affects as a result of taking ARV medication. |
Observation - Absolute CD4 Count |
Used to record the patient's absolute CD4 count. |
Observation - Active TB |
Documents the whether the patient is TB Active. |
Observation - Alternate TB Prophylaxis Type |
Documents the alternate type of prophylaxis the patient is currently receiving. |
Observation - Alternate TPT At Follow-up |
Documents the alternate TPT at follow-up. |
Observation - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Used to record the patient's AST and ALT. |
Observation - Assessed for Pain |
Documents whether the patient has been assessed for pain. |
Observation - BMI |
Represents the patient's BMI. |
Observation - Breastfeeding Status |
Represents whether the patient is currently breatfeeding. |
Observation - CD4 Percentage |
Used to record the patient's CD4 percentage. |
Observation - Cervical Cancer Screening |
Represents the cervical cancer screening details. |
Observation - Cervical Cancer Screening Accepted |
Indicates whether the patient accepted cervical cancer screening. |
Observation - Cervical Cancer Screening Counselling Status |
Indicates whether the patient was counselled for cervical cancer. |
Observation - Cervical Cancer Screening Method |
This is used to record the patient's cervical cancer screening method. |
Observation - Cervical Cancer Screening Result |
This is used to record the patient's cervical cancer screening result. |
Observation - Cervical Cancer Screening Type |
This is used to record the patient's cervical cancer screening type. |
Observation - Cervical Cancer Treatment Received |
This is used to record the date the patient received cervical cancer treatment. |
Observation - Children Developmental Milestone |
Represents the child's developmental milestone. |
Observation - Confirmed HIV positive |
Represents the date the patient was confirmed HIV positive. |
Observation - Cotrimoxazole Preventive Therapy |
Used to indicate whether the patient has started cotrimoxazole preventive therapy. |
Observation - Cotrimoxazole Preventive Therapy Adherence |
Represents the patient's cotrimoxazole preventive therapy Adherence |
Observation - Counseled for HIV |
Used to determine whether the patient has been counseled for HIV testing (pre-test). |
Observation - Creatinine |
Used to record the patient's creatinine. |
Observation - Current HIV Treatment Therapy Duration |
Indicates the duration the patient has been on the current ART. |
Observation - Differentiated Service Delivery (DSD) |
Represents the DSD details. |
Observation - Disclosure Status |
Documents the disclosure of HIV status for minors. |
Observation - Edema |
Indicates the presence of Edema. |
Observation - Enhanced Adherence Counselling |
Indicates whether the patient has been provided with enhanced adherence counselling. |
Observation - Family Member HIV Status |
This is used to record the family member's HIV status. |
Observation - Family Planning Method |
Represents the patient's Family Planning Method. |
Observation - Fluconazole Preventive Therapy |
Used to indicate whether the patient has started fluconazole preventive therapy. |
Observation - Future Pregnancy Plans |
Represents whether the patient plans to be pregnant in the future. |
Observation - Generic |
Base Observation elements that are inherited by other Observation profiles. |
Observation - HGB |
Used to record the patient's Hemoglobin (HGB). |
Observation - HIV Prevention Plan |
Indicates the HIV prevention plan agreed between the clinician and the patient. |
Observation - HIV Program Final Outcome |
Represents the final outcome for the patient who is enrolled into the HIV program. |
Observation - HIV Program Final Outcome Known |
Indicates whether the final outcome is known for the patient who is enrolled into the HIV program. |
Observation - HIV Program Status |
Represents the patient's HIV program status. |
Observation - HIV Status Disclosure At Enrollment |
Used to determine whether the patient or their child's HIV Status is known, and by who. |
Observation - HIV Test Results |
This is used to record the patient's HIV test results. |
Observation - HIV Treatment Prior to Enrollment |
Indicates whether the patient has ever received ART prior to enrollment in the current facility. |
Observation - Head Circumference |
Represents the patient's Head Circumference. |
Observation - Health Status |
This is used to record the individual's health status. |
Observation - Heart Rate |
Indicates the patient's current heart rate. |
Observation - Height |
Represents the patient's height. |
Observation - Highest Education |
Represents the patient's highest education. |
Observation - INH At Follow-up |
Indicates that the patient is receiving INH at follow-up. |
Observation - Level of Pain |
Indicates the level of pain the patient is experiencing. |
Observation - MUAC |
Measuring the patient's mid upper arm circumference. |
Observation - Maternal HIV Status |
Documents the mother's HIV status. |
Observation - Mode of Delivery |
This is used to record the mode of delivery for a patient who is < 6yrs of age. |
Observation - Number of Contacts Elicited For Index Case |
Documents the total number of contacts elicited for the index case. |
Observation - Nutritional Screening Result |
Represents the patient's Nutritional Screening Result. |
Observation - Nutritional Status |
Represents the patient's Nutritional Status. |
Observation - Nutritional Suppliments Provided |
Represents the patient's Nutritional Suppliments Provided. |
Observation - Operation Tripple Zero |
Indicates whether the patient was enrolled into the specialised program, OTZ. |
Observation - Patient Estimated Delivery Date |
Represents the patient's Estimated Delivery Date. |
Observation - Patient Functional Status |
Represents the patient's functional status. |
Observation - Patient Last Menstrual Period |
Represents the patient's Last Menstrual Period. |
Observation - Patient Occupation |
Represents the patient's current occupation. |
Observation - Physical Examinations |
Documents the outcome of findings associated with physical observations asserted during the context of the encounter. |
Observation - Place of Delivery |
This is used to record the place of delivery for a patient who is < 6yrs of age. |
Observation - Pregnancy Status Reported |
Represents whether the patient is currently pregnant. |
Observation - Presenting Symptoms |
Indicates any symptoms presented by the patient in the context of the encounter. |
Observation - Reason ART Not Started |
Represents the reason for the patient not starting ART. |
Observation - Reason HIV Treatment Stopped |
Represents the reasons for the patient stopping HIV treatment. |
Observation - Reason Not Eligibile For TPT |
Documents the reason why the patient is not eligibile for TB Prevention Therapy (TPT). |
Observation - Reason Why Eligible for ART |
Represents the reasons why a patient is considered eligibile for ART. |
Observation - Reasons for ARV Adherence |
Represents the reasons for poor ARV Adherence |
Observation - Resides in Catchment Area |
This is used to indicate whether the patient resides in the catchment area. |
Observation - Respiratory Rate |
Indicates the patient's current respiratory rate. |
Observation - Screened For TB |
Documents whether the patient was screened for TB. |
Observation - TB Diagnostic Test Result |
Documents the patient's diagnostic test result. |
Observation - TB Prophylaxis Type |
Documents the type of prophylaxis the patient is currently receiving. |
Observation - TB Screening Result |
Documents the patient's TB screening result. |
Observation - TB Treatment Started |
Documents whether the patient has started TB treatment. |
Observation - TB Treatment Status |
Documents the patient's TB treatment status. |
Observation - TPT Eligibility |
Documents whether the patient is eligibile for TB Prevention Therapy (TPT). |
Observation - TPT Started |
Documents the date when the patient started TB Prevention Therapy (TPT). |
Observation - Target Population |
Represents the patient's targeted population. |
Observation - Temperature |
Indicates the patient's current temperature. |
Observation - Tested for HIV |
Used to determine whether the patient has tested for HIV. |
Observation - Therapeutic/Supplementary Food |
Represents the patient's Therapeutic/Supplementary Food. |
Observation - Treatment Completed |
Documents the details for the patient who completed treatment. |
Observation - Treatment Discontinued |
Documents the details for the patient who discontinued treatment. |
Observation - Viral Load Indication |
This is used to represent the viral load indication. |
Observation - Viral Load Performed |
This is used to indicate whether a viral load was performed. |
Observation - Viral Load Result |
Represents the patient's Viral Load Result. |
Observation - WHO HIV Stage |
Represents the patient's HIV WHO stage. |
Observation - Weight |
Represents the patient's weight. |
Organization |
Organization providing health related services. |
Patient |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Practitioner - General Practitioner |
Represents the practitioner who participated in the observation. |
Related Person - An individual Related to The Patient |
Is used to record the personal information of the person that is related to the patient. |
Service Request - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Represents the service request for AST and ALT. |
Service Request - CD4 |
Represents the service request for CD4. |
Service Request - Cervical Cancer Screening Method |
Represents the service request for the method of cervical cancer screening. |
Service Request - Cervical Cancer Treatment |
Represents the service request for the cervical cancer treatment. |
Service Request - Creatinine |
Represents the service request for creatinine. |
Service Request - Enhanced Adherence Counselling |
Represents the service request for enhanced adherence counselling. |
Service Request - HGB |
Represents the service request for Hemoglobin (HGB). |
Service Request - Incoming Referral Information |
Used to capture a patient's referral information. |
Service Request - PCR HIV Test |
Represents the service request for PCR HIV testing. |
Service Request - Patient Referral to PMTCT |
Represents a service request for the patient's referral to PMTCT. |
Service Request - Request for Referral |
Service request used to make a request for a referral. |
Service Request - TB Screening |
Service request used to examine the specimen taken during TB screening. |
Service Request - Viral Load |
Represents the service request for viral load. |
ServiceRequest - Generic |
Base ServiceRequest elements that are inherited by other ServiceRequest profiles. |
Specimen - TB Screening |
The specimen that will be used during a TB laboratory examination. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Strict Coding |
Strict requirements for elements using the Coding data types. |
Strict Quantity |
Strict requirements for quantity-based measurements. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
ARV Adherence |
This is an extension to capture the Observation for ARV adherence. |
ARV Regimen Side Effects |
This is an extension to capture the side effects associated with taking the prescrived ARV regimen. |
Care Plan - Next Visit Date |
This is an extension to capture the next visit date for the patient's follow-up treatment. |
Challenge Anticipated With Regular Follow Up |
This is an extension to capture whether challenges are anticipated with patient follow up at this facility. |
Cotrimoxazole Adherence |
This is an extension to capture the Observation for cotrimoxazole adherence. |
Date and Time Associated with the Assertion |
Represents the date and time to be documented together with the assertion. This is not necessarily the same date and time the Observation was created! For example, it can be used to record a date and time in the past to indicate when a patient reached a certin clinical status. |
Differentiated Service Delivery - Category |
This is an extension to capture the category for the DSD assessment. |
Differentiated Service Delivery - Category Changed On Assessment Date? |
This is an extension to capture whether the category for DSD was changed on the same day as the DSD assessment. |
Differentiated Service Delivery - Details |
This is an extension to capture all the details regarding the DSD assessment. |
Differentiated Service Delivery - Reason For Category Change |
This is an extension to capture the reason for the change in category for the DSD assessment. |
Differentiated Service Delivery - Status |
This is an extension to capture the status of the DSD assessment. |
Encounter Visit Type |
This is an extension to capture whether the visit is scheduled or unscheduled. |
Family Planning Method |
This is an extension to capture family planning methods. |
HIV Prevention Plan |
This is an extension to capture the patient's plan for the prevention of HIV being transmitted to others. |
Patient Relationship |
This is an extension to capture the relationship of the person with whom the HIV status was disclosed. |
Reasons ART Stopped |
This is an extension to capture the reasons for stopping ART. |
Reasons For Poor ARV Adherence |
This is an extension to capture the reasons for poor ARV adherence. |
Reasons Why Eligible for ART |
This is an extension to capture the reasons why the patient is considered eligible for ART. |
Residential Type |
This is an extension to capture the residential type associated with the address. |
Resource Value Reference |
This is an extension to assoiciate a referenced resource to support the answer to the questionnaire resource question. |
Viral Load/CD4 Count Classifications Indicating Treatment Failure |
This is an extension to capture the classification of the Viral Load/CD4 treatment failure. |
These define sets of codes used by systems conforming to this implementation guide.
ART Eligibility Status |
ART Eligibility Status |
ART Not Started - Plan For Next Step |
Codes used for representing the plan for next steps when a patient didn't start ART the same day. |
ARV Adherence |
ARV Adherence |
ARV Drugs |
A list of codes describing the ARV Drugs. |
ARV Regimen Change Category |
Codes used for representing the category for the ARV regimen change. |
ARV Regimen Change Type |
Codes used for representing the type of change associated with the ARV regimen (Switch or Substitute). |
ARV Side Effects |
Codes used for representing any side effects of the ARV medication prescribed to the patient. |
Active TB Diagnosis Codes |
A list of codes describing whether the patient is infected with active TB. |
Alternate TPT Prophylaxis Type Codes |
A list of codes describing the alternate TPT prophylaxis types to INH. |
Cervical Cancer Screened |
Codes used for representing whether screening for cervical cancer was done. |
Cervical Cancer Screening Method |
Cervical Cancer Screening Method. |
Cervical Cancer Screening Results |
A list of codes describing the Cervical Cancer Screening Results |
Cervical Cancer Screening Type |
Codes used for representing the cervical screening type. |
Cervical Cancer Treatment Received |
Cervical Cancer Treatment Received |
Children Developmental Milestone |
Children Developmental Milestone |
Differentiated Service Delivery - Assessment Status |
Code used for indicating the status of the DSD assessment. |
Differentiated Service Delivery - Category |
Code used for indicating the category for the DSD assessment. |
Differentiated Service Delivery - Reason For Category Change |
Code used for indicating the reason for the category change for the DSD assessment. |
Disclosure Stage |
Codes used for representing the stages of disclosure for the patient's current HIV status. |
EAC Given |
Codes used for representing the EAC given. |
Edema Codes |
Observation codes used for indicating the prescence of Edema. |
Encounter Locations |
Code used for representing the location where the patient is receiving health services. |
Encounter Type |
Codes used for indicating the type of encounter. |
Family Planning Method |
Family Planning Method |
Final Outcome |
Final Outcome |
Follow Up Status |
FollowUp Status |
HIV Positive Tracking Care Plan Activivity Codes |
Codes used for representing activity in the Care Plan. |
HIV Prevention Plan |
Codes used for representing the patient's plan for the prevention of HIV being transmitted to others. |
HIV Status Codes |
A list of codes describing the patient's HIV status. |
HIV Test Results |
Codes used for representing a patient HIV test results. |
HIV Test Results |
HIV Test Results |
HIV Test Types |
HIV Test Types |
Health Status |
Codes used for representing a patient health status. |
Mode Of Delivery |
Codes used for representing mode of delivery. |
Month Ordinal Codes |
A list of codes indicating the month ordinals. |
Nature of Encounter |
A list of codes describing the nature of the patient visit to the health facility |
Nutritional Screening Result |
Nutritional Screening Result |
Nutritional Status |
Nutritional Status |
Nutritional Suppliments Provided |
Nutritional Suppliments Provided |
Occupation |
Occupation |
Opportunistic Infection Medication Codes |
A list of codes describing the medication for opportunistic infections related to the patient. |
Opportunistic Infections |
Codes used for representing opportunistic infections. |
Pain Scale |
Codes used for representing level of pain (pain scale). |
Partner Case Closure Status |
Codes used for indicating the closure status for partner services. |
Partner Notification Plan |
Codes used for indicating the plan for notifying the partner regarding the index case's HIV status. |
Patient Education Level |
Codes used for indicating the patient's highest qualification. |
Patient Functional Status |
Patient Functional Status |
Period of HIV Exposure |
Codes used for indicating the period when last the individual was exposed to HIV. |
Physical Examinations |
Codes used for representing a physical examination. |
Physical Examinations Interpretation |
Codes used for interpreting the finding associated with the physical examination. |
Place Of Delivery |
Codes used for representing place of delivery. |
Presenting Symptoms |
Codes used for representing the symptoms currently being experienced by the patient. |
Reason For ARV Regimen Change |
Codes used for representing the reasons for changing the ARV regimen. |
Reason For Not Testing |
Reason For Not Testing |
Reason For Stopping ART |
Codes used for representing the reasons for stopping ART. |
Reason Index Case Not Interviewed |
Codes used for indicating the reason why the index case was not interviewed. |
Reason Not Eligible for TPT Codes |
A list of codes used for indicating the reason why the patient is not eligible for TPT. |
Reason Not Linked to Partner Services |
Codes used for indicating the reason why the partner was not linked to partner services. |
Reason Not Started ART |
Reason Not Started ART |
Reason Partner Not Contacted |
Codes used for indicating the reason why the partner was not contacted. |
Reason Partner Not Notified |
Codes used for indicating the reason why the partner was not notified about the index case's HIV status. |
Reasons For ART Eligibility |
Reasons For ART Eligibility |
Reasons For Poor ARV Adherence |
Codes used for representing the reasons for poor ARV adherence. |
Referral Reason |
Codes used for representing the reason for referral. |
Residential Type |
Codes used for representing patient residential type. |
Service Providers |
Code used for representing the classification of organizations providing health services. |
TB Diagnostic Test Result Codes |
A list of codes describing a TB diagnostic test result. |
TB Screening Diagnostic Test Type Codes |
A list of codes describing the types of diagnostic tests that can be peformed on the specimen taken during TB screening. |
TB Screening Result Codes |
A list of codes describing the result of the TB Screening. |
TB Screening Specimen Type Codes |
A list of codes describing the specimen types that can be taken during TB Screening for the laboratory examination. |
TB Screening Type Codes |
A list of codes describing the Type of TB Screening. |
TB Treatment Status Codes |
A list of codes describing the status of TB treatment. |
TPT Prophylaxis Codes For Medication Requests |
A list of codes describing the different codes used during a request for TPT medication. |
TPT Prophylaxis Type Codes |
A list of codes describing the TPT prophylaxis type. |
Target Population Category |
Codes used for representing the patient's target population category |
Treatment Outcome Codes |
A list of codes indicating the status of the treatment. |
Viral Load Indication |
Codes used for representing viral load indication. |
Viral Load Indication |
Codes used for representing the indication type for the viral load. |
Viral Load Status |
Codes used for representing patient's viral load status. |
Viral Load/CD4 Count Classifications Indicating Treatment Failure |
Codes used for indicating the classification for the Viral Load/CD4 count treatment failure. |
WHO Stage |
WHO Stage |
Yes/No Codes |
Yes/No Codes Represented as Boolean. |
These define new code systems used by systems conforming to this implementation guide.
ARV Adherence |
ARV Adherence |
ARV Drugs |
A list of codes describing the ARV Drugs. |
ARV Regimen Change Category |
Codes used for representing the category for the ARV regimen change. |
ARV Regimen Substitue Type |
Codes used for representing the type for the ARV regimen substitued. |
ARV Regimen Switch Type |
Codes used for representing the type for the ARV regimen switched. |
Absent or Unknown |
Codes used for indicating when a value is absent or unknown. |
Care Plan Categories |
A list of codes describing Care Plan categories. |
Cervical Cancer Screening Method |
A list of codes describing the Cervical Cancer Screening Method |
Cervical Cancer Screening Results - HPV |
A list of codes describing the Cervical Cancer Screening Results |
Cervical Cancer Screening Results - VIA |
A list of codes describing the Cervical Cancer Screening Results |
Cervical Cancer Screening Type |
Codes used for representing the cervical screening type. |
Children Developmental Milestone Codes |
Code used for representing the child's developmental milestone. |
Differentiated Service Delivery |
Code used for indicating a DSD assessment. |
Differentiated Service Delivery - Assessment Status |
Code used for indicating the status of the DSD assessment. |
Differentiated Service Delivery - Category |
Code used for indicating the category for the DSD assessment. |
Differentiated Service Delivery - Reason For Category Change |
Code used for indicating the reason for the category change for the DSD assessment. |
EAC Given |
Codes used for representing the EAC given. |
Eligility Status for ART Codes |
Observation codes used for indicating patient eligibility for ART. |
Eligility Status for TPT Codes |
Observation codes used for indicating whether the patient is eligible for TPT. |
Encounter Type Code For Entry From Outside Facility |
Code used for indicating that an encounter was captured to represent an entry point from outside the facility. |
Enhanced Adherence Counselling |
Code used for indicating a proprietary enhanced adherence counselling |
Family Index Case Contacts Questionnaire |
Proprietary Codes used in the Family Index Case Contacts Questionnaire. |
Final Outcome |
Final Outcome |
Follow Up Status |
A list of codes describing the follow up statuses |
HIV Positive Tracking |
Codes used for representing HIV positive tracking. |
Index Case Sex Partner Questionnaire |
Proprietary Codes used in the Index Case Partner Questionnaire. |
Nature of Encounter |
A list of codes describing the nature of the patient visit to the health facility |
Nutritional Screening Result Codes |
Codes used for representing the patient's nutritional screening result. |
Nutritional Suppliments Provided Codes |
Code used for representing the patient's nutritional suppliments provided. |
Occupation Codes |
Codes used for representing the patient's occupation |
Partner Notification Plan |
Codes used for indicating the plan for notifying the partner regarding the index case's HIV status. |
Partner and Family-based Index Case Testing (FBICT) |
Codes used for indicating the patient's status for partner and FBICT. |
Patient Education Level Codes |
Codes used for indicating the patient's highest qualification. |
Period of HIV Exposure |
Codes used for indicating the period when last the individual was exposed to HIV. |
Precancerous Lesion Treatment Received |
A list of codes describing the precancerous lesion treatment received |
Proprietary Service Type |
Codes used for indicating a proprietary encounter service type. |
Reason Not Started ART |
Reason Not Started ART |
Reasons For ART Eligibility |
Reasons For ART Eligibility |
Routine Indication Viral Load |
Codes used for representing routine indication for viral load. |
Service Providers |
Code used for representing the classification of organizations providing health services. |
Suspicious Cancerous Treatment |
A list of codes describing the suspicious Cancerous treatment |
TB Screening Diagnostic Test Type Codes |
A list of codes describing the types of diagnostic tests that can be peformed on the specimen taken during TB screening. |
TB Treatment Status Codes |
A list of codes describing the status of TB treatment. |
TPT Alternate Follow-Up Codes |
A code indicating that the follow-up is for an alternate TPT prophylaxis. |
TPT Prophylaxis Type Codes |
A list of codes describing the TPT prophylaxis type. |
Target Population Category Codes |
Codes used for representing the patient's target population category |
Targeted Indication Viral Load |
Codes used for representing targeted indication for viral load. |
Viral Load/CD4 Count Classifications Indicating Treatment Failure |
Codes used for indicating the classification for the Viral Load/CD4 count treatment failure. |
WHO Stage Codes |
Code used for representing the patient's WHO stage. |
Yes/No Codes |
Yes/No Codes Represented as Boolean. |
These define transformations to convert between data structures used by systems conforming to this implementation guide.
Map Breastfeeding Question to an Observation |
Maps Questionnaire Response Resource for Breastfeeding status to an Observation Resource |
Map Estimated Delivery Date Question to an Observation |
Maps Questionnaire Response Resource for Estimated Delivery Date to an Observation Resource |
Map Family Planning Method Question to an Observation |
Maps Questionnaire Response Resource for Family Planning Method to an Observation Resource |
Map Last Menstrual Period Question to an Observation |
Maps Questionnaire Response Resource for Last Menstrual Period to an Observation Resource |
Map Observation Propietary Value CodeableConcept to a Standard CodeableConcept |
Maps Observation propietary value to standard value |
Map Pregnancy Future Plans Question to an Observation |
Maps Questionnaire Response Resource for Pregnancy Future Plans to an Observation Resource |
Map Pregnancy Status Question to an Observation |
Maps Questionnaire Response Resource for Pregnancy status to an Observation Resource |
These define transformations to convert between codes by systems conforming with this implementation guide.
ConceptMap to and from LOINC to Proprietary |
Mapping to and from proprietary concepts to LOINC. |
ConceptMap to and from LOINC to SNOMED |
Mapping to and from LOINC concepts to SNOMED. |
ConceptMap to and from SNOMED to Proprietary |
Mapping to and from proprietary concepts to SNOMED. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
ART Follow-up Care Plan - Alive on ART |
Used to record the ART treatment and care details for the patient who is alive on ART. |
ART Follow-up Care Plan - Alive on ART With Adherence Indication |
Used to record the ART treatment and care details for the patient who is alive on ART (incl. adherence). |
ART Follow-up Care Plan - Alive on ART and Regimen Switched |
Used to record the ART treatment and care details for the patient who is alive on ART and received a regimen switch. |
ART Follow-up Care Plan - Initiated ART |
Used to record the ART treatment and care details for the patient who initiated ART. |
ART Follow-up Care Plan - Request For CD4 |
Used to request CD4 as part of ART. |
ART Follow-up Care Plan - Request For a Routine Viral Load |
Used to request a routine viral load as part of ART. |
Bundle - CDR Example 1 |
An example CDR Bundle.
|
Bundle - CDR Example 2 |
An example CDR Bundle.
|
Bundle - CDR Example 3 |
An example CDR Bundle.
|
Bundle - CDR Example 4 |
An example CDR Bundle.
|
Care Plan - Cotrimoxazole Preventive Therapy |
Used to record the cotrimoxazole preventive therapy details for the patient. |
Care Plan - Cotrimoxazole Preventive Therapy With Adherence Indication |
Used to record the cotrimoxazole preventive therapy details for the patient (incl. adherence). |
Care Plan - INH For TB Preventive Therapy (TPT) |
Used to add the details regarding the request for INH medication to the TPT care plan for the patient. |
Care Plan - Request for Cervical Cancer Screening (HPV Method) |
Indicates the activity associated with the request for cervical cancer screening using HPV as the method of screening. |
Care Plan - Request for Cervical Cancer Screening (HPV Method) - Incl. the Service Request For Cryotherapy Treatment |
Indicates the activities associated with the requests for cervical cancer screening (using HPV as the method) and cryotherapy as the received treatment. |
Care Plan - Request for Cervical Cancer Screening (VIA Method) |
Indicates the activity associated with the request for cervical cancer screening using VIA as the method of screening. |
Care Plan - Request for Cervical Cancer Screening (VIA Method) - Incl. the Service Request For Cryotherapy Treatment |
Indicates the activities associated with the requests for cervical cancer screening (using VIA as the method) and cryotherapy as the received treatment. |
Care Plan - TB Treatment |
Used to record the TB treatment details for the patient. |
Condition - Bacterial Pneumonia |
Indicates that the patient did suffer from bacterial pneumonia in the past. |
Condition - Chronic Diarrhea |
Indicates that the patient is currently suffering from chronic diarrhea. |
Condition - Fever (Current) |
Indicates that the patient is suffering from a recurrent fever. |
Condition - Fever (Past) |
Indicates that the patient did suffer from a fever in the past. |
Condition - Pulmonary Tuberculosis |
Indicates that the patient is currently suffering from pulmonary tuberculosis. |
Diagnostic Report - Absolute CD4 |
Represents the absolute CD4 count. |
Diagnostic Report - Absolute CD4 with Percentage |
Represents the absolute CD4 together with the CD4 percentage. |
Diagnostic Report - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Represents the results for AST and ALT. |
Diagnostic Report - CD4 Percentage |
Represents the CD4 percentage (usually taken at the same time as Absolute CD4). |
Diagnostic Report - Creatinine |
Represents the results for creatinine. |
Diagnostic Report - HGB |
Represents the results for Hemoglobin (HGB). |
Diagnostic Report - Routine Viral Load |
Represents the results for a routine viral load as unsuppressed. |
Diagnostic Report - Targeted Viral Load |
Represents the results for a targeted viral load as suppressed. |
Diagnostic Report - Tested Positive for Cervical Cancer (HPV) |
Indicates that the patient tested HPV positive for cervical cancer. |
Diagnostic Report - Tested Positive for Cervical Cancer (VIA) |
Indicates that the patient tested VIA positive for cervical cancer. |
Encounter - Patient Coming From Another Facility |
Represents the other facility where the patient did receive health services and is now continuing care at the current facility. |
Encounter - Referencing a General Patient |
Represents the current facility at which the patient is receiving health services. |
Encounter - Referencing a General Patient (Which References RelatedPerson) With Entry From Within the Facility (ANC). |
Represents the current facility at which the patient is receiving health services. |
Encounter - Referencing a General Patient (With Absent or Unknown Class) |
Represents the current facility at which the patient is receiving health services. |
Encounter - Referencing a General Patient (With Service Type) |
Represents the current facility at which the patient is receiving health services. |
Encounter - Referencing a General Patient Receiving ART and TB Treatment (Episode Of Care) |
Represents the current facility at which the patient is receiving health services. |
Encounter - Referencing a General Patient With Entry From Within the Facility (TB Clinic). |
Represents the current facility at which the patient is receiving health services. |
Episode of Care - ART (Incoming Referral From Outside the Facility is Now Referred Out) |
Records the health related activities for patients associated with HIV treatment and care services. |
Episode of Care - ART (Incoming Referral From Outside the Facility) |
Records the health related activities for patients associated with HIV treatment and care services. |
Episode of Care - ART (Incoming Referral From Within Facility) |
Records the health related activities for patients associated with HIV treatment and care services. |
Episode of Care - ART (No Referral) |
Records the health related activities for patients associated with HIV treatment and care services. |
Episode of Care - ART (Outgoing Referral) |
Records the health related activities for patients associated with HIV treatment and care services. |
Episode of Care - HIV+ Patient Receiving ART and TB Treatment (Inlc. Episode of Care Identifier) |
Records the health related activities for patients associated with HIV treatment and care services. |
Group - Patient and Child Relation (Not yet a patient) |
Represents the patient and the child being referenced as part of healthcare-related activity |
Group - Patient and Child Relation (Registered as a patient) |
Represents the patient and the child being referenced as part of healthcare-related activity |
List - History of Past Medication |
Documents the medication history of previsouly prescribed (cotrimoxazole, isoniazid and ARV) treatment for the patient. |
List - History of Presenting Symptoms |
Documents the point in time symptoms presented by the patient in the context of the encounter. |
List - Medical History |
Documents the medical history for the patient |
Location - ANC |
Physical location type where health services are provided. |
Location - HIV Services |
Physical location type where health services are provided. |
Location - OPD1 |
Physical location type where health services are provided. |
Location - Pediatrics |
Physical location type where health services are provided. |
Location - TB Clinic |
Physical location type where health services are provided. |
Medication - Represents Cotrimoxazole For Opportunistic Infections |
Used to record the OI medication (Cotrimoxazole) that will be prescribed to the patient. |
Medication - Represents Fluconazole For Opportunistic Infections |
Used to record the OI medication (Fluconazole) that will be prescribed to the patient. |
Medication - Represents a medication for TB Preventive Therapy (TPT) |
Used to record the TPT medication that will be prescribed to the patient. |
Medication - Represents an ARV Regimen |
Used to record the ARV regimen that will be prescribed to the patient. |
Medication Administration - For Prescribed ARV Medication |
Used to record the medication administration period for prescribed ARV medication. |
Medication Administration - For Prescribed Cotrimoxazole Preventive Therapy Medication |
Used to record the medication administration period for prescribed cotrimoxazole preventive therapy medication. |
Medication Administration - For Prescribed Fluconazole Preventive Therapy Medication |
Used to record the medication administration period for prescribed fluconazole preventive therapy medication. |
Medication Dispense - ARV Regimen Prescribed For Status "ART Initiated" |
Indicates ARV prescribed to a patient who initiated on ART. |
Medication Dispense - ARV Regimen Prescribed For Status "Alive on ART" |
Indicates ARV prescribed to a patient who is alive on ART. |
Medication Dispense - Cotrimoxazole Preventive Therapy |
Used to represent dispensed medication prescribed to a patient receiving cotrimoxazole preventive therapy. |
Medication Request - ARV Prescribed to a Patient Who Initiated ART |
This is to record requests for medication that are prescribed to a patient (Initiated on ART). |
Medication Request - ARV Prescribed to a Patient Who is Alive On ART |
This is to record requests for medication that are prescribed to a patient (Alive on ART). |
Medication Request - ARV Regimen Switch |
This is to record requests for medication that are prescribed to a patient (who is Alive on ART) during a regimen switch. |
Medication Request - Cotrimoxazole Preventive Therapy |
Used to record requests for medication that are prescribed to a patient receiving cotrimoxazole preventive therapy. |
Medication Request - INH For TB Preventive Therapy (TPT) |
Used to indicate a request for INH medication to be prescribed to a patient. |
Medication Statement - ARV Treatment Follow Up |
Records the ARV Treatment details for the patient during an ART follow-up. |
Medication Statement - Cotrimoxazole |
Records the Cotrimoxazole details for the patient. |
Medication Statement - Fluconazole |
Records the Fluconazole details for the patient. |
Medication Statement - INH For TB Preventive Therapy (TPT) |
Adds the prescribed medication of INH to the medication history for the patient. |
Medication Statement - Initiated ARV Treatment |
Records the ARV Treatment details for the patient initiated on ART. |
Medication Statement - Past ARV Treatment Initiated On (Still active) |
Records the ARV Treatment details for the patient who was initiated on ART in the past and still active. |
Medication Statement - Past ARV Treatment Initiated On (Stopped) |
Records the ARV Treatment details for the patient who was initiated on ART in the past but stopped treatment |
Medication Statement - Past Cotrimoxazole (Completed) |
Records the Cotrimoxazole details for the patient that was prescribed in the past and completed. |
Medication Statement - Past Cotrimoxazole (Still active) |
Records the Cotrimoxazole details for the patient that was prescribed in the past and still active. |
Medication Statement - Past Cotrimoxazole (Stopped) |
Records the Cotrimoxazole details for the patient that was prescribed in the past and stopped. |
Medication Statement - Past INH (Completed) |
Records the INH details for the patient that was prescribed in the past and completed. |
Medication Statement - Past INH (Still active) |
Records the INH details for the patient that was prescribed in the past and still active. |
Nutritional Status |
Represents the patient's Nutritional Status. |
Observation - 3HP At Follow-up |
Documents the TPT as 3HP at follow-up. |
Observation - 3HP Completed At Follow-up |
Indicates that the patient has completed 3HP at follow-up. |
Observation - 3HR At Follow-up |
Documents the TPT as 3HR at follow-up. |
Observation - 3HR Discontinued At Follow-up |
Indicates that the patient has discontinued 3HR at follow-up. |
Observation - A Related Person Who is Now a Patient, Started ART With Entry Point Within Facility (TB Clinic) |
Used to record the HIV+ tracking details for the patient who started ART within the facility. |
Observation - ART Not Started |
Used to record the HIV+ tracking details for the patient who did not start ART. |
Observation - ART Not Started Plan For Next Step |
Represents the plan for next steps for a patient who did not start ART. |
Observation - ART Not Started With Specified Reasons |
Used to record the HIV+ tracking details for the patient who did not start ART (Incl. Reasons For Not Starting ART). |
Observation - ARV Regimen Changed Due To Clinical failure |
This indicates that the ARV regimen was changed due to clinical failure (CD4 levels below 100 cells/mm3). |
Observation - ARV Regimen Changed Due To Immunologic failure |
This indicates that the ARV regimen was changed due to immunologic failure (CD4 levels below 250 cells/mm3). |
Observation - ARV Regimen Changed Due To New Drug Availability |
This indicates that the ARV regimen was changed due to new drug availability. |
Observation - ARV Regimen Changed Due To Virologic failure |
This indicates that the ARV regimen was changed due to virologic failure (viral load exceeding 1000 copies/mL). |
Observation - ARV Regimen Side Effects |
This is used to capture the any side affects as a result of taking ARV medication. |
Observation - ARV Regimen Substituted |
This is used to indicate the type for the ARV regimen change as a substitution. |
Observation - ARV Regimen Substituted |
This is used to capture the ARV regimen substitute details. |
Observation - ARV Regimen Switched |
This is used to indicate the type for the ARV regimen change as a switch. |
Observation - ARV Regimen Switched |
This is used to capture the ARV regimen switch details. |
Observation - ARV Regimen Switched (incl. change reason) |
This is used to capture the ARV regimen switch details. |
Observation - Absolute CD4 Count |
Used to record the patient's absolute CD4 count. |
Observation - Absolute CD4 Count Including Initiation of ART |
Used to record the patient's absolute CD4 count and ART initiation. |
Observation - Active TB |
Documents the whether the patient is TB Active. |
Observation - Active TB Completed |
Documents the details for the patient who completed TB treatment. |
Observation - Active TB Discontinued |
Documents the details for the patient who discontinued TB treatment. |
Observation - Alive and on ART |
Indicates that the patient is alive and on ART. |
Observation - Alternate TB Prophylaxis Type is "3HP" |
Indicates that the patient is currently receiving 3HP. |
Observation - Alternate TB Prophylaxis Type is "3HP" and TPT was Completed |
Indicates that the patient has completed 3HP. |
Observation - Alternate TB Prophylaxis Type is "3HR" |
Indicates that the patient is currently receiving 3HR. |
Observation - Alternate TB Prophylaxis Type is "3HR" and TPT was Discontinued |
Indicates that the patient has discontinued 3HR. |
Observation - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Used to record the patient's AST and ALT. |
Observation - Assessed for Pain |
Indicates that the patient has been assessed for pain. |
Observation - BMI |
Represents the patient's BMI. |
Observation - Blood Pressure |
Represents the Systolic and Diastolic blood pressure for the patient. |
Observation - CD4 Percentage |
Used to record the patient's CD4 percentage. |
Observation - Cervical Cancer Negative Screening Result (HPV) |
Indicates that the patient has a negative screening for HPV. |
Observation - Cervical Cancer Negative Screening Result (VIA) |
Indicates that the patient has a negative screening for VIA. |
Observation - Cervical Cancer Positive Screening Result (HPV) |
Indicates that the patient has a positive screening for HPV. |
Observation - Cervical Cancer Positive Screening Result (VIA) |
Indicates that the patient has a positive screening for VIA. |
Observation - Cervical Cancer Screening Accepted |
The patient accepted screening for cervical cancer. |
Observation - Cervical Cancer Screening Done |
Indicates that the patient was screened for cervical cancer. |
Observation - Cervical Cancer Screening HPV Method |
This is used to record the patient's cervical cancer screening method as HPV. |
Observation - Cervical Cancer Screening Not Accepted |
The patient did not accept screening for cervical cancer. |
Observation - Cervical Cancer Screening Not Done |
Indicates that the patient was not screened for cervical cancer. |
Observation - Cervical Cancer Screening Type |
This is used to record the patient's cervical cancer screening type. |
Observation - Children Developmental Milestone |
Represents the child's developmental milestone. |
Observation - Confirmed HIV positive After PCR Testing |
Represents the patient's PCR HIV test result. |
Observation - Confirmed HIV positive After Rapid Testing |
Represents the patient's rapid HIV test result. |
Observation - Cotrimoxazole Preventive Therapy Not Started |
Used to indicate that the patient has not started cotrimoxazole preventive therapy. |
Observation - Cotrimoxazole Preventive Therapy Started |
Used to indicate that the patient has started cotrimoxazole preventive therapy. |
Observation - Counseled For Cervical Cancer Screening |
The patient was counselled for cervical cancer. |
Observation - Counseled for HIV |
Indicates that the patient has received counselling for HIV. |
Observation - Counseled for HIV (Excl. Date Counselled) |
Indicates that the patient has received counselling for HIV but the counselling date was not recorded (possibly not known). |
Observation - Counseled for HIV Then Tested for HIV |
Indicates that the patient has received counselling for HIV testing and the HIV test that follows is assoicated with this event. |
Observation - Creatinine |
Used to record the patient's creatinine. |
Observation - Current HIV Treatment Therapy Duration |
Indicates the duration the patient has been on the current ART. |
Observation - DSD Assessment (Status and Category only) |
Represents the DSD details. |
Observation - Disclosure Status |
Documents the disclosure of HIV status for minors. |
Observation - Does Not Reside Within Catchment Area |
Indicates that the patient does not reside within the catchment area. |
Observation - Eligible For ART (With Reasons For Eligibility) |
Indicates that the patient is eligibile for ART |
Observation - Eligible For ART (Without Reasons For Eligibility) |
Indicates that the patient is eligibile for ART |
Observation - Eligible For TPT |
Documents whether the patient is eligibile for TB Prevention Therapy (TPT). |
Observation - Enhanced Adherence Counselling Not Provided |
Indicates that the patient did not receive enhanced adherence counselling. |
Observation - Enhanced Adherence Counselling Provided |
Indicates that the patient did receive enhanced adherence counselling. |
Observation - Enhanced Adherence Counselling Provided As a Step In the ART Care Plan |
Indicates that the patient did receive enhanced adherence counselling as part of the ART Care Plan. |
Observation - Enrolled to Operation Tripple Zero |
Indicates that the patient is enrolled into the specialised program, OTZ. |
Observation - Estimated Delivery Date |
Represents the patient's Estimated Delivery Date. |
Observation - Examination of HEENT |
Indicates that the findings of the HEENT examination appear to be Normal. |
Observation - Examination of Lymph node |
Indicates that the findings of the lymph node examination appear to be Abnormal. |
Observation - Fair ARV Adherence |
Indicates that the patient has fair ARV adherence |
Observation - Family Member HIV Status (FULL) |
This is used to record the family member's HIV status. |
Observation - Final Outcome is "Confirmed Referral" |
Used to record the HIV+ tracking details for the patient who has received a final outcome that is a confirmed referral. |
Observation - Final Outcome is "Started ART" |
Used to record the HIV+ tracking details for the patient who has received a final outcome. |
Observation - Fluconazole Preventive Therapy Started |
Used to indicate that the patient has started fluconazole preventive therapy. |
Observation - Full DSD Assessment (All Details) |
Represents the DSD details. |
Observation - Future Pregnancy Plans |
Represents whether the patient plans to be pregnant in the future. |
Observation - Good ARV Adherence |
Indicates that the patient has Good ARV adherence |
Observation - Good Cotrimoxazole Preventive Therapy Adherence |
Represents the patient's cotrimoxazole preventive therapy Adherence |
Observation - HGB |
Used to record the patient's Hemoglobin (HGB). |
Observation - HIV Prevention Plan |
Indicates the HIV prevention plan agreed between the clinician and the patient. |
Observation - HIV Program Final Outcome is "Known" |
Indicates that the final outcome is known for the patient who is enrolled into the HIV program. |
Observation - HIV Program Final Outcome is "Known" With an Outcome of "Confirmed Referral" |
Indicates that the final outcome is known for the patient who is enrolled into the HIV program. |
Observation - HIV Program Final Outcome is "Known" With an Outcome of "Started ART" |
Indicates that the final outcome is known for the patient who is enrolled into the HIV program. |
Observation - HIV Status Disclosure At Enrollment |
Used to determine whether the patient's or their child's HIV Status is known, and by who. |
Observation - HIV Test Results |
This is used to record the patient's HIV test results. |
Observation - HIV Treatment Prior to Enrollment |
Indicates whether the patient has ever received ART prior to enrollment in the current facility. |
Observation - Head Circumference |
Represents the patient's Head Circumference. |
Observation - Health Status |
This is used to record the patient's health status. |
Observation - Health Status (Index Case Contact - Family Member) |
This is used to record the health status for the index case contact. |
Observation - Health Status (Index Case Contact - Sex Partner) |
This is used to record the health status for the index case contact. |
Observation - Heart Rate |
Indicates the patient's current heart rate. |
Observation - Height |
Represents the patient's height. |
Observation - Highest Education |
Represents the patient's highest education. |
Observation - INH Completed At Follow-up |
Indicates that the patient has completed INH at follow-up. |
Observation - INH1 At Follow-up |
Indicates that the patient is receiving INH1 at follow-up. |
Observation - Initiated On ART |
Indicates that the patient is initiated on ART. |
Observation - Last Menstrual Period |
Represents the patient's Last Menstrual Period. |
Observation - Level of Pain |
Indicates the level of pain the patient is experiencing. |
Observation - Linked To Care |
Used to record the HIV+ tracking details for the patient who has been linked to care. |
Observation - Linked To Care and initiated ART |
Used to record the HIV+ tracking details for the patient who has been linked to care and initiated on ART. |
Observation - Lost to ART |
Indicates that the patient is lost to follow-up. |
Observation - Maternal HIV Status is Known Positive |
Indicates that the mother already knows her HIV status. |
Observation - Maternal HIV Status is Unknown |
Indicates that the mother's HIV status is unknown. |
Observation - Mode of Delivery |
This is used to record the mode of delivery for a patient who is < 6yrs of age. |
Observation - Not Assessed for Pain |
Indicates that the patient has not been assessed for pain. |
Observation - Not Counseled For Cervical Cancer Screening |
The patient was not counselled for cervical cancer. |
Observation - Not Eligible For ART |
Indicates that the patient is not eligibile for ART |
Observation - Not Eligible For TPT |
Documents whether the patient is eligibile for TB Prevention Therapy (TPT). |
Observation - Not Enrolled to Operation Tripple Zero |
Indicates that the patient was not enrolled into the specialised program, OTZ. |
Observation - Not Screened For TB |
Indicates that the patient was not screened for TB. |
Observation - Number of Contacts Elicited For Index Case |
Documents the total number of contacts elicited for the index case. |
Observation - Nutritional Screening Result |
Represents the patient's Nutritional Screening Result. |
Observation - Nutritional Suppliments Provided |
Represents the patient's Nutritional Suppliments Provided. |
Observation - Patient Edema |
Indicates the presence of Edema. |
Observation - Patient Family Planning Method |
Represents the patient's Family Planning Method. |
Observation - Patient Functional Status |
Represents the patient's functional status. |
Observation - Patient MUAC |
Measuring the patient's mid upper arm circumference. |
Observation - Patient Occupation |
Represents the patient's current occupation. |
Observation - Patient WHO Stage |
Represents the patient's WHO stage. |
Observation - Place of Delivery |
This is used to record the place of delivery for a patient who is < 6yrs of age. |
Observation - Pregnancy Status |
Represents whether the patient is currently pregnant. |
Observation - Presenting Symptoms (Fever) |
Indicates fever as a symptom presented by the patient in the context of the encounter. |
Observation - Presenting Symptoms (Nausea) |
Indicates nausea as a symptom presented by the patient in the context of the encounter. |
Observation - Reason ART Not Started |
Represents the reason for the patient not starting ART as being "Referred". |
Observation - Reason ART Not Started With Plan For Next Steps |
Represents the reason for the patient not starting ART as being "Referred" and also includes the plan or next steps. |
Observation - Reason For Stopping ART |
Represents the reasons for the patient stopping ART. |
Observation - Reason Not Eligibile For TPT |
Documents the reason why the patient is not eligibile for TB Prevention Therapy (TPT). |
Observation - Reason Why Eligible for ART |
Represents the reasons why a patient is considered eligibile for ART. |
Observation - Reasons for ARV Adherence |
Represents the reasons for poor ARV Adherence |
Observation - Received Cryotherapy Treatment For the HPV+ Diagnosis |
Indicates that the patient received cryotherapy as treatment after being diagnosed psoitive for cervical cancer (using HPV as the method). |
Observation - Received Cryotherapy Treatment For the VIA+ Diagnosis |
Indicates that the patient received cryotherapy as treatment after being diagnosed psoitive for cervical cancer (using VIA as the method). |
Observation - Resides in Catchment Area |
Indicates that the patient resides in the catchment area. |
Observation - Respiratory Rate |
Indicates the patient's current respiratory rate. |
Observation - Restart |
Indicates that the patient has restarted ART. |
Observation - Routine Viral Load |
This is used to represent a routine viral load exam. |
Observation - Routine Viral Load As a Step In the ART Care Plan |
This is used to represent a routine viral load exam as an event initiated as part of the ART Care Plan. |
Observation - Screened For TB (TB Positive) |
Indicates that the patient was screened for TB and the screening result is positive. |
Observation - Started ART |
Used to record the HIV+ tracking details for the patient who started ART. |
Observation - Started ART With Entry Point From Outside the Facility |
Used to record the HIV+ tracking details for the patient who started ART outside the facility. |
Observation - Started ART With Entry Point Within Facility (TB Clinic) |
Used to record the HIV+ tracking details for the patient who started ART within the facility. |
Observation - Started ART and The Final Outcome Is Known |
Used to record the HIV+ tracking details for the patient who started ART (Incl. Final Outcome Details). |
Observation - Stopped ART |
Indicates that the patient stopped ART. |
Observation - Stopped Cotrimoxazole Preventive Therapy Adherence |
Represents the patient's cotrimoxazole preventive therapy Adherence |
Observation - Suppressed Viral Load Result |
Represents the patient's viral load result as suppressed. |
Observation - TB Diagnostic Test Result |
Documents the patient's diagnostic test result. |
Observation - TB Negative Screening |
Indicates that the patient has a negative TB screening result. |
Observation - TB Positive Screening |
Indicates that the patient has a positive TB screening result. |
Observation - TB Prophylaxis Type is "Alternate" (3HP) |
Indicates that the patient will be receiving an alternate TPT as 3HP. |
Observation - TB Prophylaxis Type is "Alternate" (3HR) |
Indicates that the patient will be receiving an alternate TPT as 3HR. |
Observation - TB Prophylaxis Type is "Isoniazid (INH)" |
Indicates that the patient is currently receiving INH. |
Observation - TB Prophylaxis Type is "Isoniazid (INH)" at Follow-up |
Indicates that the patient is receiving another dose of INH at follow-up. |
Observation - TB Prophylaxis Type is "Isoniazid (INH)" at Follow-up and TPT was completed |
Indicates that the patient has completed INH at follow-up. |
Observation - TB Treatment Not Started |
Indicates that the patient did not start TB treatment. |
Observation - TB Treatment Not Started After Diagnostic Test |
Indicates that the patient did not start TB treatment after being tested. |
Observation - TB Treatment Started |
Indicates that the patient did start TB treatment. |
Observation - TB Treatment Started After Diagnostic Test |
Indicates that the patient did start TB treatment after being tested. |
Observation - TB Treatment Status (TBRx-completed) |
Indicates that the patient's current TB treatment status is TBRx-completed. |
Observation - TB Treatment Status (TBRx-discontinued) |
Indicates that the patient's current TB treatment status is TBRx-discontinued. |
Observation - TB Treatment Status (TBRx1) |
Indicates that the patient's current TB treatment status is TBRx1. |
Observation - TPT Completed |
Documents the details for the patient who completed TPT. |
Observation - TPT Discontinued |
Documents the details for the patient who discontinued TPT. |
Observation - TPT Started |
Documents the date when the patient started TB Prevention Therapy (TPT). |
Observation - TPT Started with INH |
Documents the date when the patient started TB Prevention Therapy (TPT) and in this case, with INH. |
Observation - Target Population |
Represents the patient's targeted population. |
Observation - Targeted Viral Load |
This is used to represent a targeted viral load exam. |
Observation - Temperature |
Indicates the patient's current temperature. |
Observation - Tested for HIV |
Indicates that the patient has been tested for HIV. |
Observation - Tested for HIV (Excl. Date When Last Tested) |
Indicates that the patient has been tested for HIV but the HIV test date was not recorded (possibly not known). |
Observation - Tested for HIV (Inlc. HIV Confirmation Test) |
Indicates that the patient has been tested for HIV and also received an HIV confirmation test that was associated with this event. |
Observation - Therapeutic/Supplementary Food |
Represents the patient's Therapeutic/Supplementary Food. |
Observation - Unsuppressed Viral Load Result |
Represents the patient's viral load result as unsuppressed followed by enhanced adherence counselling. |
Observation - Viral Load Not Performed |
This is used to indicate that a viral load was not performed. |
Observation - Viral Load Performed |
This is used to indicate that a routine viral load was not performed. |
Observation - Weight |
Represents the patient's weight. |
Observation Breastfeeding Status |
Represents whether the patient is currently breatfeeding. |
Organization - Current Facility |
Current organization providing health related services. |
Organization - Outreach Facility |
Outreach facility providing health related services. |
Patient - Child, Related to the Patient, Becomes a Patient |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Patient - General |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Patient - Sexual Partner Related to the Index Case is Registered as a Patient |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Patient - With Child Relationship |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Patient - With Partner Relationship |
Is used to document demographics and other administrative information about an individual receiving care or other health-related services. |
Practitioner - General Practitioner |
Represents the practitioners who participated in the observation. |
Pregnancy Status Reported - Not Pregnant |
Represents whether the patient is currently pregnant. |
Questionnaire Response - Family Index Case Contacts (Example 1) |
A questionaire response that documents the answers to the questions regarding the HIV and health status for index case contacts. |
Questionnaire Response - Family Index Case Contacts (Example 2) |
A questionaire response that documents the answers to the questions regarding the HIV and health status for index case contacts. |
Questionnaire Response - Family Index Case Contacts (Example 3) |
A questionaire response that documents the answers to the questions regarding the HIV and health status for index case contacts. |
Questionnaire Response - Family Index Case Contacts (Full Example) |
A questionaire response that documents the answers to the questions regarding the HIV and health status for index case contacts. |
Questionnaire Response - Index Case Assessment (Example 1) |
A questionaire response that documents the answers to the questions that assesses the index case during interviews. |
Questionnaire Response - Index Case Assessment (Example 2) |
A questionaire response that documents the answers to the questions that assesses the index case during interviews. |
Questionnaire Response - Index Case Assessment (Example 3) |
A questionaire response that documents the answers to the questions that assesses the index case during interviews. |
Questionnaire Response - Index Case Assessment (Example 4) |
A questionaire response that documents the answers to the questions that assesses the index case during interviews. |
Questionnaire Response - Index Case Assessment (Full Example) |
A questionaire response that documents the answers to the questions that assesses the index case during interviews. |
Questionnaire Response - Index Case Screening (Example 1) |
A questionaire response that documents the answers to the eligibility criteria for the index case screening questions. |
Questionnaire Response - Index Case Screening (Example 2) |
A questionaire response that documents the answers to the eligibility criteria for the index case screening questions. |
Questionnaire Response - Index Case Screening (Full Example) |
A questionaire response that documents the answers to the eligibility criteria for the index case screening questions. |
Questionnaire Response - Pregnancy Status and Family Planning Method (FPM) |
A questionaire response that documents the answers to the pregnancy status and FPM questions. |
Questionnaire Response - Sex Partner Information (Example 1) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 10) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 2) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 3) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 4) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 5) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 6) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 7) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 8) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
Questionnaire Response - Sex Partner Information (Example 9) |
A questionaire response that documents the answers to the questions regarding index case sex partners. |
RelatedPerson - Child Relation |
Is used to record the personal information of the person that is related to the patient. |
RelatedPerson - Family Member Relation |
Is used to record the personal information of the person that is related to the patient. |
RelatedPerson - Sexual Partner |
Is used to record the personal information of the person that is related to the patient. |
Service Request - Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) |
Represents the service request for AST and ALT. |
Service Request - CD4 |
Represents the service request for CD4. |
Service Request - Cervical Cancer Screening HPV Method |
Represents the service request for the HPV method of cervical cancer screening. |
Service Request - Cervical Cancer Screening VIA Method |
Represents the service request for the VIA method of cervical cancer screening. |
Service Request - Creatinine |
Represents the service request for creatinine. |
Service Request - Enhanced Adherence Counselling |
Represents the service request for enhanced adherence counselling. |
Service Request - HGB |
Represents the service request for Hemoglobin (HGB). |
Service Request - Incoming Referral From Outside Facility - (New ART Client) |
Used to capture a pateint's referral information. |
Service Request - Incoming Referral From Within Facility - (Existing ART Client) |
Used to capture a pateint's referral information. |
Service Request - PCR HIV Test |
Represents the service request for PCR HIV testing. |
Service Request - Referred to PMTCT |
Represents a service request for the patient's referral to PMTCT. |
Service Request - Request for Cryotherapy as Treatment for Cervical Cancer (HPV Positive) |
Indicates that a request was made for cryotherapy as the targeted treatment for the HPV positive patient |
Service Request - Request for Cryotherapy as Treatment for Cervical Cancer (VIA Positive) |
Indicates that a request was made for cryotherapy as the targeted treatment for the VIA positive patient |
Service Request - Request for Referral |
Service request used to make a request for a referral. |
Service Request - Routine Viral Load |
Represents the service request for a routine viral load. |
Service Request - TB Screening |
Service request used to examine the specimen taken during TB screening. |
Service Request - Targeted Viral Load |
Represents the service request for a targeted viral load. |
Specimen - TB Screening |
The specimen that will be used in a laboratory examination for TB. |