Questions | Concepts |
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Date enrolled to DSD ␣␣-␣␣-␣␣␣␣ 📆 | 160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA160753 Date of event |
Date disenrolled from DSD ␣␣-␣␣-␣␣␣␣ 📆 | 160753AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA160753 Date of event |
Reason for disenrolling from DSD __________________________________ | 163513AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA163513 Reason for discontinuing service (text) |
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Antiretroviral treatment refill model 🔘 Community medication distribution, healthcare worker led 🔘 Community medication distribution, peer led 🔘 Express pharmacy pickup without clinician visit 🔘 Facility group medication distribution 🔘 Standard pharmacy pickup following clinician visit | |
Notes __________________________________ | 165095AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA165095 General patient note |
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