Questions | Concepts | |||
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What do you want to do? 🔘 Start ART 🔘 Substitute ART Regimen 🔘 Switch ART Regimen Line 🔘 Stop ART 🔘 Restart ART therapy | ||||
Start ART | ||||
Date of ART initiation ␣␣-␣␣-␣␣␣␣ 📆 | ||||
Regimen line***164855 instead of 164515 🔽 Adult 1st line ARV regimen 🔽 Child 1st line ARV regimen | ||||
Regimen***CC 🔽 ABC d4T + 3TC + ATVrNVP 🔽 ABC TDF + 3TC + DRV+RTV+RALFTC + EFV 🔽 ABC TDF + 3TC + DRVr🔽 ABC + 3TC + FTC + DTG 🔽 ABC TDF + 3TC + EFVNVP 🔽 ABC TDF + 3TC + LPV/r 🔽 ABC TDF + 3TC + NVPEFV 🔽 ABC TDF + 3TC + RAL 🔽 AZT + 3TC + ATV/r 🔽 AZT + 3TC + DTG + ETR + DRV + RTV + RAL 🔽 AZT TDF + 3TC + DTG 🔽 AZT + 3TC DRV + EFVRTV 🔽 AZT TAF + 3TC + LPV/r 🔽 AZT TAF + 3TC + NVPDTG 🔽 AZT TAF + 3TC + RAL 🔽 d4T + 3TC + EFV 🔽 d4T + 3TC + LPVDRV/r 🔽 d4T + 3TC + NVP🔽 ETV RAL + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV + ABC 🔽 RAL ETV + 3TC + DRV + RTV + AZT 🔽 RAL AZT + 3TC + DRV + RTV + TDFRAL 🔽 AZT + 3TC + NVP 🔽 TAF AZT + 3TC + DRVLPV/r 🔽 TAF AZT + 3TC + DTGEFV 🔽 TAF AZT + 3TC + LPV/rDTG 🔽 TDF AZT + 3TC + DTG + DRV + RTV + RAL 🔽 TDF AZT + 3TC + DTG + ETR + DRV + RTV🔽 TDF ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + EFVNVP 🔽 TDF ABC + 3TC + LPV/r 🔽 TDF ABC + 3TC + NVPEFV 🔽 TDF ABC + FTC 3TC + DTG 🔽 TDF ABC + FTC 3TC + EFV | 164432 ARV regimen/code for drugs collected | DRVr 🔽 ABC + 3TC + DRV+RTV+RAL 🔽 ABC + 3TC + ATVrTC + NVP | 164432 ARV regimen/code for drugs collected
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Switch ART Regimen Line | ||||
Date regimen line switched ␣␣-␣␣-␣␣␣␣ 📆 | ||||
Reason for switching regimen line 🔘 Virologic failure 🔘 Immunologic failure | 160568 Reason antiretrovirals changed to second line therapy | |||
Regimen line 🔽 Adult 2nd line ARV regimen 🔽 Child 2nd line ARV regimen | ||||
Regimen***CC 🔽 ABC d4T + 3TC + ATVrNVP 🔽 ABC TDF + 3TC + DRV+RTV+RALFTC + EFV 🔽 ABC + 3TC + DRVr🔽 ABC + 3TC TDF + FTC + DTG 🔽 ABC TDF + 3TC + EFVNVP 🔽 ABC TDF + 3TC + LPV/r 🔽 ABC TDF + 3TC + NVPEFV 🔽 ABC TDF + 3TC + RAL 🔽 AZT + 3TC + ATV/r 🔽 AZT + 3TC + DTG + ETR + DRV + RTV + RAL 🔽 AZT TDF + 3TC + DTG 🔽 AZT + 3TC DRV + EFVRTV 🔽 AZT TAF + 3TC + LPV/r 🔽 AZT TAF + 3TC + NVPDTG 🔽 AZT TAF + 3TC + RAL 🔽 d4T + 3TC + EFV 🔽 d4T + 3TC + LPVDRV/r 🔽 d4T RAL + 3TC + NVP🔽 ETV + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV + ABC 🔽 RAL ETV + 3TC + DRV + RTV + AZT 🔽 RAL AZT + 3TC + DRV + RTV + TDFRAL 🔽 AZT + 3TC + NVP 🔽 TAF AZT + 3TC + DRVLPV/r 🔽 TAF AZT + 3TC + DTGEFV 🔽 TAF AZT + 3TC + LPV/rDTG 🔽 TDF AZT + 3TC + DTG + DRV + RTV + RAL 🔽 TDF AZT + 3TC + DTG + ETR + DRV + RTV🔽 TDF ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + EFVNVP 🔽 TDF ABC + 3TC + LPV/r 🔽 TDF ABC + 3TC + NVPEFV 🔽 TDF ABC + FTC 3TC + DTG 🔽 TDF ABC + FTC 3TC + EFV | 164432 ARV regimen/code for drugs collected | DRVr 🔽 ABC + 3TC + DRV+RTV+RAL 🔽 ABC + 3TC + ATVrTC + NVP | 164432 ARV regimen/code for drugs collected
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Substitute ART Regimen | ||||
Date regimen substituted ␣␣-␣␣-␣␣␣␣ 📆 | ||||
Reason for substituting regimen 🔽 New diagnosis of Tuberculosis 🔽 Currently pregnant 🔽 Medications unavailable 🔽 Toxicity, drug 🔽 Other non-coded | 160562 Reason antiretrovirals changed for first line therapy | |||
Regimen line 🔽 Adult 1st line ARV regimen 🔽 Adult 2nd line ARV regimen 🔽 Child 1st line ARV regimen 🔽 Child 2nd line ARV regimen | ||||
Regimen***CC 🔽 ABC d4T + 3TC + ATVrNVP 🔽 ABC TDF + 3TC + DRV+RTV+RALFTC + EFV 🔽 ABC + 3TC + DRVr🔽 ABC + 3TC + TDF + FTC + DTG 🔽 ABC TDF + 3TC + EFVNVP 🔽 ABC TDF + 3TC + LPV/r 🔽 ABC TDF + 3TC + NVPEFV 🔽 ABC TDF + 3TC + RAL 🔽 AZT + 3TC + ATV/r 🔽 AZT + 3TC + DTG + ETR + DRV + RTV + RAL 🔽 AZT TDF + 3TC + DTG 🔽 AZT + 3TC DRV + EFVRTV 🔽 AZT TAF + 3TC + LPV/r 🔽 AZT TAF + 3TC + NVPDTG 🔽 AZT TAF + 3TC + RAL 🔽 d4T + 3TC + EFV 🔽 d4T + 3TC + LPVDRV/r 🔽 d4T RAL + 3TC + NVP🔽 ETV + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV + ABC 🔽 RAL ETV + 3TC + DRV + RTV + AZT 🔽 RAL AZT + 3TC + DRV + RTV + TDFRAL 🔽 AZT + 3TC + NVP 🔽 TAF AZT + 3TC + DRVLPV/r 🔽 TAF AZT + 3TC + DTGEFV 🔽 TAF AZT + 3TC + LPV/rDTG 🔽 TDF AZT + 3TC + DTG + DRV + RTV + RAL 🔽 TDF AZT + 3TC + DTG + ETR + DRV + RTV🔽 TDF ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + EFVNVP 🔽 TDF ABC + 3TC + LPV/r 🔽 TDF ABC + 3TC + NVPEFV 🔽 TDF ABC + FTC 3TC + DTG 🔽 TDF ABC + FTC 3TC + EFV | 164432 ARV regimen/code for drugs collected | Stop ART - Refused treatment | Date patient refused (stopped) HIV care/treatment *** 160739 <> 162572DRVr 🔽 ABC + 3TC + DRV+RTV+RAL 🔽 ABC + 3TC + ATVrTC + NVP | 164432 ARV regimen/code for drugs collected
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Stop ART | ||||
Date patient Stopped care/treatment ␣␣-␣␣-␣␣␣␣ 📆 | 162572 Date patient refused HIV care/treatment160739 Antiretroviral treatment stop date | |||
Reason for discontinuing service (text)***why not 1252 __________________________________ 163513 Reason for discontinuing service (text) 🔽 Cannot afford treatment | ||||
Restart ART | ||||
Date restarted ART ␣␣-␣␣-␣␣␣␣ 📆 | ||||
Regimen line 🔽 Adult 1st line ARV regimen 🔽 Adult 2nd line ARV regimen 🔽 Child 1st line ARV regimen 🔽 Child 2nd line ARV regimen | ||||
Regimen***CC 🔽 ABC d4T + 3TC + ATVrNVP 🔽 ABC TDF + 3TC + DRV+RTV+RALFTC + EFV 🔽 ABC + 3TC + DRVr 🔽 ABC + 3TC + DTG <> 165606 🔽 ABC TDF + FTC + DTG 🔽 TDF + 3TC + EFV <> 162563NVP 🔽 ABC TDF + 3TC + LPV/r <> 162200 🔽 ABC TDF + 3TC + NVP <> 162199EFV 🔽 ABC TDF + 3TC + RAL <> 166686 🔽 AZT + 3TC + ATV/r 🔽 AZT + 3TC + DTG + ETR + DRV + RTV + RAL 🔽 AZT TDF + 3TC + DTG 🔽 AZT + 3TC DRV + EFVRTV 🔽 AZT TAF + 3TC + LPV/r 🔽 AZT TAF + 3TC + NVPDTG 🔽 AZT TAF + 3TC + RAL 🔽 d4T + 3TC + EFV 🔽 d4T + 3TC + LPVDRV/r 🔽 d4T + 3TC + NVP🔽 ETV RAL + 3TC + DRV + RTV 🔽 RAL + 3TC + DRV + RTV+ TDF 🔽 RAL + 3TC + DRV + RTV + ABCAZT 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL ETV + 3TC + DRV + RTV + TDF 🔽 TAF AZT + 3TC + DRV/rRAL 🔽 TAF AZT + 3TC + DTGNVP 🔽 TAF AZT + 3TC + LPV/r 🔽 TDF AZT + 3TC + DTG + DRV + RTVEFV 🔽 TDF AZT + 3TC + DTG 🔽 AZT + ETR 3TC + DRV + RTV + RAL 🔽 TDF AZT + 3TC + EFV <> 164505ATV/r 🔽 TDF ABC + 3TC + LPV/r RAL 🔽 TDF ABC + 3TC + NVP <> 162565 🔽 TDF ABC + FTC + DTG <>3TC + LPV/r 🔽 TDF ABC + FTC 3TC + EFV | 🔽 ABC + 3TC + DTG 🔽 ABC + 3TC + DRVr 🔽 ABC + 3TC + DRV+RTV+RAL 🔽 ABC + 3TC + ATVrTC + NVPP | 164432 ARV regimen/code for drugs collected
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Reason for restarting ART __________________________________ | ||||
Notes | ||||
Notes __________________________________ | ||||
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