Questions
Questions | Concepts | |||
|---|---|---|---|---|
What do you want to do? 🔘 Start ART 🔘 Substitute ART Regimen 🔘 Switch ART Regimen Line 🔘 Stop ART 🔘 Restart ART therapy | 7557d77c-172b-4673-9335-67a38657dd011255 Antiretroviral plan | |||
Start ART | ||||
Date of ART initiation ␣␣-␣␣-␣␣␣␣ 📆 | 159599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA159599 Antiretroviral treatment start date | |||
Regimen line 🔽 Adult 1st line ARV regimen 🔽 Child 1st line ARV regimen | 164515AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | Regimen 🔽 ABC + 3TC + ATVr 🔽 🔽 🔽 | dfbe256e-30ba-4033-837a-2e8477f2e7cd164855 ARV regimen or code patient is switched to | |
Regimen 🔽 d4T + 3TC + NVP 🔽 TDF + FTC + EFV 🔽 TDF + FTC + DTG 🔽 TDF + 3TC + NVP 🔽 TDF + 3TC + LPV/r 🔽 TDF + 3TC + EFV 🔽 TDF + 3TC + DTG + ETR + DRV + RTV 🔽 TDF + 3TC + DTG + DRV + RTV 🔽 TAF + 3TC + LPV/r 🔽 TAF + 3TC + DTG 🔽 TAF + 3TC + DRV/r 🔽 RAL + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV 🔽 ETV + 3TC + DRV + RTV 🔽 AZT + 3TC + RAL 🔽 AZT + 3TC + NVP 🔽 AZT + 3TC + LPV/r 🔽 AZT + 3TC + EFV 🔽 AZT + 3TC + DTG 🔽 AZT + 3TC + DRV + RTV + RAL 🔽 AZT + 3TC + ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + NVP 🔽 ABC + 3TC + LPV/r 🔽 ABC + 3TC + EFV 🔽 ABC + 3TC + DTG 🔽 ABC + 3TC + 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 ␣␣-␣␣-␣␣␣␣ 📆164516AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | ||||
Reason for switching regimen line 🔘 Virologic failure 🔘 Immunologic failure | 160568 Reason antiretrovirals changed to second line therapy 160568AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | |||
Regimen line 🔽 Adult 2nd line ARV regimen 🔽 Child 2nd line ARV regimen | 164515 ARV regimen or code patient is switched to dfbe256e-30ba-4033-837a-2e8477f2e7cd | 164431AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | Regimen 🔽 🔽 🔽 🔽 | |
Regimen 🔽 d4T + 3TC + NVP 🔽 TDF + FTC + EFV 🔽 TDF + FTC + DTG 🔽 TDF + 3TC + NVP 🔽 TDF + 3TC + LPV/r 🔽 TDF + 3TC + EFV 🔽 TDF + 3TC + DTG + ETR + DRV + RTV 🔽 TDF + 3TC + DTG + DRV + RTV 🔽 TAF + 3TC + LPV/r 🔽 TAF + 3TC + DTG 🔽 TAF + 3TC + DRV/r 🔽 RAL + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV 🔽 ETV + 3TC + DRV + RTV 🔽 AZT + 3TC + RAL 🔽 AZT + 3TC + NVP 🔽 AZT + 3TC + LPV/r 🔽 AZT + 3TC + EFV 🔽 AZT + 3TC + DTG 🔽 AZT + 3TC + DRV + RTV + RAL 🔽 AZT + 3TC + ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + NVP 🔽 ABC + 3TC + LPV/r 🔽 ABC + 3TC + EFV 🔽 ABC + 3TC + DTG 🔽 ABC + 3TC + 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 ␣␣-␣␣-␣␣␣␣ 📆 | 164431AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA164431 Date of ARV substitution | |||
Reason for substituting regimen 🔽 New diagnosis of Tuberculosis 🔽 Currently pregnant 🔽 Medications unavailable 🔽 Toxicity, drug 🔽 Other non-coded160562AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | 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 | 164515AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | |||
Regimen 🔽 🔽 🔽 🔽 | dfbe256e-30ba-4033-837a-2e8477f2e7cd | |||
Stop ART - Refused treatment | Date patient refused HIV ||||
Regimen 🔽 d4T + 3TC + NVP 🔽 TDF + FTC + EFV 🔽 TDF + FTC + DTG 🔽 TDF + 3TC + NVP 🔽 TDF + 3TC + LPV/r 🔽 TDF + 3TC + EFV 🔽 TDF + 3TC + DTG + ETR + DRV + RTV 🔽 TDF + 3TC + DTG + DRV + RTV 🔽 TAF + 3TC + LPV/r 🔽 TAF + 3TC + DTG 🔽 TAF + 3TC + DRV/r 🔽 RAL + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV 🔽 ETV + 3TC + DRV + RTV 🔽 AZT + 3TC + RAL 🔽 AZT + 3TC + NVP 🔽 AZT + 3TC + LPV/r 🔽 AZT + 3TC + EFV 🔽 AZT + 3TC + DTG 🔽 AZT + 3TC + DRV + RTV + RAL 🔽 AZT + 3TC + ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + NVP 🔽 ABC + 3TC + LPV/r 🔽 ABC + 3TC + EFV 🔽 ABC + 3TC + DTG 🔽 ABC + 3TC + DRVr 🔽 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 ␣␣-␣␣-␣␣␣␣ 📆 | 162572AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA160739 Antiretroviral treatment stop date | |||
Reason for discontinuing service (text) __________________________________ 163513AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 🔽 Cannot afford treatment | ||||
Restart ART | ||||
Date restarted ART ␣␣-␣␣-␣␣␣␣ 📆 | 160738AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA160738 Date drug restarted | |||
Regimen line 🔽 Adult 1st line ARV regimen 🔽 Adult 2nd line ARV regimen 🔽 Child 1st line ARV regimen 🔽 Child 2nd line ARV regimen | 164515 ARV regimen or code patient is switched to dfbe256e-30ba-4033-837a-2e8477f2e7cd | 164515AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA | Regimen 🔽 🔽 🔽 🔽 | |
Regimen 🔽 d4T + 3TC + NVP 🔽 TDF + FTC + EFV 🔽 TDF + FTC + DTG 🔽 TDF + 3TC + NVP 🔽 TDF + 3TC + LPV/r 🔽 TDF + 3TC + EFV 🔽 TDF + 3TC + DTG + ETR + DRV + RTV 🔽 TDF + 3TC + DTG + DRV + RTV 🔽 TAF + 3TC + LPV/r 🔽 TAF + 3TC + DTG 🔽 TAF + 3TC + DRV/r 🔽 RAL + 3TC + DRV + RTV + TDF 🔽 RAL + 3TC + DRV + RTV + AZT 🔽 RAL + 3TC + DRV + RTV 🔽 ETV + 3TC + DRV + RTV 🔽 AZT + 3TC + RAL 🔽 AZT + 3TC + NVP 🔽 AZT + 3TC + LPV/r 🔽 AZT + 3TC + EFV 🔽 AZT + 3TC + DTG 🔽 AZT + 3TC + DRV + RTV + RAL 🔽 AZT + 3TC + ATV/r 🔽 ABC + 3TC + RAL 🔽 ABC + 3TC + NVP 🔽 ABC + 3TC + LPV/r 🔽 ABC + 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 __________________________________ | 161011AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA161011 Free text comment | |||
Notes | ||||
Notes __________________________________ | 160632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA160632 Free text general | |||