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 ␣␣-␣␣-␣␣␣␣ 📆 | 15959 9Antiretroviral 159599 Antiretroviral treatment start date | |
Regimen line *** 🔽 Adult 1st line ARV regimen 🔽 Child 1st line ARV regimen | 164515 164855 ARV regimen or code patient is switched to Regimen *** 🔽 ABC | |
Regimen 🔽 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 + FTC + EFV 🔽 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 ␣␣-␣␣-␣␣␣␣ 📆 | ||
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 *** 🔽 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 🔽 ABC + 3TC + DRVr 🔽 TDF + FTC + EFVdfbe256e-30ba-4033-837a-2e8477f2e7cdABC + 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 | 164515 ARV regimen or code patient is switched to Regimen *** | |
Regimen 🔽 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 + FTC + EFVdfbe256e-30ba-4033-837a-2e8477f2e7cdABC + 3TC + DRVr 🔽 ABC + 3TC + DRV+RTV+RAL 🔽 ABC + 3TC + ATVrTC + NVP | 164432 ARV regimen/code for drugs collected
| Stop ART - Refused treatment|
Stop ART | ||
Date patient refused HIV Stopped care/treatment ␣␣-␣␣-␣␣␣␣ 📆 | 162572 Date patient refused HIV care/treatment160739 Antiretroviral treatment stop date | |
Reason for discontinuing service (text) __________________________________ 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 | 🔽 ABC ||
Regimen 🔽 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 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 + FTC + EFV | 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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