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Date patient refused HIV

164432 ARV regimen/code for drugs collected

  • ABC_3TC_ATVr

  • ABC_3TC_DRV_RTV_RAL

  • ABC_3TC_DRVr

  • ABC_3TC_DTG

  • ABC_3TC_EFV

  • ABC_3TC_LPVr

  • ABC_3TC_NVP

  • ABC_3TC_RAL

  • AZT_3TC_ATVr

  • AZT_3TC_DRV_RTV_RAL

  • AZT_3TC_DTG

  • AZT_3TC_EFV

  • AZT_3TC_LPVr

  • AZT_3TC_NVP

  • AZT_3TC_RAL

  • d4T_3TC_EFV

  • d4T_3TC_LPVr

  • d4T_3TC_NVP

  • ETV_3TC_DRV_RTV

  • RAL_3TC_DRV_RTV

  • RAL_3TC_DRV_RTV_ABC

  • RAL_3TC_DRV_RTV_AZT

  • RAL_3TC_DRV_RTV_TDF

  • TAF_3TC_DRVr

  • TAF_3TC_DTG

  • TAF_3TC_LPVr

  • TDF_3TC_DTG_DRV_RTV

  • TDF_3TC_DTG_ETR_DRV_RTV

  • TDF_3TC_EFV

  • TDF_3TC_LPVr

  • TDF_3TC_NVP

  • TDF_FTC_DTG

  • TDF_FTC_EFV

    Questions

    Concepts

    What do you want to do?

    🔘 Start ART

    🔘 Substitute ART Regimen

    🔘 Switch ART Regimen Line

    🔘 Stop ART

    🔘 Restart ART therapy

    1255 Antiretroviral plan

    Start ART

    Date of ART initiation

    ␣␣-␣␣-␣␣␣␣ 📆

    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 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

    Switch ART Regimen Line

    Date regimen line switched

    ␣␣-␣␣-␣␣␣␣ 📆

    164516 Date of switching to 2nd line ARV regimen

    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

    164515 ARV regimen or code patient is switched to

    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

    🔽 TDF ABC + FTC 3TC + EFV

    164432 ARV regimen/code for drugs collected

  • ABC_3TC_ATVr

  • ABC_3TC_DRV_RTV_RAL

  • ABC_3TC_DRVr

  • ABC_3TC_DTG

  • ABC_3TC_EFV

  • ABC_3TC_LPVr

  • ABC_3TC_NVP

  • ABC_3TC_RAL

  • AZT_3TC_ATVr

  • AZT_3TC_DRV_RTV_RAL

  • AZT_3TC_DTG

  • AZT_3TC_EFV

  • AZT_3TC_LPVr

  • AZT_3TC_NVP

  • AZT_3TC_RAL

  • d4T_3TC_EFV

  • d4T_3TC_LPVr

  • d4T_3TC_NVP

  • ETV_3TC_DRV_RTV

  • RAL_3TC_DRV_RTV

  • RAL_3TC_DRV_RTV_ABC

  • RAL_3TC_DRV_RTV_AZT

  • RAL_3TC_DRV_RTV_TDF

  • TAF_3TC_DRVr

  • TAF_3TC_DTG

  • TAF_3TC_LPVr

  • TDF_3TC_DTG_DRV_RTV

  • TDF_3TC_DTG_ETR_DRV_RTV

  • TDF_3TC_EFV

  • TDF_3TC_LPVr

  • TDF_3TC_NVP

  • TDF_FTC_DTG

  • TDF_FTC_EFV

    DRVr

    🔽 ABC + 3TC + DRV+RTV+RAL

    🔽 ABC + 3TC + ATVrTC + NVP

    164432 ARV regimen/code for drugs collected

    Substitute ART Regimen

    Date regimen substituted

    ␣␣-␣␣-␣␣␣␣ 📆

    164431 Date of ARV substitution

    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

    🔽 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 + 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

    Stop ART - Refused treatment

    DRVr

    🔽 ABC + 3TC + DRV+RTV+RAL

    🔽 ABC + 3TC + ATVrTC + NVP

    164432 ARV regimen/code for drugs collected

    Stop ART

    Date patient 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
    🔽 Change formulation
    🔽 Completed total PMTCT
    🔽 Currently pregnant
    🔽 Inpatient care or hospitalization
    🔽 Medications unavailable
    🔽 Non-compliance with treatment or therapy
    🔽 Other
    🔽 Other patient decision
    🔽 Planned treatment interruption
    🔽 Refusal of treatment by patient
    🔽 Regimen failure
    🔽 "Toxicity drug"
    🔽 Treatment never started - patient refused
    🔽 Tuberculosis treatment started
    🔽 Unknown

    1252 Reason antiretrovirals stopped

    Restart ART

    Date restarted ART

    ␣␣-␣␣-␣␣␣␣ 📆

    160738 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

    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 🔽 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 + EFVATV/r

    🔽 TDF ABC + 3TC + LPV/rRAL

    🔽 TDF ABC + 3TC + NVP

    🔽 TDF ABC + FTC 3TC + DTGLPV/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

    Reason for restarting ART

    __________________________________

    161011 Free text comment

    Notes

    Notes

    __________________________________

    160632 Free text general

    ...