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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 | 164855 ARV regimen or code patient is switched to |
Regimen 🔽 ABC + 3TC + DTG
🔽 ABC + 3TC + EFV
🔽 ABC + 3TC + LPV/r
🔽 ABC + 3TC + NVP
🔽 AZT + 3TC + ATV/r
🔽 AZT + 3TC + DTG
🔽 AZT + 3TC + EFV
🔽 AZT + 3TC + LPV/r
🔽 AZT + 3TC + NVP
🔽 DRV/r + DTG + ABC + 3TC
🔽 DRV/r + DTG + AZT + 3TC
🔽 DRV/r + DTG + TDF + 3TC
🔽 DRV/r + RAL + AZT + 3TC
🔽 DRV/r + RAL + ABC + 3TC
🔽 DRV/r + RAL + TDF + 3TC
🔽 TDF + 3TC + ATV/r
🔽 TDF + 3TC + DTG
🔽 TDF + 3TC + EFV
🔽 TDF + 3TC + LPV/r
🔽 TDF + 3TC + 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 🔽 3rd line ARV regimen | 164515 ARV regimen or code patient is switched to |
Regimen 🔽 ABC + 3TC + DTG
🔽 ABC + 3TC + EFV
🔽 ABC + 3TC + LPV/r
🔽 ABC + 3TC + NVP
🔽 AZT + 3TC + ATV/r
🔽 AZT + 3TC + DTG
🔽 AZT + 3TC + EFV
🔽 AZT + 3TC + LPV/r
🔽 AZT + 3TC + NVP
🔽 DRV/r + DTG + ABC + 3TC
🔽 DRV/r + DTG + AZT + 3TC
🔽 DRV/r + DTG + TDF + 3TC
🔽 DRV/r + RAL + AZT + 3TC
🔽 DRV/r + RAL + ABC + 3TC
🔽 DRV/r + RAL + TDF + 3TC
🔽 TDF + 3TC + ATV/r
🔽 TDF + 3TC + DTG
🔽 TDF + 3TC + EFV
🔽 TDF + 3TC + LPV/r
🔽 TDF + 3TC + 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 + 3TC + DTG
🔽 ABC + 3TC + EFV
🔽 ABC + 3TC + LPV/r
🔽 ABC + 3TC + NVP
🔽 AZT + 3TC + ATV/r
🔽 AZT + 3TC + DTG
🔽 AZT + 3TC + EFV
🔽 AZT + 3TC + LPV/r
🔽 AZT + 3TC + NVP
🔽 DRV/r + DTG + ABC + 3TC
🔽 DRV/r + DTG + AZT + 3TC
🔽 DRV/r + DTG + TDF + 3TC
🔽 DRV/r + RAL + AZT + 3TC
🔽 DRV/r + RAL + ABC + 3TC
🔽 DRV/r + RAL + TDF + 3TC
🔽 TDF + 3TC + ATV/r
🔽 TDF + 3TC + DTG
🔽 TDF + 3TC + EFV
🔽 TDF + 3TC + LPV/r
🔽 TDF + 3TC + NVP | 164432 ARV regimen/code for drugs collected |
Stop ART | |
Date patient Stopped care/treatment ␣␣-␣␣-␣␣␣␣ 📆 | 160739 Antiretroviral treatment stop date |
Reason for discontinuing service 🔽 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 + 3TC + DTG
🔽 ABC + 3TC + EFV
🔽 ABC + 3TC + LPV/r
🔽 ABC + 3TC + NVP
🔽 AZT + 3TC + ATV/r
🔽 AZT + 3TC + DTG
🔽 AZT + 3TC + EFV
🔽 AZT + 3TC + LPV/r
🔽 AZT + 3TC + NVP
🔽 DRV/r + DTG + ABC + 3TC
🔽 DRV/r + DTG + AZT + 3TC
🔽 DRV/r + DTG + TDF + 3TC
🔽 DRV/r + RAL + AZT + 3TC
🔽 DRV/r + RAL + ABC + 3TC
🔽 DRV/r + RAL + TDF + 3TC
🔽 TDF + 3TC + ATV/r
🔽 TDF + 3TC + DTG
🔽 TDF + 3TC + EFV
🔽 TDF + 3TC + LPV/r
🔽 TDF + 3TC + NVP | 164432 ARV regimen/code for drugs collected |
Reason for restarting ART __________________________________ | 161011 Free text comment |
Notes | |
Notes __________________________________ | 160632 Free text general |
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