{ "name": "Pre Exposure Followup", "version": "1.0", "published": true, "retired": false, "encounter": "Pre Exposure Followup", "pages": [ { "label": "Followup", "sections": [ { "label": "Followup Date", "isExpanded": "true", "questions": [ { "label": "Followup date", "type": "obs", "required": "true", "id": "followupDate", "questionOptions": { "rendering": "date", "concept": "5c118396-52dc-4cac-8860-e6d8e4a7f296", "conceptMappings": [], "answers": [] }, "validators": [ { "type": "date", "allowFutureDates": "false" }, { "type": "js_expression", "failsWhenExpression": "myValue < new Date(prepScreeningDate)", "message": "Followup date should not be earlier than Prep Screening date" } ] }, { "label": "Prep Screening Date", "type": "obs", "id": "prepScreeningDate", "questionOptions": { "concept": "bd09b775-0294-4775-9615-964d98e06a4f", "rendering": "fixed", "calculate": { "calculateExpression": "resolve(api.getLatestObs(patient.id, 'bd09b775-0294-4775-9615-964d98e06a4f', '8c2b6a9b-4795-417d-affe-2530a753b715'))?.valueDateTime" } }, "behaviours": [ { "intent": "edit", "questionOptions": { "concept": "bd09b775-0294-4775-9615-964d98e06a4f", "rendering": "fixed" } } ,{ "intent": "view", "questionOptions": { "concept": "bd09b775-0294-4775-9615-964d98e06a4f", "rendering": "fixed" } } ] } ] }, { "label": "Repeat HIV Test", "isExpanded": "true", "questions": [ { "label": "Test 1 result", "type": "obs", "required": false, "id": "test1Result", "questionOptions": { "rendering": "select", "concept": "be4e10ae-f149-439e-904b-a02a264cbfdb", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" }, { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Negative result" } ] }, "validators": [] }, { "label": "Test 2 result", "type": "obs", "required": false, "id": "test2Result", "questionOptions": { "rendering": "select", "concept": "6d5b24ab-8ea3-4aca-a9a3-2abc14db1b96", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" }, { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Negative result" } ] } }, { "label": "Test 3 result", "type": "obs", "required": false, "id": "test3Result", "questionOptions": { "rendering": "select", "concept": "04e7081b-4a0d-4409-9cef-3623b29f8bd2", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" }, { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Negative result" } ] } }, { "label": "Final result", "type": "obs", "required": false, "id": "finalTestResult", "questionOptions": { "rendering": "select", "concept": "40d1c129-5373-4005-95b1-409e56db9743", "conceptMappings": [], "answers": [ { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" }, { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Negative" } ] } }, { "label": "Test type", "type": "obs", "required": false, "id": "testType", "questionOptions": { "rendering": "select", "concept": "a865a098-c9ee-4c51-a13b-5c5d574d036c", "conceptMappings": [ { "relationship": "SAME-AS", "type": "ETHIOHRI", "value": "testType" } ], "answers": [ { "concept": "163722AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Rapid test for HIV" }, { "concept": "167441AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "HIV DNA polymerase chain reaction, dried blood spot (DBS)" } ] }, "validators": [] }, { "label": "Linkage to HIV care", "type": "obs", "required": false, "id": "linkageToHivCare", "questionOptions": { "rendering": "select", "concept": "02776be4-f96e-40d9-9615-2db00cae6df5", "conceptMappings": [], "answers": [ { "concept": "c08650f8-e1a6-4d4d-83d5-eb2003f25d37", "label": "Started ART in this facility" }, { "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Unknown" }, { "concept": "1610AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Referral for antiretroviral therapy" } ] }, "hide": { "hideWhenExpression": "finalTestResult == '5e4fc757-0b14-49ae-b3b7-419666f41e15'" }, "validators": [] } ] }, { "label": "Followup status", "isExpanded": "true", "questions": [ { "label": "Sign and symptoms of acute HIV infection present", "type": "obs", "required": true, "id": "symptomsOfHIVInfection", "questionOptions": { "rendering": "radio", "concept": "402e8f8c-0931-4e6a-9d53-962ab9519d4d", "conceptMappings": [], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "On-going risk of HIV", "type": "obs", "required": false, "id": "riskFactorPresent", "questionOptions": { "rendering": "radio", "concept": "165430AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "NARROWER-THAN", "type": "SNOMED-CT", "value": "80943009" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "165430" } ], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Risk reduction counselling provided", "type": "obs", "required": false, "id": "riskReductionCounselingProvided", "questionOptions": { "rendering": "radio", "concept": "5c77c6b7-3578-43c2-a296-e47edc0d851b", "conceptMappings": [], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Is client pregnant", "type": "obs", "required": false, "id": "isClientPregnant", "questionOptions": { "rendering": "select", "concept": "5272AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "AMPATH", "value": "5272" }, { "relationship": "SAME-AS", "type": "PIH", "value": "5272" }, { "relationship": "BROADER-THAN", "type": "LOINC", "value": "11449-6" }, { "relationship": "SAME-AS", "type": "PIH-Malawi", "value": "1755" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "44" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "5272" }, { "relationship": "SAME-AS", "type": "PIH-Malawi", "value": "1755" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "44" }, { "relationship": "SAME-AS", "type": "PIH", "value": "5272" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "5272" }, { "relationship": "NARROWER-THAN", "type": "SNOMED-CT", "value": "77386006" } ], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] }, "hide": { "hideWhenExpression": "sex !== 'F'" }, "validators": [] }, { "label": "LMP", "type": "obs", "required": false, "id": "lmp", "questionOptions": { "rendering": "date", "concept": "30d8d278-5ace-4d01-b2f1-8efc28372070", "weeksList": "" }, "hide": { "hideWhenExpression": "isClientPregnant !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [ { "type": "date", "allowFutureDates": "false" } ] }, { "label": "EDD", "type": "obs", "required": false, "id": "edd", "questionOptions": { "rendering": "date", "concept": "5596AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "AMPATH", "value": "1854" }, { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "161714006" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "5596" }, { "relationship": "SAME-AS", "type": "LOINC", "value": "11779-6" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "5596" }, { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "366322004" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "1854" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "5596" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "5596" }, { "relationship": "SAME-AS", "type": "LOINC", "value": "11779-6" } ], "answers": [] }, "hide": { "hideWhenExpression": "isClientPregnant !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Side effects", "type": "obs", "required": false, "id": "sideEffects", "questionOptions": { "rendering": "checkbox", "concept": "67cc07e3-15bc-4175-8e14-f7f74e065b29", "conceptMappings": [], "answers": [ { "concept": "151AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Abdominal pain" }, { "concept": "110149AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Rash", "conceptMappings": [] }, { "concept": "5978AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Nausea" }, { "concept": "122983AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Vomiting" }, { "concept": "142412AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Diarrhea" }, { "concept": "140501AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Fatigue" }, { "concept": "139084AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Headache" }, { "concept": "139541AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Enlarged Lymph Nodes" }, { "concept": "140238AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Fever" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" } ] }, "validators": [] }, { "label": "Family planning method", "type": "obs", "required": false, "id": "familyPlanningMethod", "questionOptions": { "rendering": "select", "concept": "374AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "13197004" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "374" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "374" }, { "relationship": "SAME-AS", "type": "PIH", "value": "374" } ], "answers": [ { "concept": "190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Condoms" }, { "concept": "162332AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Contraception method undecided" }, { "concept": "5278AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Diaphragm" }, { "concept": "160570AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Emergency contraceptive pills" }, { "concept": "164814AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Female condom" }, { "concept": "5276AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Female sterilization" }, { "concept": "159837AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Hysterectomy" }, { "concept": "159589AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Implantable contraceptive (unspecified type)" }, { "concept": "5279AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Injectable contraceptives" }, { "concept": "5275AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Intrauterine device" }, { "concept": "136452AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "IUD Contraception" }, { "concept": "136163AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Lactational amenorrhea" }, { "concept": "78796AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Levonorgestrel" }, { "concept": "164813AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Male condom" }, { "concept": "907AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Medroxyprogesterone acetate" }, { "concept": "5277AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Natural family planning" }, { "concept": "1107AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "None" }, { "concept": "1359AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Norplant (implantable contraceptive)" }, { "concept": "1175AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Not applicable" }, { "concept": "780AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Oral contraception" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" }, { "concept": "159524AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Sexual abstinence" }, { "concept": "1472AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Tubal ligation procedure" }, { "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Unknown" }, { "concept": "1489AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Vasectomy" } ] }, "validators": [] }, { "label": "Condoms provided", "type": "obs", "required": false, "id": "condomsProvided", "questionOptions": { "rendering": "select", "concept": "159777AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "NARROWER-THAN", "type": "AMPATH", "value": "6287" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "159777" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "159777" } ], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] }, "hide": { "hideWhenExpression": "familyPlanningMethod !== '190AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Breastfeeding", "type": "obs", "required": false, "id": "breastfeeding", "questionOptions": { "rendering": "radio", "concept": "5632AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "CIEL", "value": "5632" }, { "relationship": "NARROWER-THAN", "type": "AMPATH", "value": "2056" }, { "relationship": "SAME-AS", "type": "AMPATH", "value": "5632" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "5632" }, { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "413712001" }, { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "413712001" } ], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Screened for STI", "type": "obs", "required": false, "id": "screenedForSTI", "questionOptions": { "rendering": "radio", "concept": "f461ff79-1873-4f80-bffd-6b3164db7e88", "conceptMappings": [], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Screening result for STI", "type": "obs", "required": false, "hide": { "hideWhenExpression": "screenedForSTI !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "id": "screeningResultForSTI", "questionOptions": { "rendering": "select", "concept": "7a643a93-3f11-4ad0-acfa-b15f2d7c8ddc", "conceptMappings": [], "answers": [ { "concept": "b0ff6e2e-ff01-4683-859a-9fcd69dff12e", "label": "No STI" }, { "concept": "6ff0d9f0-f955-4750-bd8d-2619f86967bd", "label": "Genital ulcer" }, { "concept": "b3855356-bedc-492e-bec5-2d19bfabcced", "label": "Urethral discharge" }, { "concept": "123396AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Vaginal discharge" }, { "concept": "157544AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Lower abdominal pain" }, { "concept": "125203AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Scrotal swelling" }, { "concept": "e5e4cb90-b6ee-4b15-b920-2efafc359ee3", "label": "Inguinal bubo" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" } ] } }, { "label": "STI treatment started date", "type": "obs", "required": false, "id": "stiTreatmentDate", "questionOptions": { "rendering": "date", "concept": "1428AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "SNOMED-MVP", "value": "14281000105003" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "1428" }, { "relationship": "NARROWER-THAN", "type": "SNOMED-CT", "value": "413946009" } ], "answers": [] }, "hide": { "hideWhenExpression": "screeningResultForSTI == 'b0ff6e2e-ff01-4683-859a-9fcd69dff12e'" }, "validators": [ { "type": "date", "allowFutureDates": "false" } ] }, { "label": "Screened for TB", "type": "obs", "required": false, "id": "screenedForTB", "questionOptions": { "rendering": "radio", "concept": "164800AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "SAME-AS", "type": "SNOMED-CT", "value": "429599001" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "164800" } ], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Screening result for TB", "type": "obs", "required": false, "id": "screeningResultForTB", "questionOptions": { "rendering": "radio", "concept": "160108AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "NARROWER-THAN", "type": "SNOMED-CT", "value": "429599001" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "160108" }, { "relationship": "SAME-AS", "type": "PIH", "value": "2136" } ], "answers": [ { "concept": "5e4fc757-0b14-49ae-b3b7-419666f41e15", "label": "Negative" }, { "concept": "703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Positive" } ] }, "hide": { "hideWhenExpression": "screenedForTB !== '1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Weight", "type": "obs", "required": false, "id": "weight", "questionOptions": { "rendering": "number", "concept": "8ddaed89-5474-424a-a9e1-a8ad28b091fb", "conceptMappings": [] }, "validators": [] }, { "label": "Creatinine Level", "type": "obs", "required": false, "id": "creatinineLevel", "questionOptions": { "rendering": "number", "concept": "dfe842c9-e089-4b2a-a243-f90ec90332f7", "conceptMappings": [] }, "validators": [] }, { "label": "eGFR", "type": "obs", "required": false, "id": "eGFR", "questionOptions": { "calculate": { "calculateExpression": "calcEGFR(patient, 'weight', 'creatinineLevel')" }, "rendering": "select", "concept": "165570AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "conceptMappings": [ { "relationship": "NARROWER-THAN", "type": "SNOMED-CT", "value": "364183002" }, { "relationship": "SAME-AS", "type": "CIEL", "value": "165570" } ], "answers": [ { "concept": "120575AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Chronic kidney disease, stage I" }, { "concept": "120574AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Chronic kidney disease, stage II (mild)" }, { "concept": "2c156b19-3b11-4e11-9ae2-5ea2bff2b093", "label": "Chronic kidney disease, stage IIIA (moderate)" }, { "concept": "3034271b-5d91-4616-9f49-8a8cae5c2e76", "label": "Chronic kidney disease, stage IIIB (moderate)" }, { "concept": "120578AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Chronic kidney disease, stage IV (severe)" }, { "concept": "120577AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Chronic kidney disease, stage V" } ] }, "validators": [] } ] }, { "label": "Adherence", "isExpanded": "true", "hide": { "hideWhenExpression": "finalTestResult == '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "questions": [ { "label": "Followup Status", "type": "obs", "required": false, "id": "followupStatus", "questionOptions": { "rendering": "select", "concept": "222f64a8-a603-4d2e-b70e-2d90b622bb04", "conceptMappings": [], "answers": [ { "concept": "164144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Newly started" }, { "concept": "160429AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "On PrEP" }, { "concept": "27e28afa-b4a6-44e0-b331-ea7250121a0e", "label": "Loss to follow-up (LTFU)" }, { "concept": "1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Discontinued/Stop" }, { "concept": "160432AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Dead" }, { "concept": "162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Restart" }, { "concept": "159492AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "TO" }, { "concept": "cc2dfcbd-e099-47d5-b01c-74caa296ba3c", "label": "Transfer in (Started in other Facility)" } ] }, "validators": [] }, { "label": "PrEP regimen", "type": "obs", "required": true, "id": "prepRegimen", "questionOptions": { "rendering": "select", "concept": "722ff3de-e2d1-4df4-8d05-ca881dc7073b", "conceptMappings": [], "answers": [ { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other" }, { "concept": "ff27e3c2-1453-4819-ba89-74bd70749848", "label": "TDF" }, { "concept": "97d14de6-89c4-49cb-9553-55de5cbc9b03", "label": "TDF/3TC" } ] }, "hide": { "hideWhenExpression": "followupStatus !== '162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '164144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '160429AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Dispensed dose", "type": "obs", "required": true, "id": "arvDispensedInDays", "questionOptions": { "rendering": "select", "concept": "f3911009-1a8f-42ee-bdfc-1e343c2839aa", "answers": [ { "concept": "fba421cf-a483-4329-b8b1-6a3ef16081bc", "label": "30", "conceptMappings": [] }, { "concept": "75d94023-7804-44f8-9998-9d678488af3e", "label": "60", "conceptMappings": [] }, { "concept": "4abbd98d-0c07-42f4-920c-7bbf0f5824dc", "label": "90", "conceptMappings": [] }, { "concept": "684c450f-878b-4b96-ab1b-2b539c30f033", "label": "120", "conceptMappings": [] }, { "concept": "fa23df4a-dd90-4a0b-a1c9-b44b7f820c93", "label": "150", "conceptMappings": [] }, { "concept": "e5f7cc4d-922a-4838-8c75-af9bdbb59bc8", "label": "180", "conceptMappings": [] } ] }, "hide": { "hideWhenExpression": "followupStatus !== '162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '164144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '160429AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" } }, { "label": "PrEP dose end date", "type": "obs", "required": false, "id": "prepDoseEndDate", "questionOptions": { "rendering": "date", "concept": "1dcc457b-638c-4103-887b-4e8581e052f8", "calculate": { "calculateExpression": "CustomPrepDoseEndDateCalc('followupDate','arvDispensedInDays', 'followupStatus')" }, "conceptMappings": [], "answers": [] }, "readonly": "true", "hide": { "hideWhenExpression": "followupStatus !== '162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '164144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '160429AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Number of missed tablets in the past 30 days", "type": "obs", "required": false, "id": "numberOfMissedTablets", "questionOptions": { "rendering": "select", "concept": "a10bb1c2-64a5-4f62-9d2f-05ef1b261fb8", "conceptMappings": [], "answers": [ { "concept": "bc3d60f6-e873-4e99-94ac-579549a340d0", "label": "5+ Tablets (Poor)" }, { "concept": "4f4aebc4-ce7c-45a1-8c51-ac7e2a65afaf", "label": "<=4 Tablets (Good)" }, { "concept": "1067AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Unknown" } ] }, "hide": { "hideWhenExpression": "followupStatus !== '162904AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '164144AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA' && followupStatus !== '160429AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Reason for stopping treatment", "type": "obs", "required": false, "id": "reasonForStoppingTreatment", "questionOptions": { "rendering": "select", "concept": "4bf84596-dd44-4b81-a638-4617e189a89d", "conceptMappings": [], "answers": [ { "concept": "138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "HIV positive" }, { "concept": "1403AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "HIV negative, no longer at risk" }, { "concept": "164377AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Medication side effect" }, { "concept": "f29234f7-9522-404f-8fed-837ff57e2ac9", "label": "At substantial risk but decided to discontinue for personal reasons" }, { "concept": "5622AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Other non-coded" } ] }, "hide": { "hideWhenExpression": "followupStatus !== '1260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA'" }, "validators": [] }, { "label": "Adherence assessment and counselling provided", "type": "obs", "required": false, "id": "adherenceAssessmentAndCounsellingProvided", "questionOptions": { "rendering": "radio", "concept": "d2e7ccba-2dc5-4310-b5ce-e554c19a9370", "conceptMappings": [], "answers": [ { "concept": "1065AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "Yes" }, { "concept": "1066AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "label": "No" } ] } }, { "label": "Next visit date", "type": "obs", "questionOptions": { "calculate": { "calculateExpression": "CustomNextVisitDateCalc('followupDate','arvDispensedInDays')" }, "rendering": "date", "concept": "c596f199-4d76-4eca-b3c4-ffa631c0aee9", "weeksList": "" }, "readonly": "false", "id": "nextVisitDate" } ] } ] } ], "availableIntents": [ { "intent": "*", "display": "default_intent" } ], "processor": "EncounterFormProcessor", "uuid": "3329c50b-2cd2-44ab-af2b-06f3b914cc7e", "referencedForms": [], "encounterType": "bc423d48-af6f-4354-af22-fec8ff1c0308", "allowUnspecifiedAll": true }