WHO SMART Guidelines - HIV
1.0.0 - release

This page is part of the WHO SMART Guidelines - HIV (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ExampleScenario: HIV.PrEP.Visit.Scenario

Official URL: http://smart.who.int/hiv/ExampleScenario/HIV.PrEP.Visit.Scenario Version: 1.0.0
Active as of 2025-07-08 Computable Name: ExampleScenarioForProcess

Actors

NameTypeDescription
Patient Person
Health Care Provider Person
EMR System
Laboratory System

Diagram

​ExampleScenarioForProcessPatientPatientHealth Care ProviderHealth Care ProviderEMREMRLaboratoryLaboratoryHIV.C. PrEP visitdetailsStep 1detailsDetermine reason for visit(payload)Take vital signs(payload)Capture or update client history(payload)Test for HIV using testing algorithm(payload)Testing may be performed by a lay provider or self-test(payload)Post-test package of services(payload)Check suitability for PrEP or PEP(payload)Discuss PrEP or PEP(payload)Counsel on risk and prevention(payload)Step 2details

Processes

Process: HIV.C. PrEP visit

The patient visits the clinician for an initial consultation.

Process: Step 1

Description of Step 1

StepNameDescriptionInitiatorReceiverRequestResponse
See subprocessStep 1 below
See subprocessStep 2 below
StepNameDescriptionInitiatorReceiverRequestResponse
1 Determine reason for visit - create (Details: FHIR Restful Interactions code create) Health Care Provider Patient Encounter Resource
4 Take vital signs - create (Details: FHIR Restful Interactions code create) Health Care Provider Patient Patient Resource
4 Capture or update client history - create (Details: FHIR Restful Interactions code create) Health Care Provider EMR Patient Resource
4 Test for HIV using testing algorithm - create (Details: FHIR Restful Interactions code create) Health Care Provider Laboratory Patient Resource
4 Testing may be performed by a lay provider or self-test - create (Details: FHIR Restful Interactions code create) Health Care Provider Health Care Provider Patient Resource
4 Post-test package of services - create (Details: FHIR Restful Interactions code create) Health Care Provider EMR Patient Resource
4 Check suitability for PrEP or PEP - create (Details: FHIR Restful Interactions code create) Health Care Provider Patient Patient Resource
4 Discuss PrEP or PEP - create (Details: FHIR Restful Interactions code create) Health Care Provider Patient Patient Resource
4 Counsel on risk and prevention - create (Details: FHIR Restful Interactions code create) Health Care Provider Patient Patient Resource
Process: Step 2

Description of Step 2

StepNameDescriptionInitiatorReceiverRequestResponse

Instances

NameTypeContentDescription
Patient Resource Patient

The Patient involved in the scenario.

Encounter Resource Encounter

The Encounter where the patient meets with the clinician.

HIV Test Result Observation

The Observation resource capturing the HIV test result.

HIV Diagnosis Condition

The Condition resource representing the HIV diagnosis.

ART Medication Request MedicationRequest

The MedicationRequest for Antiretroviral Therapy (ART).

Follow-up Appointment Appointment

The Appointment resource for follow-up care.