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

Questionnaire: Prescribe or administer PrEP or PEP

Branch:
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnaire for prescribe or administer PrEP or PEPQuestionnairehttp://smart.who.int/hiv/Questionnaire/HIV.C23PrescribeOrAdministerPrepOrPep#1.0.0
... HIV.C.DE73Date medications dispensed0..1date
... HIV.C.DE74Date medications prescribed0..1date
... HIV.C.DE75Medications prescribed0..1choiceValue Set: #HIV.C.DE75
... HIV.C.DE79Other (specify)0..1string
... HIV.C.DE80PrEP product prescribed0..1choiceValue Set: #HIV.C.DE80
... HIV.C.DE85Other (specify)0..1string
... HIV.C.DE86Date PrEP prescribed0..1date
... HIV.C.DE87Date PrEP dispensed0..1date
... HIV.C.DE88Volume of PrEP product prescribed/dispensed0..1integer
... HIV.C.DE89Date PEP prescribed0..1date
... HIV.C.DE90Date PEP course completion0..1date
... HIV.C.DE91Preferred PEP backbone regimen0..1choiceValue Set: #HIV.C.DE91
... HIV.C.DE99Preferred third PEP drug0..1choiceValue Set: #HIV.C.DE99
... HIV.C.DE106Estimated creatinine clearance0..1integer
... HIV.C.DE107Sex factor for estimating creatinine clearance0..1choiceValue Set: #HIV.C.DE107
... HIV.C.DE110Estimated creatinine clearance (Cockcroft–Gault equation)0..1integer
... HIV.C.DE111Date of sample collection0..1dateTime
... HIV.C.DE112Contraindications to PrEP usage0..1choiceValue Set: #HIV.C.DE112
... HIV.C.DE119Other allergy or contraindication to a medicine in the PrEP regimen (specify)0..1string
... HIV.C.DE120Prescribed PrEP at initial visit0..1boolean
... HIV.C.DE121Number of days prescribed0..1integer
... HIV.C.DE122PrEP regimen prescribed0..1choiceValue Set: #HIV.C.DE122
... HIV.C.DE123Adherence counselling provided0..1boolean

doco Documentation for this format