This tab describes the data that are collected during the HIV Testing services visit workflow (HIV.B)

Reason for HIV testing services visit

Client reported coming to the facility after receiving a provider-assisted referral or patient referral from a contact or partner

Client's relationship to the person that referred the client for partner services or family services

When the client is reported to have had suspected exposure to HIV

Date and time when the client had suspected exposure to HIV

Whether testing is happening in the community or at a facility

Specific point in the community where testing is happening

Specific point where testing is happening at a facility

Client is currently pregnant

Gestational age in weeks and/or days depending on the source of gestational age

Expected date of delivery based on gestational age

Infant is being breastfed by mother

The HIV status of the client's partner.

Client's partner is a member of a key population, that has an increased risk of HIV

The client reported having used an HIV self-test before

Results from the reported HIV self-test

Date when the HIV self-test was conducted

Client is a member of a key population that has an increased risk of HIV

The type of key population that the client is included in

Calculated field based on age and gender, if client is 10 years or older and under 20 years old

Calculated field based on age and gender, if client is 20 years or older and under 25 years old

Client considered an orphan or vulnerable child

Client has been informed of their HIV test result

Date HIV test result returned to client

Ways in which the client was exposed to HIV

The date on which the client was diagnosed with HIV

The facility where the client received an HIV-positive diagnosis

Earliest date of HIV diagnosis determined according to the national HIV testing algorithm

The client's HIV serotype

Date diagnosis was returned to client

The date on which the client started or restarted antiretroviral therapy (ART)

The client's age (in years) when given an HIV diagnosis

Client's relationship to the contact identified for voluntary partner services or family services

An HIV test of the client was ordered by the provider

An HIV test was performed on the client during the visit

Type of HIV test

Date HIV specimen was sent to lab

The number of the assay (test kit) in the HIV testing strategy

The result of the first HIV assay in the testing strategy

The result of the second HIV assay in the testing strategy

The result of the third HIV assay in the testing strategy

The result of the repeated first HIV assay in the testing strategy

Date of the HIV test

The result from HIV testing after applying the testing algorithm

HIV status reported after applying the national HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.

Date patient received positive HIV test confirmation (with written documentation)

Name or identifier of health facility where HIV test was confirmed

Probable route(s) of transmission of HIV to client

If the client does not know the HIV status of the client's partner(s), offer to test and add results here

An HIV test for the client's partner has been ordered

Date of client's partner's HIV test

The HIV test result of the client's partner

The HIV status of a sexual or drug-injecting partner of the client, based on a confirmed test result

Partner of the client is on ART

ART and virally suppression status of a partner of the client

Whether counselling was provided to a client during the visit

Offer or refer to prevention services

Offer or refer to sexual and reproductive health services

Other clinical services offered or referrals given to the client

Offer or refer for other support services

Whether a clinical enquiry for intimate partner violence was conducted

Result of medical inquiry for intimate partner violence

Other intimate partner violence (IPV) result not described above (specify)

Whether the client was offered voluntary partner services or family services

The quantity of contacts or partners given by a client that accepts social network-based/partner services for follow-up

Whether the client was offered social network-based partner services

Whether the client accepted social network-based partner services

First name of each contact given by the client to offer social network-based/partner services

Last or family name of each contact given by the client to offer social network-based/partner services

Type of follow-up appointment for testing services

Other reason for the follow-up appointment (specify)

Date the patient is to return for monitoring, re-supply or any other reason

Date when follow-up is recommended based on follow up requirements

Whether a voluntary medical male circumcision procedure was performed

Date on which a voluntary medical male circumcision procedure was performed

Whether an adverse event was reported associated with a voluntary medical male circumcision (VMMC) procedure

Complications from voluntary medical male circumcision (VMMC) procedure resulted in death or hospitalization within 30 days of the procedure or permanent disability

Severity of the adverse event associated with voluntary medical male circumcision (VMMC) procedure

When the adverse event associated with VMMC procedure occurred

Type of adverse event associated with voluntary medical male circumcision (VMMC) procedure

Client experienced other adverse VMMC event (specify)

HIV retest prior to starting ART conducted

Client is at elevated risk for HIV acquisition

Syndrome or STI for which client is diagnosed

Other syndrome/STI diagnosed (specify)

Was the client diagnosed with any of the five STI syndromes during this visit?

Date on which the STI test was conducted

STI for which the client was tested

Client tested for other STI (specify)

Date of syphilis test

Result from syphilis test

Date of initiation of syphilis treatment

Date of Gonorrhoea test

Result from Gonorrhoea test

Date of initiation of Gonorrhoea treatment

Type of specimen to be collected

Other specimen type to be collected (specify)

Type of diagnostic test used for syphilis (treponema pallidum)

Other test used (specify)

Type of diagnostic test used for Neisseria gonorrhoeae

Other type of test used (specify)

Point-of-care (POC) test used for Neisseria gonorrhoeae (specify)

Type of diagnostic test used for Chlamydia trachomatis

Other type of test used for Chlaymdia (specify)

Point-of-care (POC) test used for Chlamydia (specify)

Type of diagnostic test used for Trichomonas vaginalis

Other type of test used (specify)

Point-of-care (POC) test used (specify)

Type of diagnostic test used for herpes simplex virus (HSV)

Other type of test used for Herpes simplex virus (HSV) test (specify)

Type of diagnostic test used for Mycoplasma genitalium

Other type of test used for Mycoplasma genitalium test (specify)

Test type used for the other specified STI

Result from STI test

Date of STI confirmatory test

Type of test ued for confirmatory syphilis test

Other test used for confirmatory syphilis test (specify)

Confirmatory test type for other STI

Result from confirmatory STI test

Date STI treatment was prescribed to the client

Date STI treatment dispensed to the client

STI treatment dispensed to the client

This tab describes the data that are collected during the HIV Testing services visit workflow (HIV.B)

Reason for HIV testing services visit

Client reported coming to the facility after receiving a provider-assisted referral or patient referral from a contact or partner

Client's relationship to the person that referred the client for partner services or family services

When the client is reported to have had suspected exposure to HIV

Date and time when the client had suspected exposure to HIV

Whether testing is happening in the community or at a facility

Specific point in the community where testing is happening

Specific point where testing is happening at a facility

Client is currently pregnant

Gestational age in weeks and/or days depending on the source of gestational age

Expected date of delivery based on gestational age

Infant is being breastfed by mother

The HIV status of the client's partner.

Client's partner is a member of a key population, that has an increased risk of HIV

The client reported having used an HIV self-test before

Results from the reported HIV self-test

Date when the HIV self-test was conducted

Client is a member of a key population that has an increased risk of HIV

The type of key population that the client is included in

Calculated field based on age and gender, if client is 10 years or older and under 20 years old

Calculated field based on age and gender, if client is 20 years or older and under 25 years old

Client considered an orphan or vulnerable child

Client has been informed of their HIV test result

Date HIV test result returned to client

Ways in which the client was exposed to HIV

The date on which the client was diagnosed with HIV

The facility where the client received an HIV-positive diagnosis

Earliest date of HIV diagnosis determined according to the national HIV testing algorithm

The client's HIV serotype

Date diagnosis was returned to client

The date on which the client started or restarted antiretroviral therapy (ART)

The client's age (in years) when given an HIV diagnosis

Client's relationship to the contact identified for voluntary partner services or family services

An HIV test of the client was ordered by the provider

An HIV test was performed on the client during the visit

Type of HIV test

Date HIV specimen was sent to lab

The number of the assay (test kit) in the HIV testing strategy

The result of the first HIV assay in the testing strategy

The result of the second HIV assay in the testing strategy

The result of the third HIV assay in the testing strategy

The result of the repeated first HIV assay in the testing strategy

Date of the HIV test

The result from HIV testing after applying the testing algorithm

HIV status reported after applying the national HIV testing algorithm. No single HIV test can provide an HIV-positive diagnosis.

Date patient received positive HIV test confirmation (with written documentation)

Name or identifier of health facility where HIV test was confirmed

Probable route(s) of transmission of HIV to client

If the client does not know the HIV status of the client's partner(s), offer to test and add results here

An HIV test for the client's partner has been ordered

Date of client's partner's HIV test

The HIV test result of the client's partner

The HIV status of a sexual or drug-injecting partner of the client, based on a confirmed test result

Partner of the client is on ART

ART and virally suppression status of a partner of the client

Whether counselling was provided to a client during the visit

Offer or refer to prevention services

Offer or refer to sexual and reproductive health services

Other clinical services offered or referrals given to the client

Offer or refer for other support services

Whether a clinical enquiry for intimate partner violence was conducted

Result of medical inquiry for intimate partner violence

Other intimate partner violence (IPV) result not described above (specify)

Whether the client was offered voluntary partner services or family services

The quantity of contacts or partners given by a client that accepts social network-based/partner services for follow-up

Whether the client was offered social network-based partner services

Whether the client accepted social network-based partner services

First name of each contact given by the client to offer social network-based/partner services

Last or family name of each contact given by the client to offer social network-based/partner services

Type of follow-up appointment for testing services

Other reason for the follow-up appointment (specify)

Date the patient is to return for monitoring, re-supply or any other reason

Date when follow-up is recommended based on follow up requirements

Whether a voluntary medical male circumcision procedure was performed

Date on which a voluntary medical male circumcision procedure was performed

Whether an adverse event was reported associated with a voluntary medical male circumcision (VMMC) procedure

Complications from voluntary medical male circumcision (VMMC) procedure resulted in death or hospitalization within 30 days of the procedure or permanent disability

Severity of the adverse event associated with voluntary medical male circumcision (VMMC) procedure

When the adverse event associated with VMMC procedure occurred

Type of adverse event associated with voluntary medical male circumcision (VMMC) procedure

Client experienced other adverse VMMC event (specify)

HIV retest prior to starting ART conducted

Client is at elevated risk for HIV acquisition

Syndrome or STI for which client is diagnosed

Other syndrome/STI diagnosed (specify)

Was the client diagnosed with any of the five STI syndromes during this visit?

Date on which the STI test was conducted

STI for which the client was tested

Client tested for other STI (specify)

Date of syphilis test

Result from syphilis test

Date of initiation of syphilis treatment

Date of Gonorrhoea test

Result from Gonorrhoea test

Date of initiation of Gonorrhoea treatment

Type of specimen to be collected

Other specimen type to be collected (specify)

Type of diagnostic test used for syphilis (treponema pallidum)

Other test used (specify)

Type of diagnostic test used for Neisseria gonorrhoeae

Other type of test used (specify)

Point-of-care (POC) test used for Neisseria gonorrhoeae (specify)

Type of diagnostic test used for Chlamydia trachomatis

Other type of test used for Chlaymdia (specify)