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

: Treatment failure ValueSet - JSON Representation

Active as of 2025-07-08

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{
  "resourceType" : "ValueSet",
  "id" : "HIV.D.DE225",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablevalueset"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablevalueset"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablevalueset"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet HIV.D.DE225</b></p><a name=\"HIV.D.DE225\"> </a><a name=\"hcHIV.D.DE225\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-shareablevalueset.html\">CRMI Shareable ValueSet</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-publishablevalueset.html\">CRMI Publishable ValueSet</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-computablevalueset.html\">CRMI Computable ValueSet</a></p></div><ul><li>Include these codes as defined in <a href=\"CodeSystem-HIVConcepts.html\"><code>http://smart.who.int/hiv/CodeSystem/HIVConcepts</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-HIVConcepts.html#HIVConcepts-HIV.46D.46DE226\">HIV.D.DE226</a></td><td>Clinical failure</td><td>New or recurrent clinical event indicating severe immunodeficiency in adults or advanced or severe immunodeficiency in children</td></tr><tr><td><a href=\"CodeSystem-HIVConcepts.html#HIVConcepts-HIV.46D.46DE227\">HIV.D.DE227</a></td><td>Immunological failure</td><td>CD4 count at or below 250 cells/mm3 following clinical failure</td></tr><tr><td><a href=\"CodeSystem-HIVConcepts.html#HIVConcepts-HIV.46D.46DE228\">HIV.D.DE228</a></td><td>Virological failure</td><td>The inability to achieve or maintain viral suppression below a certain threshold indicated by viral load above 1000 copies/mL based on two consecutive viral load measurements in 3 months, with adherence support following the first viral load test</td></tr></table></li></ul></div>"
  },
  "url" : "http://smart.who.int/hiv/ValueSet/HIV.D.DE225",
  "version" : "1.0.0",
  "name" : "HIVDDE225",
  "title" : "Treatment failure ValueSet",
  "status" : "active",
  "experimental" : true,
  "date" : "2025-07-08T23:21:58+02:00",
  "publisher" : "WHO",
  "contact" : [
    {
      "name" : "WHO",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://who.int"
        }
      ]
    }
  ],
  "description" : "Value set of aRT treatment failure",
  "compose" : {
    "include" : [
      {
        "system" : "http://smart.who.int/hiv/CodeSystem/HIVConcepts",
        "concept" : [
          {
            "code" : "HIV.D.DE226",
            "display" : "Clinical failure"
          },
          {
            "code" : "HIV.D.DE227",
            "display" : "Immunological failure"
          },
          {
            "code" : "HIV.D.DE228",
            "display" : "Virological failure"
          }
        ]
      }
    ]
  }
}