WHO SMART Guidelines - HIV
0.3.0 - ci-build
WHO SMART Guidelines - HIV - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://smart.who.int/hiv/PlanDefinition/HIV-Testing-PlanDefinition | Version: 0.3.0 | |||
| Active as of 2024-11-07 | Computable Name: PlanDefinition_HIV_Testing | |||
To diagnose individuals with HIV and facilitate their engagement in care and ART as early as possible, as well as to counsel HIV-negative clients and link them to prevention and other services
Generated Narrative: PlanDefinition HIV-Testing-PlanDefinition
url: PlanDefinition PlanDefinition - HiV Testing
version: 0.3.0
name: PlanDefinition_HIV_Testing
title: PlanDefinition - HiV Testing
type: Workflow Definition
status: Active
experimental: true
date: 2024-11-07 21:07:17+0000
publisher: WHO
contact: WHO: http://who.int
description:
To diagnose individuals with HIV and facilitate their engagement in care and ART as early as possible, as well as to counsel HIV-negative clients and link them to prevention and other services
action
title: HIV testing services
description: To diagnose individuals with HIV and facilitate their engagement in care and ART as early as possible, as well as to counsel HIV-negative clients and link them to prevention and other services
participant
type: Patient
role: client
participant
type: Practitioner
role: TrainedLayProvider
action
id
HIV.B.1title: Determine reason for visit
description: Ask client if they have visited previously, search for client details in the system and determine reason for visit
RelatedActions
ActionId Relationship HIV.B.2 Before Start Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.2title: Check for signs of serious illness
description: Any person who has signs of serious illness should be referred to the appropriate higher-level facility for management. Danger signs differ by age group.
RelatedActions
ActionId Relationship HIV.B.3 Before Start Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.3title: Signs of serious illness?
description: If the client has danger signs of being seriously ill, this warrants a referral to a higher-level facility. Clear criteria for referral should be available.
RelatedActions
ActionId Relationship HIV.B.7 Before Start Participants
Type Role Practitioner TrainedLayProvider groupingBehavior: Logical Group
selectionBehavior: Exactly One
action
id
HIV.B.3.1title: Collect client Details
description: Collect client details
RelatedActions
ActionId Relationship HIV.B.3 Before End action
id
HIV.B.4title: Take vital signs
description: Vital signs, such as blood pressure and weight, may be taken and recorded.
RelatedActions
ActionId Relationship HIV.B.5 Before Start Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.5title: Provide pre-test information
description: Pre-test information messages
RelatedActions
ActionId Relationship HIV.B.6 Before Start Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.6title: Capture or update client history
description: Discuss history with client and review available records. Examples of history may include other diagnoses, medications (including any use of ART), at risk for HIV or engages in HIV risk behaviours, partner’s HIV status and whether the client has performed an HIV self-test and, if so, the results
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.3.2title: Referral
description: Referral
RelatedActions
ActionId Relationship HIV.B.4 Before End action
id
HIV.B.7title: Test for HIV using testing algorithm
description: The type of test to use depends on national policies and may reflect a number of factors, such as the client’s age, whether the client is pregnant, and the availability of tests at a facility.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.8title: Provide post-test counselling
description: Messages need to provide clients with the latest information and be clearly communicated to all people tested for HIV, regardless of the test result but tailored to their test result
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.9title: Determine recommended services
description: All people with HIV-positive diagnoses should be offered a package of support interventions that ensure timely linkage to care.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.11title: Counsel on benefits of ART and disclosure
description: People with no contraindication to rapid ART initiation should be fully informed of the benefits of ART and offered rapid ART initiation, including the option of same-day initiation.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.12title: Discuss voluntary disclosure and partner services options
description: TIt is important that providers discuss, as part of post-test counselling, options for partner services and encourage HIV-positive clients to use provider-assisted referral to inform their sexual and drug-injecting partner(s) about their potential exposure to HIV and offer them voluntary HTS
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.13title: Make informed decision on care
description: Some people need time to adjust to learning their HIV-positive status and may need further support for starting ART and choosing when and how to link to services. People should not be coerced to start immediately and should be supported in making an informed choice regarding when to start ART
Participants
Type Role Patient client action
id
HIV.B.15title: Arrange for active ART referral
description: The tester makes an appointment for the client or accompanies the client to an appointment
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.16title: Arrange follow-up
description: Arrange for follow-up of clients who are unable to enrol in HIV care on the day of diagnosis.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.18title: Provide voluntary partner services
description: Partner services include partner notification, contact tracing, index testing and family-based index case testing for reaching partners of people with HIV. In this kit “partner services” is used as an inclusive term encompassing a range of partner services packages and approaches, including social network-based approaches. HIV partner services can be delivered in many ways, including patient referral and provider-assisted referral.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.20title: Schedule retest
description: Not all groups or settings need post-test counselling messages encouraging periodic retesting. In certain situations, individuals who have been tested for HIV in the past can be retested
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.B.21title: Offer prevention options
description: Messages should include information on HIV prevention interventions and how to access them, such as male and female condoms, PrEP for those at high ongoing risk, voluntary medical male circumcision for men and boys in eastern and southern Africa, and harm reduction services for people who inject drugs
Participants
Type Role Practitioner TrainedLayProvider