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/PrEP-visit-PlanDefinition | Version: 0.3.0 | |||
| Active as of 2024-11-07 | Computable Name: PlanDefinition_PrEP_visit | |||
To provide the client with PrEP as a prevention choice for people at elevated risk for HIV acquisition, as part of a combination of HIV prevention approaches, and during a clinic visit. Fig. 10 shows the flow of the PrEP visit proces
Generated Narrative: PlanDefinition PrEP-visit-PlanDefinition
url: PlanDefinition PlanDefinition - PrEP Visit
version: 0.3.0
name: PlanDefinition_PrEP_visit
title: PlanDefinition - PrEP Visit
type: Workflow Definition
status: Active
experimental: true
date: 2024-11-07 21:07:17+0000
publisher: WHO
contact: WHO: http://who.int
description:
To provide the client with PrEP as a prevention choice for people at elevated risk for HIV acquisition, as part of a combination of HIV prevention approaches, and during a clinic visit. Fig. 10 shows the flow of the PrEP visit proces
action
title: PrEP visit business process
description: To provide the client with PrEP as a prevention choice for people at elevated risk for HIV acquisition, as part of a combination of HIV prevention approaches, and during a clinic visit. Fig. 10 shows the flow of the PrEP visit proces
participant
type: Patient
role: client
participant
type: Practitioner
role: TrainedLayProvider
action
id
HIV.C.1title: Determine reason for visit
description: Search for client details in the system and determine reason for visit
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.2title: Take vital signs
description: Vital signs, such as blood pressure and weight, may be taken and recorded.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.3title: Capture or update client history
description: Discuss history with client and review records. Examples of history to take include other diagnoses, medications (including any use of ART), and partner’s HIV status
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.4title: Test for HIV using testing algorithm
description: Existing HIV infection should be ruled out by testing and should be performed the same day that PrEP is started, as per a national HIV testing algorithm.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.6title: Post-test package of services
description: If the client tested positive for HIV, the client should be counselled and linked to care, based on an essential post-test service package.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.7title: Check suitability for PrEP or PEP
description: For new visits, check the client’s suitability for PrEP or post-exposure prophylaxis (PEP).
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.8title: Suitable for PrEP or PEP?
description: • If the initial HIV serology test result is non-reactive (negative), the client meets suitability criteria, and there are no history, signs or symptoms of an acute viral syndrome, the person could be offered and, if desired, initiated on PrEP.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.9title: Discuss PrEP or PEP
description: PrEP should be used during periods at elevated risk for HIV acquisition and can be stopped during periods of low or no risk, depending on PrEP formulation and product
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.10title: Counsel on risk and prevention
description: • If PEP and PrEP are not suitable for the client, such as the client declining medication, the provider may counsel on risk and other prevention options, as well as promote and provide condoms.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.11title: Family planning counselling
description: If appropriate, provide or link to support for family planning counselling.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.12title: STI services
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.17title: Determine recommended tests
description: In addition to HIV testing, a package of screenings is recommended for new and continuing PrEP users, specific to the chosen prevention option as per national guidelines
Participants
Type Role Patient client action
id
HIV.C.19title: Conduct other screenings and tests
description: The provider may perform other screenings, including rapid diagnostics for STIs, and physical examinations. Diagnoses for these may reference other digital adaptation kits.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.20title: Perform additional diagnostics?
description: Are additional diagnostics (beyond an HIV test) to be performed?
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.21title: Diagnostics
description: If diagnostics are to be performed, this may take place at this point. Or this may take place at another time during the process, or after, if the client needs to go to a lab.
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.22title: Counsel on effective use
description: PrEP provides high levels of protection in people who take PrEP regularly. Provide counselling on how to use PrEP effectively
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.23title: Prescribe or administer PrEP or PEP
description: Prescribe or administer PrEP, depending upon the PrEP formulation discussed
Participants
Type Role Practitioner TrainedLayProvider action
id
HIV.C.24title: Schedule follow-up
description: A person using PrEP should have regular HIV testing, such as every three months.
Participants
Type Role Practitioner TrainedLayProvider