Page1
BIRTHDATE
FAMILY NAME
GIVEN NAME
MEDICAL RECORD NUMBER
MIDDLE NAME
PATIENT ID
SEX
ENCOUNTER DATETIME
LOCATION ID
Unknown Location [1]
1
PROVIDER ID
Maja Weisser
5
ANDREW KATENDE
8
Robert Christopher Ndege
9
Getrud Joseph Mollel
10
Ezekiel Luoga
11
Lilian Moshi
12
Gidion Fue
15
Athuman Mtandanguo
16
Specioza Hwaya
17
Phamarcy CDCI [132-1]
22
Pharmacy one Stop [133-9]
23
Herieth wilson ismael [140-4]
27
Selerine John Myeya [60-4]
28
Elizabeth Eliet Senkoro [142-0]
30
Vera Portillo [147-9]
34
James Okuma [148-7]
35
Olivia John Kitau [152-9]
38
George Frederick Mkoma [95-0]
45
Bernard Gabriel Kivuma [75-2]
48
Slyakus Vintan Mlembe [145-3]
50
George Frederick Sigalla [164-4]
51
Francisca Seraphin Chuwa [165-1]
52
Farida Bani [114-9]
53
Yvonne Ramesh Haridas [171-9]
54
Jacqueline Inoja Nkouabi [170-1]
55
Suzan Ngalimecha Ngahyoma [172-7]
56
Regina Ndaki [84-4]
57
Sarah Katharina Staehelin [175-0]
58
John Wigayi [61-2]
59
Mabula John [59-6]
60
Athuman Said Mtandanguo [64-6]
61
Mohamed Godfrey Mbaruku [173-5]
62
Juma Kupewa [176-8]
63
Leila Samson [85-1]
64
Elizabeth Dotto Kagwese [179-2]
66
Lulu Wilson Ismael [180-0]
67
Florent Raphael Heritier [184-2]
71
Happyphania Isaya Ngakongwa [167-7]
72
Petro Togolani Sabuni [185-9]
73
Selerine Myeya [46-3]
75
Namsifueli Julius Ley [187-5]
76
Bedran Topyurek [188-3]
77
Edgar Enzigard Martin [189-1]
78
Fredy Geiger [190-9]
79
Getruda Lenia Julius [193-3]
80
Florian Kasper Mury [194-1]
81
Sara Glanzmann [195-8]
82
Claudio Zaugg [12]1Lucas Gervas Shayo [13]2Agata Correia Agata [3]4Herry Robert Mapesi6George Rocky Sikalengo7Vanesa Anton Vazquez13Rahel Bircher14Armon Arpagaus18Sambuta Aloyce [125-5]19Anna Eichenberger [129-7]20Felister Godson Kiwelu21Linn Jarte24Omary Ngome Rajab [137-0]25Laura Gimenez Letona [139-6]26PHILIP SCHMASSMANN [141-2]29Vera Hodel [143-8]31Joshua Joseph Kapungu [144-6]32Andre Hofer [146-1]33Sandra Glauser [149-5]36Raphael Magnolini [151-1]37Alois Mbuta [153-7]39Paul Camille Genton [154-5]40Evarist Chiweka [19-0]41John Malugu [44-8]42Ivana Di Salvo [157-8]43Michael Charles Kasmiri [159-4]44Mary Gregory Marandu [107-3]46Asha Juma Haroub [13-3]47Jacopo Nicoletti [158-6]49Ramadhan Katala [177-6]65Rabson Namtwanga [181-8]68Belina Byabato [182-6]69Sturida Patrick [183-4]70Cecilia Philipo Ligogo [186-7]74Herry Robert Mapesi [14]3Florent Raphael Heritier [184]184Happyphania Isaya Ngakongwa [167]167Regina Ndaki [86]86Maja Weisser [100]100Sharifa Nakapala [106]106Petro Togolani Sabuni [185]185Namsifueli Julius Ley [187]187Bedran Topyurek [188]188Fredy Geiger [190]190Juma Kupewa [176]176Getruda Lenia Julius [193]193Florian Kasper Mury [194]194Sara Glanzmann [195]195
HEINO
HIV Exposed Infant Number
PAEDSNO
PAEDS Number
NACP Number
NACP Number
Systemic Text Value
Systemic Text Value
Respiratory_Altered
Regimen during first trimester
ARV regimen during first trimester
NONE
1107^NONE^99DCT
Unknown ART Regimen
162823^Unknown ART Regimen^99DCT
1a = d4T+3TC+NVP
162824^1a = d4T+3TC+NVP^99DCT
1a(30) = d4T(30)+3TC+NVP
162825^1a(30) = d4T(30)+3TC+NVP^99DCT
1a(30)L = d4T(30)+3TC+NVP
162826^1a(30)L = d4T(30)+3TC+NVP^99DCT
1b = ZDV(AZT)+3TC+NVP
162827^1b = ZDV(AZT)+3TC+NVP^99DCT
1c = ZDV(AZT)+3TC+EFV
162828^1c = ZDV(AZT)+3TC+EFV^99DCT
1d = d4T+3TC+EFV
162829^1d = d4T+3TC+EFV^99DCT
1d(30) = d4T(30)+3TC+EFV
162830^1d(30) = d4T(30)+3TC+EFV^99DCT
1e = TDF+FTC+EFV
162831^1e = TDF+FTC+EFV^99DCT
1f = TDF+FTC+NVP
162832^1f = TDF+FTC+NVP^99DCT
1k = ABC+3TC+EFV
162833^1k = ABC+3TC+EFV^99DCT
1g + TDF+3TC+EFV
162834^1g + TDF+3TC+EFV^99DCT
1h = TDF+3TC+NVP
162835^1h = TDF+3TC+NVP^99DCT
1p = ABC+3TC+DTG
162836^1p = ABC+3TC+DTG^99DCT
1q = TDF+FTC+DTG
162837^1q = TDF+FTC+DTG^99DCT
1r = TDF+3TC+DTG
162838^1r = TDF+3TC+DTG^99DCT
1u = AZT+3TC+DTG
162839^1u = AZT+3TC+DTG^99DCT
1x = other 1st line
162840^1x = other 1st line^99DCT
2a = ABD+ddI+LPV/r
162841^2a = ABD+ddI+LPV/r^99DCT
2b = ABC+ddI+SQV/r
162842^2b = ABC+ddI+SQV/r^99DCT
2e = TDF+3TC+LPV/r
162843^2e = TDF+3TC+LPV/r^99DCT
2f = TDF+FTC+LPV/r
162844^2f = TDF+FTC+LPV/r^99DCT
2g = ABC+3TC+LPV/r
162845^2g = ABC+3TC+LPV/r^99DCT
2h = TDF+FTC+ATV/r
162846^2h = TDF+FTC+ATV/r^99DCT
2k = ABC+3TC+ATV/r
162847^2k = ABC+3TC+ATV/r^99DCT
2n = AZT+3TC+ATV/r
162848^2n = AZT+3TC+ATV/r^99DCT
2s = AZT+3TC+ATV/r
162849^2s = AZT+3TC+ATV/r^99DCT
2u = DTG+ABC+3TC+ATV/r
162850^2u = DTG+ABC+3TC+ATV/r^99DCT
2d = ABC+ddI+ATV/r
162851^2d = ABC+ddI+ATV/r^99DCT
2x = other 2nd line
162852^2x = other 2nd line^99DCT
3j = RAL+ETV+AZT+3TC
162853^3j = RAL+ETV+AZT+3TC^99DCT
3u = DTG+ETV+AZT+3TC
162854^3u = DTG+ETV+AZT+3TC^99DCT
3w = RAL+DRV/r+ETV
162855^3w = RAL+DRV/r+ETV^99DCT
3y = DTG+DRV/r+ETV
162856^3y = DTG+DRV/r+ETV^99DCT
3z = DTG+ATV/r+ETV
162857^3z = DTG+ATV/r+ETV^99DCT
3x = other 3rd line
162858^3x = other 3rd line^99DCT
Diagnosis 1 ICD10
Diagnosis 1 ICD10
BCG Administered?
BCG Administered?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Is she enrolled in KIULARCO?
Is she enrolled in KIULARCO?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
Diagnosis 1 ICD10
Diagnosis 1 ICD10
Where did the mother deliver?
Where did the mother deliver?
On the way to the health facility
162863^On the way to the health facility^99DCT
Heath Facility
162862^Heath Facility^99DCT
HOME
1536^HOME^99DCT
Diagnosis 1 ICD10
Diagnosis 1 ICD10
METHOD OF DELIVERY
Describes how a child was delivered during the birthing process.
SPONTANEOUS VAGINAL DELIVERY
1170^SPONTANEOUS VAGINAL DELIVERY^99DCT
CESAREAN SECTION
1171^CESAREAN SECTION^99DCT
BREECH DELIVERY
1172^BREECH DELIVERY^99DCT
OTHER NON-CODED
5622^OTHER NON-CODED^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
emergency caesarean section
159739^emergency caesarean section^99DCT
Diagnosis 1 ICD10
Diagnosis 1 ICD10
Gestational age
Gestational age
Term (37 - 42 WG)
162869^Term (37 - 42 WG)^99DCT
Pre-term (<37 WG)
162870^Pre-term (<37 WG)^99DCT
Post-term (>42 WG)
162871^Post-term (>42 WG)^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
Destination of patient
Destination of patient
HOME
1536^HOME^99DCT
Admitted
161210^Admitted^99DCT
Referred
162873^Referred^99DCT
Close File
162874^Close File^99DCT
Discharged
1692^Discharged^99DCT
Unknown Apgar Score Minute 1
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Unknown Apgar Score Minute 5
NO
1066^NO^99DCT
YES
1065^YES^99DCT
Unknown Birth Weight (Kg)
Unknown Birth Weight (Kg)
YES
1065^YES^99DCT
NO
1066^NO^99DCT
BIRTH WEIGHT (kg)
Measurement of a person's birth weight in kilograms.
Unknown date he/she started ART
Unknown date he/she started ART
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Gestational age at the moment of diagnosis
Gestational age at the moment of diagnosis
< 14 weeks
162882^< 14 weeks^99DCT
14 -28 weeks
162883^14 -28 weeks^99DCT
> 28 weeks
162884^> 28 weeks^99DCT
Updated on other scheduled vaccines?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Diagnosis 1 ICD10
Diagnosis 1 ICD10
Other diagnosis
YES
1065^YES^99DCT
NO
1066^NO^99DCT
NACP Number
NACP Number
Mother NACP number
Mother NACP number
Opportunistic infections
Opportunistic infections
YES
1065^YES^99DCT
NO
1066^NO^99DCT
ICD10_OI_1
ICD10 opportunistic infections option one
ICD10_OI_DATE_1
ICD10_OI_DATE_1 option one
CURRENTLY_RESOLVED_OI_1
Currently resolved for opportunistic infections option one
YES
1065^YES^99DCT
NO
1066^NO^99DCT
CURRENTLY_UNDER_TREATMENT_OI_1
Currently under treatment for opportunistic infections option one
YES
1065^YES^99DCT
NO
1066^NO^99DCT
ICD10_OI_2
ICD10 opportunistic infection option two
CURRENTLY_RESOLVED_OI_2
Currently resolved for opportunistic infection option two
YES
1065^YES^99DCT
NO
1066^NO^99DCT
ICD10_OI_DATE_2
ICD10_OI_DATE option two
CURRENTLY_UNDER_TREATMENT_OI_2
Currently under treatment for opportunistic infection option two
YES
1065^YES^99DCT
NO
1066^NO^99DCT
ICD10_OD_1
ICD10 for other diagnosis option one
ICD10_OD_2
ICD10 for other diagnosis option two
ICD10_OD_2
ICD10 for other diagnosis option two
ICD10_OD_DATE_1
ICD10 other diagnosis date option one
ICD10_OD_DATE_2
ICD10 other diagnosis date option two
CURRENTLY_UNDER_TREATMENT_OD_1
Currently under treatment for other diagnosis option one
YES
1065^YES^99DCT
NO
1066^NO^99DCT
CURRENTLY_UNDER_TREATMENT_OD_2
Currently under treatment for other diagnosis option two
YES
1065^YES^99DCT
NO
1066^NO^99DCT
ICD10_PHA_1
ICD10 for Previous Hospital Admission option one
ICD10_PHA_2
ICD10 for Previous Hospital Admission option two
ICD10_PHA_3
ICD10 for Previous Hospital Admission option three
ICD10_PHA_DATE_1
ICD10 for Previous Hospital Admission option one date
ICD10_PHA_DATE_2
ICD10 for Previous Hospital Admission option two date
ICD10_PHA_DATE_3
ICD10 for Previous Hospital Admission option three date
Previous Hospital Admissions
YES
1065^YES^99DCT
NO
1066^NO^99DCT
HIV serostatus of the father
HIV serostatus of the father
NEGATIVE
664^NEGATIVE^99DCT
POSITIVE
703^POSITIVE^99DCT
Not tested
161470^Not tested^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
When was the mother diagnosed
When was the mother diagnosed
Before pregnancy
162914^Before pregnancy^99DCT
During pregnancy
162915^During pregnancy^99DCT
During labour/delivery
162916^During labour/delivery^99DCT
After delivery
162917^After delivery^99DCT
Where was she diagnosed?
Where was she diagnosed?
VCT
162919^VCT^99DCT
ANC
162920^ANC^99DCT
Labour ward
162921^Labour ward^99DCT
Obstetric ward
162922^Obstetric ward^99DCT
OTHER-
5256^OTHER-^99DCT
Other location for diagnisis specified
Other location for diagnosis specified
Has the mother started on ART?
Has the mother started on ART?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
Was she on ART during the pregnancy?
Was she on ART during the pregnancy?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
Regimen at the moment of delivery
Regimen at the moment of delivery
NONE
1107^NONE^99DCT
Unknown ART Regimen
162823^Unknown ART Regimen^99DCT
1a = d4T+3TC+NVP
162824^1a = d4T+3TC+NVP^99DCT
1a(30) = d4T(30)+3TC+NVP
162825^1a(30) = d4T(30)+3TC+NVP^99DCT
1a(30)L = d4T(30)+3TC+NVP
162826^1a(30)L = d4T(30)+3TC+NVP^99DCT
1b = ZDV(AZT)+3TC+NVP
162827^1b = ZDV(AZT)+3TC+NVP^99DCT
1c = ZDV(AZT)+3TC+EFV
162828^1c = ZDV(AZT)+3TC+EFV^99DCT
1d = d4T+3TC+EFV
162829^1d = d4T+3TC+EFV^99DCT
1d(30) = d4T(30)+3TC+EFV
162830^1d(30) = d4T(30)+3TC+EFV^99DCT
1e = TDF+FTC+EFV
162831^1e = TDF+FTC+EFV^99DCT
1f = TDF+FTC+NVP
162832^1f = TDF+FTC+NVP^99DCT
1k = ABC+3TC+EFV
162833^1k = ABC+3TC+EFV^99DCT
1g + TDF+3TC+EFV
162834^1g + TDF+3TC+EFV^99DCT
1h = TDF+3TC+NVP
162835^1h = TDF+3TC+NVP^99DCT
1p = ABC+3TC+DTG
162836^1p = ABC+3TC+DTG^99DCT
1q = TDF+FTC+DTG
162837^1q = TDF+FTC+DTG^99DCT
1r = TDF+3TC+DTG
162838^1r = TDF+3TC+DTG^99DCT
1u = AZT+3TC+DTG
162839^1u = AZT+3TC+DTG^99DCT
1x = other 1st line
162840^1x = other 1st line^99DCT
2a = ABD+ddI+LPV/r
162841^2a = ABD+ddI+LPV/r^99DCT
2b = ABC+ddI+SQV/r
162842^2b = ABC+ddI+SQV/r^99DCT
2d = ABC+ddI+ATV/r
162851^2d = ABC+ddI+ATV/r^99DCT
2e = TDF+3TC+LPV/r
162843^2e = TDF+3TC+LPV/r^99DCT
2f = TDF+FTC+LPV/r
162844^2f = TDF+FTC+LPV/r^99DCT
2g = ABC+3TC+LPV/r
162845^2g = ABC+3TC+LPV/r^99DCT
2h = TDF+FTC+ATV/r
162846^2h = TDF+FTC+ATV/r^99DCT
2k = ABC+3TC+ATV/r
162847^2k = ABC+3TC+ATV/r^99DCT
2n = AZT+3TC+ATV/r
162848^2n = AZT+3TC+ATV/r^99DCT
2s = AZT+3TC+ATV/r
162849^2s = AZT+3TC+ATV/r^99DCT
2u = DTG+ABC+3TC+ATV/r
162850^2u = DTG+ABC+3TC+ATV/r^99DCT
2x = other 2nd line
162852^2x = other 2nd line^99DCT
3j = RAL+ETV+AZT+3TC
162853^3j = RAL+ETV+AZT+3TC^99DCT
3u = DTG+ETV+AZT+3TC
162854^3u = DTG+ETV+AZT+3TC^99DCT
3w = RAL+DRV/r+ETV
162855^3w = RAL+DRV/r+ETV^99DCT
3y = DTG+DRV/r+ETV
162856^3y = DTG+DRV/r+ETV^99DCT
3z = DTG+ATV/r+ETV
162857^3z = DTG+ATV/r+ETV^99DCT
3x = other 3rd line
162858^3x = other 3rd line^99DCT
Is she now on ART?
Is she now on ART?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
If yes, Regimen prescribed
If yes, Regimen prescribed
NONE
1107^NONE^99DCT
Unknown ART Regimen
162823^Unknown ART Regimen^99DCT
1a = d4T+3TC+NVP
162824^1a = d4T+3TC+NVP^99DCT
1a(30) = d4T(30)+3TC+NVP
162825^1a(30) = d4T(30)+3TC+NVP^99DCT
1a(30)L = d4T(30)+3TC+NVP
162826^1a(30)L = d4T(30)+3TC+NVP^99DCT
1b = ZDV(AZT)+3TC+NVP
162827^1b = ZDV(AZT)+3TC+NVP^99DCT
1c = ZDV(AZT)+3TC+EFV
162828^1c = ZDV(AZT)+3TC+EFV^99DCT
1d = d4T+3TC+EFV
162829^1d = d4T+3TC+EFV^99DCT
1d(30) = d4T(30)+3TC+EFV
162830^1d(30) = d4T(30)+3TC+EFV^99DCT
1e = TDF+FTC+EFV
162831^1e = TDF+FTC+EFV^99DCT
1f = TDF+FTC+NVP
162832^1f = TDF+FTC+NVP^99DCT
1k = ABC+3TC+EFV
162833^1k = ABC+3TC+EFV^99DCT
1g + TDF+3TC+EFV
162834^1g + TDF+3TC+EFV^99DCT
1h = TDF+3TC+NVP
162835^1h = TDF+3TC+NVP^99DCT
1p = ABC+3TC+DTG
162836^1p = ABC+3TC+DTG^99DCT
1q = TDF+FTC+DTG
162837^1q = TDF+FTC+DTG^99DCT
1r = TDF+3TC+DTG
162838^1r = TDF+3TC+DTG^99DCT
1u = AZT+3TC+DTG
162839^1u = AZT+3TC+DTG^99DCT
1x = other 1st line
162840^1x = other 1st line^99DCT
2a = ABD+ddI+LPV/r
162841^2a = ABD+ddI+LPV/r^99DCT
2b = ABC+ddI+SQV/r
162842^2b = ABC+ddI+SQV/r^99DCT
2d = ABC+ddI+ATV/r
162851^2d = ABC+ddI+ATV/r^99DCT
2f = TDF+FTC+LPV/r
162844^2f = TDF+FTC+LPV/r^99DCT
2g = ABC+3TC+LPV/r
162845^2g = ABC+3TC+LPV/r^99DCT
2h = TDF+FTC+ATV/r
162846^2h = TDF+FTC+ATV/r^99DCT
2k = ABC+3TC+ATV/r
162847^2k = ABC+3TC+ATV/r^99DCT
2n = AZT+3TC+ATV/r
162848^2n = AZT+3TC+ATV/r^99DCT
2s = AZT+3TC+ATV/r
162849^2s = AZT+3TC+ATV/r^99DCT
2u = DTG+ABC+3TC+ATV/r
162850^2u = DTG+ABC+3TC+ATV/r^99DCT
2x = other 2nd line
162852^2x = other 2nd line^99DCT
3j = RAL+ETV+AZT+3TC
162853^3j = RAL+ETV+AZT+3TC^99DCT
3u = DTG+ETV+AZT+3TC
162854^3u = DTG+ETV+AZT+3TC^99DCT
3w = RAL+DRV/r+ETV
162855^3w = RAL+DRV/r+ETV^99DCT
3y = DTG+DRV/r+ETV
162856^3y = DTG+DRV/r+ETV^99DCT
3z = DTG+ATV/r+ETV
162857^3z = DTG+ATV/r+ETV^99DCT
3x = other 3rd line
162858^3x = other 3rd line^99DCT
Unknown ARV starting date
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Did the infant receive postnatal ARV prophylaxis?
Did the infant receive postnatal ARV prophylaxis?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
If yes, postnatal ARV prophylaxis
Other ART
162935^Other ART^99DCT
daily NVP
162934^daily NVP^99DCT
AZT/3TC/NVP
162937^AZT/3TC/NVP^99DCT
ABC/3TC/DTG
163210^ABC/3TC/DTG^99DCT
ABC/3TC/NVP
163211^ABC/3TC/NVP^99DCT
ABC/3TC/LPV/r
162936^ABC/3TC/LPV/r^99DCT
Other ART - specify - 1
Date he/she started
Date he/she started
Has he/she changed between prophylaxis regimens?
Has he/she changed between prophylaxis regimens?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
First regimen
daily NVP
162934^daily NVP^99DCT
AZT/3TC/NVP
162937^AZT/3TC/NVP^99DCT
Other ART
162935^Other ART^99DCT
ABC/3TC/DTG
163210^ABC/3TC/DTG^99DCT
ABC/3TC/NVP
163211^ABC/3TC/NVP^99DCT
ABC/3TC/LPV/r
162936^ABC/3TC/LPV/r^99DCT
Other ART - specify - 2
Other ART - specify - 2
Date of change
Date of change
Second regimen
Second regimen
Other ART
162935^Other ART^99DCT
daily NVP
162934^daily NVP^99DCT
AZT/3TC/NVP
162937^AZT/3TC/NVP^99DCT
ABC/3TC/DTG
163210^ABC/3TC/DTG^99DCT
ABC/3TC/NVP
163211^ABC/3TC/NVP^99DCT
ABC/3TC/LPV/r
162936^ABC/3TC/LPV/r^99DCT
Other ART - Specify - 3
Is he/she still on prophylaxis?
Is he/she still on prophylaxis?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
If no, Date he/she stopped it
If no, Date he/she stopped it
Unknown stopped date
Unknown stopped date
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Is the infant on CTX prophylaxis?
Is the infant on CTX prophylaxis?
Not indicated
162950^Not indicated^99DCT
No (indicated but not given)
162951^No (indicated but not given)^99DCT
YES
1065^YES^99DCT
If yes, Date he/she started
If yes, Date he/she started
Unknown starting date
Unknown starting date
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Infant feeding
Infant feeding method
EXCLUSIVE BREASTFEEDING
5253^EXCLUSIVE BREASTFEEDING^99DCT
Formula milk
162955^Formula milk^99DCT
Animal milk
162956^Animal milk^99DCT
Mixed feeding (<6m)
162957^Mixed feeding (<6m)^99DCT
Complementary feeding (>6m)
162958^Complementary feeding (>6m)^99DCT
Previously exclusively breastfeed?
Previously exclusively breastfeed?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
If yes, How many months?
If yes, How many months?
Is he/she still breastfeeding?
Is he/she still breastfeeding?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Actual complaints
Actual complaints
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Fever?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Ocular?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Ear/Nose/Throat
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Respiratory?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Cardiovascular?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Genitourinary?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Neurological?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Joints/Bones
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Skin?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Signs and symtoms of systemic illness
NONE
1107^NONE^99DCT
IRRITABILITY
6023^IRRITABILITY^99DCT
DELAYED MILESTONES
6022^DELAYED MILESTONES^99DCT
Failure to thrive/Weight loss
162973^Failure to thrive/Weight loss^99DCT
Persistent or intermittent fever
162974^Persistent or intermittent fever^99DCT
Notes
GI/Liver
YES
1065^YES^99DCT
NO
1066^NO^99DCT
PHYSICAL EXAM
Textual field to capture generic physical exam.
NORMAL
1115^NORMAL^99DCT
Not done
1118^Not done^99DCT
Pathological
163085^Pathological^99DCT
Functional status
Alert
162978^Alert^99DCT
IRRITABLE
5263^IRRITABLE^99DCT
Lethargic
162979^Lethargic^99DCT
COLOURATION
Colouration-A question on KIULARCO HIV_MRS follow_up form
NORMAL
1115^NORMAL^99DCT
PALLOR
5245^PALLOR^99DCT
ICTERIC SCLERA
5192^ICTERIC SCLERA^99DCT
Cyanotic
161361^Cyanotic^99DCT
Signs of dehydration
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Yes, Signs of dehydration
Yes, Signs of dehydration (Assessment done)
Nutritional status
Obesity
115115^Obesity^99DCT
Overweight
114413^Overweight^99DCT
NORMAL
1115^NORMAL^99DCT
CED Mild
163159^CED Mild^99DCT
CED Moderate
163160^CED Moderate^99DCT
CED Severe
163161^CED Severe^99DCT
Not malnourished
161272^Not malnourished^99DCT
Mild malnutrition
162983^Mild malnutrition^99DCT
Moderate malnutrition
162984^Moderate malnutrition^99DCT
Severe malnutrition
162985^Severe malnutrition^99DCT
If malnourished
No supplement
161507^No supplement^99DCT
Supplemental food
162987^Supplemental food^99DCT
Therapeutic food
161277^Therapeutic food^99DCT
Systemic (i.e fever, fatigue, weight loss)
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Palpable lymph nodes
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Location of Palpable lymph nodes
PE_Ocular
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Ocular_altered
PE_Ear/Nose/Throat
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Ear/Nose/Throat_Altered
PE_Respiratory
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Respiratory_Altered
PE_Cardiovascular
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Cardiovascular_Altered
GI (including oral cavity)/ Liver
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
GI_Altered
PE_Genitourinary
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Genitourinary_Altered
PE_Neurological
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Neurological_Altered
PE_Developmental milestones
Achieved
163083^Achieved^99DCT
Delayed
163084^Delayed^99DCT
Developmental_Milestones_Delayed
PE_Joints/Bones
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Joints/Bones_Altered
PE_Skin
NORMAL
1115^NORMAL^99DCT
Altered
162992^Altered^99DCT
Skin_Altered
Diagnosis_2_ICD10
ICD10 for diagnosis 2
Diagnosis_3_ICD10
ICD10 for diagnosis 3
Diagnosis_4_ICD10
ICD10 for diagnosis 4
Diagnosis_5_ICD10
ICD10 for diagnosis 5
Diagnosis_6_ICD10
ICD10 for diagnosis 6
Does he/she have any new HIV test results?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
New HIV test result
HIV DNA PCR
163026^HIV DNA PCR^99DCT
Ab-rapid test
163027^Ab-rapid test^99DCT
OTHER-
5256^OTHER-^99DCT
Test result
POSITIVE
703^POSITIVE^99DCT
NEGATIVE
664^NEGATIVE^99DCT
INDETERMINATE
1138^INDETERMINATE^99DCT
UNKNOWN
1067^UNKNOWN^99DCT
Date the sample was collected
Date the parent/guardian was informed
ART started
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Date ART started
NACP Number - Working Diagnosis
Plan Section Notes
To do next visit monitoring
NONE
1107^NONE^99DCT
HIV DNA PCR
163026^HIV DNA PCR^99DCT
Antibody test
163036^Antibody test^99DCT
OTHER-
5256^OTHER-^99DCT
Specify other for next visit monitoring
ARV postnatal prophylaxis status
Start today
163039^Start today^99DCT
Continue
159835^Continue^99DCT
Stop today
163040^Stop today^99DCT
Already completed/stopped
163041^Already completed/stopped^99DCT
Never administered
163042^Never administered^99DCT
Switch to other regimen
163043^Switch to other regimen^99DCT
If switch/start
daily NVP
162934^daily NVP^99DCT
AZT/3TC/NVP
162937^AZT/3TC/NVP^99DCT
Other ART
162935^Other ART^99DCT
ABC/3TC/DTG
163210^ABC/3TC/DTG^99DCT
ABC/3TC/NVP
163211^ABC/3TC/NVP^99DCT
ABC/3TC/LPV/r
162936^ABC/3TC/LPV/r^99DCT
Other ART, Specify - switch/start
CTX prophylaxis status
Start today
163039^Start today^99DCT
Continue
159835^Continue^99DCT
Stop today
163040^Stop today^99DCT
Already completed/stopped
163041^Already completed/stopped^99DCT
Never administered
163042^Never administered^99DCT
Not yet indicated
163047^Not yet indicated^99DCT
If referred, select all that apply
CTC for opening a NACP file
163049^CTC for opening a NACP file^99DCT
TB clinic
161228^TB clinic^99DCT
Other PMTCT Center
163050^Other PMTCT Center^99DCT
NUTRITIONAL SUPPORT
5484^NUTRITIONAL SUPPORT^99DCT
Medical specialty
161218^Medical specialty^99DCT
HBC
161039^HBC^99DCT
Orphan and vulnerable children group
163051^Orphan and vulnerable children group^99DCT
OTHER-
5256^OTHER-^99DCT
Other, specify for where patient was referred
Next visit date
RELATIONSHIPS
Relationships that this patient has.
RELATIVE
is Doctor [1]
1A
is Patient [1]
1B
is Sibling [2]
2A
is Parent [3]
3A
is Child [3]
3B
is Aunt/Uncle [4]
4A
is Niece/Nephew [4]
4B
RELATIONSHIP
CURRENTLY_RESOLVED_OD_1
Currently resolved for other diagnosis option one
YES
1065^YES^99DCT
NO
1066^NO^99DCT
CURRENTLY_RESOLVED_OD_2
Currently resolved for other diagnosis option two
YES
1065^YES^99DCT
NO
1066^NO^99DCT
Does he/she present any sign or symptom suggestive of HIV infection or any AIDS defining illness?
Does he/she present any sign or symptom suggestive of HIV infection or any AIDS defining illness?
YES
1065^YES^99DCT
NO
1066^NO^99DCT
If yes, which diagnosis above?
If yes, which diagnosis above?
Diagnosis 1
163018^Diagnosis 1^99DCT
Diagnosis 2
163019^Diagnosis 2^99DCT
Diagnosis 3
163020^Diagnosis 3^99DCT
Diagnosis 4
163021^Diagnosis 4^99DCT
Diagnosis 5
163022^Diagnosis 5^99DCT
Diagnosis 6
163023^Diagnosis 6^99DCT
Infant method of delivery
Describes how the child was delivered during the birthing process
Vaginal instrumented
162865^Vaginal instrumented^99DCT
Vaginal non-instrumented
162866^Vaginal non-instrumented^99DCT
Caesarean section
162867^Caesarean section^99DCT
Deleted Apgar Score Minute 1
Minute 1
Deleted Apgar Score Minute 5
Minute 5
Apgar Score Minute 5
Apgar Score Minute 5
Apgar Score Minute 1
Apgar Score Minute 1
Date she started ART
Date she started ART
PAEDS_NACPNO
Enter the NACPNO of teh patient
Regimen during pregnancy
ARV regimen during pregnancy
NONE1107^NONE^99DCTUnknown ART Regimen162823^Unknown ART Regimen^99DCT1a = d4T+3TC+NVP162824^1a = d4T+3TC+NVP^99DCT1a(30) = d4T(30)+3TC+NVP162825^1a(30) = d4T(30)+3TC+NVP^99DCT1a(30)L = d4T(30)+3TC+NVP162826^1a(30)L = d4T(30)+3TC+NVP^99DCT1b = ZDV(AZT)+3TC+NVP162827^1b = ZDV(AZT)+3TC+NVP^99DCT1c = ZDV(AZT)+3TC+EFV162828^1c = ZDV(AZT)+3TC+EFV^99DCT1d = d4T+3TC+EFV162829^1d = d4T+3TC+EFV^99DCT1d(30) = d4T(30)+3TC+EFV162830^1d(30) = d4T(30)+3TC+EFV^99DCT1e = TDF+FTC+EFV162831^1e = TDF+FTC+EFV^99DCT1f = TDF+FTC+NVP162832^1f = TDF+FTC+NVP^99DCT1k = ABC+3TC+EFV162833^1k = ABC+3TC+EFV^99DCT1g + TDF+3TC+EFV162834^1g + TDF+3TC+EFV^99DCT1h = TDF+3TC+NVP162835^1h = TDF+3TC+NVP^99DCT1p = ABC+3TC+DTG162836^1p = ABC+3TC+DTG^99DCT1q = TDF+FTC+DTG162837^1q = TDF+FTC+DTG^99DCT1r = TDF+3TC+DTG162838^1r = TDF+3TC+DTG^99DCT1u = AZT+3TC+DTG162839^1u = AZT+3TC+DTG^99DCT1x = other 1st line162840^1x = other 1st line^99DCT2a = ABD+ddI+LPV/r162841^2a = ABD+ddI+LPV/r^99DCT2b = ABC+ddI+SQV/r162842^2b = ABC+ddI+SQV/r^99DCT2e = TDF+3TC+LPV/r162843^2e = TDF+3TC+LPV/r^99DCT2f = TDF+FTC+LPV/r162844^2f = TDF+FTC+LPV/r^99DCT2g = ABC+3TC+LPV/r162845^2g = ABC+3TC+LPV/r^99DCT2h = TDF+FTC+ATV/r162846^2h = TDF+FTC+ATV/r^99DCT2k = ABC+3TC+ATV/r162847^2k = ABC+3TC+ATV/r^99DCT2n = AZT+3TC+ATV/r162848^2n = AZT+3TC+ATV/r^99DCT2s = AZT+3TC+ATV/r162849^2s = AZT+3TC+ATV/r^99DCT2u = DTG+ABC+3TC+ATV/r162850^2u = DTG+ABC+3TC+ATV/r^99DCT2d = ABC+ddI+ATV/r162851^2d = ABC+ddI+ATV/r^99DCT2x = other 2nd line162852^2x = other 2nd line^99DCT3j = RAL+ETV+AZT+3TC162853^3j = RAL+ETV+AZT+3TC^99DCT3u = DTG+ETV+AZT+3TC162854^3u = DTG+ETV+AZT+3TC^99DCT3w = RAL+DRV/r+ETV162855^3w = RAL+DRV/r+ETV^99DCT3y = DTG+DRV/r+ETV162856^3y = DTG+DRV/r+ETV^99DCT3z = DTG+ATV/r+ETV162857^3z = DTG+ATV/r+ETV^99DCT3x = other 3rd line162858^3x = other 3rd line^99DCT
Regimen during pregnancy
ARV regimen during pregnancy
If no, Age of cessation of breastfeeding(m)?
If no, Age of cessation of breastfeeding?
Status of exposed infant
Exposed infant status
High risk
163213^High risk^99DCT
Low risk
163214^Low risk^99DCT
CURRENTLY_RESOLVED_OI_1Currently resolved for opportunistic infections option oneYES1065^YES^99DCTNO1066^NO^99DCTCURRENTLY_RESOLVED_OI_2Currently resolved for opportunistic infection option twoYES1065^YES^99DCTNO1066^NO^99DCT