FHIR IG Statistics: PlanDefinition/PrEP-visit-PlanDefinition

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{
  "resourceType": "PlanDefinition",
  "id": "PrEP-visit-PlanDefinition",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://smart.who.int/hiv/PlanDefinition/PrEP-visit-PlanDefinition",
  "version": "0.4.4",
  "name": "PlanDefinition_PrEP_visit",
  "title": "PlanDefinition - PrEP Visit",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code": "workflow-definition",
        "display": "Workflow Definition"
      }
    ]
  },
  "status": "active",
  "experimental": true,
  "date": "2025-07-24T19:24:35+00:00",
  "publisher": "WHO",
  "contact": [
    {
      "name": "WHO",
      "telecom": [
        {
          "system": "url",
          "value": "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": {
            "coding": [
              {
                "code": "client"
              }
            ]
          }
        },
        {
          "type": "practitioner",
          "role": {
            "text": "Trained Lay Provider"
          }
        }
      ],
      "action": [
        {
          "id": "HIV.C.1",
          "title": "Determine reason for visit",
          "description": "Search for client details in the system and determine reason for visit",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.2",
          "title": "Take vital signs",
          "description": "Vital signs, such as blood pressure and weight, may be taken and recorded.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.3",
          "title": "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",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.4",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.6",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.7",
          "title": "Check suitability for PrEP or PEP",
          "description": "For new visits, check the client’s suitability for PrEP or post-exposure prophylaxis (PEP).",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.8",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.9",
          "title": "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",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.10",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.11",
          "title": "Family planning counselling",
          "description": "If appropriate, provide or link to support for family planning counselling.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.12",
          "title": "STI services",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.17",
          "title": "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",
          "participant": [
            {
              "type": "patient",
              "role": {
                "coding": [
                  {
                    "code": "client"
                  }
                ]
              }
            }
          ]
        },
        {
          "id": "HIV.C.19",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.20",
          "title": "Perform additional diagnostics?",
          "description": "Are additional diagnostics (beyond an HIV test) to be performed?",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.21",
          "title": "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.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.22",
          "title": "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",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.23",
          "title": "Prescribe or administer PrEP or PEP",
          "description": "Prescribe or administer PrEP, depending upon the PrEP formulation discussed",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        },
        {
          "id": "HIV.C.24",
          "title": "Schedule follow-up",
          "description": "A person using PrEP should have regular HIV testing, such as every three months.",
          "participant": [
            {
              "type": "practitioner",
              "role": {
                "text": "Trained Lay Provider"
              }
            }
          ]
        }
      ]
    }
  ]
}