| Package | smart.who.int.hiv |
| Resource Type | Questionnaire |
| Id | HIV.D21DetermineRegimenAndTreatmentOptions |
| FHIR Version | R4 |
| Source | http://smart.who.int/hiv/https://build.fhir.org/ig/WorldHealthOrganization/smart-hiv/Questionnaire-HIV.D21DetermineRegimenAndTreatmentOptions.html |
| URL | http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions |
| Version | 0.4.4 |
| Status | draft |
| Date | 2025-07-24T19:24:35+00:00 |
| Title | Determine regimen and treatment options |
| Authority | who |
| Description | Questionnaire for determine regimen and treatment options |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire HIV.D21DetermineRegimenAndTreatmentOptions
Language: en
Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire for determine regimen and treatment options | Questionnaire | http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions#0.4.4 | ||
  HIV.D.DE418 | Reason for ARV drug regimen substitution | 0..1 | choice | Value Set: #HIV.D.DE418 | |
 HIV.D.DE426 | Other reason for regimen substitution (specify) | 0..1 | string | ||
 HIV.D.DE427 | Switch to second-line ART regimen recommended | 0..1 | boolean | ||
| HIV.D.DE428 | Switch to third-line ART regimen recommended | 0..1 | boolean | ||
| HIV.D.DE466 | Type of treatment-limiting toxicity | 0..1 | choice | Value Set: #HIV.D.DE466 | |
| HIV.D.DE480 | Unexpected adverse drug reaction (specify) | 0..1 | string | ||
 HIV.D.DE481 | Date(s) of substitution within first-line regimen | 0..1 | date | ||
| HIV.D.DE482 | Reason(s) for substitution within first-line regimen | 0..1 | choice | Value Set: #HIV.D.DE482 | |
| HIV.D.DE483 | New antiretroviral regimen after substitution within first-line regimen | 0..1 | choice | Value Set: #HIV.D.DE483 | |
| HIV.D.DE484 | Date of switch to second-line regimen | 0..1 | date | ||
| HIV.D.DE485 | New regimen after switch to second-line regimen | 0..1 | choice | Value Set: #HIV.D.DE485 | |
| HIV.D.DE486 | Reason for switch to second-line regimen | 0..1 | choice | Value Set: #HIV.D.DE486 | |
| HIV.D.DE487 | Date(s) of substitution within second-line regimen | 0..1 | date | ||
| HIV.D.DE488 | Reason(s) for substitution within second-line regimen | 0..1 | choice | Value Set: #HIV.D.DE488 | |
| HIV.D.DE489 | New regimen(s) after substitution within second-line regimen | 0..1 | choice | Value Set: #HIV.D.DE489 | |
| HIV.D.DE490 | Date of switch to third-line regimen | 0..1 | date | ||
| HIV.D.DE491 | New regimen after switch to third-line regimen | 0..1 | choice | Value Set: #HIV.D.DE491 | |
| HIV.D.DE492 | Reason for switch to third-line regimen | 0..1 | choice | Value Set: #HIV.D.DE492 | |
| HIV.D.DE493 | Date(s) of substitution within third-line regimen | 0..1 | date | ||
| HIV.D.DE494 | Reason(s) for substitution within third-line regimen | 0..1 | choice | Value Set: #HIV.D.DE494 | |
| HIV.D.DE495 | New regimen(s) after substitution within third-line regimen | 0..1 | choice | Value Set: #HIV.D.DE495 | |
| HIV.D.DE643 | Malaria prophylaxis | 1..1 | boolean | ||
 HIV.D.DE644 | IPTp-SP dose number provided | 1..1 | integer | ||
| HIV.D.DE645 | Date IPTp-SP dose provided | 0..1 | date | ||
| HIV.D.DE646 | Reason malaria prophylaxis not provided | 0..1 | choice | Value Set: #HIV.D.DE646 | |
| HIV.D.DE651 | Other reason not provided (specify) | 0..1 | string | ||
| HIV.D.DE652 | >28 days since last missed appointment | 0..1 | boolean | ||
| HIV.D.DE760 | Eligible for DSD ART | 0..1 | boolean | ||
| HIV.D.DE761 | Date DSD ART eligibility assessed | 0..1 | date | ||
| HIV.D.DE762 | Currently enrolled in DSD ART model | 0..1 | boolean | ||
| HIV.D.DE763 | DSD ART start date | 0..1 | date | ||
| HIV.D.DE764 | DSD ART model(s) | 0..1 | choice | Value Set: #HIV.D.DE764 | |
| HIV.D.DE771 | Other DSD ART model (specify) | 0..1 | string | ||
| HIV.D.DE903 | Medication/drug | 0..1 | choice | Value Set: #HIV.D.DE903 | |
| HIV.D.DE932 | Other (specify) | 0..1 | string | ||
| HIV.D.DE933 | Medication change recommended | 0..1 | boolean | ||
 HIV.D.DE1023 | TB prevention services accepted | 0..1 | boolean | ||
| Documentation for this format | |||||
FHIR{
"resourceType": "Questionnaire",
"id": "HIV.D21DetermineRegimenAndTreatmentOptions",
"meta": {
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]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://smart.who.int/hiv/Questionnaire/HIV.D21DetermineRegimenAndTreatmentOptions",
"version": "0.4.4",
"title": "Determine regimen and treatment options",
"status": "draft",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2025-07-24T19:24:35+00:00",
"publisher": "WHO",
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{
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],
"description": "Questionnaire for determine regimen and treatment options",
"item": [
{
"id": "HIV.D.DE418",
"linkId": "HIV.D.DE418",
"text": "Reason for ARV drug regimen substitution",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE418"
},
{
"id": "HIV.D.DE426",
"linkId": "HIV.D.DE426",
"text": "Other reason for regimen substitution (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE427",
"linkId": "HIV.D.DE427",
"text": "Switch to second-line ART regimen recommended",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE428",
"linkId": "HIV.D.DE428",
"text": "Switch to third-line ART regimen recommended",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE466",
"linkId": "HIV.D.DE466",
"text": "Type of treatment-limiting toxicity",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE466"
},
{
"id": "HIV.D.DE480",
"linkId": "HIV.D.DE480",
"text": "Unexpected adverse drug reaction (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE481",
"linkId": "HIV.D.DE481",
"text": "Date(s) of substitution within first-line regimen",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE482",
"linkId": "HIV.D.DE482",
"text": "Reason(s) for substitution within first-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE482"
},
{
"id": "HIV.D.DE483",
"linkId": "HIV.D.DE483",
"text": "New antiretroviral regimen after substitution within first-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE483"
},
{
"id": "HIV.D.DE484",
"linkId": "HIV.D.DE484",
"text": "Date of switch to second-line regimen",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE485",
"linkId": "HIV.D.DE485",
"text": "New regimen after switch to second-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE485"
},
{
"id": "HIV.D.DE486",
"linkId": "HIV.D.DE486",
"text": "Reason for switch to second-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE486"
},
{
"id": "HIV.D.DE487",
"linkId": "HIV.D.DE487",
"text": "Date(s) of substitution within second-line regimen",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE488",
"linkId": "HIV.D.DE488",
"text": "Reason(s) for substitution within second-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE488"
},
{
"id": "HIV.D.DE489",
"linkId": "HIV.D.DE489",
"text": "New regimen(s) after substitution within second-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE489"
},
{
"id": "HIV.D.DE490",
"linkId": "HIV.D.DE490",
"text": "Date of switch to third-line regimen",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE491",
"linkId": "HIV.D.DE491",
"text": "New regimen after switch to third-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE491"
},
{
"id": "HIV.D.DE492",
"linkId": "HIV.D.DE492",
"text": "Reason for switch to third-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE492"
},
{
"id": "HIV.D.DE493",
"linkId": "HIV.D.DE493",
"text": "Date(s) of substitution within third-line regimen",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE494",
"linkId": "HIV.D.DE494",
"text": "Reason(s) for substitution within third-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE494"
},
{
"id": "HIV.D.DE495",
"linkId": "HIV.D.DE495",
"text": "New regimen(s) after substitution within third-line regimen",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE495"
},
{
"id": "HIV.D.DE643",
"linkId": "HIV.D.DE643",
"text": "Malaria prophylaxis",
"type": "boolean",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE644",
"linkId": "HIV.D.DE644",
"text": "IPTp-SP dose number provided",
"type": "integer",
"required": true,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE645",
"linkId": "HIV.D.DE645",
"text": "Date IPTp-SP dose provided",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE646",
"linkId": "HIV.D.DE646",
"text": "Reason malaria prophylaxis not provided",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE646"
},
{
"id": "HIV.D.DE651",
"linkId": "HIV.D.DE651",
"text": "Other reason not provided (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE652",
"linkId": "HIV.D.DE652",
"text": ">28 days since last missed appointment",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE760",
"linkId": "HIV.D.DE760",
"text": "Eligible for DSD ART",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE761",
"linkId": "HIV.D.DE761",
"text": "Date DSD ART eligibility assessed",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE762",
"linkId": "HIV.D.DE762",
"text": "Currently enrolled in DSD ART model",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE763",
"linkId": "HIV.D.DE763",
"text": "DSD ART start date",
"type": "date",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE764",
"linkId": "HIV.D.DE764",
"text": "DSD ART model(s)",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE764"
},
{
"id": "HIV.D.DE771",
"linkId": "HIV.D.DE771",
"text": "Other DSD ART model (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE903",
"linkId": "HIV.D.DE903",
"text": "Medication/drug",
"type": "choice",
"required": false,
"repeats": false,
"readOnly": false,
"answerValueSet": "#HIV.D.DE903"
},
{
"id": "HIV.D.DE932",
"linkId": "HIV.D.DE932",
"text": "Other (specify)",
"type": "string",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE933",
"linkId": "HIV.D.DE933",
"text": "Medication change recommended",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
},
{
"id": "HIV.D.DE1023",
"linkId": "HIV.D.DE1023",
"text": "TB prevention services accepted",
"type": "boolean",
"required": false,
"repeats": false,
"readOnly": false
}
]
}