+
+
+
+ | Date of report: ${patient.dateOfReport} |
+ Clinic name: ${patient.clinicName} |
+ MFL code: ${patient.mflCode} |
+
+
+ | UPN: ${ patient.upn } |
+ Name: ${names} |
+
+
+ | DOB: ${ patient.birthDate } |
+
+ Age: ${ patient.age }
+ Gender: ${ patient.gender}
+ Marital status: ${ patient.maritalStatus }
+ |
+
+
+
+ | |
+
+
+
+ | Date Confirmed HIV Positive: ${ patient.hivConfrimedDate } |
+ First CD4: ${ patient.firstCd4 } |
+ Date first CD4: ${ patient.firstCd4Date } |
+
+
+ | Date enrolled into care: ${ patient.dateEnrolledIntoCare} |
+ WHO stage at enrollment: ${patient.whoStagingAtEnrollment} |
+ Transfer in date: ${tiDate} |
+
+
+ | Entry point: ${patient.patientEntryPoint} |
+ Date of entry point: ${patient.dateEntryPoint} |
+ Facility transferred from: ${patient.transferInFacility} |
+
+
+ | |
+
+
+ | Treatment supporter details: |
+
+
+ | Name: ${patient.nameOfTreatmentSupporter} |
+ Relationship: ${patient.relationshipToTreatmentSupporter} |
+ Contact details: ${patient.contactOfTreatmentSupporter} |
+
+
+
+
+ | |
+
+
+ | Drug allergies: ${allergies} |
+
+
+ | |
+
+
+ | Chronic Illness: ${chronicDisease} |
+
+
+ | Respiratory Rate: ${patient.respiratoryRate} |
+ Blood Pressure: ${patient.bloodPressure} |
+
+
+ | Oxygen Saturation: ${patient.oxygenSaturation} |
+ Pulse Rate: ${patient.pulseRate} |
+
+
+ | |
+
+
+ | Previous ART: ${patient.previousArt} |
+ Date started ART: ${patient.dateStartedArt} |
+
+
+ | Purpose: ${patient.artPurpose} |
+ Clinical stage at ART: ${patient.clinicalStageAtArtStart} |
+ CD4 at ART: ${patient.cd4AtArtStart} |
+
+
+ | Drugs/Regimen: ${patient.purposeDrugs} |
+
+
+ | Family Protection: ${patient.familyProtection} |
+
+
+ | Weight: ${patient.weightAtArtStart} |
+ Height: ${patient.heightAtArtStart} |
+ BMI: ${patient.bmi} |
+
+
+
+ | kDoD Cadre: ${patient.kDoDCadre} |
+ kDoD Unit: ${patient.kDoDUnit} |
+ kDoD Rank: ${patient.kDoDRank} |
+
+
+
+ | kDoD Number: ${patient.kDoDNumber} |
+
+
+
+
+ | LMP: ${patient.lmp} |
+
+
+
+
+ | TPT Start Date: ${patient.dateEnrolledInTb} |
+ TPT Completion Date: ${patient.dateCompletedInTb} |
+
+
+
+ TB Screening: ${patient.tbScreeningOutcome} |
+
+
+ | STI Screening: ${patient.stiScreeningOutcome} |
+
+
+ | CACX Screening: ${patient.caxcScreeningOutcome} |
+
+
+
+
+ | Date: ${patient.purposeDate} |
+ First regimen: ${firstRegimen} |
+
+
+ | Past or current OI: ${iosResults} |
+
+
+ | |
+
+
+ | Current ART regimen: ${currentRegimen} |
+
+
+
+ | ART interruptions: |
+
+
+
+ | Reason: |
+
+
+ | Date: |
+
+
+ |
+
+
+
+ |
+
+
+ | Current WHO stage: ${patient.currentWhoStaging} |
+
+
+
+ | Substitution within 1st line regimen: |
+
+
+
+ | Reason: |
+
+
+ | Date: |
+
+
+ |
+
+
+
+ |
+
+
+ | CTX: ${onCtx} |
+
+
+
+ | Switch to 2nd line regimen: |
+
+
+
+ | Reason: |
+
+
+ | Date: |
+
+
+ |
+
+
+ |
+
+
+ | Dapsone: ${onDapsone} |
+ TPT: ${onIpt} |
+ |
+
+
+
+ | Clinics enrolled: ${clinicValues} |
+
+ Transfer out date: ${toDate}
+ Transfer out facility: ${toFacility}
+ |
+
+
+
+
+
+ | Most recent CD4: ${recentCd4Count} |
+ Date: ${recentCd4CountDate} |
+
+
+
+
+ |
+
+ Death date: ${deadDeath}
+ |
+
+
+
+
+
+
+
+
+
+ | Most recent VL: ${recentVl} |
+ Date: ${recentVlDate} |
+
+
+ |
+
+ Next appointment: ${returnVisitDate}
+ |
+
+
+