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. 2009 Jun 25;39(4):973–979. doi: 10.1093/ije/dyp233

Table 1.

Summary of the components of each CRF used for adult patients in the China NFATP

Initial assessment Follow-upa Treatment termination Regimen change Transfer of clinical care
Patient name and ID X X X X X
Current treatment ID X X X X X
Treatment site location code X X X X X
Patient demographics
    Age X
    Gender X
    Marital status X
Examination
    Pre-treatment symptomsb X
    Body weight X X
    Laboratory test resultsc X X
HIV status
    Date of HIV diagnosis X
    Route of HIV infection X
Treatment status
    Duration of follow-up X X
    ART payment source X
    ART regimens at initiation X
    Previous use of Chinese medicine to treat HIV X
    Current ART regimen X X X
    Current regimen initiation date X X
    Self-reported adherence X
    ART adverse side effects X
    Spouse ART status X
    Date of regimen change X
    Reason for regimen change X
    Previous medication stoppage X
    Time elapsed since stopping previous regimen X X
    Termination
        Type of terminationd X
        Cause of termination X
        Date of termination event X
        Cause of death X
        Adverse side effects caused by termination X

aFollow-up is performed at 0.5, 1, 2 and 3 months after ART initiation, once every 3 months thereafter.

bThese include herpes zoster, fever, chronic diarrhoea, odynophagia and weight loss.

cLaboratory tests include CD4 count, viral load, haematology, immunology, liver function.

dMortality, medication discontinuation, lost to follow-up, transfer of clinical care.