Table 2.
Initial assessment | Follow-upa | Treatment termination | Medicationb | 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 | |||||
Date of birth | X | ||||
Gender | X | ||||
Examination | |||||
Pre-treatment symptoms and diseasesc | X | ||||
Current symptoms and diseases | X | X | |||
Current height, weight and head circumference | X | ||||
Height, weight and head circumference at birth | X | ||||
Laboratory test resultsd | X | X | |||
HIV status | |||||
Date of HIV diagnosis | X | ||||
Route of HIV infection | X | ||||
PMTCT therapy | X | ||||
WHO clinical stage | X | ||||
Treatment status | |||||
Duration of follow-up | X | X | |||
ART payment source | X | ||||
ART regimens at initiation | X | ||||
Use of TMP-SMZ | X | X | X | ||
Current ART regimen | X | ||||
Current regimen initiation date | X | X | |||
ART drug and SMZ specificse | X | ||||
Self-reported adherence | X | ||||
Reason for regimen changef | X | ||||
Concurrent use of other drugsg | X | X | |||
ART adverse side effects | X | ||||
Termination | |||||
Type of terminationh | 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.
bCompleted at treatment initiation, change of regimen dosage/medication type, and change of regimen.
cClassified into WHO HIV disease stages.
dLaboratory tests include: CD4 count, viral load, hematology, immunology, liver function, PPD, HBsAg, anti-HCV.
eDrug code, dosage form, amount per dose and frequency.
fContinuing initial regimen with same dosage, continuing initial regimen with change in dosage/medication type, or regimen change.
gAnti-TB drugs, Traditional Chinese Medicine, TMP-SMZ, others.
hMortality, medication discontinuation, lost to follow-up and transfer of clinical care.
PMTCT = Prevention of mother-to-child transmission; TMP-SMZ = trimethoprim-sulfamethoxazole.