HIV.D8CaptureOrUpdateClientHistory
type: Questionnaire
node role: treeRoot
id:
  v: HIV.D8CaptureOrUpdateClientHistory
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap
    l: sdc-questionnaire-extr-smap
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablequestionnaire
    l: crmi-shareablequestionnaire
  profile:
    v: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablequestionnaire
    l: crmi-publishablequestionnaire
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire HIV.D8CaptureOrUpdateClientHistory Language: en Profiles: Extractable Questionnaire - StructureMap, CRMI Shareable Questionnaire, CRMI Publishable Questionnaire LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Questionnaire for capture or update client history Questionnaire http://smart.who.int/hiv/Questionnaire/HIV.D8CaptureOrUpdateClientHistory#0.4.4 #xD; HIV.D.DE31 Currently pregnant 0..1 boolean #xD; HIV.D.DE32 Breastfeeding 0..1 boolean #xD; HIV.D.DE33 Number of pregnancies (gravida) 0..1 integer #xD; HIV.D.DE34 Number of miscarriages and/or abortions 0..1 integer #xD; HIV.D.DE35 Number of live births 0..1 integer #xD; HIV.D.DE36 Parity 0..1 integer #xD; HIV.D.DE37 Serodiscordant partner 0..1 boolean #xD; HIV.D.DE38 On ART 1..1 boolean #xD; HIV.D.DE39 ART start date 0..1 date #xD; HIV.D.DE40 Stopped ART 0..1 boolean #xD; HIV.D.DE41 Date ART stopped 0..1 date #xD; HIV.D.DE42 Established on ART 0..1 boolean #xD; HIV.D.DE43 ART start type 0..1 choice Value Set: #HIV.D.DE43 #xD; HIV.D.DE46 Date of initiation on ART 0..1 date #xD; HIV.D.DE47 Time on ART 0..1 integer #xD; HIV.D.DE48 Date(s) ART restarted 0..1 date #xD; HIV.D.DE49 ART cohort 0..1 date #xD; HIV.D.DE50 Transfer in for HIV care 0..1 boolean #xD; HIV.D.DE51 Date of transfer in 0..1 date #xD; HIV.D.DE52 Facility transferred from 0..1 choice Value Set: #HIV.D.DE52 #xD; HIV.D.DE53 Date enrolled in HIV care 0..1 date #xD; HIV.D.DE54 Age at enrolment 0..1 integer #xD; HIV.D.DE55 Facility where client first enrolled in HIV care 0..1 choice Value Set: #HIV.D.DE55 #xD; HIV.D.DE56 Antiretroviral (ARV) drugs received prior to enrolment 0..1 choice Value Set: #HIV.D.DE56 #xD; HIV.D.DE62 Date ARV drugs received prior to enrolment 0..1 date #xD; HIV.D.DE63 Location ARV drugs received prior to enrolment 0..1 choice Value Set: #HIV.D.DE63 #xD; HIV.D.DE64 ARV drug regimen received prior to enrolment 0..1 choic…
url:
  v: http://smart.who.int/hiv/Questionnaire/HIV.D8CaptureOrUpdateClientHistory
  l: HIV.D8CaptureOrUpdateClientHistory
version:
  v: 0.4.4
title:
  v: Capture or update client history
status:
  v: draft
experimental:
  v: true
subject type:
  v: Patient
date:
  v: 2025-12-08T16:41:10+00:00
publisher:
  v: WHO
contact:
  name:
    v: WHO
  telecom:
    system:
      v: url
    value:
      v: http://who.int
description:
  v: Questionnaire for capture or update client history
item:
  id:
    v: HIV.D.DE31
  link id:
    v: HIV.D.DE31
  text:
    v: Currently pregnant
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE32
  link id:
    v: HIV.D.DE32
  text:
    v: Breastfeeding
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE33
  link id:
    v: HIV.D.DE33
  text:
    v: Number of pregnancies (gravida)
  type:
    v: integer
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE34
  link id:
    v: HIV.D.DE34
  text:
    v: Number of miscarriages and/or abortions
  type:
    v: integer
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE35
  link id:
    v: HIV.D.DE35
  text:
    v: Number of live births
  type:
    v: integer
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE36
  link id:
    v: HIV.D.DE36
  text:
    v: Parity
  type:
    v: integer
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE37
  link id:
    v: HIV.D.DE37
  text:
    v: Serodiscordant partner
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE38
  link id:
    v: HIV.D.DE38
  text:
    v: On ART
  type:
    v: boolean
  required:
    v: true
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE39
  link id:
    v: HIV.D.DE39
  text:
    v: ART start date
  type:
    v: date
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE40
  link id:
    v: HIV.D.DE40
  text:
    v: Stopped ART
  type:
    v: boolean
  required:
    v: false
  repeats:
    v: false
  read only:
    v: false
item:
  id:
    v: HIV.D.DE41

v: HIV.D.DE41

v: Date ART stopped

v: date

v: false

v: false

v: false

id:
  v: HIV.D.DE42
link id:
  v: HIV.D.DE42
text:
  v: Established on ART
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE43
link id:
  v: HIV.D.DE43
text:
  v: ART start type
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE43
  l: HIV.D.DE43

id:
  v: HIV.D.DE46
link id:
  v: HIV.D.DE46
text:
  v: Date of initiation on ART
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE47
link id:
  v: HIV.D.DE47
text:
  v: Time on ART
type:
  v: integer
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE48
link id:
  v: HIV.D.DE48
text:
  v: Date(s) ART restarted
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE49
link id:
  v: HIV.D.DE49
text:
  v: ART cohort
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE50
link id:
  v: HIV.D.DE50
text:
  v: Transfer in for HIV care
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE51
link id:
  v: HIV.D.DE51
text:
  v: Date of transfer in
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE52
link id:
  v: HIV.D.DE52
text:
  v: Facility transferred from
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE52
  l: HIV.D.DE52

id:
  v: HIV.D.DE53
link id:
  v: HIV.D.DE53
text:
  v: Date enrolled in HIV care
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE54
link id:
  v: HIV.D.DE54
text:
  v: Age at enrolment
type:
  v: integer
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE55
link id:
  v: HIV.D.DE55
text:
  v: Facility where client first enrolled in HIV care
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE55
  l: HIV.D.DE55

id:
  v: HIV.D.DE56
link id:
  v: HIV.D.DE56
text:
  v: Antiretroviral (ARV) drugs received prior to enrolment
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE56
  l: HIV.D.DE56

id:
  v: HIV.D.DE62
link id:
  v: HIV.D.DE62
text:
  v: Date ARV drugs received prior to enrolment
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE63
link id:
  v: HIV.D.DE63
text:
  v: Location ARV drugs received prior to enrolment
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE63
  l: HIV.D.DE63

id:
  v: HIV.D.DE64
link id:
  v: HIV.D.DE64
text:
  v: ARV drug regimen received prior to enrolment
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE64
  l: HIV.D.DE64

id:
  v: HIV.D.DE65
link id:
  v: HIV.D.DE65
text:
  v: Existing chronic health conditions
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE65
  l: HIV.D.DE65

id:
  v: HIV.D.DE73
link id:
  v: HIV.D.DE73
text:
  v: Other (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE74
link id:
  v: HIV.D.DE74
text:
  v: Original first-line ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE74
  l: HIV.D.DE74

id:
  v: HIV.D.DE75
link id:
  v: HIV.D.DE75
text:
  v: Current ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE75
  l: HIV.D.DE75

id:
  v: HIV.D.DE76
link id:
  v: HIV.D.DE76
text:
  v: Current ART regimen start date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE77
link id:
  v: HIV.D.DE77
text:
  v: Preferred first-line ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE77
  l: HIV.D.DE77

id:
  v: HIV.D.DE78
link id:
  v: HIV.D.DE78
text:
  v: Alternative first-line ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE78
  l: HIV.D.DE78

id:
  v: HIV.D.DE79
link id:
  v: HIV.D.DE79
text:
  v: First-line ART regimen under special circumstances
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE79
  l: HIV.D.DE79

id:
  v: HIV.D.DE80
link id:
  v: HIV.D.DE80
text:
  v: Preferred second-line ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE80
  l: HIV.D.DE80

id:
  v: HIV.D.DE81
link id:
  v: HIV.D.DE81
text:
  v: Alternative second-line ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE81
  l: HIV.D.DE81

id:
  v: HIV.D.DE82
link id:
  v: HIV.D.DE82
text:
  v: Optimal regimen for transition
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE82
  l: HIV.D.DE82

id:
  v: HIV.D.DE83
link id:
  v: HIV.D.DE83
text:
  v: Current ART regimen (first-, second-, or third-line)
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE83
  l: HIV.D.DE83

id:
  v: HIV.D.DE90
link id:
  v: HIV.D.DE90
text:
  v: ART regimen
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE90
  l: HIV.D.DE90

id:
  v: HIV.D.DE127
link id:
  v: HIV.D.DE127
text:
  v: Other (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE128
link id:
  v: HIV.D.DE128
text:
  v: ART regimen composition
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE128
  l: HIV.D.DE128

id:
  v: HIV.D.DE146
link id:
  v: HIV.D.DE146
text:
  v: ART regimen drug class
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE146
  l: HIV.D.DE146

id:
  v: HIV.D.DE186
link id:
  v: HIV.D.DE186
text:
  v: HIV clinical stage
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE186
  l: HIV.D.DE186

id:
  v: HIV.D.DE191
link id:
  v: HIV.D.DE191
text:
  v: Number of missed doses
type:
  v: integer
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE370
link id:
  v: HIV.D.DE370
text:
  v: Reasons for delayed ART initiation
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE370
  l: HIV.D.DE370

id:
  v: HIV.D.DE381
link id:
  v: HIV.D.DE381
text:
  v: Other (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE382
link id:
  v: HIV.D.DE382
text:
  v: ART initiated within 7 days of diagnosis
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE383
link id:
  v: HIV.D.DE383
text:
  v: Time to start ART
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE383
  l: HIV.D.DE383

id:
  v: HIV.D.DE456
link id:
  v: HIV.D.DE456
text:
  v: Regimen start date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE537
link id:
  v: HIV.D.DE537
text:
  v: Current medications
type:
  v: choice
required:
  v: true
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE537
  l: HIV.D.DE537

id:
  v: HIV.D.DE559
link id:
  v: HIV.D.DE559
text:
  v: Other medications (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE560
link id:
  v: HIV.D.DE560
text:
  v: Allergies
type:
  v: choice
required:
  v: true
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE560
  l: HIV.D.DE560

id:
  v: HIV.D.DE568
link id:
  v: HIV.D.DE568
text:
  v: Other allergies (specify)
type:
  v: string
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE569
link id:
  v: HIV.D.DE569
text:
  v: Family planning method used
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE569
  l: HIV.D.DE569

id:
  v: HIV.D.DE593
link id:
  v: HIV.D.DE593
text:
  v: Medication status
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE593
  l: HIV.D.DE593

id:
  v: HIV.D.DE653
link id:
  v: HIV.D.DE653
text:
  v: AIDS-related death
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE654
link id:
  v: HIV.D.DE654
text:
  v: Date of first AIDS diagnosis
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE655
link id:
  v: HIV.D.DE655
text:
  v: Age at final HPV vaccination dose received
type:
  v: integer
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE938
link id:
  v: HIV.D.DE938
text:
  v: TB disease
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE939
link id:
  v: HIV.D.DE939
text:
  v: TB diagnosis result
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE939
  l: HIV.D.DE939

id:
  v: HIV.D.DE942
link id:
  v: HIV.D.DE942
text:
  v: Method of TB diagnosis
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE942
  l: HIV.D.DE942

id:
  v: HIV.D.DE945
link id:
  v: HIV.D.DE945
text:
  v: Presumptive TB
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE946
link id:
  v: HIV.D.DE946
text:
  v: Presumptive TB registration date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE947
link id:
  v: HIV.D.DE947
text:
  v: TB treatment history
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE947
  l: HIV.D.DE947

id:
  v: HIV.D.DE952
link id:
  v: HIV.D.DE952
text:
  v: Date of TB diagnosis
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE953
link id:
  v: HIV.D.DE953
text:
  v: Currently on TB preventive treatment (TPT)
type:
  v: boolean
required:
  v: true
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE954
link id:
  v: HIV.D.DE954
text:
  v: TB preventive treatment (TPT) start date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE955
link id:
  v: HIV.D.DE955
text:
  v: TB preventive treatment (TPT) completion date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE1000
link id:
  v: HIV.D.DE1000
text:
  v: TB treatment started
type:
  v: boolean
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE1001
link id:
  v: HIV.D.DE1001
text:
  v: TB treatment start date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE1002
link id:
  v: HIV.D.DE1002
text:
  v: TB treatment outcome
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE1002
  l: HIV.D.DE1002

id:
  v: HIV.D.DE1009
link id:
  v: HIV.D.DE1009
text:
  v: TB treatment completion date
type:
  v: date
required:
  v: false
repeats:
  v: false
read only:
  v: false

id:
  v: HIV.D.DE1010
link id:
  v: HIV.D.DE1010
text:
  v: TB treatment regimen composition
type:
  v: choice
required:
  v: false
repeats:
  v: false
read only:
  v: false
answer value set:
  v: #HIV.D.DE1010
  l: HIV.D.DE1010