This tab describes the data that are collected during the registration workflow (HIV.A)

Client's first or given name

Client's family name or last name

The date and time of the client's visit

If client was referred for care

How the client was referred

Unique identifier generated for new clients or a universal ID, if used in the country

National unique identifier assigned to the client, if used in the country

National health unique identifier assigned to the client, if used in the country

National programme unique identifier assigned to the client, if used in the country

National health insurance unique identifier assigned to the client, if used in the country

Country where the client was born

The client's date of birth (DOB) if known

Is the client's DOB is unknown?

If DOB is unknown, enter the client's estimated age. Display client's age in number of years.

Calculated age (number of years) of the client based on date of birth

Gender of the client

Additional category (please specify)

Sex of the client assigned at birth

Client's home address or address which the client is consenting to disclose

Client's current marital status

Client's telephone number (a landline or a mobile phone number)

This should be a context-specific list of administrative areas, such as villages, districts, etc. The purpose of this data element is to allow for grouping and flagging of client data to a particular facility's catchment area. This can be input into the system by the end user OR it can be automated in the database based on the end user's attributes.

Indication that client gave consent to be contacted

Whether client wants to receive text or other messages as follow-up for HIV services

How the client would like to receive family planning communications

Client's primary email account where the client can be contacted

Name of an alternate contact, which could be next of kin (e.g. partner, husband, mother, sibling, etc.). The alternate contact would be used in the case of an emergency situation.

Phone number of the alternate contact

Alternate contact's home address or address which the client is consenting to disclose

The alternate contact's relationship to the client (e.g. partner, husband, mother, sibling, etc.)

This tab describes the data that are collected during the registration workflow (HIV.A)

Client's first or given name

Client's family name or last name

The date and time of the client's visit

If client was referred for care

How the client was referred

Unique identifier generated for new clients or a universal ID, if used in the country

National unique identifier assigned to the client, if used in the country

National health unique identifier assigned to the client, if used in the country

National programme unique identifier assigned to the client, if used in the country

National health insurance unique identifier assigned to the client, if used in the country

Country where the client was born

The client's date of birth (DOB) if known

Is the client's DOB is unknown?

If DOB is unknown, enter the client's estimated age. Display client's age in number of years.

Calculated age (number of years) of the client based on date of birth

Gender of the client

Additional category (please specify)

Sex of the client assigned at birth

Client's home address or address which the client is consenting to disclose

Client's current marital status

Client's telephone number (a landline or a mobile phone number)

This should be a context-specific list of administrative areas, such as villages, districts, etc. The purpose of this data element is to allow for grouping and flagging of client data to a particular facility's catchment area. This can be input into the system by the end user OR it can be automated in the database based on the end user's attributes.

Indication that client gave consent to be contacted

Whether client wants to receive text or other messages as follow-up for HIV services

How the client would like to receive family planning communications

Client's primary email account where the client can be contacted

Name of an alternate contact, which could be next of kin (e.g. partner, husband, mother, sibling, etc.). The alternate contact would be used in the case of an emergency situation.

Phone number of the alternate contact

Alternate contact's home address or address which the client is consenting to disclose

The alternate contact's relationship to the client (e.g. partner, husband, mother, sibling, etc.)

This tab describes the data that are collected during the registration workflow (HIV.A)

Client's first or given name

Client's family name or last name

The date and time of the client's visit

If client was referred for care

How the client was referred

Unique identifier generated for new clients or a universal ID, if used in the country

National unique identifier assigned to the client, if used in the country

National health unique identifier assigned to the client, if used in the country

National programme unique identifier assigned to the client, if used in the country

National health insurance unique identifier assigned to the client, if used in the country

Country where the client was born

The client's date of birth (DOB) if known

Is the client's DOB is unknown?

If DOB is unknown, enter the client's estimated age. Display client's age in number of years.

Calculated age (number of years) of the client based on date of birth

Gender of the client

Additional category (please specify)

Sex of the client assigned at birth

Client's home address or address which the client is consenting to disclose

Client's current marital status

Client's telephone number (a landline or a mobile phone number)

This should be a context-specific list of administrative areas, such as villages, districts, etc. The purpose of this data element is to allow for grouping and flagging of client data to a particular facility's catchment area. This can be input into the system by the end user OR it can be automated in the database based on the end user's attributes.

Indication that client gave consent to be contacted

Whether client wants to receive text or other messages as follow-up for HIV services

How the client would like to receive family planning communications

Client's primary email account where the client can be contacted

Name of an alternate contact, which could be next of kin (e.g. partner, husband, mother, sibling, etc.). The alternate contact would be used in the case of an emergency situation.

Phone number of the alternate contact

Alternate contact's home address or address which the client is consenting to disclose

The alternate contact's relationship to the client (e.g. partner, husband, mother, sibling, etc.)