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To support The United States President’s Emergency Plan for AIDS Relief (PEPFAR)’s focus on sustainable control of the HIV epidemic, use of information from HIV case –based surveillance would provide a better understanding of epidemic trends over time, identify epidemic hotspots, and identify sub-populations at high risk of infection, among others; in a timely manner.
The documentation that follows below refers to use of HIV patient-level data from openMRS, an electronic medical record, for HIV case-based surveillance. The case reporting module in openMRS represents the case-based surveillance component of the system. Screenshots have been provided to illustrate a test patient’s HIV progression along the care cascade by generating the relevant case reports for each sentinel event being monitored.
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Since the observation entered is reportable, the New HIV Case trigger is fired and the related case report is queued for review by the surveillance officer.
After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.either submit or decline the queued case report
Submitted A list of submitted case reports
Case report The submitted case report for a New HIV case trigger event as a FHIR document.
4. Trigger event: New HIV Disease
Enter details for WHO staging information based on a newly diagnosed HIV disease diagnosed.
case report queueThe New HIV Disease trigger is fired and the related case report is queued for review by the surveillance officer.
review and submit the reports
After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.
A list of submitted case reports
Case Submitted case report as FHIR document.
5. Trigger event: New HIV Treatment
Enter information for the initial Treatment plan.
case
reporting queueThe New HIV Treatment trigger is fired and the related case report is queued for review by the surveillance officer.
Review and submit report
After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.
submitted case report
Submitted case report as FHIR document.
6. Trigger event: ART Therapy changed to second line
Select reason for switching HIV treatment to second line.
case report queue ART Therapy changed to second line trigger is fired and the related case report is queued for review by the surveillance officer.
review
and submit After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.
A list of submitted case reports.
Submitted case report as a FHIR document.
7. Trigger event: HIV Treatment stopped
Select reason for stopping HIV treatment.
Case reporting queue
HIV Treatment stopped trigger is fired and the related case report is queued for review by the surveillance officer.
After reviewing the queued case report, the surveillance officer either submits or dismisses the Review and submit case report.
Submitted reports
A list of submitted case report
Case Submitted case report as FHIR document.
8. Trigger event: HIV treatment failure
Select reason for treatment failure.
Case report queue
HIV Treatment failure trigger is fired and the related case report is queued for review by the surveillance officer
Review and submit or dismiss case reportAfter reviewing the queued case report, the surveillance officer either submits or dismisses the case report.
Submitted A list of submitted case reports.
Case Submitted case report as FHIR document.
9. Trigger event: Patient died
Enter deceased patient's information including date and reason for death.
case report queue
Review and submit case report
HIV patient died trigger is fired and the related case report is queued for review by the surveillance officer.
After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.
Submitted A list of submitted case reports.
Submitted case report as FHIR Documentdocument.
References
[1] | WHO, UNAIDS, "Guidelines for second generation HIV surveillance: an update: know your epidemic," World Health Organization, Geneva, Switzerland, 2013. |
[2] | NASTAD, "Case-based surveillance toolkit," National Alliance of State and Territorial AIDS Directors, Washington, D.C, 2014. |
[3] | The Office of the U.S. Global AIDS Coordinator, "PEPFAR 3.0 controlling th epidemic: delivering on the promise of an AIDS free generation," The Office of the U.S. Global AIDS Coordinator, Washington, D.C, 2014. |
[4] | HL7, "FHIR DSTU2," HL7, Oct 2015. Accessed at https://www.hl7.org/fhir/documentation.html |
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