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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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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.

 

After reviewing the queued case report, the surveillance officer either submits or dismisses the case report.

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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.

 

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 FHIR document.

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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 case report.

 Submitted reports

 

A list of submitted case report

 

 

 

Submitted case report as FHIR document.

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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

  

 

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 document.

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9. Trigger event: Patient died

Enter deceased patient's information including date and reason for death.

 

 

 

 

 

case report queue

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Review and submit case report

 

 HIV patient died trigger is fired and the related case report is queued for review by the surveillance officer.

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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 document.

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