Remove question about partner HIV Status from HIV Labs screen [2h]

[adamhstewart]

Issue

On the HIV lab screen, we ask about partner HIV status in the case that a test has been performed. We no longer need this question since we ask it in the Partner HIV lab screen.

Task

• Remove the question

[Diama1]

@adamhstewart I think these sub-questions also should be removed from this place

[anvmn]

@adamhstewart

There's wider logic to apply here. If we need to rely on Partner HIV result, first thing is to make sure that test was completed. So, we need to display HIV test only after Partner HIV was filled. Also, as we may have these tests done both as RDT and non RDT, and results may be filled by lab tech / nurse, this creates several use-cases that need to be addressed, which is non trivial, saying the least.

[anvmn]

@Diama1

@adamhstewart I think these sub-questions also should be removed from this place

No, these are asked to determine the next steps required (questions and Health education, and possibly other stuff as well).

[adamhstewart]

• move the conditional questions to “next steps” - display only if Partner HIV lab has been completed and if the partner is HIV positive.
• record results for “taking ARVs” and “reduced viral load” on progress report.

[anvmn]

@adamhstewart

• move the conditional questions to “next steps” - display only if Partner HIV lab has been completed and if the partner is HIV positive.

Well, it's not enough to display only the conditional questions. We must also ask if Partner is HIV positive. If we do not, and display them only if Partner HIV lab has been completed and if the partner is HIV positive, we might miss providing proper treatment: Patient comes alone for for first encounter, knowing that partner is HIV positive. Patient takes HIV test, and never asked about partner. Partner did not take HIV test, since not present. No info is provided. Treatment not given.

In addition, there are several problems with these requirements. First, this kind of break the rule where we show Next Steps only if certain condition was met. Now we need to ask stuff to clarify the conditions, and the answers may imply that Next Steps were not needed at all. Second, it's not clear to which activity in Next Steps these questions need to be added. There's no natural candidate for it. Third, since we have 2 stages of encounter, there may be 2 Next Steps, and it's not clear where this has to appear. Lastly, even if we figure out the requirements that solve ^^, this adds additional layer of complexity, which is time consuming to implement, and, prompt to errors, as it changes decision making logic, which is complex enough already. So, unless there's some vital need I'm not aware of, I suggest we show the question/s, depending if we have the result of Partner HIV test, or not. It may be a good idea to add the questions of ARVs and Viral Load to Partner HIV test, if it it turns out positive.

• record results for “taking ARVs” and “reduced viral load” on progress report.

Please define where in report these should be added.

[adamhstewart]

We must also ask if Partner is HIV positive. If we do not, and display them only if Partner HIV lab has been completed and if the partner is HIV positive, we might miss providing proper treatment:

This is mitigated because we ask the question in the Partner HIV lab section

If they skip this section that is a workflow/training issue, not a technical one

It may be a good idea to add the questions of ARVs and Viral Load to Partner HIV test, if it it turns out positive.

Let's do that - it's just moving the questions from one lab to the other.

Please define where in report these should be added.

Under Medical diagnosis - with these options

• Discordant Couple: Partner taking ARVs, supressed viral load (if patient is HIV -, partner is HIV +, and yes to both conditional questions)
• Discordant Couple: Partner NOT taking ARVs (if patient is HIV -, partner is HIV +, and no to first conditional question)
• Discordant Couple: Partner taking ARVs, does NOT have suppressed viral load (if patient is HIV -, partner is HIV +, and yes to first, but no to second conditional question)

[adamhstewart]

Test done with a negative HIV patient result

Labs	Report

[LudmilaGoichman]

@anvmn

• Nutrition env
• Android tablet

Found Issues/Questions:

1. There is no "Next steps" activity (positive and indeterminate)
2. There is no "Medical Diagnosis" in the report (positive and indeterminate).

Positive. Lab

Indeterminate. Lab

3. Lab. Case Management (nurse). When clicking "end encounter" in the report, the encounter didn't end. When clicking "end encounter" in encounter, the encounter ended.

4. Lab. Case Management (nurse). There is activity doesn't have "save" button.

Checked and Approved:

When result Negative, the report isn't displayed diagnosis.