Early Infant HIV Detection - Enrolment Form

[richardmoizeau]

Enrolment Form

• [x] title should be Early Infant HIV Detection instead of HIV Early Infant Detection

Section 1: Enrolment

• [x] Enrolment date format should be DD/MM/YYYY and not MM/DD/YYYY (applies for all dates)
• [x] Referred from (clinic/organisation): free text field

Section 2: Delivery Details

• [x] Place of Delivery: dropdown list ["Facility" , "Home"]
• [x] Facility name: free text field, only if Place of delivery = Facility

Section 3: Mother Details & Infant's Risk of MTCT

• [x] Mother HIV Patient ID: you can look up the HIV Care & Treatment ID from a list of existing patients
• [x] Mother First Name: automatically retrieved from mother's HCT registration/enrolment data, if not, can be entered manually
• [x] Mother Last Name: automatically retrieved from mother's HCT registration/enrolment data, if not, can be entered manually
• [x] Mother Phone Number: automatically retrieved from mother's HCT registration/enrolment data, if not, can be entered manually
• [x] Mother ART Start Date: dropdown list ["Before pregnancy" , "Early Ante-natal" , "Late Ante-natal" , "Post-Natal" , "Labour & Delivery" , "Never got ARVs" , "Unknown"]
• [x] Mother's VL prior to delivery: dropdown list ["Suppressed" , "Unsuppressed" , "Unknown/Not done"]
• [x] Child's HIV Exposure: dropdown list ["Clinical Suspicion" , "Mother Known Positive"]
• [x] Risk of MTCT: dropdown list ["High risk" , "Low risk"]

Note: Risk of MTCT should be the last field of this section since the risk of MTCT (Mother to Child Transmission) is determined by the value of preceding fields

• [x] Remove "Infant's ARV Prophylaxis" section from the enrolment form:

Moneyworks Jobcode 🧰

PG23THRFD

[clemens-msupply]

Blocked by: #1840 for the mother details