Closed MrOluGbenga closed 5 years ago
Client Intake Form- Status : Good Client Referral form- Status: Good Pharmacy Order Form - Status: Good Client Tracking and Termination Form - Status: Good
Transfer Form - Good
Adult Initial Clinical Evaluation Form - Incomplete
Symptom review
Genital discharge
Genital itching
New visual imparity
Pain/difficulty when swallowing
Pain (other site)
Oral Sores (Repeated)
Physical exam - (Respiratory)
Auscultation findings (Repeated) Rate _____ breaths/min
Physical exam -(Cardiovascular) Auscultation finding
32a. Regimen 32 b. Drugs in regimen
Laboratory Order & Result Form - Incomplete
Drug Regimen
Results
Additional tests (only be performed by laboratory if exact clinical indication specified and signed by clinician!)
Specify exact clinical indication for requested tests
Pediatric Initial Clinical Evaluation - Incomplete Missing Fields
Child Follow up form - Incomplete Missing Fields
National PMTCT HTS Register - Good Partner Register - Good
HIV Enrollment Form Under Enrollment Details
General Antenatal Care Form : Complete Maternal Follow up Form (To be reviewed whether to be discarded or not)
Can we have the list of your comparison with their status itemized in an excel sheet. It will be better to track missing fields to be added to identified forms.
Pediatric Initial Clinical Evaluation - Complete The Other check box now opens an additional text field to specify findings. ART Regimen Field (Drop down List) is already captured on the Pharmacy Order Form
PLHIV Presumptive TB Screening and INH Preventive Therapy (IPT) Monitoring - Good
Child Birth Information - Incomplete DOB, Age, Infant's Name, Sex are all missing on the electronic form
PMTCT Delivery Register - Complete
HIV Treatment Follow up form (Care Card - Center Spread) : Incomplete Missing Fields Under ARV Drugs
Under COTRIMOXAZOLE
Under INH
Other Drugs Prescibed - missing CD4 - missing Viral Load - missing Other Tests Done - missing Consult Hospitalise Refer Link -missing
Update
Child Birth Information Form was newly introduced, originally there was no Child Birth Information GON form, so this form is complete.
HIV Treatment Follow up form (Care Card - Center Spread) - The missing fields on this form exist on the Laboratory Order and Result Form, so there is no need including them in here.
HIV Enrollment Form - The missing fields on this form have been captured at the initial clinical evaluation and laboratory order forms. Pregnancy and breastfeeding status fields were included to the form.
Laboratory Order & Result Form - The missing fields already exist in the pharmacy order form, there is no need repeating them here.
Adult Initial Clinical Evaluation Form - The missing fields were included and the repeated fields were removed.
With this all NMRS forms compared against the GON Forms are now complete.
Ensure all forms are GON DTCs compliant