NDR Implementation Guide March 2024

National Data Repository (NDR)

Nigeria National Data Repository:

Implementation Guide

December 2023

Revision History

S/No

Date

Author

Purpose

08 August 2015

InductiveHealth Informatics

Initial Version

19-September, 2015

InductiveHealth Informatics

Draft version for review by Early Adopters

22-September, 2015

InductiveHealth Informatics

Pre-delivery version for review by CCFN and CDC

23-September, 2015

InductiveHealth Informatics

Delivery to IPs participating in NDR Early Adopter Program

29- September 2015

InductiveHealth Informatics

Final revisions in preparation for delivery milestone

23-January, 2018

University of Maryland Baltimore

Revised to accommodate the current scope

7 July 2019

University of Maryland, Baltimore

Revised to include re-architecture

27 March 2020

University of Maryland, Baltimore

Revised to accommodate the current scope

25 June 2021

University of Maryland, Baltimore

Revised to accommodate the current scope

20 March 2022

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate the current scope

25 May 2022

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate the current scope

19 July 2022

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate TB on NDR

18 August 2022

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate current scope COVID on NDR

15 September 2022

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate PLHV Presumptive TB Screening and IPT on NDR

21 March 2023

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate new Regimen from the National Tools.

23rd May 2023

Public Health Information Survey and Surveillance Solution (PHIS3)

Revised to accommodate biometrics fingerprints revalidation on EMR and NDR

28th June 2023

Public Health Information Survey and Surveillance Solution (PHIS3)

General review of the implementation guide

19th December 2023

Public Health Information Survey and Surveillance Solution (PHIS3)

Updated on Client Verification (Indication for Client Verification and Date Returned to Care

10th January 2024

Public Health Information Survey and Surveillance Solution (PHIS3)

Updated on Client Records Verification (Reason Trigger and Indication for Client Verification)

31st January 2024

Public Health Information Survey and Surveillance Solution (PHIS3)

Updated the Indication for Client Verification Triggers, Verification Status, Outcome and Discontinued.

07th March 2024

Public Health Information Survey and Surveillance Solution (PHIS3)

Updated the Client DSD Models both facility and community, a TB Regimen, National OI Regiment and Lab Result Codes

Contents

1 Overview 7

2 Information Exchange 7

1.1 Reporting Triggers 8

1.2 File Transport 9

1.3 File Compression 9

1.4 Message Naming Convention 9

1.5 Message State 10

1.6 Important Identifiers 10

1.7 Record Matching 11

2.7.1 Changing Patient ID 12

2.7.2 Patient Biometric Information 13

1.8 Documented Transfers for HIV 13

1.9 Developer Guidance 14

1.10 Binding Data to XML 15

1.11 Schema Validation 16

1.12 Data Validation 17

1.13 Sample Code 17

1.14 Message Validation Summary 17

3 NDR Schema 17

2. 18

2.1 Schema Element Structure 18

3.1.1 Container 18

3.1.2 Message Header 19

3.1.3 Individual Report 21

3.1.4 Patient Demographics 22

3.1.5 Condition 26

3.1.6 Condition Code 27

3.1.7 Program Area 28

3.1.8 Patient Address 28

3.1.9 Common Questions 30

3.1.10 Condition Specific Questions 31

3.1.11 Encounters 36

3.1.12 Laboratory Report 42

3.1.13 Laboratory Order and Result 44

3.1.14 Regimen 45

3.1.15 Immunization 51

2.2 Client Tracking and Discontinuation Indication for Client Verification 115

2.3 Reusable Complex Types 122

2.4 Value Sets 124

4 Message Scenarios and Samples 148

3.1 Sscenario 1 – Initial 148

3.2 Scenario 2 – Update 153

3.3 Scenario 3 - Redact 160

3.4 Scenario 4 – Documented Transfer 162

3.5 Scenario 5 – Multiple Conditions 167

3.6 Scenario 6 – Required Fields Only 171

List of Abbreviations

NDR – National Data Repository

EMR – Electronic Medical Record

XML – Extensible Markup Language

XSD – XML Schema Definition

IP - Implementing Partner

ART – Anti-Retroviral Therapy

PMTCT – Prevention of mother-to-child transmission

TB – Tuberculosis

API – Application Programming Interface

Overview

The purpose of this document is to provide a developer guide that explains key elements of the information standard, supporting efficient development and verification of standardized individual-level messages. Adjudicate

It is important to note that this document will be continually updated based on new releases of the National Data Repository (NDR) Schema and based on feedback from Facilities and Implementing Partners during onboarding to the NDR.

Documents and artifacts that extend and support the NDR Implementation Guide include:

NDR Schema: The NDR Schema is implemented as an XML Schema Definition (XSD) and governs the encoding, structure, and content for sending patient-centric, Extensible Markup Language (XML) messages to the NDR
Schema Change Log: The Change Log captures all changes in the NDR Schema across releases
NDR Data Dictionary Workbook: Captures all value set and codes defined for data elements, traces data elements from the NDR Schema to the Repository database and visualizes the physical data models for NDR databases.
NDR Data Dictionary: User guide that describes the information included in the NDR and how it is organized
Validation Worksheet:

Questions and feedback on the NDR Implementation Guide should be directed to [email protected]

Information Exchange

The figure below demonstrates the Information Architecture for the NDR focusing on data movement across the platform supported by multiple information standards. This section further defines the overall technical implementation of the NDR Information Exchange.

Reporting Triggers

Reporting triggers document the healthcare events that should result in a message being transmitted to the NDR.

The table below defines which diseases are currently reportable to the NDR and the trigger events for when disease reports should be sent to the NDR. The benefit of defining what diseases are reportable to the NDR along with triggering events for each condition is to ensure consistency of reporting across Facilities and Implementing Partners.

As access to additional Program Areas within the Nigeria Federal Ministry of Health is obtained, the list of reportable diseases and reporting triggers will be extended.

Additionally, it is essential to note that once an NDR reporting trigger has been engaged, data for the Patient’s disease should be continually reported to NDR as an update.

For each time a facility wants to report data to the NDR, the EMR should be checked for all clients who meet any one of the listed trigger events, and ONLY such clients’ records should be sent to the NDR.

Event

Action

1.1

Documented HIV test results in the EMR

Send an initial message to the client

1.2

Client Enrolled on HIV care and treatment program

Send an Initial message with all historical data for the client

1.3

Client Transferred in, and this is documented in the EMR

Send an Initial message with all historical data for the client

1.4

The client has a follow-up visit documented in the EMR

Send an Update message for this client with updated data for the client

1.5

The client’s record on the EMR was updated

Send an Update message for this client with updated data for the client

1.6

Client record deleted on the EMR

Send a Redacted message to this client

1.7

Client transferred out

Send an Update message for this client with updated data for the client

1.8

The client was documented as died

Send an Update message for this client with updated data for the client

1.9

The client documented as stopped after tracking

Send an Update message for this client with updated data for the client

1.10

The client

documented as LTFU after tracking

Send an Update message for this client with updated data for the client

File Transport

Data transport is achieved to the NDR website over HTTPS using username, password authentication.

File Compression

To address file size and movement of data across networks and facilities, Implementing Partners should compress multiple XML files into a zip folder. Compressed files should NOT be encrypted using a password, and compressed XML messages should be in the root of the archive file (i.e., do not use sub folders). Typical XML file sizes are within 1KB to 20KB per patient. The current limit for compressed ZIP files is 500MB.

Message Naming Convention

The table below defines the naming convention for the individual messages sent to NDR by facilities and Implementing Partners. Each file name part should be separated by an underscore (“_”) and use an .XML file extension. For example:

05151_39383933_15072015_221510.xml
10209_ 30003961_13062015_082909.xml
09216_ 30003961_13062015_082909.xml

File Name Part

Notes

State and LGA code for the facility

Use the NDR data dictionary to get the State and LGA codes for the facility and concatenate them to form this field. Two-digit State, Code then Three-digit LGA Code

Identifier assigned by FMoH to uniquely identify Facility

Patient Identifier

Date (DDMMYYYY)

If a compressed archive file is transmitted, the file should follow the convention defined in the table below and use a .ZIP file extension. For example:

09216_15072015_221510.zip

File Name Part

Notes

State and LGA code for the facility

Use the NDR data dictionary to get the State and LGA codes for the facility and concatenate them to form this field. Two-digit State Code then Three-digit LGA Code

Identifier assigned by FMoH to uniquely identify Facility.

Date (DDMMYYYY)

Time based on 24-hour clock (HHMMSS)

Using West Africa Time (WAT)

Message State

The figure below specifies the sequence of events that an object goes through during its lifetime in the NDR. In the context of the NDR, the state definition allows additional data for a Patient’s Condi. It enablesbles facilities or Implementing Partners to communicate when a Patient, Condition, or Public Health event was incorrectly or erroneously entered into the EMR and subsequently reported to the NDR.

State

Description

What to Include

Triggers

Initial

When sending new records that do not exist in the NDR

All existing and historic client record

Update

When sending an update to an existing record in the NDR

Send only data elements that have changed using timestamps from the update encounter table

Redact

When deleting an existing record from the NDR

Important Identifiers

The table below identifies the key identifiers that the NDR uses.

Identifier

Schema Element

Implementation Approach

Message Unique Identifier

MessageUniqueID

A unique value is assigned to the NDR message.

Message Schema Version Number

MessageSchemaVersion

This number indicates which XSD version was used to generate the XML message. This number is essential as it determines what data elements are expected and may determine what validation rules are applied during ingestion.

Patient Identifier

PatientIdentifier

Represents how the Patient is uniquely identified within the EMR. This may take the form of a unique value assigned by the EMR or a unique value generated when the Patient is created in the EMR.
This value must be unique for a Patient in the context of a facility’s EMR.

Message Sending Organization

MessageSendingOrganization

The organization that is responsible for the facility. This may be an Implementing Partner, the facility, or another organization such as the FMoH.

Treatment Facility

TreatmentFacility

The facility where the Patient is receiving treatment.
The NDR Team recognizes that a standardized list of all facilities is not readily available. Therefore, trading partners should use a consistent value to represent a facility.

Visit Identifier

VisitID

A unique value that represents a Patient’s visit in the context of a Patient’s chart.

Record Matching

When NDR receives a message into the Transactional database, it will check if existing records exist for specific subject areas in NDR using the business logic defined in the table below. If a record match is detected, the record will be updated.

Subject Area

Record Matching Approach

Patient

When the following are equal, a Patient is considered a match:
Treatment Facility
Patient Identifier

Patient Condition

When the following are equal, a Patient is considered a match:
Patient Identifier
Condition Code

Patient Address

If a Patient Address is associated with a Patient, the existing Patient Address will be updated. Otherwise, an address will be inserted.

Treatment Facility

When the following are equal, a Treatment Facility is considered a match:
Facility Name
Facility Identifier
Facility Type Code

Sending Organization

When the following are equal, a Sending Organization is considered a match:
Facility Name
Facility Identifier
Facility Type Code

Diagnosis Facility

When the following are equal, a Diagnosis Facility is considered a match:
Facility Name
Facility Identifier
Facility Type Code

Encounter

When the following are equal, an Encounter is considered a match:
Visit ID
Visit Date

Regimen

When the following are equal, a Regimen is considered a match:
Visit ID
Visit Date
Prescribed Regimen Type Code

Laboratory Report

When the following are equal, a Laboratory Report & Order / Result combination is considered a match:
Visit ID
Visit Date
Laboratory Resulted in Test Code

HIV Testing Report

When the following are equal, match client HIV Testing Report combination is considered a matchClient Code
Treatment Facility

2.7.1 Changing Patient ID

It is important to note that a Patient’s ID already submitted to the NDR should remain the same through the life cycle of that patient’s record in the NDR for consistent matching and updating of the records. Implementers should therefore understand that changing a patient ID in the EMR without adequate notification to the NDR will mean creating duplicate records on the NDR with the same clinical, encounter, regimen and lab details but different identifiers.

In the event of a changed patient identifier, the facility would supply the new patient identifier in the Patient Identifier tag and two new data elements, “PatientIdentifierChanged” True or False and “Old Patient Identifier” in the Identifier change sub-tag of patient demographics. If the PatientIdentifierChage is True, then it is expected that the Old patient identifier is supplied in the tag.

When the NDR reads an XML file, it checks the existence of data in the Identifier change tag. If present, it identifies a change in patient identifier has occurred for this patient thus, it changes the existing patient identifier in the database that corresponds to the Identifier in the OldPatientIdentifier tag. The old patient identifier is then saved in the patient table of the database.

2.7.2 Patient Biometric Information

Included in XSD 1.3 and higher is the fingerprint tag in Patient Demographics. The data expected for the fingerprint tag is listed below;

FingerPosition - (RightThumb, RightIndex, RightMiddle, RightWedding, RightSmall, LeftThumb, LeftIndex, LeftMiddle,LeftWedding, LeftSmall)
Template – (the encoded patient fingerprint data)
Date captured
Source – This is used to validate the source of the fingerprint data; it can either be N, M or UNK.

It is important to note that once data is supplied for fingerprint, the template and fingerprint position are required. The NDR requires a minimum of six fingers and a maximum of ten for all fingerprint data supplied in the position mentioned above. The fingerprint is expected to be unique for every patient, and this will be used for patient de-duplication on the NDR.

Documented Transfers for HIV

It is important to note that the process for communicating documented transfers for HIV (and non-HIV) patients will evolve in future phases of NDR based on feedback from Implementing Partners and parallel efforts by the United State Government Strategic Information Team to develop Patient matching and deduplication algorithms.

This section describes the process for communicating documented transfer to the NDR for HIV. A documented transfer is defined as:

Patient transfers from Treatment Facility A to Treatment Facility B
Treatment Facility A indicates that the Patient has transferred out
If available, Treatment Facility A indicates the name of the Treatment Facility where the Patient is transferring to
Treatment Facility B records that the Patient transferred in from Treatment Facility A along with the Unique Patient Identifier used by Treatment Facility A if available

Within the NDR Schema, Treatment Facility A would answer the following data elements within the HIVQuestionsType to indicate the Transfer out:

PatientTransferredOut = Set to true to indicate a transfer out
TransferredOutStatus = Set to the patient’s ART status at the time of transfer out
TransferredOutDate = Date of the transfer out
FacilityReferredTo = Treatment Facility information for the new Facility, including Facility Name and Identifier

Within the NDR Schema, Treatment Facility B would answer the following data elements within the HIVQuestionsType to indicate the Transfer in:

TransferredInDate= Date the patient was transferred in
TransferredInFrom= Treatment Facility information for the previous Treatment Facility, including Facility Name and Identifier
TransferredInFromPatId= Unique Patient Identifier used by previous Treatment Facility

When the NDR message is received from Treatment Facility A by the NDR:

Process the record as usual

When the NDR message is received from Facility B by the NDR:

The NDR will first check if TransferredInFrom and TransferredInFromPatId are both populated
If both values are populated, NDR will check if a patient currently exists with a Unique Patient Identifier and Treatment Facility matching the values of TransferredInFrom and TransferredInFromPatId
1. If a match is found:
  1. The patient’s Unique Patient Identifier and Treatment Facility (as assigned by the original Treatment Facility) will be pushed to the TRANSFERS table
  2. The patient’s Unique Patient Identifier and Treatment Facility will be updated with the values from TransferredInFrom and TransferredInFromPatId (as assigned by the new Treatment Facility)
  3. The NDR message will then continue processing as usual
2. If no match is found, standard business logic will be applied for processing

Since the NDR cannot control the order in which NDR messages will be received for patients across Treatment Facilities, if the NDR detects PatientTransferredOut is set to true, the NDR will first check if a documented transfer has already been executed by checking the TRANSFERS table. If a documented transfer has already been processed, the message will NOT be processed. The message will be processed as usual if a documented transfer has NOT already been processed.

Developer Guidance

The list below guides developers in using the NDR Schema to create messages.

Developer Guidance

If data is not available to populate an optional data element, do not send the data element

Before transmitting a message to the NDR, the message should be validated against the NDR Schema – all errors and warnings should be resolved before transmitting to the NDR.

The NDR will not process a message if it fails validation against the NDR Schema

Messages should only be sent to NDR if new records have been added or existing records updated for a Patient since the last time data was transmitted to the NDR. If a drop request for data was executed, then messages should be sent with the entire history of the patients.

If an EMR uses a coded value not defined for a data element defined as CodeType, the developer should contact the NDR Development Team for guidance.

If an EMR uses a coded value that is not defined for a data element defined as CodedSimpleType, the developer should place the code in Code and the description in CodeDescTxt

Depending on the data element, an Enumeration may be defined to ensure consistency of coded responses across facilities. It is important to note that Enumerated data elements will fail message validation if a non-enumerated value is utilized.

Within the NDR Schema, Visit ID is required when sending information such as Regimens, Encounters, and Laboratory Reports. If a Visit ID is not available in the EMR, a consistent value should be used by the developer as Visit ID is used in record matching.

Within the NDR Schema, Visit Date is required when sending information such as Regimens, Encounters, and Laboratory Reports. If a Visit Date is not avaiunavailableEMR, a consistent value should be used by the developer as Visit Date is used in record matching.

Given the variation across EMRs of how coded questions are modelled if an EMR captures multiple values for a single data element (i.e., multi-select), then multiple answers should be passed in the NDR Schema separated by a pipe character (“|”).
For example, if a Patient had a Fever and a Cough for “New symptoms/ diagnoses/ opportunistic infections” (ART064), then OtherOIOtherProblems data element would be modelled as:
<OtherOIOtherProblems>5|6</ OtherOIOtherProblems >

For data elements that communicate a date (e.g., Visit Date, Date of ART Start), the NDR Schema uses the native xs: date datatype using the format "YYYY-MM-DD."

For data elements that communicate a date and time (e.g., Message Creation Time), the NDR Schema uses the native xs:datetime datatype using the format "YYYY-MM-DDThh:mm: ss.ms"

Developers should utilize the below substitution rules for handling special characters that conflict with XML syntax:
< Less-than character (<)
& Ampersand character (&)
> Greater-than character (>)
" Double-quote character (")
' Apostrophe or single-quote character (')

The other special characters are arescouraged including a dash, question mark, guillemets exclamation point, accent character.r

Values in the XML Message should not contain leading or trailing white space or hidden line returns and breaks. For example, the following should not be transmitted to the NDR:
<FacilityName> Central Medical Centre</FacilityName>
<FacilityName>Central Medical Centre </FacilityName>
<FacilityName> Central Medical Centre </FacilityName>
<FacilityName>Central Medical
Centre</FacilityName>

Within the NDR, for HIV, a patient is considered on ART when:
Date ART started (ART022) contains a valid date
ARV Drug Regimen (ART066) is available on an at least one HIV Encounter
Prescribed Regimen Type Code (REG005) equals ART for at least one Regimen

Binding Data to XML

To support data generation, the table below defines examples of Application Programming Interfaces (APIs) and third-party (open source) tools to support automating the binding of data from EMR (or Implementing Partner) databases to the NDR Schema. For those unfamiliar, an excellent discussion on XML data binding is available from Liquid Technologies [http://www.liquid-technologies.com/Tutorials/XML-Data-Binding.aspx].

An inherent benefit of using an API / Third Party Tool is validating the message against the NDR schema before submission to the NDR. This real-time validation will reduce the friction in processing data within the NDR and the need for follow-up with facilities (or Implementing Partners).

EMR Architecture

API / Third-Party Tool

.NET

Microsoft XML Schema Definition Tool (Xsd.exe) to generate classes to support mapping between database objects and schema.

.NET

LINQ (Language-Integrated Query) to XML is a LINQ-enabled, in-memory XML programming interface that enables XML from within the .NET Framework programming languages

Java

Java Architecture for XML Binding (JAXB) allows Java developers to map Java classes to XML representations.

Java

XMLBeans is a technology for accessing XML by binding it to Java types

Java and .NET

Mirth Connect Data Integration Engine for data integration and interoperability

Schema Validation

As defined in the Developer Guidance section above, before an XML message is transmitted to the NDR, it must be validated against the NDR Schema. Typically, each message should be validated right after it is created using the validation features of the selected XML Binding API / Third Party Tool.

The figures below provide a schema validation example using the JAXB API for Java, including a sample output of a message that failed validation because ilacksng the required MessageSendingOrganization data element in the Message Header.

Data Validation

Summarized in the figure below, NDR uses a multi-step process to validate adherence of NDR messages to the NDR Schema. In support of NDR objectives to provide a low barrier architecture for facilities to exchange data with NDR:

Answers to coded data elements will be accepted into the NDR Transactional and Repository database that are not defined in the Implementation Guide
The NDR Schema has a limited number of required data elements
The NDR Team will continuously provide feedback to the NDR data sources with recommendations for enhancing Implementation Guide adherence

Sample Code

A series of sample projects have been developed by the NDR Team to support facilities and Implementing Partners in binding EMR data to the NDR Schema.

Message Validation Summary

The web portal will provide a validation summary of every file submitted to the NDR once the files have been completely processed. Implementing partners or facilities should click the “View Errors” button after the uploaded file has been processed to view and download validation errors in uploaded batches.

NDR Schema

As defined in the Information Exchange Standards deliverable, the NDR Schema is the basis for sending data to the NDR from the EMRs. Summarized in the figure below, the NDR Schema is implemented as an XML Schema Definition (XSD). It governs the encoding, structure, and content for sending patient-centric, Extensible Markup Language (XML) messages to the NDR. Fundamentally, the NDR Schema has been developed to be agnostic of EMR architectures while providing a low barrierlow-barrieror Implementing Partners.

It is important to note that the NDR Schema is designed to generate a Patient-specific message. Therefore, a single message should only contain information for a single Patient.

The NDR Schema has evolved with major and minor releases. Major releases use the 1. x numbering scheme where the x represents the version. Minor releases use the 1 .x. yy numbering scheme where the ‘x’ represents the major version and the ‘yy’ represents the update number.

The current version of the NDR Schema is Version 1.5.4. The changelog between releases is captured in the XSD changelog document.

The NDR will accept, and process messages developed using major versions of the schema and will apply relevant validations for that major version where possible. The NDR wil,l however, only process the latest minor version for the specified major version. For example, the NDR will process XMmessages generateded against XSD versions 1.4 and 1.5 but will only process 1.5 messages if they match the current 1.5.4 minor release.

Schema Element Structure

This section describes each of the structures defined within NDR Schema. Each sub-section includes an overview of the structure, a graphical representation of the NDR Schema, and a table that defines data elements, including whether an enumeration has been defined within the NDR Schema.

Container

The root element in the message is the Container which holds the Message Header and an Individual Report. Both elements are required components of the Container.

Container

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set

Message Header

Holds metadata on the message itself

MessageHeader

MessageHeaderType

[1..1]

Individual Report

Holds information on the Patient and their condition(s)

IndividualReport

IndividualReportType

[1..1]

Sample XML

….

</MessageHeader>

….

</IndividualReport>

</Container>

Message Header

The Message Header contains elements describing the message itself. All the elements in the Message Header are required items, and all must be present in the message. Message Status is either “Initial”, “Updated”, or “Redacted,” depending on the trigger event causing the creation of the message.

It is important to note that the Message Sending Organization should be set to the organization responsible for sending NDR messages on behalf of the Patient’s Treatment Facility. The Message Sending Organization may be an Implementing Partner, the Treatment Facility in the case of a private facility, or another organization. The Message Sending Organization determines how data is grouped for reporting purposes. The message-sending organization must have been onboarded to the NDR prior tobeforeendings, or the data will not be processed. The FacilityID element in the MessageSendingOrganization tag isvitalt as this usis vitalpresent the shortrepresentshe eshortage is critical to file ingestion.

++++++++++++++

Additionally, the Message Unique ID is critical in providing the NDR Team with a non-sensitive identifier to use when communicating feedback about the message to the message sender. The Message Unique ID should uniquely identify the message itself.

MessageHeader

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Message Status Code

MSG001

Documents the message as either initial, updated, or redacted

MessageStatusCode

CodeType

[1..1]

MESSAGE_STATUS
Messages with a status of Redacted will not be included in data analysis or indicator generation.

Message Creation Date Time

MSG002

Provides the date and time the message was created

MessageCreationDateTime

dateTime

[1..1]

Message Schema Version

MSG003

Provides the schema version the message was created to

MessageSchemaVersion

decimal

[1..1]

A literal value of 1.4 or later should be utilized

Message Unique ID

MSG004

Uniquely identifies the message

MessageUniqueID

StringType

[1..1]

Message Sending Organization

MSG005

Provides information on the type of organization that sent the message to the NDR

MessageSendingOrganization

FacilityType

[1..1]

Sample XML

<MessageStatusCode>INITIAL</MessageStatusCode>

<FacilityName>Fictional Implementing Partner Name</FacilityName>

</MessageSendingOrganization>

</MessageHeader>

Individual Report

The Individual Report consists of Patient Demographics and Condition. Both elements are required components of the Individual Report.

It is important to note that multiple Condition elements are allowed if more than one condition is sent to the same Patient.

dividualReport

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Patient Demographics

Holds information on the Patient’s Demographics including the Patient’s Treatment Facility

PatientDemographics

PatientDemographicsType

[1..1]

Condition

Holds information on a Patient’s Condition(s)

Condition

ConditionType

[1..*]

Sample XML

...

</PatientDemographics>

...

</Condition>

</IndividualReport>

Patient Demographics

This element contains information about the Patient, such as date of birth, sex, occupation and other patient demographic information.

It is important to note that for matching purposes, the NDR will utilize the Patient Identifier (PAT001) and the Treatment Facility (PAT002) to determine if a Patient currently exists in the NDR.

PatientDemographics

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Patient Identifier

PAT001

The unique identifier links all records of patient encounters for a particular patient within a facility. The unique patient identifier is a single identifier that is permanently assigned and cannot be reused once created.

PatientIdentifier

StringType

[1..1]

Identifier Change

The Identifier change captures a change in a patient’s identifier

IdentifierChange

Boolean

[0..1]

Treatment Facility Name

PAT002

The facility at which the current treatment or care is being provided

TreatmentFacility

FacilityType

[1..1]

Other Patient Identifiers

PAT003

Other patient identifiers that may exist in the EMR for the patient

OtherPatientIdentifiers

IdentifiersType

[0..1]

Patient’s Date Of Birth

PAT004

Date of birth of the patient

PatientDateOfBirth

date

[0..1]

Patient Sex Code

PAT005

The sex of the patient

PatientSexCode

CodeType

[0..1]

Patient Deceased Indicator

PAT006

Indicates if the patient has died

PatientDeceasedIndicator

boolean

[0..1]

Patient Decease Date

PAT007

Date of death

PatientDeceasedDate

date

[0..1]

Patient’s Primary Language Code

PAT008

The primary language used by the patient

PatientPrimaryLanguageCode

CodeType

[0..1]

LANGUAGE

Patient Education Level Code

PAT009

Highest level of formal education and training attained in an academic setting.

PatientEducationLevelCode

CodeType

[0..1]

EDUCATIONAL_LEVEL

Patient Occupation Code

PAT010

Occupation status of the patient

PatientOccupationCode

CodeType

[0..1]

OCCUPATION_STATUS

Patient Marital Status Code

PAT011

The marital status of the patient

PatientMaritalStatusCode

CodeType

[0..1]

MARITAL_STATUS

State Of Nigeria Origin Code

PAT012

State of origin if the patient is Nigerian

StateOfNigeriaOriginCode

CodeType

[0..1]

STATES

Patient Notes

PAT013

Notes about the patient that do not contain personally identifying information

PatientNotes

NoteType

[0..1]

Finger Prints

Fingerprints of patients

FingerPrints

string

[0..1]

Sample XML

</IdentifierChange>

<FacilityName>Central Medical Centre</FacilityName>

</TreatmentFacility>

</Identifier>

</OtherPatientIdentifiers>

<Note>Notes about the patient that do not contain personally identifying information</Note>

</PatientNotes>

<RightIndex>Rk1SACAyMAAAAAC6AAABBAEsAMUAxQEAAhBYGoDOADH8AEBhADobAEBfAFoeAE</RightIndex> <RightMiddle>Rk1SACAyMAAAAAEUAAABBAEsAMUAxQEAAxBUKUBvACCGAEB1A</RightMiddle> <RightWedding>Rk1SACAyMAAAAAEaAAABBAEsAMUAxQEABBBXKkCcACYAIRightWedding> <RightSmall>Rk1SACAyMAAAAADYAAABBAEsAMUAxQEABRAqH4CkA</RightSmall>

</RightHand>

</LeftHand>

</FingerPrints>

</PatientDemographics>

Condition

The Condition element is illustrated below. More than one Condition can be included in the XML message for a Patient.

It is important to note that Condition has been designed to be as flexible as possible with only a few required data elements. This is to enable the reporting of diseases other than HIV to the NDR.

ConditionType

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Condition Code

Patient’s Condition

ConditionCode

CodeType

[1..1]

Program Area

Program Area of the Condition

ProgramArea

ProgramAreaType

[1..1]

Patient Address

Patient’s Address

PatientAddress

AddressType

[0..1]

Common Questions

Common Questions about the condition

CommonQuestions

CommonQuestionsType

[0..1]

Condition Specific Questions

Condition-specific questions

ConditionSpecificQuestions

ConditionSpecificQuestionsType

[0..1]

Encounters

Encounters

Encounters

EncountersType

[0..1]

Laboratory Reports

Laboratory Reports

LaboratoryReport

LaboratoryReportType

[0..*]

Regimens

Regimens

Regimen

RegimenType

[0..*]

Immunizations

Immunizations

Immunization

ImmunizationType

[0..*]

Condition Code

Condition code contains the diagnosed condition being included in the Condition element for this Patient.

ConditionCode

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Condition Code

COM001

The code that represents the Condition

ConditionCode

CodeType

[1..1]

CONDITION_CODE

Sample XML

…

</Condition>

Program Area

Program area denotes the Program Area in which the condition exists.

ProgramArea

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Program Area Code

COM002

Logical grouping of the Condition Code

ProgramAreaCode

CodeType

[1..1]

PROGRAM_AREA

Sample XML

…

</ProgramArea>

…

</Condition>

Patient Address

This address provides the current geo-location of the Patient.

It is important to note that the Patient’s Address does not allow granular address information to be transmitted (e.g., Street Address).

PatientAddress

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Address Type Code

PAT014

Defines the address information provided (home, temporary, legal, etc.)

AddressTypeCode

CodeType

[1..1]

ADDRESS_TYPE

Default to H for Home

Ward / Village

PAT015

Ward or village where this address is located

WardVillage

StringType

[0..1]

Town

PAT016

Town in which this address is located

Town

StringType

[0..1]

LGA

PAT017

Local Government Area for this address

LGACode

CodeType

[0..1]

LGA

State

PAT018

State in which this address is located

StateCode

CodeType

[0..1]

STATES

Country Code

PAT019

Country in which this address is located

CountryCode

CodeType

[0..1]

COUNTRY

Default to NGA for Nigeria

Postal Code

PAT020

Postal code (if used) for this addressed

PostalCode

StringType

[0..1]

Other Address Information

PAT021

Notes about this address

OtherAddressInformation

StringType

[0..1]

Sample XML

…

<WardVillage>Central</WardVillage>

<Town>Abuja</Town>

<OtherAddressInformation>Enter notes about the address if needed</OtherAddressInformation>

</PatientAddress>

…

</Condition>

Common Questions

The Common Questions section covers general information about the Patient’s condition and is reusable across Conditions.

CommonQuestions

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Hospital Number

COM003

The number represents sent the hospital

HospitalNumber

StringType

[1..1]

Diagnosis Facility

COM004

If known, the facility at which the original diagnosis was made

DiagnosisFacility

FacilityType

[0..1]

Date Of First Report

COM005

Date of the first report for this condition for this patient

DateOfFirstReport

date

[0..1]

Date Of Last Report

COM006

Date of the last report for this condition for this patient

DateOfLastReport

date

[0..1]

Diagnosis Date

COM007

Earliest known date of diagnosis of this condition for this patient

DiagnosisDate

date

[0..1]

Patient Die From This Illness

COM008

Did the patient die from this condition

PatientDieFromThisIllness

boolean

[0..1]

Patient Pregnancy Status Code

COM009

Is the patient pregnant

PatientPregnancyStatusCode

CodeType

[0..1]

PREGNANCY_STATUS

Estimate Delivery Date

COM010

If pregnant, when is the estimated delivery date?

EstimatedDeliveryDate

date

[0..1]

Patient Age

COM011

The age of the person in years. Input when a patient does not know their date of birth. Calculate when the date of birth is known.

PatientAge

int

[0..1]

Age Units are assumed to be Years

Sample XML

<FacilityName>Diagnosing Facility</FacilityName>

</DiagnosisFacility>

<PatientDieFromThisIllness>false</PatientDieFromThisIllness>

</CommonQuestions>

Condition Specific Questions

Condition Specific Questions are focused questions related to a specific condition. For HIV, these questions are within the HIV Questions data elemen, and generally follow Care Card Page 1 of the National Forms.

As additional diseases are onboarded to the NDR, the list of Condition Specific Questions will be expanded.

HIVQuestions

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Care Entry Point

ART011

The entry point into HIV care

CareEntryPoint

CodeType

[0..1]

CARE_ENTRY_POINT

Date of Confirmed HIV test

ART012

Date of First Confirmed HIV test

FirstConfirmedHIVTestDate

date

[0..1]

Mode of HIV Test

ART013

Mode of HIV Test (Antibody or PCR)

FirstHIVTestMode

CodeType

[0..1]

HIV_TEST_TYPE

Where

ART014

Location (facility or testing point) where the patient was confirmed positive

WhereFirstHIVTest

StringType

[0..1]

Prior ART

ART015

Prior ART received

PriorArt

CodeType

[0..1]

PRIOR_ART

Date Medically eligible

ART016

Date determined medically eligible to start ART

MedicallyEligibleDate

date

[0..1]

Why Eligible

ART017

Why medically eligible to start ART

ReasonMedicallyEligible

CodeType

[0..1]

WHY_ELIGIBLE

Date Initial Adherence Counseling Completed

ART018

Date Initial Adherence Counseling Completed

InitialAdherenceCounselingCompletedDate

date

[0..1]

Date Transferred in

ART019

Date transferred in from another treatment facility on ART

TransferredInDate

date

[0..1]

Facility transferred from

ART020

Location transferred from

TransferredInFrom

FacilityType

[0..1]

Transferred In from Patient Identifier

ART103

Unique patient ID at facility transferred from

TransferredInFromPatID

StringType

[0..1]

First ART Regimen

ART021

First ARV regimen prescribed for this patient

FirstARTRegimen

CodedSimpleType

[0..1]

ARV_REGIMEN

Date ART started

ART022

Refers to the date a patient begins the first, original ART regimen in the system (or document the date a patient started in any programme or under the care of another practitioner if this date is known)

ARTStartDate

Date

[0..1]

Clinical Stage at Starttart of ART

ART023

WHO clinical stage when medically eligible

WHOClinicalStageARTStart

CodeType

[0..1]

WHO_STAGE

Weight

ART024

Body weight (in kg) at the start of ART

WeightAtARTStart

int

[0..1]

Height (if child)

ART025

Height (in cm) at the start of ART (for children)

ChildHeightAtARTStart

int

[0..1]

Function

ART026

Functional status at the start of ART

FunctionalStatusStartART

CodeType

[0..1]

FUNCTIONAL_STATUS

CD4 at the start of ART

ART027

Baseline CD4 count or percentage or TLC count if medically eligible

CD4AtStartOfART

StringType

[0..1]

Patient transferred out

ART046

Indicator for whether the patient has transferred out

PatientTransferredOut

boolean

[0..1]

Patient transferred out (status

ART200

ART status of the patient when transferred out

TransferredOutStatus

CodeType

[0..1]

ART_STATUS

The patient transferred out date

ART045

Date when the patient transferred out

TransferredOutDate

date

[0..1]

Facility Referred To

ART047

Name of the facility referred to

FacilityReferredTo

FacilityType

[0..1]

Patient has died

ART048

Has the patient died (any cause)

PatientHasDied

boolean

[0..1]

Patient has died. ART status

ART201

ART/Pre-ART status at death

StatusAtDeath

CodeType

[0..1]

ART_STATUS

Patient has died date

ART049

Date of death

DeathDate

date

[0..1]

Source of death information

ART050

Source of death information

SourceOfDeathInformation

StringType

[0..1]

Cause of Death: HIV related:

ART051

Indicates whether the cause of death was HIV related

CauseOfDeathHIVRelated

CodeType

[0..1]

YNU

Drug Allergies

ART052

List of known drug allergies

DrugAllergies

StringType

[0..1]

Date enrolled in HIV care

ART005

Date enrolled into HIV care

EnrolledInHIVCareDate

date

[0..1]

Initial TB Status

ART102

Initial TB status

InitialTBStatus

CodeType

[0..1]

TB_STATUS

Stopped Treatment

Has the patient stopped treatment?

PatientStoppedTreatment

Boolean

[0.. 1]

Stopped Treatment Date

Date stopped treatment

StoppedTreatmentDate

Date

[0... 1]

Reason Stopped Treatment

The reason the patient stopped the treatment

StoppedTreatmentReason

StringType

[0.. 1]

Sample XML

<FirstHIVTestMode>HIVAb</FirstHIVTestMode>

<WhereFirstHIVTest>Clinic Testing Name</WhereFirstHIVTest>

<FacilityName>Medical Centre</FacilityName>

</TransferredInFrom>

</FirstARTRegimen>

<FacilityName>Medical Hospital</FacilityName>

</FacilityReferredTo>

<SourceOfDeathInformation>Hospital notification</SourceOfDeathInformation>

<DrugAllergies>Penicillin</DrugAllergies>

< StoppedTreatmentDate >true</ StoppedTreatmentDate >

< StoppedTreatmentReason >true</ StoppedTreatmentReason >

</HIVQuestions>

</ConditionSpecificQuestions>

Encounters

Encounters are questions regularly captured during a clinical encounter related to the condition.

For HIV, encounter questions are within the HIV Encounter data element and generally follow Care Card Page 2 of the National Forms.

An HIV Encounter data element is created for each Patient’s Encounter.

It is important to note that the HIV Encounter questions include discrete questions related to Regimens and Laboratory Results (e.g., ARV Drug Regimen, Latest CD4 Result). If the EMR captures these discrete values as part of the Encounter, the values should be transmitted as defined below. If the EMR does not capture the Regimen and Laboratory Results as discrete questions, then the detailed Regimen and Laboratory Result information should be transmitted as defined in the NDR Schema.

HIVEncounter

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Visit Identifier

ART101

The identification code or number used to identify the clinical visit uniquely

VisitID

StringType

[1..1]

Visit Date

ART053

Patient encounter information is collected and updated every time a patient visits a health facility. This date applies to all outpatient encounter data for that date.

VisitDate

date

[1..1]

Duration (in Months) on ART

ART055

Duration (in Months) on ART

DurationOnArt

[0..1]

Weight (kg)

ART056

Current Weight (kg)

Weight

[0..1]

Height (if child) (cm)

ART057

Current Height (if child) (cm)

ChildHeight

[0..1]

Blood Pressure (mmHg) Adults Only

ART058

Current Blood Pressure (mmHg) Adults Only

BloodPressure

StringType

[0..1]

EDD and PMTCT Link

ART059

EDD and PMTCT Link

EDDandPMTCTLink

CodeType

[0..1]

EDD_PMTCT_LINK

Patient Family Planning Code

ART060

Describes the status of the use of family planning

PatientFamilyPlanningCode

CodeType

[0..1]

FAMILY_PLANNING_STATUS

Patient Family Planning Method Code

ART202

Describes the type of family planning method used

PatientFamilyPlanningMethodCode

CodeType

[0..1]

FAMILY_PLANNING_METHOD

Functional Status

ART061

Functional Status

FunctionalStatus

CodeType

[0..1]

FUNCTIONAL_STATUS

WHO Clinical Stage

ART062

Current WHO Clinical Stage

WHOClinicalStage

CodeType

[0..1]

WHO_STAGE

TB Status

ART063

Current TB Status

TBStatus

CodeType

[0..1]

TB_STATUS

Other Ois/Other Problems

ART064

New symptoms/ diagnoses/ opportunistic infections

OtherOIOtherProblems

CodeType

[0..1]

OI_OTHER

Noted Side Effects

ART065

Possible medication side- effects or other problems

NotedSideEffects

CodeType

[0..1]

ADVERSE_REACTIONS

ARV Drug Regimen

ART066

ARV Drug Regimen

ARVDrugRegimen

CodedSimpleType

[0..1]

ARV_REGIMEN

ARV Drugs Adherence

ART067

ARV Drugs Adherence

ARVDrugAdherence

CodeType

[0..1]

ADHERENCE

Why Poor /Fair Adherence

ART068

Why Poor /Fair Adherence

WhyPoorFairARVDrugAdherence

CodeType

[0..1]

ADHERANCE_POORFAIR_REASON

Cotrimoxazole Dose

ART069

Cotrimoxazole Dose

CotrimoxazoleDose

CodedSimpleType

[0..1]

OI_REGIMEN

Cotrimoxazole Adherence

ART070

Cotrimoxazole Adherence

CotrimoxazoleAdherence

CodeType

[0..1]

ADHERENCE

Why Poor /Fair Adherence

ART071

Why Poor /Fair Adherence

WhyPoorFairCotrimoxazoleDrugAdherence

CodeType

[0..1]

ADHERANCE_POORFAIR_REASON

INH Dose

ART072

INH Dose

INHDose

CodedSimpleType

[0..1]

TB_REGIMEN

INH Adherence

ART073

INH Adherence

INHAdherence

CodeType

[0..1]

ADHERENCE

Why Poor /Fair Adherence

ART074

Why Poor /Fair Adherence

WhyPoorFairINHDrugAdherence

CodeType

[0..1]

ADHERANCE_POORFAIR_REASON

ART076

Latest CD4 result

[0..1]

Latest CD4 result date

ART104

Latest CD4 result date

CD4TestDate

date

[0..1]

Next Appt Date

ART082

Date of next scheduled appointment

NextAppointmentDate

date

[0..1]

Sample XML

It is important to note that this example demonstrates how multiple values can be passed for single data elements (OtherOIOtherProblems and NotedSideEffects).

</ARVDrugRegimen>

<CodeDescTxt>Cotrimoxazole 480mg</CodeDescTxt>

</CotrimoxazoleDose>

<CodeDescTxt>Isoniazid-Ethambutol</CodeDescTxt>

</INHDose>

</HIVEncounter>

…

</HIVEncounter>

…

</HIVEncounter>

</Encounters>

Laboratory Report

The Laboratory Report captures detailed information on the Patient’s Laboratory Reports.

It is important to note that the Laboratory Report element has been designed to support multiple conditions.

Within the NDR Schema, a single Laboratory Report can include multiple Laboratory Results.

LaboratoryReport

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Visit Identifier

LAB001

The identification code or number used to identify the clinical visit uniquely

VisitID

StringType

[1..1]

Visit Date

LAB002

The visit date applies to all outpatient encounter data for that date.

VisitDate

date

[1..1]

Lab Registration No

LAB205

Lab Registration No

LaboratoryTestIdentifier

StringType

[0..1]

Sample Collection Date

LAB500

Collection Date

CollectionDate

date

[0..1]

Baseline/Repeat

LAB196

Baseline/Repeat

BaselineRepeatCode

CodeType

[0..1]

TESTING_STATUS

Patient's ART status

LAB192

Patient's ART status

ARTStatusCode

CodeType

[0..1]

ART_STATUS

If a Laboratory Report is sent for a condition other than HIV, this data element will not be sent.

LaboratoryOrderAndResult

N/A

Repeating block comprised of Resulted Tests

LaboratoryOrderAndResult

[1..*]

Name of Clinician

LAB212

Clinician

StringType

[0..1]

Reported by

LAB214

Reported by

ReportedBy

StringType

[0..1]

Checked by

LAB216

Checked by

CheckedBy

StringType

[0..1]

Laboratory Order and Result

Each Laboratory Report can include one or many LaboratorOrderser and Result pairings.

Laboratory Order and Result

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Laboratory Test Type Code

LAB600

Laboratory Test Type Code

LaboratoryTestTypeCode

CodeType

[0..1]

This field is not currently used in the schema

Ordered Test Date

LAB601

Ordered Test Date

OrderedTestDate

date

[0..1]

Laboratory Ordered Test

LAB602

Laboratory Ordered Test

LaboratoryOrderedTest

CodedSimpleType

[0..1]

This field is not currently used in the schema

Laboratory

Resulted Test

LAB603

Laboratory Resulted Test

LaboratoryResultedTest

CodedSimpleType

[1..1]

LAB_RESULTED_TEST

Laboratory

Result

LAB604

Laboratory Result

LaboratoryResult

AnswerType

[1..1]

Resulted Test Date

LAB605

Resulted Test Date

ResultedTestDate

date

[0..1]

Other Laboratory Information

LAB606

Other Laboratory Information

OtherLaboratoryInformation

StringType

[0..1]

Sample XML

<CodeDescTxt>Viral Load</CodeDescTxt>

</LaboratoryResultedTest>

</AnswerNumeric>

</LaboratoryResult>

<OtherLaboratoryInformation>Information such as clinical indication for the test that was provided

with the lab order</OtherLaboratoryInformation>

</LaboratoryOrderAndResult>

<Clinician>Clinician Name</Clinician>

<ReportedBy>Reporter Name</ReportedBy>

<CheckedBy>Checkedby Name</CheckedBy>

</LaboratoryReport>

Regimen

A Regimen represents the prescribed course of medical treatment to promote or restore health. In the context of NDR, the Regimen will typically represent the medication a Patient has been prescribed.

In the context of HIV, Regimens for ARV, Tuberculosis, and Other Opportunistic Infections should be transmitted to NDR.

It is important to note that the Regimen element has been designed to support multiple conditions.

It is important to note that in future versions of the NDR Schema, Regimen will be extended to include the medications that comprise the Regimen.

Regimen

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Visit ID

REG001

The identification code or number used to identify the clinical visit uniquely

VisitID

StringType

[1..1]

Visit Date

REG002

The visit date applies to all outpatient encounter data for that date.

VisitDate

date

[1..1]

Reason For Regimen Switch Subs

REG003

Reason for regimen switch or substitution

ReasonForRegimenSwitchSubs

CodeType

[0..1]

REGIMEN_SUB_SWITCH_REASON

Prescribed Regimen

REG004

Prescribed regimen

PrescribedRegimen

CodedSimpleType

[0..1]

Prescribe Regimen Type Code

REG005

Type of prescribed regimen

PrescribedRegimenTypeCode

CodeType

[0..1]

REGIMEN_TYPE

Prescribe Regimen Line Code

REG006

Prescribed regimen line

PrescribedRegimenLineCode

CodeType

[0..1]

REGIMEN_LINE

Prescribe Regimen Duration

REG007

Duration of the prescribed regimen

PrescribedRegimenDuration

CodeType

[0..1]

Note: While defined as a CodeType, developers should use these fields to pass the number of days a regimen was prescribed.

For example, if 30 days, the field would contain 30

Prescribe Regimen Dispense Date

REG008

The prescribed regimen was dispensed date

PrescribedRegimenDispensedDate

date

[0..1]

Date Regimen Started

REG009

Date regimen started

DateRegimenStarted

date

[0..1]

Date Regimen Started DD

REG010

The date regimen started DD

DateRegimenStartedDD

StringType

[0..1]

Date Regimen Started MM

REG011

Date regimen started, MM

DateRegimenStartedMM

StringType

[0..1]

Date Regimen Started YYYY

REG012

The date regimen started YYYY

DateRegimenStartedYYYY

StringType

[0..1]

Date Regimen Ended

REG013

Date regimen ended

DateRegimenEnded

date

[0..1]

Date Regimen Ended DD

REG014

Date regimen ended DD

DateRegimenEndedDD

StringType

[0..1]

Date Regimen Ended MM

REG015

Date regimen ended MM

DateRegimenEndedMM

StringType

[0..1]

Date Regimen Ended YYYY

REG016

The date regimen ended YYYY

DateRegimenEndedYYYY

StringType

[0..1]

Prescribe Regimen Initial Indicator

REG017

Is this the initial regimen prescribed

PrescribedRegimenInitialIndicator

boolean

[0..1]

Prescribe Regimen Current Indicator

REG018

Is this the current regimen prescribed

PrescribedRegimenCurrentIndicator

boolean

[0..*]

Type Of Previous Exposure Code

REG019

Type of previous exposure

TypeOfPreviousExposureCode

CodeType

[0..*]

PRIOR_ART

Poor Adherence Indicator

REG020

Is poor adherence noted?

PoorAdherenceIndicator

boolean

[0..1]

Reason For Poor Adherence

REG021

Reason for Poor Adherence

ReasonForPoorAdherence

CodeType

[0..1]

ADHERANCE_POORFAIR_REASON

Reason Regimen Ended Code

REG022

Reason Regimen Ended

ReasonRegimenEndedCode

CodeType

[0..1]

REGIMEN_STOP

Substitution Indicator

REG023

Substitution Indicator

SubstitutionIndicator

boolean

[0..1]

Switch Indicator

REG024

Switch Indicator

SwitchIndicator

boolean

[0..1]

Sample XML

<ReasonForRegimenSwitchSubs>string</ReasonForRegimenSwitchSubs>

</PrescribedRegimen>

<PrescribedRegimenInitialIndicator>false</PrescribedRegimenInitialIndicator>

<SubstitutionIndicator>false</SubstitutionIndicator>

<SwitchIndicator>false</SwitchIndicator>

</Regimen>

Immunization

One or more immunizations can be provided in the immunization.

It is important to note that for Version 1.2 and higher of the NDR Schema that Immunizations can be transmitted, however they will not be parsed into the Transactional or Repository databases.

Immunization

Seq

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Visit ID

VAC001

The identification code or number used to uniquely identify the clinical visit

VisitID

StringType

[1..1]

Visit Date

VAC002

Visit date applies to all outpatient encounter data for that date.

VisitDate

date

[1..1]

Immunization Identifier

VAC003

Immunization identifier number

ImmunizationIdentifier

StringType

[1..1]

Immunization Date

VAC004

Date of immunization

ImmunizationDate

date

[0..1]

Lot Number

VAC005

Lot number

LotNumber

StringType

[0..1]

Expiration Date

VAC006

Expiration date

ExpirationDate

date

[0..1]

Manufacturer Code

VAC007

Manufacturer code

ManufacturerCode

StringType

[0..1]

Immunization Type

VAC008

Type of immunization given

ImmunizationType

CodedSimpleType

[1..1]

VACCINE_TYPE

Site Code

VAC009

Site of immunization administration

SiteCode

CodeType

[0..1]

VACCINE_SITE

Route Code

VAC010

Route of Immunization

RouteCode

CodeType

[0..1]

VACCINE_ADMINISTER

Dose

VAC011

Dose

StringType

[0..1]

Self Reported

VAC012

Is this immunization record self reported?

SelfReported

boolean

[0..1]

Clinician

VAC013

Clinician

StringType

[0..1]

Performed By

VAC014

Performed by

PerformedBy

StringType

[0..1]

Checked By

VAC015

Checked by

CheckedBy

StringType

[0..1]

Sample XML

<Immunization>
<VisitID>98702</VisitID>
<VisitDate>2014-11-22</VisitDate>
<ImmunizationIdentifier>vac21654</ImmunizationIdentifier>
<ImmunizationDate>2014-11-22</ImmunizationDate>
<LotNumber>98184</LotNumber>
<ExpirationDate>2015-10-24</ExpirationDate>
<ManufacturerCode>BAY</ManufacturerCode>
<ImmunizationType>
<Code>138</Code>
<CodeDescTxt>Td (adult)</CodeDescTxt>
</ImmunizationType>
<SiteCode>LA</SiteCode>
<RouteCode>IM</RouteCode>
<Dose>0.5 mL</Dose>
<SelfReported>false</SelfReported>
<Clinician>Clinician Name</Clinician>
<PerformedBy>Performedby Name</PerformedBy>
<CheckedBy>Checkedby Name</CheckedBy>
</Immunization>

3.1.16 HIV Testing Report

The HIV Testing Report is utilized to capture detailed information of the patient’s HIV test. The HIV Test Report generally follows the client intake form of the National forms.
It is important to note that for matching purposes, the NDR will utilize the Client Code to determine if a client currently exists in the NDR

HIV Testing Report

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Client code

N/A

Client code for HTS

ClientCode

stringType

[1..1]

Visit Date

N/A

Visit date applies to all encounter data for that date.

VisitDate

date

[1..1]

Visit ID

N/A

The identification code or number used to uniquely identify the clinical visit

VisitID

stringType

[1..1]

Settings

N/A

HIV testing setting

setting

CodeType

[1..1]

First time visit

N/A

Patient first time visit

FirstTimeVisit

CodeType

[1..1]

Session type

N/A

Type of session

SessionType

CodeType

[0..1]

Referred from

N/A

Where Patient is referred from

ReferredFrom

CodeType

[0..1]

Marital status

N/A

Marital status

MaritalStatus

CodeType

[0..1]

Number of children less than 5

N/A

Number of children owned by client

NoOfOwnChildrenLessThan5Years

int

[0..1]

Number of wives

N/A

Number of wives client have

NoOfAllWives

int

[0..1]

Is index client

N/A

Is client an index client

IsIndexClient

StringType

[0..1]

Index Client ID

N/A

ID of Index client

IndexClientId

StringType

[0..1]

Retesting for result verification

N/A

Is client testing for result verification

ReTestingForResultVerification

CodeType

[0..1]

Pretest Information

N/A

Client pretest information

PreTestInformation

PreTestInformationType

[0..1]

HIV result

N/A

Client HIV result

HIVTestResult

HIVTestResultType

[0..1]

Posttest counselling

N/A

Client post test counselling

PostTestCounselling

PostTestCounsellingType

[0..1]

Syphilis test result

N/A

Client Syphilis test result

SyphilisTestResult

CodeType

[0..1]

HBV test result

N/A

Client HBV test result

HBVTestResult

CodeType

[0..1]

HCV test result

N/A

Client HCV test result

HCVTestResult

CodeType

[0..1]

Index notification services

N/A

Index notification services

IndexNotificationServices

IndexNotificationServicesType

[0..1]

Completed by

N/A

Clinician that completed the test

CompletedBy

StringType

[0..1]

Date completed

N/A

Completion date

DateCompleted

StringType

[0..1]

Sample XML
<HIVTestingReport>
<ClientCode>HTS780934</ClientCode>
<VisitDate>2020-03-20</VisitDate>
<VisitID>347949</VisitID>
<FirstTimeVisit>N</FirstTimeVisit>
<SessionType>1</SessionType>
<MaritalStatus>S</MaritalStatus>
<IsIndexClient>N</IsIndexClient>
<ReTestingForResultVerification>N</ReTestingForResultVerification>
<PreTestInformation>
…
</PreTestInformation>
<HIVTestResult>
…
</HIVTestResult>
<PostTestCounselling>
…
</PostTestCounselling>
<SyphilisTestResult>R</SyphilisTestResult>
<HBVTestResult>Pos</HBVTestResult>
<HCVTestResult>Pos</HCVTestResult>
<CompletedBy>Super User</CompletedBy>
</HIVTestingReport>

3.1.17 Pretest Information

This element contains pre-test information of the client spanning across knowledge assessment, HIV risk assessment, Client TB screening and Syndromic STI screening as captured in the client intake form of the national forms.

Pretest Information

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Knowledge Assessment

N/A

Client Knowledge Assessment

KnowledgeAssessment

KnowledgeAssessmentType

[0..1]

HIV Risk Assessment

N/A

Client Risk Assessment

HIVRiskAssessment

HIVRiskAssessmentType

[0..1]

Client TB Screening

N/A

Client Screening for TB

ClinicalTBScreening

ClinicalTBScreeningType

[0..1]

Syndromic STI Screening

N/A

Syndromic STI Screening

SyndromicSTIScreening

SyndromicSTIScreeningType

[0..1]

<PreTestInformation >
<KnowledgeAssessment>
…
</KnowledgeAssessment>
<HIVRiskAssessment>
…
</HIVRiskAssessment>
<ClinicalTBScreening>
…
</ClinicalTBScreening>
<SyndromicSTIScreening>
…
</SyndromicSTIScreening>
</PreTestInformation>

3.1.17.1 Knowledge Assessment

This element contains assessment questions on the client’s knowledge about HIV transmission methods, how to prevent it types of HIV results among others as captured in the client intake form.

Knowledge Assessment

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Previously Tested HIV Negative

N/A

To know if a client had a negative result in their first test

PreviouslyTestedHIVNegative

Boolean

[1..1]

Client Informed About HIV Transmission Routes

N/A

To ensure the client is informed of possible transmission routes for HIV

ClientInformedAboutHIVTransmissionRoutes

Boolean

[1..1]

Client Pregnant

N/A

To know if a client should be considered for the PMTCT program

ClientPregnant

Boolean

[0..1]

Client Informed About Preventing HIV

N/A

To ensure a client is informed on how to prevent HIV

ClientInformedAboutPreventingHIV

Boolean

[1..1]

Client Informed About Possible Test Results

N/A

To ensure client is told what HIV results are available

ClientInformedAboutPossibleTestResults

Boolean

[1..1]

Informed Consent For HIV Testing Given

N/A

To confirm that client’s informed consent was sought before the test

InformedConsentForHIVTestingGiven

Boolean

[1..1]

Sample XML
<KnowledgeAssessment>
<PreviouslyTestedHIVNegative>true</PreviouslyTestedHIVNegative>
<ClientInformedAboutHIVTransmissionRoutes>true</ClientInformedAboutHIVTransmissionRoutes>
<ClientPregnant>true</ClientPregnant>
<ClientInformedOfHIVTransmissionRiskFactors>true</ClientInformedOfHIVTransmissionRiskFactors>
<ClientInformedAboutPreventingHIV>true</ClientInformedAboutPreventingHIV>
<ClientInformedAboutPossibleTestResults>true</ClientInformedAboutPossibleTestResults>
<InformedConsentForHIVTestingGiven>true</InformedConsentForHIVTestingGiven>
</Knowledge Assessment>

3.1.17.2 HIV Risk Assessment

This element contains assessment question on client’s exposure to risk factors that could lead to HIV infection as captured in the client intake form.

HIV Risk Assessment

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Ever Had Sexual Intercourse

N/A

To know if a client is sexually active or exposed via sexual intercourse

EverHadSexualIntercourse

Boolean

[1..1]

Blood Transfusion In Last 3 Months

N/A

To know if a client had been exposed via blood transfusion in the past 3 months

BloodTransfussionInLast3Months

Boolean

[1..1]

Unprotected Sex With Casual Partner in Last 3 Months

N/A

To know if a client had been exposed via unprotected sex with casual partners in the past 3 months

UnprotectedSexWithCasualPartnerinLast3Months

Boolean

[1..1]

Unprotected Sex With Regular Partner In Last 3 Months

N/A

To know if a client had been exposed via unprotected sex with regular partner in the past 3 months

UnprotectedSexWithRegularPartnerInLast3Months

Boolean

[1..1]

More Than 1 Sex Partner During Last 3 Months

N/A

To know if a client has various sex partners in the past 3 months

MoreThan1SexPartnerDuringLast3Months

Boolean

[1..1]

STI In Last 3 Months

N/A

To know if a client had been diagnosed of any sexually transmitted infection in the past 3 months

STIInLast3Months

Boolean

[1..1]

Sample XML
<HIVRiskAssessment>
<EverHadSexualIntercourse>true</EverHadSexualIntercourse>
<BloodTransfussionInLast3Months>true</BloodTransfussionInLast3Months>
<UnprotectedSexWithCasualPartnerinLast3Months>true</UnprotectedSexWithCasualPartnerinLast3Months>
<UnprotectedSexWithRegularPartnerInLast3Months>true</UnprotectedSexWithRegularPartnerInLast3Months>
<MoreThan1SexPartnerDuringLast3Months>true</MoreThan1SexPartnerDuringLast3Months>
<STIInLast3Months>true</STIInLast3Months>
</HIVRiskAssessment>
3.1.17.3 Clinical TB Screening
This element contains assessment questions to ascertain if a client is Tuberculosis symptomatic as captured in the client intake form.

Clinical TB Screening

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Currently Cough

N/A

To know if a client has a cough now

CurrentlyCough

Boolean

[1..1]

Weight Loss

N/A

To know if a client is experiencing weight loss

WeightLoss

Boolean

[1..1]

Fever

N/A

To know if a client is feeling feverish

Fever

Boolean

[1..1]

Night Sweats

N/A

To know if a client sweats abnormally at night

NightSweats

Boolean

[1..1]

Sample XML
<ClinicalTBScreening>
<CurrentlyCough>true</CurrentlyCough>
<WeightLoss>true</WeightLoss>
<Fever>true</Fever>
<NightSweats>true</NightSweats>
</ClinicalTBScreening>
3.1.17.4 Syndromic STI Screening
This element contains assessment questions to ascertain if a client’s is Tuberculosis symptomatic as captured in the client intake form.

Syndromic STI Screening

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Vaginal Discharge Or Burning When Urinating

To know if a female client is experiencing vaginal discharge or burn when urinating

VaginalDischargeOrBurningWhenUrinating

Boolean

[0..1]

Lower Abdominal Pains With Or Without Vaginal Discharge

To know if a female client is experiencing abdominal pain

LowerAbdominalPainsWithOrWithoutVaginalDischarge

Boolean

[0..1]

Urethral Discharge Or Burning When Urinating

To know if a male client is experiencing urethral discharge or burn when urinating

UrethralDischargeOrBurningWhenUrinating

Boolean

[0..1]

Scrotal Swelling And Pain

To know if a male client is has a swollen scrotum and is experiencing pain

ScrotalSwellingAndPain

Boolean

[0..1]

Genital Sore Or Swollen Inguinal Lymph Nodes

To know if a male client is has a genital sore or swollen inguinal lymph nodes

GenitalSoreOrSwollenInguinalLymphNodes

Boolean

[0..1]

Sample XML
<SyndromicSTIScreening>
<VaginalDischargeOrBurningWhenUrinating>true</VaginalDischargeOrBurningWhenUrinating>
<LowerAbdominalPainsWithOrWithoutVaginalDischarge>true</LowerAbdominalPainsWithOrWithoutVaginalDischarge>
<UrethralDischargeOrBurningWhenUrinating>true</UrethralDischargeOrBurningWhenUrinating>
<ScrotalSwellingAndPain>true</ScrotalSwellingAndPain>
<GenitalSoreOrSwollenInguinalLymphNodes>true</GenitalSoreOrSwollenInguinalLymphNodes>
</SyndromicSTIScreening>
3.1.18 HIV Test Result
This element contains …
Post Test Counselling
Operation Tripple Zero (OTZ)
This element contains information on OTZ program as captured in the OTZ form.

Operation Tripple Zero (OTZ)

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

OTZ plus

To know the type of program the patient is enrolled

OTZplus

CodedType

[0..1]

Date Enrolled into OTZ Plus

To document the de patient is enrolled into the OTZ Plus program

DateEnrolledIntoOTZPlus

Date

[0..1]

Full Disclosure

To document patient disclosure information for the program

FullDisclosure

CodedType

[0..1]

Full Disclosure Date

To know the date full patient disclosed information

FullDisclosureDate

Date

[0..1]

Enrolled By

To document information about who enrolled the patient into the OTZ program

EnrolledBy

StringType

[0..1]

Positive Living

To know positive living of a patient

PositiveLiving

CodedType

[0..1]

Positive Living Completion Date

To know positive living completion data of a patient

PositiveLivingCompletionDate

Date

[0..1]

Treatment Literacy

To know patient treatment literacy

TreatmentLiteracy

CodedType

[0..1]

Treatment Literacy Completion Date

To know treatment literacy completion date for patient

TreatmentLiteracyCompletionDate

Date

[0..1]

Adolescents Participation

To document adolescent participation into the program

AdolescentsParticipation

CodedType

[0..1]

Adolescents Participation Completion Date

To document date of adolescent participation

AdolescentsParticipationCompletionDate

Date

[0..1]

Leadership Training

To document leadership training completion date of a patient

LeadershipTraining

Coded

[0..1]

Leadership Training Completion Date

To document leadership training completion date of a patient

LeadershipTrainingCompletionDate

Date

[0..1]

Peer-to-Peer Mentorship

To document peer-to-peer mentorship of patient

PeerToPeerMentorship

Coded

[0..1]

Peer-to-Peer Mentorship Completion Date

To document peer-to-peer mentorship date of a patient

PeerToPeerMentorshipCompletionDate

Date

[0..1]

Role of OTZ in 95-95-95

To know the role of OTZ in 95-95-95

RoleOfOTZ

Date

[0..1]

Role of OTZ in 95-95-95 Completion Date

To know the role of OTZ in 95-95-95 date of a patient

RoleOfOTZCompletionDate

Date

[0..1]

OTZ Champion Orientation

To document OTZ champion orientation

ChampionOrientation

Coded

[0..1]

OTZ Champion Orientation Completion Date

To document OTZ champion orientation completion date

ChampionOrientationCompletionDate

Date

[0..1]

Transitioned to Adult Clinic

To document patient transition to adult clinic details

TransitionedToAdultClinic

Coded

[0..1]

Date Transitioned to Adult Clinic

To document date patient transitioned to adult clinic

DateTransitionedToAdultClinic

Date

[0..1]

OTZ Program Outcome

To document OTZ program outcome

ProgramOutcome

CodedType

[0..1]

Exited By

To deocument who existed a patient from a program

ExitedBy

StringType

[0..1]

Returning Patient

To document returning patient

ReturningPatient

CodedType

[0..1]

Date Returned

To capture the date

DateReturned

Date

[0..1]

Reactivated By

To document who reactivated the patient

ReaactivatedBy

StringType

[0..1]

Recency Testing Type
This element contains information on the Recency program as captured in the Recency form.

Recency Testing Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Test Name

To document test name to run

TestName

String

[0..1]

Test Date

To document the actual test date

TestDate

Date

[0..1]

Sample Type

The field records sample types to capture

SampleType

Coded

[0..1]

Date Sample Collected

To record the date sample was collected for tracking

DateSampleCollected

Date

[0..1]

Date Sample Sent

To document the date sample is send from the facility to the lab

DateSampleSent

Date

[0..1]

PCR Lab

The field will document PCR Lab name

PCRLab

Coded

[0..1]

Rapid Recency Assay

To document type of laboratory investigation

RapidRecencyAssay

Coded

[0..1]

Viral Load ConfirmationResult

To document viral load confirmation date

ViralLoadConfirmationResult

Double

[0..1]

Viral LoadConfirmation Test Date

To document viral load confirmation test date

ViralLoadConfirmationTestDate

Date

[0..1]

FinalRecencyTestResult

The filed records the final recency test result

FinalRecencyTestResult

Coded

[0..1]

Consent

To document patient consent before the commencement

patient consent

Coded

[0..1]

RecencyNumber

To document patient recency number to distinguish program area

RecencyNumber

Double

[0..1]

ControlLine

Documentation of control line for the program

ControlLine

Coded

[0..1]

VerificationLine

To provide verification line for the patient

VerificationLine

Coded

[0..1]

LongTermLine

The documentation of long term line in the program

LongTermLine

Coded

[0..1]

RecencyInterpretation

To document recency interpretation

RecencyInterpretation

Coded

[0..1]

ViralLoadRequest

The documentation of viral load requestion

ViralLoadRequest

Coded

[0..1]

SampleReferenceNumber

To document sample ference number

SampleReferenceNumber

String

[0..1]

ViralLoadClassification

The variable documents viral load classification

ViralLoadClassification

String

[0..1]

Recency Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

TestName

The field used to document name of test

Test Name

StringType

[0..1]

TestDate

To document test date for patient

Test Date

Date

[0..1]

RecencyNumber

To document recency number for the patient

Recency Number

StringType

[0..1]

ControlLine

Field use for documenting control line

Control Line

CodedType

[0..1]

VerificationLine

The field is used to document verification line

Verification Line

CodedType

[0..1]

LongTermLine

Field used for document long term line

Long TermLine

CodedType

[0..1]

RecencyInterpretation

To document patient’s recency interpretation

Recency Interpretation

CodedType

[0..1]

ViralLoadRequest

To document Viral Load Request

Viral Load Request

CodedType

[0..1]

DateSampleCollected

The field documents date of sample collection

Date Sample Collected

Date

[0..1]

PCRLabNumber

The field documents PCT laboratory number

PCR Lab Number

StringType

[0..1]

SampleType

To document sample type collected

Sample Type

CodedType

[0..1]

DateSampleSent

To document date sample Sent to PCR Lab

Date Sample Sent

Date

[0..1]

PCRLab

To document the name of the PCR Lab

PCR Lab

StringType

[0..1]

ViralLoadResultClassification

To document viral load result classification

Viral Load Result Classification

CodedType

[0..1]

HivViralLoad

To document HIV viral load test result

HIV Viral Load

double

[0..1]

FinalRecencyTestResult

To document final recency test result on NMRS

Final Recency Test Result

CodedType

[0..1]

DateConfirmedVL

The field is used date confirmed VL

Date Confirmed VL

Date

[0..1]

ViralLoadResult

This field documents viral load result

Viral Load Result

Double

[0..1]

FinalRecencyResultInvestigation

To document final recency result investigation

Final Recency Result Investigation

CodedType

[0..1]

SourceDocumentUsed

To record the source document used

Source Document Used

CodedType

[0..1]

LinkedToCare

The field documents linked to care

Linked To Care

CodedType

[0..1]

DateLinkedToCare

To document date linked to care of patient

Date Linked to Care

Date

[0..1]

InitiatedOnART

To document patient initiation on ART initiation details

Initiated On ART

CodeType

[0..1]

DateInitiatedOnART

To document patient date of date initiated on ART

Date Initiated On ART

Date

[0..1]

ARTNumber

The field documents ART Number

ART Number

StringType

[0..1]

Regimen

To document patient Regimen

Regimen

StringType

[0..1]

AdherenceCounselling

To document Adherence Counselling interactions

Adherence Counselling

CodedType

[0..1]

recordedVL12Month

To document the recorded VL 12 Month

Recorded VL 12 Month

CodedType

[0..1]

VLResult

The field document VL Result

VL Result

CodedType

[0..1]

VlsSixMonth

The recording of Vls Six Month

Vls Six Month

CodedType

[0..1]

PopulationType

The documentation of population type

Population Type

CodedType

[0..1]

KpType

The recording of key population type

KP Type

CodedType

[0..1]

PpType

The data element records Pp Type

Pp Type

CodedType

[0..1]

OfferedIndexTesting

The data element records offered Index Testing

Offered Index Testing

CodedType

[0..1]

ProvidedContacts

To record provided contacts details

Provided Contacts

Codedtype

[0..1]

PartnerAge

The documentation of partner age

Partner Age

CodedType

[0..1]

PartnerGender

To document Partner’s Gender

Partner Gender

CodedType

[0..1]

ContactInformationProvided

To record contact information provided

Contact Information Provided

CodedType

[0..1]

RelationshipWithIndex

The records relationship with index

Relationship With Index

CodedType

[0..1]

SelfTestingKit

The documentation of Self-Testing Kit

Self-Testing Kit

CodedType

[0..1]

HivVerificationTesting

To document HIV Verification Testing

HIV Verification Testing

CodedType

[0..1]

PartnerTested

To record Partner Tested

Partner Tested

CodedType

[0..1]

PartnerTestedDate

To document Partner Tested Date

Partner Tested Date

Date

[0..1]

PartnerTestResult

The field documents Partner Test Result

Partner Test Result

StringType

[0..1]

PartnerTested

The field documents Partner Tested

Partner Tested

CodedType

[0..1]

PartnerTestedForRecency

To document Partner Tested for Recency

Partner Tested for Recency

CodedType

[0..1]

PartnerRecencyID

The documentation of Partner Recency ID

Partner Recency ID

StringType

[0..1]

PartnerRecencyTestDate

To document Partner Recency Test Date

Partner Recency Test Date

Date

[0..1]

PartnerRecencyResult

Partner Recency Result

Partner Recency Result

String

[0..1]

PartnerLinkedToCare

Partner Linked to Care

Partner Linked to Care

CodedType

[0..1]

DatePartnerLinkedToCare

To capture Date Partner Linked to Care

Date Partner Linked to Care

Date

[0..1]

PartnerInitiatedOnART

The field captures Partner Initiated On ART

Partner Initiated On ART

CodedType

[0..1]

DatePartnerInitiatedOnART

To capture Date Partner Initiated On ART

Date Partner Initiated On ART

Date

[0..1]

PartnerReferredPrEP

To capture Partner Referred PrEP

Partner Referred PrEP

Coded

[0..1]

PartnerInitiatePrEP

The field documents Partner Initiate PrEP

Partner Initiate PrEP

Coded

[0..1]

DateOfLatestVL

The documentation of Date Of Latest VL

Date Of Latest VL

Date

[0..1]

PartnerScheduledRepeatHIVtest

Partner Scheduled Repeat HIV test

Partner Scheduled Repeat HIV test

Coded

[0..1]

ReturnedForRepeatHIV

Returned For Repeat HIV

Returned For Repeat HIV

Coded

[0..1]

DatePartnerRepeatHivTest

Date Partner Repeat HIV Test

Date Partner Repeat HIV Test

Date

[0..1]

ReasonPartnerNotTested

Current ART Regimen

Reason Partner Not Tested

Coded

[0..1]

PartnerOnART

Returned For Repeat HIV

Partner On ART

Coded

[0..1]

CurrentARTRegimen

Date Partner Repeat HIV Test

Current ART Regimen

String

[0..1]

DateOfLatestVL

Patient Referred

Date Of Latest VL

Date

[0..1]

VLS6Months

Partner Test Result

VLS 6 Months

String

[0..1]

EnhancedAdherenceCounselling

Partner Tested

Enhanced Adherence- Counselling

Coded

[0..1]

SwitchEvaluatedARTRegimen

Partner Tested for Recency

Switch Evaluated ART Regimen

Coded

[0..1]

PatientReferred

Partner Recency ID

Patient Referred

Coded

[0..1]

Mortality

This element contains information on Mortality program as captured in the Mortality form

Mortality Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Reason for Tracking

To capture the reason for tracking a patient

ReasonForTracking

coded

[0..1]

Other Tracking Reason

To capture other reasons not on the option

OtherTrackingReason

string

[0..1]

Partner full name

To capture full name of partner

PartnerFullName

string

[0..1]

Address of treatment supporter

To document treatment support's address

AddressofTreatmentSupporter

s string

[0..1]

Contact phone number

To capture contact phone number of a patient

ContactPhoneNumber

string

[0..1]

Date of Last Actual Contact

To capture date of last contact with the client

DateofLastActualContact

date

[0..1]

Date of Missed Scheduled Appointment

To document date missed scheduled appointment

DateofMissedScheduledAppointment

date

[0..1]

Date Patient Contacted

To know the date the patient was contacted

DatePatientContacted

date

[0..1]

Name of person who attempted contact

To document the name of person who attempted to contact the patient

NameofPersonWhoAttemptedContact

string

[0..1]

Mode of Communication

To know the mode at which communication is done with the patient

ModeofCommunication

coded

[0..1]

Person Contacted

To know the person contacted

PersonContacted

coded

[0..1]

Reason for Defaulting

To document the reason for defaulting

ReasonforDefaulting

coded

[0..1]

Other Reason for Defaulting

What are other reasons for defaulting

OtherReasonforDefaulting

string

[0..1]

Date Patient Contacted

What is the data the patient was contacted?

DatePatientConctacted

date

[0..1]

Name of person who attempted contact

To the person who attempted to contact a patient

NameofPersonWhoAttemptedContact

string

[0..1]

Mode of Communication

To know the mode of communication with the patient

DateLosttoFollowup

coded

[0..1]

Person Contacted

To know who was contacted

PreviousARVExposure

coded

[0..1]

Reason for Defaulting

To know the reason for defaulting

DateofTermination

coded

[0..1]

Other Reason for Defaulting

To know other reasons for defaulting

OtherReasonforDefaulting

string

[0..1]

Lost to follow up

To determine status of a patient

LosttoFollowup

boolean

[0..1]

Reason for lost to follow up

To know the reason for lost to follow up

ReasonforLosttoFollowup

coded

[0..1]

Date Lost to follow up

To document lost to follow-up date

DateLosttoFollowup

date

[0..1]

Previous ARV exposure

To ascertain of patient is previously known

PreviousARVExposure

coded

[0..1]

Date of Termination

To ascertain termination date of patient

DateofTermination

date

[0..1]

Duplicate record

Duplicate record

DuplicateRecord

[1..1]

Could not verify client

Could not verify client

CouldNotVerifyClient

[1..1]

Others (LTFU)

Others (LTFU)

OthersLTFU

Text

[1..1]

Reason for Termination

To know the reason for termination

ReasonforTermination

coded

[0..1]

Indication for Client Verification

ClientVerificationOther

ReffferedForOther

Transferred out to

To document transferred out to another facility details

TransferredOutTo

string

[0..1]

Death

To death information of patient

Death

coded

[0..1]

VA Cause of Death

To know VA cause of death of patient

VACauseofDeath

coded

[0..1]

Other cause of death (specify)

To know other cause of death not listed in the option above

OtherCauseofDeath

string

[0..1]

Adult Cases of Death

To know adult cases of death

AdultCasesofDeath

coded

[0..1]

VA Child Causes of Death

To know child causes of death

VAChildCausesofDeath

coded

[0..1]

Discontinued Care

To document patient discontinued care

DiscontinuedCare

coded

[0..1]

Discontinue Care other specify

To know other discontinued care reasons

DiscontinueCareOtherSpecify

string

[0..1]

Date Returned to Care

To know the exact date loss to follow-up patient returned to care

DateReturnedtoCare

date

[0..1]

Referred for

To know the reason patient referred for

ReffferedFor

coded

[0..1]

Name of Contact Tracer

To know who did the contact tracing

NameofContactTracer

string

[0..1]

Contact Tracker Signature date

To document contact tracker signature date

ContactTrackerSignatureDate

date

[0..1]

TB Screening Type

TB Screening Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Date Of Visit

To document patient Date Of Visit

DateOfVisit

Date

[0..1]

TB Registration Id

To document TB Registration ID

TBRegistrationId

StringType

[0..1]

Current Cough

The documentation of Current Cough

CurrentCough

CodedType

[0..1]

Weight Loss

To record Weight Loss during visit

WeightLoss

CodedType

[0..1]

Fever

To determine if patient has Fever

Fever

CodedType

[0..1]

Night Sweats

To determines TB symptoms of Night Sweats

NightSweats

CodedType

[0..1]

Contact with TB Patient

To determine contact with TB patient

NightSweats

CodedType

[0..1]

TB Screening Score

To ascertain TB Screening Score

TBScreeningScore

NumbericType

[0..1]

TB Index Patient Contact Inv

TB Index Patient Contact Inv

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

TB Contact Investigator

To document TB Contact Investigator

TBContactInvestigator

StringType

[1..1]

Phone Number of TB Contact Investigator

The documentation of Phone Number of TB Contact Investigator

PhoneNumberOfTBContactInvestigator

StringType

[1..1]

Date of TB Contact Tracing

To document Date of TB Contact Tracing

DateOfTBContactTracing

Date

[1..1]

LGA TB Number

The field will document LGA TB Number

LGATBNumber

StringType

[0..1]

Number of Household Contacts

To document Number of Household Contacts

NumberOfHouseholdContacts

Numeric

[0..1]

Type of TB

To document Type of TB

TypeOfTB

CodedType

[1..1]

Consent for Contact Tracing

To document Consent for Contact Tracing

ConsentForContactTracing

StringType

[1..1]

TB Contact Name

The documentation of TB Contact Name

TBContactName

StringType

[1..1]

TB Contact Age

The documentation of TB Contact Age

TBContactAge

Numeric

[0..1]

TB Contact Sex

To document TB Contact Sex

TBContactSex

CodedType

[1..1]

TB Contact Phone Number

The field will document TB Contact Phone Number

TBContactPhoneNumber

StringType

[0..1]

Relationship with TB Index Case

The field documents Relationship with TB Index Case

RelationshipWithTBIndexCase

CodedType

[1..1]

Cough Greater than or Equal to 2 Weeks

The documentation of Cough Greater Than or Equal to 2 Weeks

CoughGreaterThanOrEqualTo2Weeks

Boolean

[0..1]

Recent Weight Loss

To document Recent Weight Loss

RecentWeightLosss

Numeric

[0..1]

Night Sweat

The filed documents Night Sweat

NightSweat

CodedType

[0..1]

Fever

The documentation of Fever

Fever

CodedType

[1..1]

Presumptive TB Case Identified

The field will record Presumptive TB Case Identified

PresumptiveTBCaseIdentified

CodedType

[0..1]

Presumptive TB Case Referred for Diagnosis

The field document will document Presumptive TB Case Referred for Diagnosis

PresumptiveTBCaseReferredForDiagnosis

CodedType

[0..1]

Sputum Samples Collected

The documentation of Sputum Samples Collected

SputumSamplesCollected

CodedType

[0..1]

TB Diagnosed

The field will document TB Diagnosed

TBDiagnosed

CodedType

[0..1]

PLHIV Presumptive TB Screening and IPT Monitoring

PLHIV Presumptive TB Screening and IPT Monitoring Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Visit Date

Visit Date

VisitDate

Date

[1..1]

Cough

Cough

Cough

Coded

[0..1]

Sputum AFB

Sputum AFB

SputumAFB

Boolean

[0..1]

Sputum AFB

Sputum AFB

SputumAFB

Coded

[0..1]

Weight loss

Weight loss

Weightloss

Boolean

[0..1]

GeneXpert TB

GeneXpert TB

GeneXpertTB

Boolean

[0..1]

GeneXpert

GeneXpert

GeneXpert

Coded

[0..1]

Fever

Fever

Fever

Coded

[0..1]

Chest X-ray TB

Chest X-ray TB

Chest X-rayTB

Boolean

[0..1]

Chest X-ray

Chest X-ray

Chest X-ray

Coded

[0..1]

Night sweats

Night sweats

NightSweats

Boolean

[0..1]

Culture TB

Culture TB

CultureTB

Boolean

[0..1]

Culture

Culture

Culture

Coded

[0..1]

History of contacts with TB patients

History of contacts with TB patients

HistoryOfContactSwithTB Patients

Coded

[0..1]

Patient diagnosed with active tuberculosis

Patient diagnosed with active tuberculosis

Patient diagnosed with active tuberculosis

Coded

[0..1]

Age <1 yr without history of close contact with TB patient

Age <1 yr without history of close contact with TB patient

Age <1 yr without history of close contact with TB patient

Boolean

[0..1]

Abnormal Chest X-Ray

Abnormal Chest X-Ray

Abnormal Chest X-Ray

Boolean

[0..1]

Active hepatitis (clinical or lab)

Active hepatitis (clinical or lab)

Active hepatitis (clinical or lab)

Boolean

[0..1]

Diagnosis of TB in the past 3 years

Diagnosis of TB in the past 3 years

DiagnosisofTBin the past 3 years

Boolean

[0..1]

High alcohol consumption

High alcohol consumption

High alcohol consumption

Boolean

[0..1]

Severe immune suppression (CD4<200 cells)

Severe immune suppression (CD4<200 cells)

Severe immune suppression (CD4<200 cells)

Boolean

[0..1]

Prior allergy to INH

Prior allergy to INH

Prior allergy to INH

Boolean

[0..1]

History of poor treatment adherence

History of poor treatment adherence

Historyofpoortreatmentadherence

Boolean

[0..1]

Is patient eligible for IPT

Is patient eligible for IPT

IspatienteligibleforIPT

Coded

[0..1]

Date IPT start

Date IPT start

Date IPT start

Date

[0..1]

Weight at start of IPT

Weight at start of IPT

Weight at start of IPT

Numeric

[0..1]

INH daily dose

INH daily dose

INH daily dose

Text

[0..1]

TB Symptoms

TB Symptoms

TB Symptoms

Coded

[0..1]

Hepatitis Symptoms

Hepatitis Symptoms

Hepatitis Symptoms

Coded

[0..1]

Neurologic Symptoms

Neurologic Symptoms

Neurologic Symptoms

Coded

[0..1]

Rash

Rash

Rash

Coded

[0..1]

Adherence

Adherence

Adherence

Coded

[0..1]

Referred for further services

Referred for further services

Referred for further services

Coded

[0..1]

Sputum AFB TB

Sputum AFB TB

Sputum AFB TB

Boolean

[0..1]

GeneXpert TB

GeneXpert TB

GeneXpert TB

Boolean

[0..1]

Chest X-ray TB

Chest X-ray TB

Chest X-ray TB

Boolean

[0..1]

Culture TB

Culture TB

Culture TB

Boolean

[0..1]

Outcome of IPT

Outcome of IPT

Outcome of IPT

Coded

[0..1]

Date of Outcome

Date of Outcome

Date of Outcome

Date

[0..1]

Appointment date

Appointment date

Appointment date

Date

[0..1]

Reasons for stopping IPT

Reasons for stopping IPT

Reasons for stopping IPT

Coded

[0..1]

TB Laboratory Registration

TB Laboratory Registration Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

NTBLCP or TB04

To document NTBLCP or TB04

NTBLCPOrTB04

StringType

[0..1]

LaboratoryName

To document LaboratoryName

LaboratoryName

StringType

[1..1]

To document LGA

StringType

[0..1]

Specimen Identification Number

To document Specimen Identification Number

SpecimenIdentificationNumber

Numeric

[1..1]

Date Specimen Was Sent to Laboratory

To document Date Specimen Was Sent to Laboratory

DateSpecimenWasSentToLaboratory

Date

[0..1]

Specimen Status

The documentation of Specimen Status

SpecimenStatus

Coded

[0..1]

Reason for Specimen Rejection

To document Reason for Specimen Rejection

ReasonForSpecimenRejection

StringType

[0..1]

Referring Facility Name

For the documentation of Referring Facility Name

ReferringFacilityName

StringType

[0..1]

Type of TB Presumptive

To document Type of TB Presumptive

TypeOfTBPresumptive

CodedType

[0..1]

TB Site of Disease

The documentation of TB Site of Disease

TBSiteOfDisease

CodedType

[0..1]

Health Care Provider

Documentation of Health Care Provider

HealthCareProvider

CodedType

[0..1]

HIV Status

To document HIV Status of patient

HIVStatus

CodedType

[0..1]

Tested For HIV In the Lab

To document Tested for HIV In the Lab

TestedForHIVInTheLab

CodedType

[0..1]

Specify Type of Specimen

To document Specify Type of Specimen

SpecifyTypeOfSpecimen

Specify Test Required

[0..1]

Specify Test Required

To document Specify Test Required

SpecifyTestRequired

Specify Test Required

[0..1]

Was MTB Detected

For the documentation of Was MTB Detected

WasMTBDetected

Boolean

[0..1]

Specify Detected MTB

For documentation of Specify Detected MTB

SpecifyDetectedMTB

Specify Test Required

[0..1]

Error Code

The field to document Error Code

ErrorCode

Specify Test Required

[0..1]

Invalid or Incomplete Test

The documentation of Invalid or Incomplete Test

InvalidOrIncompleteTest

CodedType

[0..1]

Invalid or Incomplete Test

To document Invalid or Incomplete Test

InvalidOrIncompleteTest

CodedType

[0..1]

AFB- Result

The documentation of AFB- Result

AFBResult

Numeric

[0..1]

Other TB Test Type

To document Other TB Test Type

OtherTBTestType

StringType

[0..1]

Other TB Tests Result

The documentation Other TB Tests Result

OtherTBTestsResult

CodedType

[0..1]

Name of Reporter

The field to document Name of Reporter

NameOfReporter

StringType

[0..1]

Tuberculosis Test Result Date

The field to document Tuberculosis Test Result Date

TuberculosisTestResultDate

Date

[0..1]

TB Remarks

The field to document TB Remarks

TBRemarks

StringType

[0..1]

Specimen Examination Request Form Type

Specimen Examination Request Form Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Specimen Collection Date

To document Specimen Collection Date

SpecimenCollectionDate

Date

[0..1]

Specimen Identification Number

The documentation of Specimen Identification Number

SpecimenIdentificationNumber

StringType

[1..1]

LGA or TB Number

To document LGA or TB Number

LGAOrTBNumber

StringType

[1..1]

Type of Presumptive TB

The field documents Type of Presumptive TB

TypeOfPresumptiveTB

CodedType

[0..1]

Site of Disease

The field to store Site of Disease

SiteOfDisease

CodedType

[0..1]

Is Patient a Health Worker

The documentation of is Patient a Health Worker

IsPatientAHealthWorker

CodedType

[0..1]

HIV Status

The documentation of HIV Status

HIVStatus

CodeType

[0..1]

HIV Test Requested

To document HIV Test Requested

HIVTestRequested

CodeType

[0..1]

Reason for Examination

The documentation of Reason for Examination

ReasonForExamination

CodeType

[0..1]

Test Type Request

The documentation of Test Type Request

TestTypeRequest

CodeType

[0..1]

Other Test Type Request

To document Other Test Type Request

OtherTestTypeRequest

StringType

[0..1]

Type of Specimen

The documentation of Type of Specimen

TypeOfSpecimen

StringType

[0..1]

Number Sent to Laboratory

To documentation Number Sent to Laboratory

NumberSentToLaboratory

NumericType

[0..1]

First Sample Collection Date

The documentation of First Sample Collection Date

FirstSampleCollectionDate

Date

[0..1]

Second Sample Collection Date

To document Second Sample Collection Date

SecondSampleCollectionDate

Date

[0..1]

Name Of Person Requesting Examination

Name Of Person Requesting Examination

NameOfPersonRequestingExamination

StringType

[0..1]

To document Email

StringType

[0..1]

Phone Number

The documentation of Phone Number

PhoneNumber

StringType

[0..1]

Name Of Health Facility

The documentation of Name Of Health Facility

NameOfHealthFacility

StringType

[0..1]

State

To document the State

State

StringType

[0..1]

Specimen Examination Result Form Type

Specimen Examination Result Form Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Name of Requesting Health Facility

To document Name of Requesting Health Facility

NameOfRequestingHealthFacility

StringType

[0..1]

State of Requesting Health Facility

To document State of Requesting Health Facility

StateOfRequestingHealthFacility

StringType

[0..1]

LGA or TB Number

To document LGA or TB Number

LGAOrTBNumber

StringType

[1..1]

Name of Laboratory

For the documentation of Name of Laboratory

NameOfLaboratory

StringType

[0..1]

Laboratory Serial Number

To document Laboratory Serial Number

LaboratorySerialNumber

StringType

[0..1]

MTB Not Detected

The field to document MTB Not Detected

MTBNotDetected

CodedType

[0..1]

Other Test Type Specified

To document Other Test Type Specified

OtherTestTypeSpecified

StringType

[0..1]

Results of other Test

To document Results of other Test

ResultsOfOtherTest

CodedType

[0..1]

Date AFB Smear Sample Received

For the documentation of Date AFB Smear Sample Received

DateAFBSmearSampleReceived

Date

[0..1]

Specimen

To document Specimen

Specimen

CodedType

[0..1]

Appearance

To document Appearance

Appearance

StringType

[0..1]

Result

For the documentation of Result

Result

Numeric

[0..1]

AFB Smear Result Examined By

To record AFB Smear Result Examined By

AFBSmearResultExaminedBy

StringType

[0..1]

Date of AFB Smear Microscopy Result

To document Date of AFB Smear Microscopy Result

DateOfAFBSmearMicroscopyResult

Date

[0..1]

Type of Culture Result

To record the Type of Culture Result

TypeOfCultureResult

CodedType

[0..1]

Date Culture Sample Received

The documentation of Date Culture Sample Received

DateCultureSampleReceived

Date

[0..1]

Culture Specimen

The documentation of Culture Specimen

CultureSpecimen

CodedType

[0..1]

Solid Culture Result

For the documentation of Solid Culture Result

SolidCultureResult

StringType

[0..1]

Liquid Culture- Result

Liquid Culture- Result

LiquidCultureResult

StringType

[0..1]

Result of Confirmatory Test for MTB

The field is to document Result of Confirmatory Test for MTB

ResultOfConfirmatoryTestForMTB

StringType

[0..1]

Culture Examined By

To document Culture Examined By

CultureExaminedBy

StringType

[0..1]

Culture Date

To document Culture Date

CultureDate

Date

[0..1]

Type of LPA or DST Method Used

To record Type of LPA or DST Method Used

TypeOfLPAOrDSTMethodUsed

CodedType

[0..1]

Date Sample Received

For the documentation of Date Sample Received

DateSampleReceived

Date

[0..1]

LPA Specimen

For the documentation of LPA Specimen

LPASpecimen

CodedType

[0..1]

LPA Results

For the documentation of LPA Results

LPAResults

StringType

[0..1]

LPA Drugs

To document LPA Drugs

LPADrugs

CodedType

[0..1]

DST Results

To document DST Results

DSTResults

StringType

[0..1]

DST Drugs

To document DST Drugs

DSTDrugs

CodedType

[0..1]

DST Examined By

To document DST Examined By

DSTExaminedBy

StringType

[0..1]

DST Date

For the documentation of DST Date

DSTDate

Date

[0..1]

Remark

To document Remark

Remark

StringType

[0..1]

HIV Test Result

For the documentation of HIV Test Result

HIVTestResult

CodedType

[0..1]

HIV Test Result Date

For the documentation of HIV Test Result Date

HIVTestResultDate

Date

[0..1]

Result Checked and Released By

To document Result Checked- And Released By

ResultCheckedAndReleasedBy

StringType

[0..1]

DR-TB Treatment Register Form

DR-TB Treatment Register Form

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Patient Serial Number

To record Patient Serial Number

PatientSerialNumber

StringType

[0..1]

Date Registered

To document Date Registered

DateRegistered

Date

[0..1]

Place Of Initiation

For the documentation of Initiation

PlaceOfInitiation

StringType

[1..1]

LGA DRTB RegNo

To document LGA DRTB RegNo

LGADRTBRegNo

StringType

[0..1]

Referring Health Facility

To document Referring Health Facility

ReferringHealthFacility

StringType

[0..1]

Referring Facility State

For the documentation of Referring Facility State

ReferringFacilityState

StringType

[0..1]

Referring Facility LGA

For the documentation of Referring Facility LGA

ReferringFacilityLGA

StringType

[0..1]

Previously On TB 2nd Line Drug

For the document of Previously On TB 2nd Line Drug

PreviouslyOnTB2ndLineDrug

CodedType

[0..1]

Weight

For the documentation of Weight

Weight

NumericType

[0..1]

Height

To document Height

Height

NumericType

[0..1]

Type f Treatment Regimen

For the storage of Type of Treatment Regimen

TypeOfTreatmentRegimen

CodedType

[0..1]

Enter BDQ Or Dim

The documentation of Enter BDQ Or Dim

EnterBDQOrDim

StringType

[0..1]

Date Treatment Started

The documentation of Date Treatment Started

DateTreatmentStarted

Date

[0..1]

Site of Disease

To record Site of Disease

SiteOfDisease

CodedType

[0..1]

Registration Group

The documentation of Registration Group

RegistrationGroup

CodedType

[0..1]

GeneXpert

The documentation of GeneXpert

GeneXpert

CodedType

[0..1]

The documentation of AFB

CodedType

[0..1]

Culture

For the documentation of Culture

Culture

CodeType

[0..1]

LPA Result

For the documentation of LPA Result

LPAResul

CodeType

[0..1]

DST Result

For the documentation of DST Result

DSTResult

CodeType

[0..1]

Xray Done

The documentation of Xray Done

XRayDone

CodeType

[0..1]

Follow Up Investigation

To documentation of Follow Up Investigation

FollowUpInvestigation

CodeType

[0..1]

HIV Status

To document HIV Status

HIVStatus

CodedType

[0..1]

This documents CPT

CodedType

[0..1]

ART Start Date

For the documentation ART Start Date

ARTStartDate

Date

[0..1]

CPT Start Date

The documentation of CPT Start Date

CPTStartDate

Date

[0..1]

Outcome

The documentation of Outcome

Outcome

CodedType

[0..1]

Outcome Date

The documentation of Outcome Date

OutcomeDate

Date

[0..1]

Comment

The documentation of Comment

Comment

StringType

[0..1]

TB Patient Referral or Transfer

TB Patient Referral or Transfer

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

TB Reason for Referral

To document TB Reason for Referral

TBReasonForReferral

CodeType

[0..1]

Specimen ID

For the documentation of Specimen ID

SpecimenID

NumericType

[0..1]

To document LGA field

StringType

[0..1]

Referring Facility Name

To document Referring Facility Name

ReferringFacilityName

StringType

[1..1]

Referring Facility LGA

To document Referring Facility LGA

ReferringFacilityLGA

StringType

[1..1]

Referring Facility State

To document Referring Facility State

ReferringFacilityState

StringType

[1..1]

Facility Referred To

To document Facility Referred To

FacilityReferredTo

StringType

[1..1]

Referred Facility LGA

For the documentation of Referred Facility LGA

ReferredFacilityLGA

StringType

[1..1]

Referred Facility State

For the documentation of Referred Facility State

ReferredFacilityState

StringType

[1..1]

Type Of TB Patient

To documents Type of TB Patient

TypeOfTBPatient

CodedType

[1..1]

Form Completed

For the documentation of Form Completed

FormCompleted

CodedType

[0..1]

Other Referrals

To document other Referrals

OtherReferrals

StringType

[0..1]

Specimen- ID

To document Specimen- ID

specimenID

NumericType

[0..1]

Smear Result

To document Smear Result

SmearResult

StringType

[0..1]

MycobacteriumuTuberculosis Detected With Rifampin Resistance

For the documentation of MycobacteriumuTuberculosis Detected With Rifampin Resistance

MycobacteriumuTberculosisDetectedWithRifampinResistance

StringType

[0..1]

Culture Result

For the documentation of Culture Result

CultureResult

StringType

[0..1]

Other TB Test Result

For the documentation of other TB Test Result

OtherTBTestResult

StringType

[0..1]

TB Treatment Monitoring Form

TB Treatment Monitoring Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Type Of Regimen

Type Of Regimen

TypeOfRegimen

CodedType

[0..1]

Treatment Age Group

Treatment Age Group

TreatmentAgeGroup

CodedType

[0..1]

Pregnancy And Breastfeeding Status

Pregnancy And Breastfeeding Status

PregnancyAndBreastfeedingStatus

CodedType

[0..1]

Intensive Phase Anti TB Drugs

Intensive Phase Anti TB Drugs

IntensivePhaseAntiTBDrugs

CodedType

[1..1]

Intensive Phase Anti TB Drug Strength

Intensive Phase Anti TB Drug Strength

IntensivePhaseAntiTBDrugStrength

CodedType

[1..1]

Intensive Phase Drug Frequency

Intensive Phase Drug Frequency

IntensivePhaseDrugFrequency

CodedType

[1..1]

Intensive Phase TB Drug Duration

Intensive Phase TB Drug Duration

IntensivePhaseTBDrugDuration

CodedType

[1..1]

Intensive Phase Quantity of Medication Prescribed

Intensive Phase Quantity of Medication Prescribed

IntensivePhaseQuantityOfMedicationPrescribed

NumericType

[1..1]

Continuity Phase Anti TB Drugs

Continuity Phase Anti TB Drugs

ContinuityPhaseAntiTBDrugs

CodedType

[0..1]

Continuity Phase Anti TB Drug Strength

Continuity Phase Anti TB Drug Strength

ContinuityPhaseAntiTBDrugStrength

CodedType

[0..1]

Continuity Phase Drug Frequency

Continuity Phase Drug Frequency

ContinuityPhaseDrugFrequency

CodedType

[0..1]

Continuity Phase TB Drug Duration

Continuity Phase TB Drug Duration

ContinuityPhaseTBDrugDuration

CodedType

[0..1]

Continuity Phase Quantity of Medication Prescribed

Continuity Phase Quantity of Medication Prescribed

ContinuityPhaseQuantityOfMedicationPrescribed

NumericType

[0..1]

Select Outcome

Select Outcome

SelectOutcome

CodedType

[0..1]

TB Treatment Outcome Date

TB Treatment Outcome Date

TBTreatmentOutcomeDate

Date

[0..1]

DOT Provider Type

DOT Provider Type

DOTProviderType

CodedType

[0..1]

Outcome Date

Outcome Date

OutcomeDate

Date

[0..1]

DOT Provider Name

DOT Provider Name

DOTProviderName

StringType

[0..1]

TB Interruption Tracking Type

TB Interruption Tracking Type

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Tracking Attempts

To document Tracking Attempts

TrackingAttempts

Coded

[0..1]

Date of Last Drug Intake

To document Date of Last Drug Intake

DateOfLastDrugIntake

Date

[0..1]

Mode of Tracking

The documentation of Mode of Tracking

ModeOfTracking

Coded

[0..1]

Patient Contacted

To record Patient Contacted

PatientContacted

Coded

[0..1]

Person Contacted

To capture Person Contacted

PersonContacted

Coded

[0..1]

Reason For Absence

To document the Reason For Absence

ReasonForAbsence

Coded

[0..1]

Other Reason or Defaulting

To document Other Reason or Defaulting

OtherReasonRorDefaulting

String

[0..1]

Solution to Absence

The field documents Solution to Absence

SolutionToAbsence

String

[0..1]

TB Tracking Outcome

To document TB Tracking Outcome

TBTrackingOutcome

Coded

[0..1]

DR-TB In-Patient Discharge Form

DR-TB In-Patient Discharge Form

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Treatment Centre

The Treatment Centre

TreatmentCentre

String

[0..1]

State

The documentation of State of program implementation

State

String

[0..1]

Date Of Admission

To document Date of Admission

DateOfAdmission

Date

[0..1]

Date Of Discharge

The documentation of Date of Discharge

DateOfDischarge

Date

[0..1]

Registration Number

The documentation Registration Number

RegistrationNumber

String

[0..1]

Date of Registration

To document Date of Registration

DateOfRegistration

Date

[0..1]

Date Of Treatment Initiation

To document Date Of Treatment Initiation

DateOfTreatmentInitiation

Date

[0..1]

Facility Patient is Discharged To

To record detail of Facility Patient is Discharged To

FacilityPatientIsDischargedTo

String

[0..1]

LGA of State

LGA of State

LGAOfState

String

[0..1]

Any Co Morbidity

The documentation of Any Co Morbidity

AnyCoMorbidity

Coded

[0..1]

Specified Co Morbidities

Specified Co Morbidities

SpecifiedCoMorbidities

String

[0..1]

Specified Drugs Used

Specified Drugs Used

SpecifiedDrugsUsed

String

[0..1]

Short Regimen

To document Short Regimen

ShortRegimen

Coded

[0..1]

Composition

To document Composition

Composition

Coded

[0..1]

Intensive Phase Drug

The documentation of Intensive Phase Drug

IntensivePhaseDrug

Coded

[0..1]

Adverse Reaction While in Treatment

To document Adverse Reaction While in Treatment

AdverseReactionWhileInTreatment

Coded

[0..1]

Adverse Reaction

The documentation Adverse Reaction

AdverseReaction

Coded

[0..1]

TB Regimen to Be Continued at DoT Facility

To record TB Regimen to Be Continued at DoT Facility

TbRegimenToBeContinuedAtDoTFacility

Coded

[0..1]

Name Of STB LCO Patient is Discharged to

To document the Name Of STB LCO Patient is Discharged to

NameOfSTBLCOPatientIsDischargedTo

String

[0..1]

Phone No of STBLCO

The documentation of Phone No of STBLCO

PhoneNoOfSTBLCO

String

[0..1]

Name Of State DRTB Focal Person

The documentation Name Of State DRTB Focal Person

NameOfStateDRTBFocalPerson

String

[0..1]

Phone No of State DRTB Focal Person

To document Phone No of State DRTB Focal Person

PhoneNoOfStateDRTBFocalPerson

String

[0..1]

Phone No of Treatment Centre Doctor

The documentation of Phone No of Treatment Centre Doctor

PhoneNoOfTreatmentCentreDoctor

String

[0..1]

Name of Treatment Matron

To document the Name of Treatment Matron

NameofTreatmentMatron

String

[0..1]

Phone No of Treatment Centre Matron

To document Phone No of Treatment Centre Matron

PhoneNoOfTreatmentCentreMatron

String

[0..1]

Name Of Treatment Centre Doctor

To document the Name Of Treatment Centre Doctor

NameOfTreatmentCentreDoctor

String

[0..1]

COVID19 Case Investigation Form

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Status of Contact

The variable documents patient’s status of contact status of patient

StatusofContact

String

[0..1]

Name of Data Collector

The documentation of data collector name

NameofDataCollector

String

[0..1]

Phone Number

Documents the phone number of data collector

PhoneNumber

String

[0..1]

Stores email address of the collector.

String

[0..1]

Patient Case Status at Time of Encounter

This variable document patient case status at time of encounter

PatientCaseStatusatTimeofEncounter

CodeType

[0..1]

Surname

The documentation of patient surname

Surname

String

[0..1]

Respondent Gender

Respondent gender documentation

RespondentGender

String

[0..1]

The documentation of patient age

Integer

[0..1]

Treatment Supporter Relationship

The field documents relationship with treatment supporter

TreatmentSupporterRelationship

String

[0..1]

Address of Treatment Supporter

Documents treatment supporter address

AddressofTreatmentSupporter

String

[0..1]

Telephone Number of Treatment Supporter

The field documents telephone number of treatment supporter

TelephoneNumberofTreatmentSupporter

CodeType

[0..1]

Fever

The field records information on fever

Fever

CodeType

[0..1]

Sore Throat

Sore throat documentation of the patient

SoreThroat

CodeType

[0..1]

Cough

The field documents cough information

cough

CodeType

[0..1]

RHINITIS

The documentation of RHINITIS in COVID-19 program

RHINITIS

CodeType

[0..1]

Loss of Sense of Smell

The documentation of loss of Sense of smell on the form

LossofSenseofSmell

CodeType

[0..1]

Test Disorder

The variable stores test disorder

TestDisorder

CodeType

[0..1]

Shortness of Breath

The documentation of Shortness of Breath

ShortnessofBreath

CodeType

[0..1]

Red Eye

Here the patient is examined for red eye

RedEye

CodeType

[0..1]

Vomiting

The field documents the patient’s if the patient vomits

vomiting

CodeType

[0..1]

Nausea

The documentation of nausea

Nausea

CodeType

[0..1]

Diarrhea

This field documents diarrhea condition of the patient

Diarrhea

CodeType

[0..1]

Headache

The field captures information on patient’s headache

Headache

CodeType

[0..1]

Rash

To document rash information

Rash

CodeType

[0..1]

Conjunctivitis

The documentation of conjunctivitis

Conjunctivitis

CodeType

[0..1]

Muscle Fatigue

To document muscle fatigue

MuscleFatigue

CodeType

[0..1]

Joint Pain

The documentation of joint pain of a patient

JointPain

CodeType

[0..1]

Loss of Appetite

To record loss of appetite

LossofAppetite

CodeType

[0..1]

Other Symptoms

The documentation of other symptoms

OtherSymptoms

CodeType

[0..1]

Date of First Visit

Recoding of date of first visit

DateofFirstVisit

CodeType

[0..1]

Previously Vaccinated

To document previously vaccinated

PreviouslyVaccinated

CodeType

[0..1]

Previously Vaccinated Regimen

The capturing of previously vaccinated regimen

PreviouslyVaccinatedRegimen

CodeType

[0..1]

Name of Vaccine

The recording of name of vaccine

NameofVaccine

StringType

[0..1]

Vaccination Date

The documentation of vaccination date

VaccinationDate

Date

[0..1]

Date Respiratory Sample Collected

To document date respiratory sample collected

DateRespiratorySampleCollected

Date

[0..1]

Type of Respiratory Sample Collected

To document the type of respiratory sample collected

TypeofRespiratorySampleCollected

CodeType

[0..1]

Has Baseline SerunTaken

To know if baseline Serun has been taken

HasBaselineSerunTaken

CodeType

[0..1]

Date Baseline Collected

To document date baseline collected

DateBaselineCollected

Date

[0..1]

Other Samples Collected

To document other samples collected

OtherSamplesCollected

CodeType

[0..1]

Date Other Sample Collected

The documentation of date another sample collected

DateOtherSampleCollected

Date

[0..1]

Travelled Within the Last 14 Days

To document information on travelled within the last 14 days

TravelledWithinTheLast14Days

CodeType

[0..1]

Travelled Within the Last 14 Days Domestic

To record information on travelled within the last 14 days domestic

TravelledWithinTheLast14DaysDomestic

CodeType

[0..1]

Date of Travel From

To document date of travel from

DateofTravelFrom

Date

[0..1]

Date of Travel To

To record date of travel to

DateofTravelTo

Date

[0..1]

State Visited

The documentation of state visited

StateVisited

String

[0..1]

Cities or Town Visited

Information of cities or town visited

CitiesorTownVisited

String

[0..1]

Had contact with suspected Confirmed Covid Person Past 14 days

To document information on had contact with suspected confirmed covid person past 14 days

HadcontactwithsuspectedConfirmedCovidPersonPast14days

CodeType

[0..1]

Date of Travel From

To document the date of travel from

DateofTravelFrom

Date

[0..1]

Date of Travel To

The documentation of date of travel to

DateofTravelTo

Date

[0..1]

Countries Visited

This field documents countries visited

CountriesVisited

StringType

[0..1]

Cities or Town Visited

The field documents cities or town visited

CitiesorTownVisited

StringType

[0..1]

Had contact with suspected Confirmed Covid Person Past 14 days

The record if the patient had contact with suspected confirmed covid person past 14 days

HadcontactwithsuspectedConfirmedCovidPersonPast14daysInt

CodeTypS

[0..1]

Dates of Last Contact

The documentation of dates of last contact

DatesofLastContact

Date

[0..1]

Had contact with suspected Confirmed Covid Person Past 14 days Contact

To record if the patient had contact with suspected confirmed covid person past 14 days contact

HadcontactwithsuspectedConfirmedCovidPersonPast14daysContact

CodeType

[0..1]

Patient Visited or Was Admitted to Patient Health Facility

Patient visited or was admitted to patient health facility

PatientVisitedorWasAdmittedToInPatientHealthFacility

CodeType

[0..1]

Patient Visited Outpatient Treatment Facility

The documentation of patient visited outpatient treatment Facility

PatientVisitedOutpatientTreatmentFacility

CodeType

[0..1]

Patient Visited Traditional Healer

The field records Patient Visited Traditional Healer

PatientVisitedTraditionalHealer

CodeType

[0..1]

Occupation

The documentation of Occupation

Occupation

String

[0..1]

COVID 19 Contact investigation

COVID19 Contact Investigation

Field Name

Field Identifier

Use

Occurs

Enum

Value Set / Notes

Contact ID Number

The documentation of contact ID number

ContactIDNumber

StringType

[0..1]

Name of Confirmed Case

To document the name of confirmed case

NameofConfirmedCase

StringType

[0..1]

Name of Data Collector

Name of data collector

NameofDataCollector

StringType

[0..1]

Surname

The documentation of surname

Surname

StringType

[0..1]

Respondent Gender

To record respondent gender

RespondentGender

CodeType

[0..1]

Date of Issue of Birth Certificate

To document date of issue of birth certificate

DateofIssueofBirthCertificate

Date

[0..1]

The documentation of age

Integer

[0..1]

Address of Treatment Supporter

The documentation of address of treatment supporter

AddressofTreatmentSupporter

StringType

[0..1]

Telephone Number of Treatment Supporter

To document telephone number of treatment supporter

TelephoneNumberofTreatmentSupporter

IntegerType

[0..1]

To document patient email

StringType

[0..1]

Preferred Model of Contact

The recording of referred model of contact

PreferredModelofContact

CodeType

[0..1]

Surname

To document surname

Surname

StringType

[0..1]

Country of Residence

To document country of residence

Countryof Residence

StringType

[0..1]

Contact With Suspected Person

The documentation of contact with suspected person

ContactWithSuspectedPerson

StringType

[0..1]

Date of Last Contact

The documentation of date of last contact

DateofLastContact

Date

[0..1]

Countries Visited

The documentation of countries visited

CountriesVisited

StringType

[0..1]

Cities or Town Visited

The documentation of cities or town visited

CitiesorTownVisited

StringType

[0..1]

Had contact with Suspected or Confirmed Covid Person in The Past 14 Days

To document had contact with suspected or confirmed covid person in the past 14 days

HadContactWithSuspectedorConfirmedCovidPersoninThePast14Days

CodeType

[0..1]

Date of Travel

To record date of travel

DateofTravel

Date

[0..1]

Dates of Last Contact

To document dates of last contact

DatesofLastContact

date

[0..1]

Occupation

The field that records occupation

Occupation

CodeType

[0..1]

Job Title

To document job title

JobTitle

CodeType

[0..1]

Workplace

To document workplace

WorkPlace

CodeType

[0..1]

Direct Physical Contact

To input direct physical contact

DirectPhysicalContact

CodeType

[0..1]

Direct Physical Contact

To document direct physical contact

DirectPhysicalContact

CodeType

[0..1]

HCWhada Prolonged face-to-face Contact 15 minutes)

A filed for HCWhada prolonged face-to-face contact 15 minutes)

HCWhadaProlongedFace_to_faceContact15minutes)

CodeType

[0..1]

Type of Protective Equipment

To document type of protective equipment

TypeofProtectiveEquipment

CodeType

[0..1]

Type of Contact

The document of type of contact

TypeofContact

CodeType

[0..1]

Dates of Contact while the Primary Case was Symptomatic

To document dates of contact while the primary case was symptomatic

DatesofContactWhileThePrimaryCaseWasSymptomatic

Date

[0..1]

Date Reported

The documentation of date reported

DateReported

date

[0..1]

Exposure Duration

To document exposure duration

ExposureDuration

StringType

[0..1]

Experience any Respiratory Symptoms in the period up to 10 days before the on set

To document experience any respiratory symptoms in the period up to 10 days before the on set

ExperienceAnyRepiratorySymptomsinThePeriodUpTo10DaysBeforeTheOnset

CodeType

[0..1]

Contact Experienced any Respiratory Symptoms in the Periods up to10 Days

The documentation of contact experienced any respiratory symptoms in the periods up to 10 days

ContactExperiencedAnyRespiratorySymptomsInThePeriosupto10Days

CodeType

[0..1]

Currently Ill

To document currently Ill

CurrentlyIll

CodeType

[0..1]

Signs Symptoms Start Date

To document signs symptoms start date

SignsSymptomsStartDate

Date

[0..1]

Temperature

The documentation of temperature

Temperature

Integer

[0..1]

Sore Throat

To document sore throat

SoreThroat

CodeType

[0..1]

Cough

To document cough

cough

CodeType

[0..1]

RHINITIS

The documentation of RHINITIS

RHINITIS

CodeType

[0..1]

Loss of Sense of Smell

The documentation of loss of sense of smell

LossofSenseofSmell

CodeType

[0..1]

Test Disorder

To document test disorder

TestDisorder

CodeType

[0..1]

Shortness of Breath

To document shortness of breath

ShortnessofBreath

CodeType

[0..1]

Chills

To document chills

Chills

CodeType

[0..1]

Vomiting

The documentation of vomiting

vomiting

CodeType

[0..1]

Nausea

To document nausea

Nausea

CodeType

[0..1]

Diarrhea

The field will document diarrhea

Diarrhea

CodeType

[0..1]

Headache

To document headache

Headache

CodeType

[0..1]

Rash

The documentation of Rash

Rash

CodeType

[0..1]

Conjunctivitis

To document Conjunctivitis

Conjunctivitis

CodeType

[0..1]

Muscle Fatigue

To document Muscle Fatigue

MuscleFatigue

CodeType

[0..1]

Joint Pain

To document Joint Pain

JointPain

CodeType

[0..1]

Lost of Appetite

To document Loss of Appetite

LostofAppetite

CodeType

[0..1]

Nose Injury

The documentation of Nose Injury

NoseInjury

CodeType

[0..1]

Fatigue

The field will document Fatigue

Fatigue

CodeType

[0..1]

Seizure

The documentation of Seizure

Seizure

CodeType

[0..1]

Alteration of Consciousness

To document Alteration of Consciousness

AlterationofConciousness

CodeType

[0..1]

Soft Neurological Signs

To document Soft Neurological Signs

SoftNeurologicalSigns

CodeType

[0..1]

Other Symptoms

To document Other Symptoms

OtherSymtops

CodeType

[0..1]

Status of Contact

To document Status of Contact

StatusOfContact

CodeType

[0..1]

Date Sample Collected

Date Sample Collected

DateSampleCollected

Date

[0..1]

Date of Death

The document Date of Death

DateofDeath

Date

[0..1]

Hospitalization Required

To document Hospitalization Required

HospitalizationRequired

CodeType

[0..1]

Hospitalization Date

To document Hospitalization Date

HospitalizationDate

Date

[0..1]

Contribution of 2019_n COV to Death

To document Contribution of 2019_n COV to Death

Contributionof2019_nCOVtoDeath

CodeType

[0..1]

Discharged Date Time

Documentation of Discharged Date Time

DischargedDateTime

date

[0..1]

If Dead was Postmortem Performed

The documentation of If Dead was Postmortem Performed

IfDeadWasPostMortemPerformed

CodeType

[0..1]

Results of Postmortem Report where Available

The documentation of Results of Postmortem Report where Available

ResultsOfPostMortemReportWhereAvailable

CodeType

[0..1]

Pregnancy Status

The documentation of Pregnancy Status

PregnancyStatus

CodeType

[0..1]

Pregnancy Trimester

To document Pregnancy Trimester

PregnancyTrimester

CodeType

[0..1]

Obesity

The documentation of Obesity

Obesity

CodeType

[0..1]

Heart Disease

To document heart disease

HeartDisease

CodeType

[0..1]

Asthma

The documentation of Asthma

Asthma

CodeType

[0..1]

Chronic Lung Disease

To document Chronic Lung Disease

ChronicLungDisease

CodeType

[0..1]

Other Chronic Nonalcoholic Liver Disease

To document other Chronic Nonalcoholic Liver Disease

OtherChronicNonalcoholicLiverDisease

CodeType

[0..1]

Hematological Disorder Specific to Fetus or Newborn

To document Hematological Disorder Specific to Fetus or Newborn

HematologicalDisorderSpecifictoFetusorNewborn

CodeType

[0..1]

Chronic Kidney Disease

The documentation of Chronic Kidney Disease

ChronicKidneyDisease

CodeType

[0..1]

Neurological

The documentation of Neurological

Neurological

CodeType

[0..1]

Bone Marrow Disorder

The documentation of Bone Marrow Disorder

BoneMarrowDisorder

CodeType

[0..1]

Other Preexisting Disorder

The documentation of other Preexisting Disorder

OtherPreexitingDisorder

CodeType

[0..1]

COVID-19 Daily Case Symptom

COVID-19 Daily Cases Symptoms

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Days

Days

Days

Integer

[0..1]

Signs or Symptoms of Disease

Signs or Symptoms of Disease

SignsorSymptomsofDisease

Boolean

[0..1]

Fever

Fever

Fever

CodedType

[0..1]

Sore Throat

Sore Throat

SoreThroat

CodedType

[0..1]

Cough

Cough

Cough

CodedType

[0..1]

Shortness of Breath

Shortness of Breath

ShortnessOfBreath

CodedType

[0..1]

RHINITIS

RHINITIS

RHINITIS

CodedType

[0..1]

LossOfSense Of Smell

LossOfSense Of Smell

LossOfSenseOfSmell

CodedType

[0..1]

Teste Disorder

Teste Disorder

TesteDisorder

CodedType

[0..1]

Settings others Specify

Settings others Specify

SettingsOthersSpecify

StringType

HIV Testing Report

HIV Testing Report

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Client code

N/A

Client code for HTS

ClientCode

string

[1..1]

Visit Date

N/A

Visit date applies to all encounter data for that date.

VisitDate

date

[1..1]

Visit ID

N/A

The identification code or number used to uniquely identify the clinical visit

VisitID

string

[1 1]

Settings

N/A

HIV testing setting

Setting

CodeType

[1..1]

First time visit

N/A

Patient first time visit

FirstTimeVisit

CodeType

[1 1]

Session type

N/A

Type of session

SessionType

CodeType

[0..1]

Referred from

N/A

Where Patient is referred from

ReferredFrom

CodeType

[0..1]

Marital status

N/A

Marital status

MaritalStatus

CodeType

[0..1]

Number of children less than 5

N/A

Number of children owned by client

NoOfOwnChildrenLessThan5Years

int

[0..1]

Number of wives

N/A

Number of wives client have

NoOfAllWives

int

[0..1]

Is index client

N/A

Is client an index client

IsIndexClient

StringType

[0..1]

Index Client ID

N/A

ID of Index client

IndexClientId

StringType

[0..1]

Retesting for result verification

N/A

Is client testing for result verification

ReTestingForResultVerification

CodeType

[0..1]

Pretest Information

N/A

Client pretest information

PreTestInformation

PreTestInformationType

[0..1]

HIV result

N/A

Client HIV result

HIVTestResult

HIVTestResultType

[0..1]

Posttest counselling

N/A

Client posttest counselling

PostTestCounselling

PostTestCounsellingType

[0..1]

Syphilis test result

N/A

Client Syphilis test result

SyphilisTestResult

CodeType

[0..1]

HBV test result

N/A

Client HBV test result

HBVTestResult

CodeType

[0..1]

HCV test result

N/A

Client HCV test result

HCVTestResult

CodeType

[0..1]

Index notification services

N/A

Index notification services

IndexNotificationServices

IndexNotificationServicesType

[0..1]

Completed by

N/A

Clinician that completed the test

CompletedBy

StringType

[0..1]

Date completed

N/A

Completion date

DateCompleted

StringType

[0..1]

- 1. Client Tracking and Discontinuation

Client Tracking and Discontinuation Indication for Client Verification

Client Tracking & Discontinuation (Indication for Client Verification)

Field Name

Field Identifier

Purpose

XML Element

Data Type

Use

Occurs

Enum

Value Set / Notes

Client Verification

N/A

Client Verification

ClientVerification

Coded

[1..1]

Indication for Client Verification

N/A

Indication for Client Verification

IndicationforClientVerification

Coded

[1..1]

Consistently had drug pickup by proxy without viral load sample collection for two quarters

Pickup By Proxy

PickupByProxy

N/A

[1..1]

Duplicated demographic and clinical variables

N/A

Documentation of duplicated demographic and clinical variables

DuplicatedDemographicAndClinicalVariables

N/A

[1..1]

No biometrics recapture

N/A

Records No biometrics recapture

NoBiometricsRecapture

N/A

[1..1]

Batched ARV pickup dates

N/A

Batched ARV pickup dates

BatchedARVPickupDates

N/A

[1..1]

Last clinical visit is over 18 months prior

N/A

Last clinical visit is over 18 months prior

LastClinicalVisitIsOver18MonthsPrior

N/A

[1..1]

Batched ART start and pickup dates

N/A

Batched ART start and pickup dates

BatchedARTStartAndPickupDates

N/A

[1..1]

No initial biometric capture

N/A

No initial biometric capture

NoInitialBiometricCapture

N/A

[1..1]

1.1.35 Finger Print Type

2.3: Finger Print Type with updates on updating of base fingerprint replacement.

Finger Print Type with updates on updating of base fingerprint replacement.

Field Name

Field Identifier

Purpose

XML Element

Data Type

Use

Occurs

Enum

Value Set / Notes

Date Captured

date

[0..1]

Replace Print

int

[0..1]

Right Hand

Right Heand

rightHandType

[1..1]

Left Hand

leftHandType

[1..1]

Right Thumb

RightThumb

string

[0..1]

Right Thumb Quality

RightThumbQuality

int

[0..1]

Right Index

RightIndex

string

[0..1]

Right Index Quality

RightIndexQuality

int

[0..1]

Right Middle

RightMiddle

string

[0..1]

Right Middle Quality

RightMiddleQuality

int

[0..1]

Right Wedding

RightWedding

string

[0..1]

Right Wedding Quality

RightWeddingQuality

int

[0..1]

Right Small

RightSmall

string

[0..1]

Right Small Quality

RightSmallQuality

int

[0..1]

Left Thumb

LeftThumb

string

[0..1]

Left Thumb Quality

LeftThumbQuality

int

[0..1]

Left Index

LeftIndex

string

[0..1]

Left Index Quality

LeftIndexQuality

int

[0..1]

Left Middle

LeftMiddle

string

[0..1]

Left Middle Quality

LeftMiddleQuality

int

[0..1]

Left Wedding

LeftWedding

string

[0..1]

Left Wedding Quality

LeftWeddingQuality

int

[0..1]

Left Small

LeftSmall

string

[0..1]

Left Small Quality

LeftSmallQuality

int

[0..1]

2.4: Client Records Verification (Reason/Trigger/Indication for Client Verification

Client Tracking & Discontinuation (Indication for Client Verification)

Field Name

Field Identifier

Purpose

XML Element

Data Type

Use

Occurs

Enum

Value Set / Notes

Indication for Client Verification

N/A

Used for the purposed of Indication for Client Verification

IndicationforClientVerification

Coded

[1..1]

No initial biometric capture

N/A

To report situation where biometric capture is not capture

NoInitialBiometricCapture

N/A

[0..1]

Duplicated demographic and clinical variables

N/A

Caputres duplicated demographic and clinical variables

DuplicatedDemographicAndClinicalVariables

N/A

[1..1]

No biometrics recapture

N/A

Used for reporting no biometrics recapture variable

NoBiometricsRecapture

N/A

[1..1]

Last clinical visit is over 18 months prior

N/A

Documents Last clinical visit is over 18 months prior

LastClinicalVisitIsOver18MonthsPrior

N/A

[0..1]

Incomplete visit data on the care card or pharmacy forms or EMR

N/A

Incomplete visit data on the care card or pharmacy forms or EMR documentation

IncompleteVisitDat

N/A

[0..1]

Records of repeated clinical encounters, with no fingerprint recapture.

N/A

Documents records of repeated clinical encounters, with no fingerprint recapture.

RepeatedClinicalEncounters

N/A

[0..1]

Long intervals between ARV pick-ups (pick-ups more than one year apart in the same facility)

N/A

Tracks long intervals between ARV pick-ups (pick-ups more than one year apart in the same facility)

BatchPickupDates

N/A

[0..1]

Same sex, DOB and ART start date

N/A

Documents same sex, DOB and ART start date

SameSexDOBARTStartDate

N/A

[0..1]

Consistently had drug pickup by proxy without viral load sample collection for two quarters

N/A

Documents consistently had drug pickup by proxy without viral load sample collection for two quarters

PickupByProxy

N/A

[1..1]

Others (Specify)

N/A

Documents others (Specify) variable

OtherSpecify

String

[1..1]

Client Verification First Date

N/A

Client Verification First Date

CT1STDate

Date

[0..1]

First Verification Status

N/A

First Verification Status

FirstStatus

String

[0..1]

First Outcome

N/A

First Outcome

FirstOutcome

N/A

[0..1]

Client Verification Second Date

N/A

Client Verification Second Date

CT2ndDate

Date

[0..1]

Second Verification Status

N/A

Second Verification Status

SecondStatus

String

[0..1]

Second Outcome

N/A

Second Outcome

SecondOutcome

N/A

[0..1]

Client VerificationT Last Date

N/A

Client VerificationT Last Date

CTLastDate

Date

[0..1]

Last Verification Status

N/A

Last Verification Status

LastStatus

String

[0..1]

Last Outcome

N/A

Last Outcome

LastOutcome

String

[0..1]

Patient Care in Facility Discontinued?

N/A

Patient Care in Facility Discontinued?

Discontinued

String

[0..1]

2.5: DIFFERENTIATED SERVICE DELIVERY (DSD)

DIFFERENTIATED SERVICE DELIVERY (DSD)

Field Name

Field Identifier

Purpose

XML Element

Data Type

Use

Occurs

Enum

Value Set / Notes

RefillFastTrack,

FD1

RefillFastTrack,

Coded

[0..1]

NotDifferentiated, (Unique)

FD2

NotDifferentiated, (Unique)

Coded

[0..1]

AdolescentClinic, (Unique)

FD3

AdolescentClinic, (Unique)

Coded

[0..1]

FacilityARTgroupHCWled,

FBM2

FacilityARTgroupHCWled,

Coded

[0..1]

FacilityARTgroupSupportgroupled,

FBM3

FacilityARTgroupSupportgroupled,

Coded

[0..1]

DecentralizedHubandSpoke,

FBM4

DecentralizedHubandSpoke,

Coded

[0..1]

Afterhours,

FBM5

Afterhours,

Coded

[0..1]

Weekendsandpublicholidays,

FBM6

Weekendsandpublicholidays,

Coded

[0..1]

ChildTeenAdolescentsclubPeerManaged

FBM7

ChildTeenAdolescentsclubPeerManaged

Coded

[0..1]

Mother infant pair/Mentor mother led (Unique)

FBM8

Mother infant pair/Mentor mother led (Unique)

Coded

[0..1]

ATM(Unique)

DDD01

ATM(Unique)

Coded

[0..1]

PrivateClinics(Unique)

DDD02

PrivateClinics(Unique)

Coded

[0..1]

CommunityART(Unique)

DDD03

CommunityART(Unique)

Coded

[0..1]

CommunityPharmacy

DDD04

CommunityPharmacy

Coded

[0..1]

PatentMedicineStores

DDD05

PatentMedicineStores

Coded

[0..1]

HomeDelivery

DDD06

HomeDelivery

Coded

[0..1]

Other(Unique)

DDD07

Other(Unique)

Coded

[0..1]

Community ART Refill Group: Healthcare Worker – led

CBM2

Community ART Refill Group: Healthcare Worker – led

Coded

[0..1]

CommunityARTRefillGroupPLHIVled

CBM3

CommunityARTRefillGroupPLHIVled

Coded

[0..1]

AdolescentCommunityARTpeerledgroups

CBM4

AdolescentCommunityARTpeerledgroups

Coded

[0..1]

OneStopShop

CBM6

OneStopShop

Coded

[0..1]

2.6: Laboratory Result Code

Laboratory Result Code

Field Name

Field Identifier

Purpose

XML Element

Use

Occurs

Enum

Value Set / Notes

Albumin (g/L)

ALT/SGPT

Amylase

AST/SGOT

BilirubinDirect (µmol/L)

BilirubinIndirect (µmol/L)

BilirubinTotal (µmol/L)

BloodUreaNitrogen (µmol/L)

Calcium (mmol/L)

CalciumIonized (mmol/L)

CD4

Cell Count Lymphocytes

Cell Count Neutrophils

Chest X-Ray

Chlamydia

Chloride (mmol/L)

Cholesterol (total) mmoI/L

CholesterolHDL (mmol/L)

CholesterolLDL (mmol/L)

Colposcopy (Cervical CA – female only)

Creatinine

CSF Biochemistry

CSF cryptococcal Ag

CSF Culture

CSF Gram Stain

CSF India Ink

Cytomegalovirus (CMV)

Elisa

Epstein Barr Virus (EBV)

ESR

Fasting Blood Sugar

Glucose

Gonorrhea

HCT/Hb

HCT/Hb percent

HDL (mg/dL)

Hepatitis A Ab-IgM

Hepatitis A Ab-Total

itis B core - antibody IgM (HBsAb)

Hepatitis B core – antibody, total

titis B surface – antibody (HBsAb)

atitis B surface – antigen (HBsAg)

Hepatitis C antibody

HIV Confirm

HIV Elisa test

HIV Rapid Test

Lactate (mmol/L)

LDL (Mg/dL)

Magnesium (mmol/L)

Malaria parasite

MTB

Smear (Cervical CA – female only)

PCR

Phosphate (mmol/L)

Phosphorus (mmol/L)

Platelets

Potassium (mmol/L)

Pregnancy

Protein

Random Blood Sugar

RBC

Rectal Pap Smear

Serum Crypto Ag

Sodium (mmol/L)

Sputum AFB 1

Sputum AFB 2

Sputum AFB 3

Sputum Gram Stain

Store Plasma

Syphilis (FTA)

Syphilis (RPR)

Total Cholesterol (mmol/L)

Toxoplasma IgG Antibody

Triglycerides (mmol/L)

Uric acid µmol/L

Urinalysis

Urine Culture/Sensitivity

Inspection with Acetic Acid (VIA)

Varicella (Chicken Pox)

Viral Load

WBC

WBC Diff

CD4 LFA RESULT

Serology for CrAg Result

Other Test (TB-LAM, LF-LAM,etc)

CSF for CrAg

CSF for MCS Result

Reusable Complex Types

This section defines those complex types that are reusable within the NDR Schema.

AnswerType

Seq

XML Element

Use

Occurs

Value Set

Notes

AnswerCode

CodeType

[0..1]

AnswerDate

date

[0..1]

AnswerDateTime

dateTime

[0..1]

AnswerNumeric

NumericType

[0..1]

AnswerText

StringType

[0..1]

CodedSimpleType

Seq

XML Element

Use

Occurs

Value Set

Notes

Code

CodeType

[1..1]

CodeDescTxt

StringType

[0..1]

CodedType

Seq

XML Element

Use

Occurs

Value Set

Notes

Code

CodeType

[1..1]

CodeDescText

StringType

[1..1]

CodeSystemCode

StringType

[1..1]

Text

StringType

[0..1]

ConditionSpecificQuestionsType

Seq

XML Element

Occurs

Value Set

Notes

HIVQuestionsType

HIVQuestionsType

[0..1]

EncountersType

Seq

XML Element

Use

Occurs

Value Set

Notes

HIVEncounter

HIVEncounterType

[0..*]

FacilityType

Seq

XML Element

Use

Occurs

Value Set

Notes

FacilityName

StringType

[1..1]

FacilityID

StringType

[1..1]

FacilityTypeCode

StringType

[1..1]

FACILITY_TYPE

It is included as an Enumeration

IdentifiersType

Seq

XML Element

Use

Occurs

Value Set

Notes

Identifier

IdentifierType

[1..*]

IdentifierType

Seq

XML Element

Use

Occurs

Value Set

Notes

IDNumber

StringType

[1..1]

IDTypeCode

CodeType

[1..1]

IDENTIFIER_TYPE

NoteType

Seq

XML Element

Use

Occurs

Value Set

Notes

Note

StringType

[1..1]

NumericType

XML Element

Occurs

Value Set

Notes

ComparatorCode

StringType

[0..1]

Value1

decimal

[1..1]

SeperatorCode

StringType

[0..1]

Value2

decimal

[0..1]

Unit

CodedType

[0..1]

MEASURE_UNITS

Value Sets

The figure below summarises value sets defined in this document are detailed in the NDR Data Dictionary Workbook and utilize international standards when available. Where needed, locally defined value sets have been developed in abyH tools.

CODING_SYSTEM

VALUE_SET_CODE

VALUE_SET_NAME

VALUE_SET_DESCRIPTION

VALUE_SET_REF

HL7

ADDRESS_TYPE

Address Type

HL70190

LOCAL

ADHERENCE

Adherence

Level of Adherence

LOCAL

ADHERANCE_POORFAIR_REASON

Adherence Poor Fair Reason

Reason for Poor or Fair Adherence

LOCAL

ADVERSE_REACTIONS

Adverse Reactions

LOCAL

ART_STATUS

ART Status

LOCAL

ARV_REGIMEN

ARV Regimen

LOCAL

CARE_ENTRY_POINT

Care Entry Point

SNOMED-CT

CONDTITION_CODE

Condition Code

List of all infectious diseases. This is an intrinsic value set based on the NOMED CT domain

40733004

ISO

COUNTRY

Country

Country code

ISO 3166

LOCAL

EDD_PMTCT_LINK

EDD PMTCT Link

LOCAL

EDUCATIONAL_LEVEL

Educational Level

LOCAL

FACILITY_TYPE

Facility Type

LOCAL

FAMILY_PLANNING_METHOD

Family Planning Method

LOCAL

FAMILY_PLANNING_STATUS

Family Planning Status

LOCAL

FUNCTIONAL_STATUS

Functional Status

Ambulatory ability

LOCAL

HIV_TEST_TYPE

HIV Test Type

HL7

IDENTIFIER_TYPE

Identifier Type

List of identifier types

HL70203

LOCAL

INTERRUPT

Interrupt

Type of interruption

LOCAL

INTERRUPTION_REASON

Interruption Reason

Reason for interruption

LOCAL

LAB_RESULTED_TEST

Lab Resulted Test

ISO

LANGUAGE

Language

ISO 639-2

LOCAL

LGA

Nigerian Local Governmental Authority

HL7

MARITAL_STATUS

Marital Status

HL7 Marital status

HL70002

UCUM

MEASURE_UNITS

Units of Measure

Units of Measure based on UCUM standard

UCUM

LOCAL

MESSAGE_STATUS

Message Status

LOCAL

OCCUPATION_STATUS

Occupation Status

LOCAL

OI_OTHER

OI Other

LOCAL

OI_REGIMEN

OI Regimen

LOCAL

PREGNANCY_STATUS

Pregnancy Status

LOCAL

PRIOR_ART

Prior Art

Indicates if the patient has a history of prioantiretroviralal therapy

LOCAL

PROGRAM_AREA

Program Area

LOCAL

REGIMEN_LINE

Regimen Line

LOCAL

REGIMEN_STOP

Regimen Stop

Reason Regimen Stopped

LOCAL

REGIMEN_SUB_SWITCH_REASON

Reason for Substitution or Switch

LOCAL

REGIMEN_TYPE

Regimen Type

HL7

RELATIONSHIP

Relationship

HL7 Relationship

HL70063

HL7

SEX

Sex

HL7 Administrative sex

HL70001

LOCAL

STATES

States

Nigerian State FIPS Codes

LOCAL

TB_REGIMEN

TB Regimen

LOCAL

TB_STATUS

TB Status

LOCAL

TESTING_STATUS

Testing Status

HL7

VACCINE_ADMINISTER

Vaccine Method of Administration

Method of vaccination administration

HL70162

HL7

VACCINE_SITE

Vaccine Site

Anatomical site of vaccination

HL70163

NIP

VACCINE_TYPE

Vaccines administered (CVX)

Vaccine administered

CVX

HL7

VALUE_TYPE

Value Type

HL7 Value type

HL70125

WHO

WHO_STAGE

WHO Stage

LOCAL

WHY_ELIGIBLE

Why Eligible

HL7

YNU

HL7 Yes/No indicator plus Unknown (null flavor)

HL70136

LOCAL

SYPHILIS_TEST_RESULT

Syphilis test result

LOCAL

TIME_OF_HIV_DIAGNOSIS

Time of HIV diagnosis

LOCAL

HBV_STATUS

Hbv status

LOCAL

HCV_STATUS

Hcv status

LOCAL

ROM_INTERVAL

Rom interval

LOCAL

MODE_OF_DELIVERY

Mode of delivery

LOCAL

FEEDING_DECISION

Feeding decision

LOCAL

MATERNAL_OUTCOME

Maternal outcome

LOCAL

VISIT_STATUS

Visit status

LOCAL

INFANT_RAPID_TEST_RESULT

Infant rapid test result

LOCAL

INFANT_PCR_RESULT

Infant PCR result

LOCAL

CHILD_STATUS

Child status

LOCAL

TIMING_OF_ARV_PROPHYLAXIS

Timing of ARV prophylaxis

LOCAL

INFANT_ARV_TYPE

Infant arv type

LOCAL

18MONTH_INFANT_OUTCOME

18Month infant outcome

LOCAL

PARTNER_REFERRED_TO

Partner referred to

LOCAL

PARTNER_SYPHILIS_STATUS

Partner syphilis status

HL7

HTS_SETTING

HIV Testing Setting

HL7

POS_NEG

Positive or Negative

HL7

REACTIVE_STATUS

Reactive or Non-reactive

HL7

RECENCY_TEST_STATUS

Recent or Long term

HL7

SESSION_TYPE

Session Type

HL7

INDEX_RELATION

Index Relation or Type

HL7

CLIENT_SEX

Male or Female

HL7

RECENCY_TEST_NAME

Recency test name

HL7

RECENCY_INTERPRETATION

Recency Interpretation

HL7

SAMPLE_TYPE

Sample type

Type of sample sent to PCR lab

HL7

PCR_LAB

PCR Lab

PCR lab, where samples are sent

LOCAL

VIRAL_LOAD_PERIOD

Viral Load at 32-36 Weeks GA

LOCAL

VIRAL_LOAD_PERIOD

Viral load other at any time during PMTCT

LOCAL

PMTCT_ENTRY_POINT

ANC

LOCAL

PMTCT_ENTRY_POINT

L&D

LOCAL

PMTCT_ENTRY_POINT

Postnatal Ward

LOCAL

PMTCT_ENTRY_POINT

Postpartum <=72hrs

LOCAL

PMTCT_ENTRY_POINT

Postpartum >72hrs

LOCAL

ART_INITIATION_TIMING

Before this pregnancy

LOCAL

ART_INITIATION_TIMING

Initiated ART during pregnancy <36 weeks gestation period

LOCAL

ART_INITIATION_TIMING

Initiated ART during pregnancy >=36 weeks gestation period

LOCAL

ART_INITIATION_TIMING

Initiated ART at L&D

LOCAL

ART_INITIATION_TIMING

Initiated ART after delivery (postpartum)

LOCAL

HIV_RE-TESTING

Remained HIV Negative

LOCAL

HIV_RE-TESTING

Seroconverted to HIV Positive

LOCAL

IDENTIFIER_TYPE

HIV Exposed Infant

LOCAL

OPERATION_TRIPLE_ZERO

OTZ plus

LOCAL

OPERATION_TRIPLE_ZERO

Full Disclosure

LOCAL

OPERATION_TRIPLE_ZERO

Full Disclosure Date

LOCAL

OPERATION_TRIPLE_ZERO

Enrolled By

LOCAL

OPERATION_TRIPLE_ZERO

Positive Living

LOCAL

OPERATION_TRIPLE_ZERO

Positive Living Completion Date

LOCAL

OPERATION_TRIPLE_ZERO

Treatment Literacy

LOCAL

OPERATION_TRIPLE_ZERO

Treatment Literacy Completion Date

100

LOCAL

OPERATION_TRIPLE_ZERO

Adolescents Participation

101

LOCAL

OPERATION_TRIPLE_ZERO

Adolescents Participation Completion Date

102

LOCAL

OPERATION_TRIPLE_ZERO

Leadership Training

103

LOCAL

OPERATION_TRIPLE_ZERO

Leadership Training Completion Date

104

LOCAL

OPERATION_TRIPLE_ZERO

Peer-to-Peer Mentorship

105

LOCAL

OPERATION_TRIPLE_ZERO

Peer-to-Peer Mentorship Completion Date

106

LOCAL

OPERATION_TRIPLE_ZERO

Role of OTZ in 95-95-95

107

LOCAL

OPERATION_TRIPLE_ZERO

Role of OTZ in 95-95-95 Completion Date

108

LOCAL

OPERATION_TRIPLE_ZERO

OTZ Champion Orientation

109

LOCAL

OPERATION_TRIPLE_ZERO

OTZ Champion Orientation Completion Date

110

LOCAL

OPERATION_TRIPLE_ZERO

Transitioned to Adult Clinic

111

LOCAL

OPERATION_TRIPLE_ZERO

Date Transitioned to Adult Clinic

112

LOCAL

OPERATION_TRIPLE_ZERO

OTZ Program Outcome

113

LOCAL

OPERATION_TRIPLE_ZERO

Differentiated Service Delivery Model (DSDM)

114

LOCAL

OPERATION_TRIPLE_ZERO

Facility Dispensing

115

LOCAL

OPERATION_TRIPLE_ZERO

Community Dispensing

116

LOCAL

OPERATION_TRIPLE_ZERO

Multi-Month Dispensing (MMD)

117

LOCAL

OPERATION_TRIPLE_ZERO

Exited By

118

LOCAL

OPERATION_TRIPLE_ZERO

Returning Patient

119

LOCAL

OPERATION_TRIPLE_ZERO

Date Returned

120

LOCAL

OPERATION_TRIPLE_ZERO

Reactivated By

121

LOCAL

RECENCY_TESTING

Test Date

122

LOCAL

RECENCY_TESTING

Date Sample Sent

123

LOCAL

RECENCY_TESTING

Rapid Recency Assay

124

LOCAL

RECENCY_TESTING

Viral Load ConfirmationResult

125

LOCAL

RECENCY_TESTING

Viral LoadConfirmation Test Date

126

LOCAL

RECENCY_TESTING

FinalRecencyTestResult

127

LOCAL

RECENCY_TESTING

Consent

128

LOCAL

RECENCY_TESTING

SampleReferenceNumber

129

LOCAL

RECENCY_TESTING

ViralLoadClassification

130

LOCAL

RECENCY_TESTING

TestName

131

LOCAL

RECENCY_TESTING

TestDate

132

LOCAL

RECENCY_TESTING

RecencyNumber

133

LOCAL

RECENCY_TESTING

ControlLine

134

LOCAL

RECENCY_TESTING

VerificationLine

135

LOCAL

RECENCY_TESTING

LongTermLine

136

LOCAL

RECENCY_TESTING

RecencyInterpretation

137

LOCAL

RECENCY_TESTING

ViralLoadRequest

138

LOCAL

RECENCY_TESTING

DateSampleCollected

139

LOCAL

RECENCY_TESTING

PCRLabNumber

140

LOCAL

RECENCY_TESTING

SampleType

141

LOCAL

RECENCY_TESTING

DateSampleSent

142

LOCAL

RECENCY_TESTING

PCRLab

143

LOCAL

RECENCY_TESTING

ViralLoadResultClassification

144

LOCAL

RECENCY_TESTING

HivViralLoad

145

LOCAL

RECENCY_TESTING

FinalRecencyTestResult

146

LOCAL

RECENCY_TESTING

DateConfirmedVL

147

LOCAL

RECENCY_TESTING

ViralLoadResult

148

LOCAL

RECENCY_TESTING

FinalRecencyResultInvestigation

149

LOCAL

RECENCY_TESTING

SourceDocumentUsed

150

LOCAL

RECENCY_TESTING

LinkedToCare

151

LOCAL

RECENCY_TESTING

DateLinkedToCare

152

LOCAL

RECENCY_TESTING

InitiatedOnART

153

LOCAL

RECENCY_TESTING

DateInitiatedOnART

154

LOCAL

RECENCY_TESTING

ARTNumber

155

LOCAL

RECENCY_TESTING

Regimen

156

LOCAL

RECENCY_TESTING

AdherenceCounselling

157

LOCAL

RECENCY_TESTING

recordedVL12Month

158

LOCAL

RECENCY_TESTING

VLResult

159

LOCAL

RECENCY_TESTING

VlsSixMonth

160

LOCAL

RECENCY_TESTING

PopulationType

161

LOCAL

RECENCY_TESTING

KpType

162

LOCAL

RECENCY_TESTING

PpType

163

LOCAL

RECENCY_TESTING

OfferedIndexTesting

164

LOCAL

RECENCY_TESTING

ProvidedContacts

165

LOCAL

RECENCY_TESTING

PartnerAge

166

LOCAL

RECENCY_TESTING

PartnerGender

167

LOCAL

RECENCY_TESTING

ContactInformationProvided

168

LOCAL

RECENCY_TESTING

RelationshipWithIndex

169

LOCAL

RECENCY_TESTING

SelfTestingKit

170

LOCAL

RECENCY_TESTING

HivVerificationTesting

171

LOCAL

RECENCY_TESTING

PartnerTestedDate

172

LOCAL

RECENCY_TESTING

PartnerTestResult

173

LOCAL

RECENCY_TESTING

PartnerTested

174

LOCAL

RECENCY_TESTING

PartnerTestedForRecency

175

LOCAL

RECENCY_TESTING

PartnerRecencyID

176

LOCAL

RECENCY_TESTING

PartnerRecencyTestDate

177

LOCAL

RECENCY_TESTING

PartnerRecencyResult

178

LOCAL

RECENCY_TESTING

PartnerLinkedToCare

179

LOCAL

RECENCY_TESTING

DatePartnerLinkedToCare

180

LOCAL

RECENCY_TESTING

PartnerInitiatedOnART

181

LOCAL

RECENCY_TESTING

DatePartnerInitiatedOnART

182

LOCAL

RECENCY_TESTING

PartnerReferredPrEP

183

LOCAL

RECENCY_TESTING

PartnerInitiatePrEP

184

LOCAL

RECENCY_TESTING

PartnerScheduledRepeatHIVtest

185

LOCAL

RECENCY_TESTING

ReturnedForRepeatHIV

186

LOCAL

RECENCY_TESTING

DatePartnerRepeatHivTest

187

LOCAL

RECENCY_TESTING

ReasonPartnerNotTested

188

LOCAL

RECENCY_TESTING

PartnerOnART

189

LOCAL

RECENCY_TESTING

CurrentARTRegimen

190

LOCAL

RECENCY_TESTING

DateOfLatestVL

191

LOCAL

RECENCY_TESTING

VLS6Months

192

LOCAL

RECENCY_TESTING

EnhancedAdherenceCounselling

193

LOCAL

RECENCY_TESTING

PartnerSwitchEvaluatedARTRegimen

194

LOCAL

RECENCY_TESTING

PatientReferred

195

LOCAL

MORTALITY_TYPE

Reason for Tracking

196

LOCAL

MORTALITY_TYPE

Other Tracking Reason

197

LOCAL

MORTALITY_TYPE

Partner full name

198

LOCAL

MORTALITY_TYPE

Contact phone number

199

LOCAL

MORTALITY_TYPE

Date of Last Actual Contact

200

LOCAL

MORTALITY_TYPE

Date of Missed Scheduled Appointment

201

LOCAL

MORTALITY_TYPE

Lost to follow up

202

LOCAL

MORTALITY_TYPE

Reason for lost to follow up

203

LOCAL

MORTALITY_TYPE

Date Lost to follow up

204

LOCAL

MORTALITY_TYPE

Previous ARV exposure

205

LOCAL

MORTALITY_TYPE

Date of Termination

621

LOCAL

DATE_RETURNED_TO_CARE

Duplicate record

622

LOCAL

DATE_RETURNED_TO_CARE

Could not verify client

623

LOCAL

DATE_RETURNED_TO_CARE

Others (LTFU)

206

LOCAL

MORTALITY_TYPE

Reason for Termination

207

LOCAL

MORTALITY_TYPE

Transferred out to

208

LOCAL

MORTALITY_TYPE

Death

209

LOCAL

MORTALITY_TYPE

VA Cause of Death

210

LOCAL

MORTALITY_TYPE

Other cause of death (specify)

211

LOCAL

MORTALITY_TYPE

Adult Cases of Death

212

LOCAL

MORTALITY_TYPE

Discontinued Care

213

LOCAL

MORTALITY_TYPE

Discontinue Care other specify

214

LOCAL

MORTALITY_TYPE

Date Returned to Care

215

LOCAL

MORTALITY_TYPE

Referred for

216

LOCAL

MORTALITY_TYPE

Name of Contact Tracer

217

LOCAL

MORTALITY_TYPE

Contact Tracker Signature date

218

LOCAL

TB_SCREENING_TYPE

Date Of Visit

219

LOCAL

TB_SCREENING_TYPE

TB Registration Id

220

LOCAL

TB_SCREENING_TYPE

Current Cough

221

LOCAL

TB_SCREENING_TYPE

Weight Loss

222

LOCAL

TB_SCREENING_TYPE

Night Sweats

223

LOCAL

TB_SCREENING_TYPE

Contact with TB Patient

224

LOCAL

TB_SCREENING_TYPE

TB Screening Score

225

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Contact Investigator

226

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Phone Number of TB Contact Investigator

227

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Date of TB Contact Tracing

228

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

LGA TB Number

229

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Number of Household Contacts

230

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Type of TB

231

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Consent for Contact Tracing

232

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Contact Name

233

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Contact Age

234

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Contact Sex

235

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Contact Phone Number

236

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Relationship with TB Index Case

237

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Cough Greater than or Equal to 2 Weeks

238

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Recent Weight Loss

239

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Night Sweat

240

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Presumptive TB Case Identified

241

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Presumptive TB Case Referred for Diagnosis

242

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

Sputum Samples Collected

243

LOCAL

TB_INDEX_PATIENT_CONCTACT_INVESTIGATOR

TB Diagnosed

244

LOCAL

TB_LABORATORY_REGISTRATION

TB Laboratory Registration Type

245

LOCAL

TB_LABORATORY_REGISTRATION

NTBLCP or TB04

246

LOCAL

TB_LABORATORY_REGISTRATION

Laboratory Name

LaboratoryName

247

LOCAL

TB_LABORATORY_REGISTRATION

Specimen Identification Number

248

LOCAL

TB_LABORATORY_REGISTRATION

Date Specimen Was Sent to Laboratory

249

LOCAL

TB_LABORATORY_REGISTRATION

Specimen Status

250

LOCAL

TB_LABORATORY_REGISTRATION

Reason for Specimen Rejection

251

LOCAL

TB_LABORATORY_REGISTRATION

Type of TB Presumptive

252

LOCAL

TB_LABORATORY_REGISTRATION

TB Site of Disease

253

LOCAL

TB_LABORATORY_REGISTRATION

Health Care Provider

254

LOCAL

TB_LABORATORY_REGISTRATION

Tested For HIV In the Lab

255

LOCAL

TB_LABORATORY_REGISTRATION

Specify the Type of Specimen

256

LOCAL

TB_LABORATORY_REGISTRATION

Specify Test Required

257

LOCAL

TB_LABORATORY_REGISTRATION

Was MTB Detected

258

LOCAL

TB_LABORATORY_REGISTRATION

Specify Detected MTB

259

LOCAL

TB_LABORATORY_REGISTRATION

Error Code

260

LOCAL

TB_LABORATORY_REGISTRATION

Invalid or Incomplete Test

261

LOCAL

TB_LABORATORY_REGISTRATION

AFB- Result

262

LOCAL

TB_LABORATORY_REGISTRATION

Other TB Test Type

263

LOCAL

TB_LABORATORY_REGISTRATION

Other TB Tests Result

264

LOCAL

TB_LABORATORY_REGISTRATION

Tuberculosis Test Result Date

TuberculosisTestResultDate

265

LOCAL

SPECIMENT_EXAMINATION_REQUEST

TB Remarks

TBRemarks

266

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Specimen Collection Date

SpecimenCollectionDate

267

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Type of Presumptive TB

TypeofPresumptiveTB

268

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Is Patient a Health Worker

IsthePatientaHealthWorker

269

LOCAL

SPECIMENT_EXAMINATION_REQUEST

HIV Test Requested

HIVTestRequested

270

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Reason for Examination

ReasonforExamination

271

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Test Type Request

TestTypeRequest

272

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Other Test Type Request

OtherTestTypeRequest

273

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Type of Specimen

TypeofSpecimen

274

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Number Sent to Laboratory

NumberSenttoLaboratory

275

LOCAL

SPECIMENT_EXAMINATION_REQUEST

First Sample Collection Date

FirstSampleCollection Date

276

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Second Sample Collection Date

SecondSampleCollectionDate

277

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Name Of Person Requesting Examination

278

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Name Of Health Facility

279

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Name of Requesting Health Facility

NameofRequestingHealthFacility

280

LOCAL

SPECIMENT_EXAMINATION_REQUEST

State of Requesting Health Facility

StateofRequestingHealthFacility

281

LOCAL

SPECIMENT_EXAMINATION_REQUEST

LGA or TB Number

LGAorTBNumber

282

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Name of Laboratory

NameofLaboratory

283

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Laboratory Serial Number

LaboratorySeria Number

284

LOCAL

SPECIMENT_EXAMINATION_REQUEST

MTB Not Detected

MTBNotDetected

285

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Other Test Type Specified

OtherTestTypeSpecified

286

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Results of other Test

ResultsofotherTest

287

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Date AFB Smear Sample Received

DateAFBSmearSampleReceived

288

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Specimen source

Specimensource

289

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Appearance

290

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Result

291

LOCAL

SPECIMENT_EXAMINATION_REQUEST

AFB Smear Result Examined By

292

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Date of AFB Smear Microscopy Result

293

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Type of Culture Result

294

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Date Culture Sample Received

295

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Culture Specimen

296

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Solid Culture Result

297

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Liquid Culture- Result

298

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Result of Confirmatory Test for MTB

299

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Culture Examined By

300

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Culture Date

301

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Type of LPA or DST Method Used

302

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Date Sample Received

303

LOCAL

SPECIMENT_EXAMINATION_REQUEST

LPA Specimen

304

LOCAL

SPECIMENT_EXAMINATION_REQUEST

LPA Results

305

LOCAL

SPECIMENT_EXAMINATION_REQUEST

LPA Drugs

306

LOCAL

SPECIMENT_EXAMINATION_REQUEST

DST Results

307

LOCAL

SPECIMENT_EXAMINATION_REQUEST

DST Drugs

308

LOCAL

SPECIMENT_EXAMINATION_REQUEST

DST Examined By

309

LOCAL

SPECIMENT_EXAMINATION_REQUEST

DST Date

310

LOCAL

SPECIMENT_EXAMINATION_REQUEST

Remark

311

LOCAL

SPECIMENT_EXAMINATION_REQUEST

HIV Test Result

312

LOCAL

SPECIMENT_EXAMINATION_REQUEST

HIV Test Result Date

313

LOCAL

DR_TB_TREATMENT_REGISTER

Result Checked and Released By

314

LOCAL

DR_TB_TREATMENT_REGISTER

Patient Serial Number

315

LOCAL

DR_TB_TREATMENT_REGISTER

Date Registered

316

LOCAL

DR_TB_TREATMENT_REGISTER

Place Of Initiation

317

LOCAL

DR_TB_TREATMENT_REGISTER

LGA DRTB RegNo

318

LOCAL

DR_TB_TREATMENT_REGISTER

Referring Health Facility

319

LOCAL

DR_TB_TREATMENT_REGISTER

Previously On TB 2nd Line Drug

320

LOCAL

DR_TB_TREATMENT_REGISTER

Weight

321

LOCAL

DR_TB_TREATMENT_REGISTER

Height

322

LOCAL

DR_TB_TREATMENT_REGISTER

Type f Treatment Regimen

323

LOCAL

DR_TB_TREATMENT_REGISTER

Enter BDQ Or Dim

324

LOCAL

DR_TB_TREATMENT_REGISTER

Date Treatment Started

325

LOCAL

DR_TB_TREATMENT_REGISTER

Site of Disease

326

LOCAL

DR_TB_TREATMENT_REGISTER

Registration Group

327

LOCAL

DR_TB_TREATMENT_REGISTER

GeneXpert

328

LOCAL

DR_TB_TREATMENT_REGISTER

AFB

329

LOCAL

DR_TB_TREATMENT_REGISTER

Culture

330

LOCAL

DR_TB_TREATMENT_REGISTER

LPA Result

331

LOCAL

DR_TB_TREATMENT_REGISTER

DST Result

332

LOCAL

DR_TB_TREATMENT_REGISTER

Xray Done

333

LOCAL

DR_TB_TREATMENT_REGISTER

Follow Up Investigation

334

LOCAL

DR_TB_TREATMENT_REGISTER

HIV Status

335

LOCAL

DR_TB_TREATMENT_REGISTER

CPT

336

LOCAL

DR_TB_TREATMENT_REGISTER

ART Start Date

337

LOCAL

DR_TB_TREATMENT_REGISTER

CPT Start Date

338

LOCAL

DR_TB_TREATMENT_REGISTER

Outcome

339

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Comment

340

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

TB Reason for Referral

341

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Specimen ID

342

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Referring Facility Name

343

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Referring Facility LGA

344

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Referring Facility State

345

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Facility Referred To

346

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Referred Facility LGA

347

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Referred Facility State

348

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Type Of TB Patient

349

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Form Completed

350

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Other Referrals

351

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Specimen- ID

352

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Smear Result

353

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

MycobacteriumuTuberculosis Detected with Rifampin Resistance

MycobacteriumuTuberculosis Detected With Rifampin Resistance

354

LOCAL

TB_PATIENT_REFERRAL_OR_TRANSFER

Culture Result

355

LOCAL

TB_TREATMENT_MONITORING_TYPE

Other TB Test Results

356

LOCAL

TB_TREATMENT_MONITORING_TYPE

Type Of Regimen

357

LOCAL

TB_TREATMENT_MONITORING_TYPE

Treatment Age Group

358

LOCAL

TB_TREATMENT_MONITORING_TYPE

Pregnancy And Breastfeeding Status

359

LOCAL

TB_TREATMENT_MONITORING_TYPE

Intensive Phase Anti-TB Drugs

360

LOCAL

TB_TREATMENT_MONITORING_TYPE

Intensive Phase Anti TB Drug Strength

361

LOCAL

TB_TREATMENT_MONITORING_TYPE

Intensive Phase Drug Frequency

362

LOCAL

TB_TREATMENT_MONITORING_TYPE

Intensive Phase TB Drug Duration

363

LOCAL

TB_TREATMENT_MONITORING_TYPE

Intensive Phase Quantity of Medication Prescribed

364

LOCAL

TB_TREATMENT_MONITORING_TYPE

Continuity Phase Anti-TB Drugs

365

LOCAL

TB_TREATMENT_MONITORING_TYPE

Continuity Phase Anti-TB Drug Strength

366

LOCAL

TB_TREATMENT_MONITORING_TYPE

Continuity Phase Drug Frequency

367

LOCAL

TB_TREATMENT_MONITORING_TYPE

Continuity Phase TB Drug Duration

368

LOCAL

TB_TREATMENT_MONITORING_TYPE

Continuity Phase Quantity of Medication Prescribed

369

LOCAL

TB_TREATMENT_MONITORING_TYPE

Select Outcome

370

LOCAL

TB_TREATMENT_MONITORING_TYPE

TB Treatment Outcome Date

371

LOCAL

TB_TREATMENT_MONITORING_TYPE

DOT Provider Type

372

LOCAL

TB_TREATMENT_MONITORING_TYPE

Outcome Date

373

LOCAL

TB_TREATMENT_MONITORING_TYPE

DOT Provider Name

374

LOCAL

TB_TREATMENT_MONITORING_TYPE

Tracking Attempts

375

LOCAL

TB_TREATMENT_MONITORING_TYPE

Date of Last Drug Intake

376

LOCAL

TB_TREATMENT_MONITORING_TYPE

Mode of Tracking

377

LOCAL

TB_TREATMENT_MONITORING_TYPE

Patient Contacted

378

LOCAL

TB_TREATMENT_MONITORING_TYPE

Person Contacted

379

LOCAL

TB_TREATMENT_MONITORING_TYPE

Reason For Absence

380

LOCAL

TB_TREATMENT_MONITORING_TYPE

Other Reason or Defaulting

381

LOCAL

TB_TREATMENT_MONITORING_TYPE

Solution to Absence

382

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

TB Tracking Outcome

383

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Treatment Centre

384

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

State

385

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Date Of Admission

386

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Date Of Discharge

387

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Registration Number

388

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Date of Registration

389

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Date Of Treatment Initiation

390

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

The facility Patient is Discharged To

391

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

LGA of State

392

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Any Co-Morbidity

393

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Specified Co-Morbidities

394

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Specified Drugs Used

395

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Short Regimen

396

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Composition

397

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Intensive Phase Drug

398

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Adverse Reaction While in Treatment

399

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Adverse Reaction

400

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

TB Regimen to Be Continued at DoT Facility

401

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Name Of STB LCO Patient is Discharged to

402

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Phone No of STBLCO

403

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Name Of State DRTB Focal Person

404

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Phone No of State DRTB Focal Person

405

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Phone No of Treatment Centre Doctor

406

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Name of Treatment Matron

407

LOCAL

DR_TB_IN_PATIENT_DISCHARGE

Phone No of Treatment Centre Matron

408

LOCAL

COVID19_CASE_INVESTIGATION

Name Of Treatment Centre Doctor

409

LOCAL

COVID19_CASE_INVESTIGATION

Phone Number

410

LOCAL

COVID19_CASE_INVESTIGATION

Patient Case Status at Time of Encounter

411

LOCAL

COVID19_CASE_INVESTIGATION

Treatment Supporter Relationship

412

LOCAL

COVID19_CASE_INVESTIGATION

Red Eye

413

LOCAL

COVID19_CASE_INVESTIGATION

Loss of Appetite

414

LOCAL

COVID19_CASE_INVESTIGATION

Date of First Visit

415

LOCAL

COVID19_CASE_INVESTIGATION

Previously Vaccinated

416

LOCAL

COVID19_CASE_INVESTIGATION

Previously Vaccinated Regimen

417

LOCAL

COVID19_CASE_INVESTIGATION

Name of Vaccine

418

LOCAL

COVID19_CASE_INVESTIGATION

Vaccination Date

419

LOCAL

COVID19_CASE_INVESTIGATION

Date Respiratory Sample Collected

420

LOCAL

COVID19_CASE_INVESTIGATION

Type of Respiratory Sample Collected

421

LOCAL

COVID19_CASE_INVESTIGATION

Has Baseline Serun Taken

422

LOCAL

COVID19_CASE_INVESTIGATION

Date Baseline Collected

423

LOCAL

COVID19_CASE_INVESTIGATION

Other Samples Collected

424

LOCAL

COVID19_CASE_INVESTIGATION

Date Other Sample Collected

425

LOCAL

COVID19_CASE_INVESTIGATION

Travelled Within the Last 14 Days

426

LOCAL

COVID19_CASE_INVESTIGATION

Travelled Within the Last 14 Days. Domestic

427

LOCAL

COVID19_CASE_INVESTIGATION

State Visited

428

LOCAL

COVID19_CASE_INVESTIGATION

Date of Travel From

429

LOCAL

COVID19_CASE_INVESTIGATION

Date of Travel To

430

LOCAL

COVID19_CASE_INVESTIGATION

Had contact with a suspected Confirmed Covid Persoin n Past 14 days

Had contact with a suspected Confirmed Covid Person n Past 14 days

431

LOCAL

COVID19_CASE_INVESTIGATION

Had contact with suspected Confirmed Covid Person in Past 14 days Contact

432

LOCAL

COVID19_CASE_INVESTIGATION

Patient Visited or Was Admitted to Patient Health Facility

Patient Visited or Was Admitted To Patient Health Facility

433

LOCAL

COVID19_CASE_INVESTIGATION

Patient Visited Outpatient Treatment Facility

434

LOCAL

COVID19_CASE_INVESTIGATION

The patient Visia ted Traditional Healer

435

LOCAL

COVID19_CONTACT_INVESTIGATION

Contact ID Number

436

LOCAL

COVID19_CONTACT_INVESTIGATION

Name of Confirmed Case

437

LOCAL

COVID19_CONTACT_INVESTIGATION

Name of Data Collector

438

LOCAL

COVID19_CONTACT_INVESTIGATION

Concept

439

LOCAL

COVID19_CONTACT_INVESTIGATION

Respondent Gender

440

LOCAL

COVID19_CONTACT_INVESTIGATION

Date of Issue of Birth Certificate

441

LOCAL

COVID19_CONTACT_INVESTIGATION

Age

442

LOCAL

COVID19_CONTACT_INVESTIGATION

Address of Treatment Supporter

443

LOCAL

COVID19_CONTACT_INVESTIGATION

Telephone Number of Treatment Supporter

444

LOCAL

COVID19_CONTACT_INVESTIGATION

445

LOCAL

COVID19_CONTACT_INVESTIGATION

Preferred Model of Contact

446

LOCAL

COVID19_CONTACT_INVESTIGATION

Surname

447

LOCAL

COVID19_CONTACT_INVESTIGATION

Country of Residence

448

LOCAL

COVID19_CONTACT_INVESTIGATION

Contact With Suspected Person

449

LOCAL

COVID19_CONTACT_INVESTIGATION

Date of Last Contact

450

LOCAL

COVID19_CONTACT_INVESTIGATION

Countries Visited

451

LOCAL

COVID19_CONTACT_INVESTIGATION

Cities or Towns Visited

452

LOCAL

COVID19_CONTACT_INVESTIGATION

Had contact with a Suspected or Confirmed Covid Person in The Past 14 Days

453

LOCAL

COVID19_CONTACT_INVESTIGATION

Date of Travel

454

LOCAL

COVID19_CONTACT_INVESTIGATION

Dates of Last Contact

455

LOCAL

COVID19_CONTACT_INVESTIGATION

Occupation

456

LOCAL

COVID19_CONTACT_INVESTIGATION

Job Title

457

LOCAL

COVID19_CONTACT_INVESTIGATION

Workplace

458

LOCAL

COVID19_CONTACT_INVESTIGATION

Direct Physical Contact

459

LOCAL

COVID19_CONTACT_INVESTIGATION

HCW had a prolonged face-to-face contact for 15 minutes)

460

LOCAL

COVID19_CONTACT_INVESTIGATION

Type of Protective Equipment

461

LOCAL

COVID19_CONTACT_INVESTIGATION

Type of Contact

462

LOCAL

COVID19_CONTACT_INVESTIGATION

Dates of Contact while the Primary Case was Symptomatic

463

LOCAL

COVID19_CONTACT_INVESTIGATION

Date Reported

464

LOCAL

COVID19_CONTACT_INVESTIGATION

Exposure Duration

465

LOCAL

COVID19_CONTACT_INVESTIGATION

Experience any Respiratory Symptoms up to 10 days before the on-set.

Experience any Respiratory Symptoms up to 10 days before the on set.

On-set

LOCAL

COVID19_CONTACT_INVESTIGATION

Contact Experienced any Respiratory Symptoms in the Periods up to10 Days

467

LOCAL

COVID19_CONTACT_INVESTIGATION

Currently Ill

468

LOCAL

COVID19_CONTACT_INVESTIGATION

Signs Symptoms Start Date

469

LOCAL

COVID19_CONTACT_INVESTIGATION

Temperature

470

LOCAL

COVID19_CONTACT_INVESTIGATION

Loss of Sense of Smell

471

LOCAL

COVID19_CONTACT_INVESTIGATION

Test Disorder

472

LOCAL

COVID19_CONTACT_INVESTIGATION

Chills

473

LOCAL

COVID19_CONTACT_INVESTIGATION

vomiting

Vomiting

474

LOCAL

COVID19_CONTACT_INVESTIGATION

Nausea

475

LOCAL

COVID19_CONTACT_INVESTIGATION

Diarrhoea

476

LOCAL

COVID19_CONTACT_INVESTIGATION

Headache

477

LOCAL

COVID19_CONTACT_INVESTIGATION

Rash

478

LOCAL

COVID19_CONTACT_INVESTIGATION

Conjunctivitis

479

LOCAL

COVID19_CONTACT_INVESTIGATION

Muscle Fatigue

480

LOCAL

COVID19_CONTACT_INVESTIGATION

Joint Pain

481

LOCAL

COVID19_CONTACT_INVESTIGATION

Loss of Appetite

482

LOCAL

COVID19_CONTACT_INVESTIGATION

Nose Injury

483

LOCAL

COVID19_CONTACT_INVESTIGATION

Fatigue

484

LOCAL

COVID19_CONTACT_INVESTIGATION

Seizure

485

LOCAL

COVID19_CONTACT_INVESTIGATION

Alteration of Consciousness

486

LOCAL

COVID19_CONTACT_INVESTIGATION

Soft Neurological Signs

487

LOCAL

COVID19_CONTACT_INVESTIGATION

Other Symptoms

488

LOCAL

COVID19_CONTACT_INVESTIGATION

Status of Contact

489

LOCAL

COVID19_CONTACT_INVESTIGATION

Date Sample Collected

490

LOCAL

COVID19_CONTACT_INVESTIGATION

Date of Death

491

LOCAL

COVID19_CONTACT_INVESTIGATION

Hospitalization Required

492

LOCAL

COVID19_CONTACT_INVESTIGATION

Hospitalization Date

493

LOCAL

COVID19_CONTACT_INVESTIGATION

Contribution of 2019_n COV to Death

494

LOCAL

COVID19_CONTACT_INVESTIGATION

Discharged Date Time

495

LOCAL

COVID19_CONTACT_INVESTIGATION

If Dead was Postmortem Performed

496

LOCAL

COVID19_CONTACT_INVESTIGATION

Results of Postmortem Report where available

497

LOCAL

COVID19_CONTACT_INVESTIGATION

Pregnancy Trimester

498

LOCAL

COVID19_CONTACT_INVESTIGATION

Obesity

499

LOCAL

COVID19_CONTACT_INVESTIGATION

Heart Disease

500

LOCAL

COVID19_CONTACT_INVESTIGATION

Asthma

501

LOCAL

COVID19_CONTACT_INVESTIGATION

Chronic Lung Disease

502

LOCAL

COVID19_CONTACT_INVESTIGATION

Other Chronic Nonalcoholic Liver Disease

503

LOCAL

COVID19_CONTACT_INVESTIGATION

Haematological Disorder Specific to Fetus or Newborn

504

LOCAL

COVID19_CONTACT_INVESTIGATION

Neurological

505

LOCAL

COVID19_CONTACT_INVESTIGATION

Bone Marrow Disorder

506

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Other Preexisting Disorder

507

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Days

508

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

No signs or Symptoms of Disease

509

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Fever

510

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Sore Throat

511

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Cough

512

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Shortness of Breath

513

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

RHINITIS

514

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Loss Of Sense Of Smell

515

LOCAL

COVID19_DAILY_CASES_INVESTIGATION

Taste Disorder

516

LOCAL

VAA_ADULT_CASES_OF_DEATH

Settings others Specify

517

LOCAL

VAA_ADULT_CASES_OF_DEATH

VA Adult Cases of Death

518

LOCAL

VAA_ADULT_CASES_OF_DEATH

AIDS

519

LOCAL

VAA_ADULT_CASES_OF_DEATH

Diarrhea/Dysentery

520

LOCAL

VAA_ADULT_CASES_OF_DEATH

Malaria

521

LOCAL

VAA_ADULT_CASES_OF_DEATH

Maternal

522

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Infectious Diseases

523

LOCAL

VAA_ADULT_CASES_OF_DEATH

524

LOCAL

VAA_ADULT_CASES_OF_DEATH

Acute Myocardial Infarction

525

LOCAL

VAA_ADULT_CASES_OF_DEATH

Breast Cancer

526

LOCAL

VAA_ADULT_CASES_OF_DEATH

Chronic Respiratory Diseases

527

LOCAL

VAA_ADULT_CASES_OF_DEATH

Cervical Cancers

528

LOCAL

VAA_ADULT_CASES_OF_DEATH

Cirrhosis

529

LOCAL

VAA_ADULT_CASES_OF_DEATH

Colorectal

530

LOCAL

VAA_ADULT_CASES_OF_DEATH

Diabetes

531

LOCAL

VAA_ADULT_CASES_OF_DEATH

Esophageal Cancer

532

LOCAL

VAA_ADULT_CASES_OF_DEATH

Leukemia/Lymphomas

533

LOCAL

VAA_ADULT_CASES_OF_DEATH

Lung Cancer

534

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Non-communicable Diseases

535

LOCAL

VAA_ADULT_CASES_OF_DEATH

Prostate Cancer

536

LOCAL

VAA_ADULT_CASES_OF_DEATH

Chronic Kidney Disease

537

LOCAL

VAA_ADULT_CASES_OF_DEATH

Stomach Cancer

538

LOCAL

VAA_ADULT_CASES_OF_DEATH

Stroke

539

LOCAL

VAA_ADULT_CASES_OF_DEATH

Drowning

540

LOCAL

VAA_ADULT_CASES_OF_DEATH

Date Enrolled Into OTZ Plus

541

LOCAL

VAA_ADULT_CASES_OF_DEATH

Homicide (assault)

542

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Injuries

543

LOCAL

VAA_ADULT_CASES_OF_DEATH

Suicide by Multiple Means

544

LOCAL

VAA_ADULT_CASES_OF_DEATH

VA Child Causes of Death

545

LOCAL

VAA_ADULT_CASES_OF_DEATH

AIDS

546

LOCAL

VAA_ADULT_CASES_OF_DEATH

Diarrhea/Dysentery

547

LOCAL

VAA_ADULT_CASES_OF_DEATH

Encephalitis

548

LOCAL

VAA_ADULT_CASES_OF_DEATH

Hemorrhagic fever

549

LOCAL

VAA_ADULT_CASES_OF_DEATH

Malaria

550

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Infectious Diseases

551

LOCAL

VAA_ADULT_CASES_OF_DEATH

Pneumonia

552

LOCAL

VAA_ADULT_CASES_OF_DEATH

Sepsis

553

LOCAL

VAA_ADULT_CASES_OF_DEATH

Meningitis

554

LOCAL

VAA_ADULT_CASES_OF_DEATH

Measles

555

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Cancers

556

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Cardiovascular Diseases

557

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Defined Causes of Child Deaths

558

LOCAL

VAA_ADULT_CASES_OF_DEATH

Other Digestive Diseases

559

LOCAL

VAA_ADULT_CASES_OF_DEATH

Bite of Venomous Animal

560

LOCAL

VAA_ADULT_CASES_OF_DEATH

Drowning

561

LOCAL

VAA_ADULT_CASES_OF_DEATH

Falls

562

LOCAL

VAA_ADULT_CASES_OF_DEATH

Fires

563

LOCAL

VAA_ADULT_CASES_OF_DEATH

Accidental Poisoning by Other Specified Corrosives and Caustics Not Elsewhere Classified

564

LOCAL

VAA_ADULT_CASES_OF_DEATH

Road Traffic

565

LOCAL

VAA_ADULT_CASES_OF_DEATH

Homicide (assault)

566

LOCAL

VAA_ADULT_CASES_OF_DEATH

Birth asphyxia

567

LOCAL

VAA_ADULT_CASES_OF_DEATH

Congenital malformation

568

LOCAL

VAA_ADULT_CASES_OF_DEATH

Neonatal Meningitis/Sepsis

569

LOCAL

VAA_ADULT_CASES_OF_DEATH

Neonatal Pneumonia

570

LOCAL

VAA_ADULT_CASES_OF_DEATH

Preterm Delivery

571

LOCAL

VAA_ADULT_CASES_OF_DEATH

Stillbirth

572

LOCAL