LOINC Panel Details

Panel: 47245-6 - HIV Rx Form Doc

• 47245-6 - HIV Rx Form Doc (Seq: 831, Type: Question, expects user entry) None
  • 47246-4 - Demographic information section (Seq: 1, Type: Question, expects user entry) None
    • 45394-4 - Patient Last name (Seq: 1, Type: Question, expects user entry) None
    • 45392-8 - Patient First name (Seq: 2, Type: Question, expects user entry) None
    • 46098-0 - Sex (Gender) (Seq: 3, Type: Question, expects user entry) None
    • 21112-8 - Birth date (Seq: 4, Type: Question, expects user entry) {mm/dd/yyyy}
    • 42077-8 - Phone # (Seq: 5, Type: Question, expects user entry) None
    • 13499-9 - HIV1 Ab Patrn Ser IB-Imp (Seq: 6, Type: N/A) None
    • 31073-0 - HIV 2 Ab Patrn Ser IB-Imp (Seq: 7, Type: Question, expects user entry) None
  • 47249-8 - HIV care & family status section (Seq: 2, Type: Question, expects user entry) None
    • 45250-8 - HIV confirmation facility Add (Seq: 1, Type: Question, expects user entry) None
    • 45251-6 - HIV confirmation facility (Seq: 2, Type: Question, expects user entry) None
    • 45252-4 - Inst entry point HIV Rx (Seq: 3, Type: Question, expects user entry) None
    • 45230-0 - District where patient entered HIV Rx (Seq: 4, Type: Question, expects user entry) None
  • 47248-0 - Antiretroviral therapy status section (Seq: 3, Type: Question, expects user entry) None
    • 45231-8 - HIV Rx prior to enrollment (Seq: 1, Type: Question, expects user entry) None
    • 47240-7 - Date eligible to start HIV Rx (Seq: 2, Type: Question, expects user entry) None
    • 45232-6 - Reason medically eligible for HIV Rx (Seq: 3, Type: Question, expects user entry) None
    • 45233-4 - WHO HIV stage (Seq: 4, Type: Question, expects user entry) None
    • 32516-7 - CD3+CD4+ Cells NFr Spec (Seq: 5, Type: N/A) %
    • 32515-9 - CD3+CD4+ Cells # Spec (Seq: 6, Type: N/A) /uL
    • 47241-5 - Date eligible & ready to start HIV Rx (Seq: 7, Type: Question, expects user entry) None
    • 45234-2 - Date eligible & selected to start HIV Rx (Seq: 8, Type: Question, expects user entry) None
    • 45253-2 - HIV Rx prior clinic transferred from Add (Seq: 9, Type: Question, expects user entry) None
    • 45254-0 - HIV Rx prior clinic (Seq: 10, Type: Question, expects user entry) None
    • 45235-9 - Date original clinic HIV Rx start (Seq: 11, Type: Question, expects user entry) None
    • 45236-7 - HIV Rx cohort (Seq: 12, Type: Question, expects user entry) None
    • 8671-0 - Hx of Functional status (Seq: 13, Type: Question, expects user entry) None
    • 18833-4 - Body weight:Mass:Enctr^frst:^Patient:Qn:Measured (Seq: 14, Type: Question, expects user entry) kg;[lb_av]
    • 3137-7 - Body height Measured (Seq: 15, Type: Question, expects user entry) [in_us];cm;m
    • 45257-3 - Date dropped from HIV Rx (Seq: 16, Type: Question, expects user entry) None
    • 31211-6 - Date of death (Seq: 17, Type: Question, expects user entry) None
  • 47247-2 - OP encounter-level info section (Seq: 4, Type: Question, expects user entry) None
    • 39161-5 - Date next screen visit:Date:Pt:^Patient:Qn:CPHS (Seq: 1, Type: Question, expects user entry) None
    • 45239-1 - Current HIV Rx duration (Seq: 2, Type: Question, expects user entry) mo;d
    • 8671-0 - Hx of Functional status (Seq: 3, Type: Question, expects user entry) None
    • 45233-4 - WHO HIV stage (Seq: 4, Type: Question, expects user entry) None
    • 18833-4 - Body weight:Mass:Enctr^frst:^Patient:Qn:Measured (Seq: 5, Type: Question, expects user entry) kg;[lb_av]
    • 3137-7 - Body height Measured (Seq: 6, Type: Question, expects user entry) [in_us];cm;m
    • 45241-7 - TB status (Seq: 7, Type: Question, expects user entry) None
    • 45242-5 - TB Tx start date (Seq: 8, Type: Question, expects user entry) None
    • 11449-6 - Pregnancy status Reported (Seq: 9, Type: Question, expects user entry) None
    • 28512-2 - Family planning.status:Find:Pt:^Family:Ord:Observed.OMAHA (Seq: 10, Type: Question, expects user entry) None
    • 8659-5 - Birth control method Reported (Seq: 11, Type: Question, expects user entry) None
    • 39267-0 - Reason for follow-up (referred to) provider &or specialist:Find:Pt:Clinical referral:Nom:CPHS (Seq: 12, Type: Question, expects user entry) None
    • 39269-6 - Follow-up (referred to) provider &or specialist, provider type:Type:Pt:Clinical referral:Nom:CPHS (Seq: 13, Type: Question, expects user entry) None
    • 39270-4 - Follow-up (referred to) provider &or specialist, address:Addr:Pt:Clinical referral:Nom:CPHS (Seq: 14, Type: Question, expects user entry) None
    • 47242-3 - Med/other side effects assoc with HIV Rx (Seq: 15, Type: Question, expects user entry) None
    • 47243-1 - Severity of side effect to HIV Rx (Seq: 16, Type: Question, expects user entry) None
    • 45243-3 - Reason for d/c of anti-infect proph Rx (Seq: 17, Type: Question, expects user entry) None
    • 45247-4 - Reason for missing HIV Rx schedule (Seq: 18, Type: Question, expects user entry) None
    • 45248-2 - # hosp days since last OP visit Reported (Seq: 19, Type: Question, expects user entry) {#}