1. | Demographics |
2. | Vital Signs |
• Height | |
• Weight | |
• Pulse | |
• Respiratory Rate | |
• Temperature | |
• Blood pressure | |
• BMI (optional) | |
3. | Triage and Identification of Emergency Conditions |
• Based on IMAI Quick Check triage protocol within WHO-IMAI guideline | |
4. | Screening |
• Chronic cough | |
• Malnutrition | |
• Anemia | |
• Genital/anal lesions | |
• Discharge/other genitourinary symptoms in males with genital lesions | |
• Previous HIV testing | |
• Mosquito net | |
• Tobacco use | |
• Alcohol use | |
• Sexual activity | |
• Pregnancy in eligible females | |
• Family planning in females | |
5. | Chief Complaint(s) |
6. | Diagnosis |
• Based on MOH SIS diagnostic codes | |
7. | Treatment |
• 100% agreement, including labs, medications, and other treatments ordered | |
8. | Referrals |
• Including follow-up visits to the OPD, if any | |
• Patient Age and Sex | |
• Start and end time of consultation | |
• Health center | |
• Nurse education level | |
• Years of OPD experience of nurse |