Workflows

• AHD Summary Page
• CD4 Testing and Staging Workflow

AHD Summary Page

Purpose

Summarizes all AHD-related screenings, test results, and clinical decisions made during the encounter.

Displayed Fields

• CD4 count result and date
• TB Screening: Ordered, completed, result
• Serum CrAg: Ordered, completed, result
• CSF CrAg: if applicable
• KS symptoms and Biopsy (if available)
• Final staging and decision made

Example Output

AHD Status: Positive
- CD4: 137 (23-Apr-2025)
- TB LAM: Negative
- Serum CrAg: Positive
- CSF CrAg: Pending
- KS symptoms: None
Recommended Action: Proceed to CM treatment

CD4 Testing and Staging Workflow

Purpose

This page outlines the clinical workflow for CD4 testing and AHD staging within the ART POC module.

Step-by-Step

1. CD4 Test Entry

   • Enter CD4 result or place lab order.
   • Capture test location and date.

2. Auto-Staging

   • System computes WHO staging based on symptoms and test results.
   • CD4 < 200 triggers AHD warning.

3. Trigger Criteria for AHD Screening

   • CD4 < 200
   • WHO stage 3 or 4
   • Critical illness flags from vitals

4. System Prompt

   • System presents a pop-up:

     "Client meets AHD screening criteria. Proceed to OI screening?"

Data Elements

Field	Type	Required	Notes
cd4_result	Integer	Yes	Required for AHD trigger
test_date	Date	Yes
test_location	Text	Yes	Lab name