diff --git a/packages/esm-commons-lib/src/components/banner-tags/.patient-status-tag.test.tsx b/packages/esm-commons-lib/src/components/banner-tags/.patient-status-tag.test.tsx
index d1f7dc74a..b371a66b2 100644
--- a/packages/esm-commons-lib/src/components/banner-tags/.patient-status-tag.test.tsx
+++ b/packages/esm-commons-lib/src/components/banner-tags/.patient-status-tag.test.tsx
@@ -2,35 +2,90 @@ import React from 'react';
 import { render, act, screen } from '@testing-library/react';
 import '@testing-library/jest-dom';
 import { PatientStatusBannerTag } from './patient-status-tag.component';
-import { isPatientHivPositive } from './patientHivStatus';
+import { usePatientHivStatus } from './patientHivStatus';
 
-const mockIsPatientHivPositive = isPatientHivPositive as jest.Mock;
 jest.mock('./patientHivStatus');
 
+const mockusePatientHivStatus = usePatientHivStatus as jest.Mock;
+
 describe('PatientStatusBannerTag', () => {
   beforeEach(() => {
     jest.clearAllMocks();
   });
 
-  const hivPositiveSampleUuid = '703AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA';
+  const hivPositiveSampleUuid = '138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA';
+
+  it('renders red tag when patient is HIV positive', async () => {
+    mockusePatientHivStatus.mockReturnValue({
+      hivStatus: 'positive',
+      isLoading: false,
+      isError: false,
+    });
+
+    await act(async () => {
+      render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
+    });
+
+    expect(screen.getByText(/HIV Positive/i)).toBeInTheDocument();
+  });
 
-  describe('PatientStatusBannerTag', () => {
-    it('renders red tag when patient is HIV positive', async () => {
-      mockIsPatientHivPositive.mockResolvedValue(true);
-       await act(async () => {
-        render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
-      });
+  it('renders green tag when patient is HIV negative', async () => {
+    mockusePatientHivStatus.mockReturnValue({
+      hivStatus: 'negative',
+      isLoading: false,
+      isError: false,
+    });
 
-      expect(screen.getByText(/HIV Positive/i)).toBeInTheDocument();
+    await act(async () => {
+      render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
     });
+
+    expect(screen.getByText(/HIV Negative/i)).toBeInTheDocument();
   });
 
-  it('does not render red tag when patient is not HIV positive', async () => {
+  it('does not render any tag when patient HIV status is not positive or negative', async () => {
+    mockusePatientHivStatus.mockReturnValue({
+      hivStatus: 'other',
+      isLoading: false,
+      isError: false,
+    });
+
+    await act(async () => {
+      render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
+    });
+
+    expect(screen.queryByText(/HIV Positive/i)).not.toBeInTheDocument();
+    expect(screen.queryByText(/HIV Negative/i)).not.toBeInTheDocument();
+  });
+
+  it('shows loading state initially', async () => {
+    mockusePatientHivStatus.mockReturnValue({
+      hivStatus: null,
+      isLoading: true,
+      isError: false,
+    });
+
+    await act(async () => {
+      render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
+    });
+
+    expect(screen.queryByText(/HIV Positive/i)).not.toBeInTheDocument();
+    expect(screen.queryByText(/HIV Negative/i)).not.toBeInTheDocument();
+  });
+
+  it('handles error state', async () => {
+    mockusePatientHivStatus.mockReturnValue({
+      hivStatus: null,
+      isLoading: false,
+      isError: true,
+    });
+
     await act(async () => {
-      (isPatientHivPositive as jest.Mock).mockResolvedValue(false);
-      render(<PatientStatusBannerTag patientUuid="sampleUuid" />);
+      render(<PatientStatusBannerTag patientUuid={hivPositiveSampleUuid} />);
     });
 
-    expect(screen.queryByText('HIV Positive')).not.toBeInTheDocument();
+    expect(screen.queryByText(/HIV Positive/i)).not.toBeInTheDocument();
+    expect(screen.queryByText(/HIV Negative/i)).not.toBeInTheDocument();
+    // Optionally check for an error message if your component shows one
   });
 });
diff --git a/packages/esm-commons-lib/src/components/banner-tags/patient-status-tag.component.tsx b/packages/esm-commons-lib/src/components/banner-tags/patient-status-tag.component.tsx
index 8c6a6368b..1ef075df7 100644
--- a/packages/esm-commons-lib/src/components/banner-tags/patient-status-tag.component.tsx
+++ b/packages/esm-commons-lib/src/components/banner-tags/patient-status-tag.component.tsx
@@ -1,18 +1,18 @@
 import React, { useEffect, useState } from 'react';
 import { Tag } from '@carbon/react';
 import { useTranslation } from 'react-i18next';
-import { isPatientHivPositive } from './patientHivStatus';
+import { usePatientHivStatus } from './patientHivStatus';
 
 export function PatientStatusBannerTag({ patientUuid }) {
   const { t } = useTranslation();
-  const [hivPositive, setHivPositive] = useState(false);
+  const { hivStatus } = usePatientHivStatus(patientUuid);
 
-  useEffect(() => {
-    isPatientHivPositive(patientUuid).then((result) => setHivPositive(result));
-  }, [hivPositive, patientUuid]);
-
-  //TODO: Improve refresh time
-  // forceRerender();
-
-  return <>{hivPositive && <Tag type="red">{t('hivPositive', 'HIV Positive')}</Tag>}</>;
+  return (
+    <>
+      {hivStatus === 'positive' && <Tag type="red">{t('hivPositive', 'HIV Positive')}</Tag>}
+      {hivStatus === 'negative' && <Tag type="green">{t('hivNegative', 'HIV Negative')}</Tag>}
+    </>
+  );
 }
+
+export default PatientStatusBannerTag;
diff --git a/packages/esm-commons-lib/src/components/banner-tags/patientHivStatus.ts b/packages/esm-commons-lib/src/components/banner-tags/patientHivStatus.ts
index c3df0b78e..87b17715a 100644
--- a/packages/esm-commons-lib/src/components/banner-tags/patientHivStatus.ts
+++ b/packages/esm-commons-lib/src/components/banner-tags/patientHivStatus.ts
@@ -1,44 +1,118 @@
-import { openmrsFetch } from '@openmrs/esm-framework';
+import { openmrsFetch, useConfig } from '@openmrs/esm-framework';
 import { fetchPatientsFinalHIVStatus, fetchPatientComputedConcept_HIV_Status } from '../../api.resource';
+import { useState, useEffect } from 'react';
 
-const fetchPatientHtsEncounters = (patientUuid: string) => {
-  const htsEncounterRepresentation =
-    'custom:(uuid,encounterDatetime,location:(uuid,name),' +
-    'encounterProviders:(uuid,provider:(uuid,name)),' +
-    'obs:(uuid,obsDatetime,concept:(uuid,name:(uuid,name)),value:(uuid,name:(uuid,name))))';
-  const htsRetrospectiveTypeUUID = '79c1f50f-f77d-42e2-ad2a-d29304dde2fe';
-  const query = `encounterType=${htsRetrospectiveTypeUUID}&patient=${patientUuid}`;
+const usePatientHtsEncounters = (patientUuid: string) => {
+  const [encounters, setEncounters] = useState<any[]>([]);
+  const [isLoading, setIsLoading] = useState<boolean>(true);
+  const [isError, setIsError] = useState<boolean>(false);
+  const config = useConfig();
 
-  return openmrsFetch(`/ws/rest/v1/encounter?${query}&v=${htsEncounterRepresentation}`);
+  useEffect(() => {
+    const fetchEncounters = async () => {
+      const htsEncounterRepresentation =
+        'custom:(uuid,encounterDatetime,location:(uuid,name),' +
+        'encounterProviders:(uuid,provider:(uuid,name)),' +
+        'obs:(uuid,obsDatetime,concept:(uuid,name:(uuid,name)),value:(uuid,name:(uuid,name))))';
+      const antenatalEncounterType =
+        config.encounterTypes.antenatalEncounterType || '677d1a80-dbbe-4399-be34-aa7f54f11405';
+
+      if (!antenatalEncounterType) {
+        setIsError(true);
+        setIsLoading(false);
+        return;
+      }
+
+      const query = `encounterType=${antenatalEncounterType}&patient=${patientUuid}`;
+
+      try {
+        const response = await openmrsFetch(`/ws/rest/v1/encounter?${query}&v=${htsEncounterRepresentation}`);
+        setEncounters(response.data.results);
+      } catch (error) {
+        setIsError(true);
+      } finally {
+        setIsLoading(false);
+      }
+    };
+
+    if (patientUuid) {
+      fetchEncounters();
+    }
+  }, [patientUuid, config]);
+
+  return { encounters, isLoading, isError };
 };
 
-const isPatientHivPositive = async (patientUuid: string) => {
-  const hivTestResultConceptUUID = 'de18a5c1-c187-4698-9d75-258605ea07e8'; // Concept: Result of HIV test
+const usePatientHivStatus = (patientUuid: string) => {
+  const [hivStatus, setHivStatus] = useState<string | null>(null);
+  const [isLoading, setIsLoading] = useState<boolean>(true);
+  const [isError, setIsError] = useState<boolean>(false);
+  const config = useConfig();
+  const { encounters, isLoading: encountersLoading, isError: encountersError } = usePatientHtsEncounters(patientUuid);
 
-  let isHivPositive = false;
-  let htsTestResult;
+  useEffect(() => {
+    const fetchHivStatus = async () => {
+      const hivTestResultConceptUUID =
+        config.obsConcepts.hivTestResultConceptUUID || '159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA';
+      const positiveUUID = config.obsConcepts.positiveUUID || '138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA';
+      const negativeUUID = config.obsConcepts.negativeUUID || '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA';
 
-  await fetchPatientHtsEncounters(patientUuid).then((encounters) => {
-    encounters.data.results.forEach((encounter) => {
-      htsTestResult = encounter.obs.find((observation) => observation.concept.name.uuid === hivTestResultConceptUUID);
+      let hivStatus = '';
 
-      if (htsTestResult && htsTestResult.value.name.uuid === 'ade5ba3f-3c7f-42b1-96d1-cfeb9b446980') {
-        isHivPositive = true;
+      if (encountersError) {
+        setIsError(true);
+        setIsLoading(false);
+        return;
       }
-    });
-  });
 
-  const hivFinalStatus = await fetchPatientsFinalHIVStatus(patientUuid);
+      if (!encountersLoading) {
+        try {
+          encounters.forEach((encounter) => {
+            const htsTestResult = encounter.obs.find(
+              (observation) => observation.concept.uuid === hivTestResultConceptUUID,
+            );
+
+            if (htsTestResult) {
+              if (htsTestResult.value.uuid === positiveUUID) {
+                hivStatus = 'positive';
+              } else if (htsTestResult.value.uuid === negativeUUID) {
+                hivStatus = 'negative';
+              }
+            }
+          });
+
+          if (!hivStatus) {
+            const hivFinalStatus = await fetchPatientsFinalHIVStatus(patientUuid);
+            const computedConcept = await fetchPatientComputedConcept_HIV_Status(patientUuid);
 
-  const computedConcept = await fetchPatientComputedConcept_HIV_Status(patientUuid);
+            if (
+              hivFinalStatus.toLowerCase().includes('positive') ||
+              computedConcept.toLowerCase().includes('positive')
+            ) {
+              hivStatus = 'positive';
+            } else if (
+              hivFinalStatus.toLowerCase().includes('negative') ||
+              computedConcept.toLowerCase().includes('negative')
+            ) {
+              hivStatus = 'negative';
+            }
+          }
+
+          setHivStatus(hivStatus);
+        } catch (error) {
+          setIsError(true);
+        } finally {
+          setIsLoading(false);
+        }
+      }
+    };
 
-  if (hivFinalStatus.toLowerCase().includes('positive') || computedConcept.toLowerCase().includes('positive')) {
-    isHivPositive = true;
-  } else {
-    isHivPositive = false;
-  }
+    if (patientUuid) {
+      fetchHivStatus();
+    }
+  }, [patientUuid, encountersLoading, encountersError, encounters, config]);
 
-  return isHivPositive;
+  return { hivStatus, isLoading, isError };
 };
 
-export { isPatientHivPositive };
+export { usePatientHtsEncounters, usePatientHivStatus };
diff --git a/packages/esm-commons-lib/src/components/banner-tags/patientStatus.test.ts b/packages/esm-commons-lib/src/components/banner-tags/patientStatus.test.ts
index 686e2f835..19d053983 100644
--- a/packages/esm-commons-lib/src/components/banner-tags/patientStatus.test.ts
+++ b/packages/esm-commons-lib/src/components/banner-tags/patientStatus.test.ts
@@ -1,16 +1,48 @@
-/**
- * @jest-environment jsdom
- */
+import { useConfig } from '@openmrs/esm-framework';
+import { usePatientHivStatus, usePatientHtsEncounters } from './patientHivStatus';
+import { renderHook } from '@testing-library/react';
 
-import { isPatientHivPositive } from './patientHivStatus';
+jest.mock('@openmrs/esm-framework', () => ({
+  openmrsFetch: jest.fn(),
+  useConfig: jest.fn(),
+}));
 
-describe('Patient HIV Status', () => {
-  it('Should return positive', () => {
-    let isHivPositive;
-    isPatientHivPositive('b280078a-c0ce-443b-9997-3c66c63ec2f8').then((result) => {
-      isHivPositive = result;
+jest.mock('../../api.resource', () => ({
+  fetchPatientsFinalHIVStatus: jest.fn(),
+  fetchPatientComputedConcept_HIV_Status: jest.fn(),
+}));
 
-      expect(isHivPositive).toBe(true);
+const mockUseConfig = useConfig as jest.Mock;
+
+describe('usePatientHtsEncounters', () => {
+  it('should return loading state initially', () => {
+    mockUseConfig.mockReturnValue({
+      encounterTypes: { antenatalEncounterType: '677d1a80-dbbe-4399-be34-aa7f54f11405' },
     });
+
+    const { result } = renderHook(() => usePatientHtsEncounters('1a4d8ff9-a95f-4c18-9b24-a59bd40b3fc0'));
+
+    expect(result.current.isLoading).toBe(true);
+    expect(result.current.isError).toBe(false);
+    expect(result.current.encounters).toEqual([]);
+  });
+});
+
+describe('usePatientHivStatus', () => {
+  it('should return loading state initially', () => {
+    mockUseConfig.mockReturnValue({
+      encounterTypes: { antenatalEncounterType: '677d1a80-dbbe-4399-be34-aa7f54f11405' },
+      obsConcepts: {
+        hivTestResultConceptUUID: '159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+        positiveUUID: '138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+        negativeUUID: '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      },
+    });
+
+    const { result } = renderHook(() => usePatientHivStatus('1a4d8ff9-a95f-4c18-9b24-a59bd40b3fc0'));
+
+    expect(result.current.isLoading).toBe(true);
+    expect(result.current.isError).toBe(false);
+    expect(result.current.hivStatus).toBe(null);
   });
 });
diff --git a/packages/esm-commons-lib/src/config.schema.ts b/packages/esm-commons-lib/src/config.schema.ts
new file mode 100644
index 000000000..433ddfb6e
--- /dev/null
+++ b/packages/esm-commons-lib/src/config.schema.ts
@@ -0,0 +1,25 @@
+import { Type } from '@openmrs/esm-framework';
+
+export const configSchema = {
+  obsConcepts: {
+    _type: Type.Object,
+    _description: 'List of observation concept UUIDs.',
+    _default: {
+      hivTestResultConceptUUID: '159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      positiveUUID: '138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      negativeUUID: '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+    },
+  },
+  encounterTypes: {
+    _type: Type.Object,
+    _description: 'List of encounter type UUIDs',
+    _default: {
+      antenatalEncounterType: '677d1a80-dbbe-4399-be34-aa7f54f11405',
+    },
+  },
+};
+
+export interface ConfigObject {
+  encounterTypes: Object;
+  obsConcepts: object;
+}
diff --git a/packages/esm-commons-lib/src/index.ts b/packages/esm-commons-lib/src/index.ts
index f4982ca46..67755c5c3 100644
--- a/packages/esm-commons-lib/src/index.ts
+++ b/packages/esm-commons-lib/src/index.ts
@@ -1,5 +1,7 @@
 import { FormEngine } from '@openmrs/openmrs-form-engine-lib';
-import { getSyncLifecycle } from '@openmrs/esm-framework';
+import { defineConfigSchema, getSyncLifecycle } from '@openmrs/esm-framework';
+import { PatientStatusBannerTag } from './components/banner-tags/patient-status-tag.component';
+import { configSchema } from './config.schema';
 
 export * from './constants';
 export * from './api.resource';
@@ -62,5 +64,13 @@ const options = {
   moduleName: '@ohri/openmrs-esm-ohri-commons-lib',
 };
 
+const moduleName = '@ohri/openmrs-esm-ohri-commons-lib';
+
+export function startupApp() {
+  defineConfigSchema(moduleName, configSchema);
+}
+
 // t('ohriForms', "OHRI Forms")
 export const ohriFormsWorkspace = getSyncLifecycle(FormEngine, options);
+
+export const patientStatusBannerTagExtension = getSyncLifecycle(PatientStatusBannerTag, options);
diff --git a/packages/esm-commons-lib/src/routes.json b/packages/esm-commons-lib/src/routes.json
index 2bcf732e7..dc4ce73aa 100644
--- a/packages/esm-commons-lib/src/routes.json
+++ b/packages/esm-commons-lib/src/routes.json
@@ -3,9 +3,13 @@
   "backendDependencies": {
     "webservices.rest": "^2.24.0"
   },
-  "pages": [
-  ],
+  "pages": [],
   "extensions": [
+    {
+      "name": "patient-status-banner-tag",
+      "slot": "patient-banner-tags-slot",
+      "component": "patientStatusBannerTagExtension"
+    }
   ],
   "workspaces": [
     {
diff --git a/packages/esm-ohri-pmtct-app/src/config-schema.ts b/packages/esm-ohri-pmtct-app/src/config-schema.ts
index 136b6775c..044731508 100644
--- a/packages/esm-ohri-pmtct-app/src/config-schema.ts
+++ b/packages/esm-ohri-pmtct-app/src/config-schema.ts
@@ -81,6 +81,9 @@ export const configSchema = {
       outcomeStatus: '160433AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
       infantVisitDate: '159599AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
       finalTestResults: '164460AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      hivTestResultConceptUUID: '159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      positiveUUID: '138571AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
+      negativeUUID: '664AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
       visitDateConcept: '163260AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
       hivTestResultConcept: '159427AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
       artNoConcept: '164402AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA',
diff --git a/packages/esm-ohri-pmtct-app/src/index.ts b/packages/esm-ohri-pmtct-app/src/index.ts
index c00bd64e0..e021d3b47 100644
--- a/packages/esm-ohri-pmtct-app/src/index.ts
+++ b/packages/esm-ohri-pmtct-app/src/index.ts
@@ -14,6 +14,7 @@ import {
   createNewOHRIDashboardLink,
   OHRIHome,
   createConditionalDashboardGroup,
+  PatientStatusBannerTag,
 } from '@ohri/openmrs-esm-ohri-commons-lib';
 import { configSchema } from './config-schema';
 import rootComponent from './root.component';
@@ -98,3 +99,5 @@ export const maternalChildDashboard = getSyncLifecycle(OHRIHome, {
 });
 
 export const ptrackerReportNavLink = getSyncLifecycle(ptrackerdashboardPath, options);
+
+export const patientStatusBannerTagExtension = getSyncLifecycle(PatientStatusBannerTag, options);
diff --git a/packages/esm-ohri-pmtct-app/src/routes.json b/packages/esm-ohri-pmtct-app/src/routes.json
index 9d14b18e1..1db566250 100644
--- a/packages/esm-ohri-pmtct-app/src/routes.json
+++ b/packages/esm-ohri-pmtct-app/src/routes.json
@@ -5,6 +5,11 @@
   },
   "pages": [],
   "extensions": [
+    {
+      "name": "patient-status-banner-tag",
+      "slot": "patient-banner-tags-slot",
+      "component": "patientStatusBannerTagExtension"
+    },
     {
       "name": "maternal-child-health-results-summary",
       "slot": "homepage-dashboard-slot",