ATT 3c - NHSS Data Elements 29AUG2025

National HIV Surveillance System (NHSS)

Attachment 3(c)

Data Elements for the National HIV Surveillance System (NHSS)

Form Approved

OMB No. 0920-0573

Expiration Date 02/28/2026

Data Elements for the National HIV Surveillance System (NHSS)

Data Elements for Adult HIV Case Reports

Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)

Data Elements for Pediatric HIV Case Reports

Public reporting burden of this collection of information is estimated to average 35 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)

Data Elements for Investigation Reporting and Evaluation

Public reporting burden of this collection of information is estimated to average 1 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)

The data elements listed below include data elements for adult/adolescent case reports (ACRF), pediatric case reports (PCRF), HIV incidence surveillance information (no longer collected), laboratory test data, investigation reporting and evaluation information and supplemental data collected from other document types such as birth certificates (BC), and death certificates (DEATH). Data are stored in tables in the enhanced HIV Reporting System (eHARS). Information in the table below reflects information in the version of eHARS currently in place, v4.15.1.1, along with proposed changes to be implemented in subsequent versions of eHARS. The column “Transfer to CDC” indicates whether or not the data collected in a variable are transmitted to CDC. The column “Required/Optional” indicates whether a variable is: (1) a program requirement for collection (Required); (2) optional for program collection (Optional) , which may include variables that are CDC recommended for collection but collection is optional; (3) generated by the eHARS system (System); (4) data reached the end of their active lifecycle (Retired); (5) retained from the previous case surveillance system and is not collected in eHARS (Legacy HARS); (6) retained from the previous incidence surveillance system and is not collected in eHARS (Legacy Incidence); or (7) data collection discontinued (Discontinued). Additional information for users can be found in the eHARS 4.15.1.1 Technical Reference Guide.

TABLE NAME

VARIABLES

DESCRIPTION

Valid data element values (lookup type, reference table, or actual values)

Transfer to CDC

Document Source

Required/Optional

ADDRESS

Maintains information on a person's or a child’s biological mother’s addresses and locations.

address_dt

The most recent date for which this address is active.

 YYYYMMDD

YES

ACRF, PCRF

Required

address_original_type_cd

A code indicating the original address type if address_type_cd is CUR, RAD, RBI, RHE, RSA, RSH, or RSR.

BAD – Bad address

COR – Correctional facility

FOS – Foster home

HML – Homeless

MIL – Military

OTH – Other

POS – Postal

RES – Residential

SHL – Shelter

TMP - Temporary

YES

ACRF, PCRF, DEATH

Required

address_seq

Used by the system as a sequence identifier for the person's or the child’s biological mother’s addresses.

 

YES

All

System

address_type_cd

A code indicating the type of address, such as RES (residential) or RSA [residence at stage 3 HIV infection (AIDS) diagnosis].

BAD - Bad address

COR - Correctional facility

CUR - Current

FOS - Foster home

HML – Homeless

MIL – Military

OTH – Other

POS – Postal

RAD - Residence at death

RBI - Residence at birth

RES - Residential

RHE - Residence at perinatal exposure

RSA - Residence at diagnosis of stage 3 HIV infection (AIDS)

RSH - Residence at diagnosis of HIV infection

RSR - Residence at pediatric seroreversion

SHL - Shelter

TMP – Temporary

YES

All

Required

census_block_group

Indicating the census block group for the person's or the child’s biological mother’s address.

 

NO

All

Optional

census_congressional_district

Indicating the congressional district for the person's or the child’s biological mother’s address.

 

NO

All

Optional

census_group

Indicating the census group for the person's or the child’s biological mother’s address.

 

NO

All

Optional

census_msa

Indicating the census metropolitan statistical area (MSA) for the person's or the child’s biological mother’s address.

 

NO

All

Optional

census_tract

Indicating the census tract for the person's or the child’s biological mother’s address.

 

Optional

All

Required

city_fips

The city FIPS code for the person's or the child’s biological mother’s address. (5 digits)

FIPS_CITY (table) - 99999

YES

All

Required

city_name

The textual city name for the person's or the child’s biological mother’s address from the FIPS table. If there is no match to the FIPS table, the text is stored as entered by the user and preceded by an asterisk.

FIPS_CITY (table), ZIP_CITY (table)

YES

All

Required

country_cd

The ISO country code for the person's or the child’s biological mother’s address.

COUNTRY_CODE (table)

YES

All

Required

country_usd

The FIPS code for the U.S. Minor Outlying Islands.

COUNTRY_CODE (table)

YES

All

Required, if country_cd = “UMI” (U.S. Minor Outlying Areas)

county_fips

The FIPS county code for the person's or the child’s biologic mother’s address.

FIPS_COUNTY (table) - 999

YES

All

Required

county_name

The county name for the person's or the child’s biological mother’s address from the FIPS_COUNTY table. If there is no match to the FIPS_COUNTY table, the text is stored as entered by the user and preceded by an asterisk.

FIPS_COUNTY (table), ZIP_CITY (table)

YES

All

Required

doc_belongs_to

Indicates who the address data belong to: PERSON or MOTHER.

PERSON, MOTHER

YES

All

System

document_uid

A unique identifier for a document.

YES

All

System

geographic_level

Geographic level to which the address was geocoded.

1 – Street match

2 – Zip code match

3 – City and state match

4 – No match

5 – No match through eHARS geocoding functionality

YES

All

Required

phone

The value indicating the person's or the child’s biological mother’s telephone number.

9999999999

NO

All

Required

state_cd

The state postal code for the person's or the child’s biological mother’s address.

STATE_CODES

YES

All

Required

street_address1

Primary description of the person’s or the child’s biological mother’s street address, such as number and street name.

 

NO

All

Required

street_address2

Secondary description of the person’s or the child’s biological mother’s street address, such as apartment, building, or unit and number.

 

NO

All

Required

zip_cd

The zip code associated with the person's or the child’s biological mother’s address.

ZIP_CITY (table) - 99999

NO

All

Required

ARV_PROPHYLAXIS

Maintains information on a person's antiretroviral (ARV) drug use for treatment, prophylaxis, or other purposes. It also maintains a child’s biological mother’s ARV-use information prior to the pregnancy, during pregnancy, or during labor and delivery.

document_uid

A unique identifier for a document.

YES

ACRF, PCRF

System

drug_cd

Identifier for an ARV drug.

DRUG

YES

ACRF, PCRF

Optional

drug_last_use_dt

The date the person or the child’s biological mother last used the ARV drug.

YYYYMMDD

YES

ACRF, PCRF

Required

drug_rsn

Reason the person took the ARV drug or reason the child’s biological mother did not receive any ARV drugs during this pregnancy or during labor and delivery.

1 – No prenatal care

2 – HIV serostatus of biological mother unknown

3 – Biological mother known to be/tested HIV-negative during pregnancy

4 – Birth not in hospital

5 – precipitous delivery/STAT Cesarean delivery

6 – Prescribed but not administered

8 – Not documented

9 – Unknown

HBVTX – Hepatitis B virus treatment

HIVTX – HIV treatment

OTH – Other

PEP – Post-exposure prophylaxis

PMTCT – Prevention of mother-to-child transmission

PREP – Pre-exposure prophylaxis

YES

ACRF, PCRF

Required

drug_seq

Used by the system as a sequence identifier for each ARV drug added to a document.

YES

ACRF, PCRF

System

drug_start_dt

The date the person or the child’s biological mother began taking the ARV drug.

YYYYMMDD

YES

ACRF, PCRF

Required

obs_uid

An internal identifier for an observation.

YES

ACRF, PCRF

System

other_drug_rsn

Text entered to specify the reason the person took the ARV drug when a selection value is not available or appropriate, or the reason the child’s biological mother did not receive any ARV drugs during this pregnancy or during labor and delivery when a selection value is not available or appropriate.

YES

ACRF, PCRF

Required, if drug_rsn=”OTH” (Other)

other_drug_specify

Unlisted ARV drug name.

YES

ACRF, PCRF

Optional, if drug_cd = “88” (Other)

BIRTH_DELIVERY

Maintains information regarding the reason or reasons an infant, who was exposed to HIV perinatally with or without consequent infection, was delivered through cesarean section.

csection_rsn

A code to determine why the delivery was a C-section.

1 – HIV indication (high viral load)

2 – Previous Cesarean (repeat)

3 – Malpresentation (breech, transverse)

4 – Prolonged labor or failure to progress

5 –Biological mother’s or physician’s preference

6 – Fetal distress

7 – Placenta abruptia or p. previa

8 – Other

9 – Not specified

YES

PCRF, LEGACY_PCRF

Optional

delivery_seq

Sequence identifier for each reason added to a PCRF document.

0-999999

YES

PCRF, LEGACY_PCRF

System

document_uid

A unique identifier for a document.

YES

PCRF, LEGACY_PCRF

System

other_csection_rsn

User-entered reason when a selection value is not available.

YES

PCRF, LEGACY_PCRF

Optional, if csection_rsn = “8” (Other)

BIRTH_HISTORY

Maintains birth history information (e.g., birth weight, congenital disorders) for children who were exposed to HIV prenatally with or without consequent infection.

birth_history_avail

Whether the child’s birth history is available.

Y – Yes

N – No

U – Unknown

YES

PCRF, LEGACY_PCRF

Optional

birth_place

Place of birth

1 – Hospital

2 – Freestanding birthing center

3 – Home birth, clinic/doctor’s office

9 – Unknown

YES

BC

Optional

birth_type

Type of birth.

1 – Single

2 – Twin

3 – >2

9 – Unknown

YES

PCRF, LEGACY_PCRF, BC

Optional

birth_wt

Child's birth weight in grams.

NULL, MIN = 28, MAX = 9070

YES

PCRF, LEGACY_PCRF, BC

Optional

breastfed_discharge

Infant is being breastfed at discharge

Y – Yes

N – No

U – Unknown

YES

BC

Optional

congenital_disorders

Indicates the presence of congenital disorders.

Y – Yes

N – No

U – Unknown

YES

PCRF, LEGACY_PCRF

Optional

congential_disorders_cd

Code for the type of congenital disorder.

Code for BC (see list below) or ICD-10-CM or MACDP code for PCRF

01 - Anencephaly

02 - Meningomyelocele/Spina bifida

03 - Cyanotic congenital heart disease

04 - Congenital diaphragmatic hernia

05 - Omphalocele

06 - Gastroschisis

07 - Limb reduction defect (excluding congenital amputation and dwarfing syndromes)

08 - Cleft lip with or without cleft palate

09 - Cleft palate alone

10 - Down syndrome

11 - Suspected chromosomal disorder

12 - Down syndrome (karyotype confirmed)

13 - Suspected chromosomal disorder (karyotype confirmed)

14 - Down syndrome (karyotype pending)

15 - Suspected chromosomal disorder (karyotype pending)

16 - Hypospadias

17 - None of the anomalies listed above

YES

PCRF, LEGACY_PCRF, BC

Optional

delivery_dt

Date when biological mother delivered infant(s).

YYYYMMDD

YES

PCRF, LEGACY_PCRF

Optional

delivery_method

Method of delivery.

For PCRF:

1 – Vaginal

2 – Elective Cesarean

3 – Nonelective Cesarean

4 – Cesarean, unknown

8 – Cesarean

9 – Unknown

For BC:

5 – Vaginal, spontaneous

6 – Vaginal, forceps

7 – Vaginal, vacuum

8 – Cesarean

YES

PCRF, LEGACY_PCRF, BC

Optional

delivery_time

Military time when biological mother delivered infant(s).

HH:MM:SS

YES

PCRF, LEGACY_PCRF

Optional

document_uid

A unique identifier for a document.

 

YES

PCRF, LEGACY_PCRF, BC

System

infant_transfer

Was the infant transferred to another facility within 24 hours of delivery?

Y – Yes

N – No

YES

BC

Optional

neonatal_status

Child’s neonatal status.

1 – Full Term

2 – Premature

9 – Unknown

YES

PCRF, LEGACY_PCRF

Optional

neonatal_status_weeks

Neonatal gestational age in weeks.

01 – 98

99 – Unknown

00 – None

YES

PCRF, LEGACY_PCRF, BC

Optional

rupture_dt

Date when membrane rupture occurred.

YYYYMMDD

YES

PCRF, LEGACY_PCRF

Optional

rupture_time

Military time when membrane rupture occurred.

HH:MM:SS

YES

PCRF, LEGACY_PCRF

Optional

BIRTHING_PERSON_HISTORY

Maintains information pertaining to the child’s biological mother's pregnancy history, receipt of prenatal care, date of first positive test result to confirm HIV infection and indication of receipt of HIV medical care within 6 weeks on or before delivery.

bp_cd4_test

Was a CD4 test result (with a specimen collection date within the 6 weeks on or before delivery) documented in the biological mother’s labor/delivery record?

Y – Yes

N – No

U – Unknown

YES

PCRF, LEGACY_PCRF

Optional

bp_first_post_dt

Date of biological mother’s first HIV positive test result to confirm infection

YYYMMDD

YES

All

Optional

bp_vl_test

Was a quantitative NAAT (RNA or DNA) test result (with a specimen collection date within the 6 weeks on or before delivery) documented in the biological mother’s labor/delivery record?

Y – Yes

N – No

U – Unknown

YES

PCRF, LEGACY_PCRF

Optional

document_uid

A unique identifier for a document.

YES

All

System

first_pnc_visit_dt

Date of biological mother’s first prenatal care visit

YYYYMMDD

YES

BC

Optional

last_normal_menses_dt

Date when biological mother’s last normal menses began.

YYYYMMDD

YES

BC

Optional

last_pnc_visit_dt

Date of biological mother’s last prenatal care visit.

YYYYMMDD

YES

BC

Optional

month_preg_pnc

Month of pregnancy biological mother’s prenatal care began.

01 – 10

99 – Unknown

00 – None

YES

PCRF, LEGACY_PCRF

Optional

num_pnc_visits

Total number of prenatal care visits.

01 – 98

99 – Unknown

00 – None

YES

PCRF, LEGACY_PCRF, BC

Optional

num_prev_live_births

Number of previous live births.

1 – 99

YES

PCRF, BC

Optional

num_prev_preg

Total number of previous pregnancies.

1-99

YES

PCRF, LEGACY_PCRF

Optional

preg_before

Has the biological mother ever been pregnant before?

Y – Yes

N – No

U – Unknown

YES

PCRF, LEGACY_PCRF

Optional

CALC_OBSERVATION

Maintains information on a person's calculated observations. 

calc_obs_uid

A unique identifier for a calculated observation.

CALC_OBSERVATION_CODE (table)

YES/NO

All

Refer to CALC_OBSERVATION_CODE table for requirements for each variable

calc_obs_value

The calculated observation's value.

 

YES/NO

All

Refer to CALC_OBSERVATION_CODE table for valid data element values for each variable

document_uid

A unique identifier for a document.

 

YES

All

System

CALC_OBSERVATION_CODE

A table that maintains information calc_obs_value and associated descriptions.

1

HARS Legacy - AIDS category

1 - Definitive (pre-85) case

2 - Definitive (1985) case

3 - Definitive (1987) case

4 - Presumptive (1987) case

5 - Definitive (1993) case

6 - Presumptive (1993) case

7 - Immunologic (1993) case

8 - Undetermined case

9 - Non-case

YES

All

System

2

HARS Legacy - HIV category

1 - HIV Definitive

2 - HIV Presumptive

3 - HIV Indeterminate

4 - HIV Negative Definitive

5 - HIV Negative Presumptive

8 - Pending Confirmation

9 - HIV Unknown

YES

All

System

3

HARS Legacy - Date the first disease was diagnosed based on the 1993 expanded AIDS case definition

YES_NO

YES

All

System

4

HARS Legacy - Date the first disease was diagnosed based on the pre-1993 expanded AIDS case definition

YYYYMMDD

YES

All

System

5

HARS Legacy - Date of the first condition classifying as AIDS based on the current AIDS case definition

YYYYMMDD

YES

All

System

6

HARS Legacy - Date of the first condition classifying as AIDS based on the applicable AIDS case definition

YYYYMMDD

YES

All

System

7

HARS Legacy - Date of last negative HIV test result

YYYYMMDD

YES

All

System

8

HARS Legacy - Date a case was reported as HIV positive

YYYYMMDD

YES

All

System

9

HARS Legacy - Date a case was reported as AIDS category level 1

YYYYMMDD

YES

All

System

10

HARS Legacy - Date a case was reported as AIDS category level 2

YYYYMMDD

YES

All

System

11

HARS Legacy - Date a case was reported as AIDS category level 3

YYYYMMDD

YES

All

System

12

HARS Legacy - Date a case was reported as AIDS category level 4

YYYYMMDD

YES

All

System

13

HARS Legacy - Date a case was reported as AIDS category level 5

YYYYMMDD

YES

All

System

14

HARS Legacy - Date a case was reported as AIDS category level 6

YYYYMMDD

YES

All

System

15

HARS Legacy - Date a case was reported as AIDS category level 7

YYYYMMDD

YES

All

System

16

HARS Legacy - Date a case was reported as not infected with HIV

YYYYMMDD

YES

All

System

17

HARS Legacy - Date a case was reported as perinatal exposure

YYYYMMDD

YES

All

System

18

HARS Legacy - Date the death of a case was reported

YYYYMMDD

YES

All

System

19

HARS Legacy - Mode of transmission

01 - Male sexual contact with other male (MSM)

02 - Injection drug use (nonprescription) (IDU)

03 - Male sexual contact with other male and injection drug use (MSM & IDU)

04 - Adult received clotting factor for hemophilia/coagulation disorder

05 - Heterosexual contact

06 - Adult received transfusion of blood/blood components, transplant of organ/tissue, or artificial insemination

08 - Adult with other confirmed risk

09 - Adult with risk not reported/other

11 - Child received clotting factor for hemophilia/coagulation disorder

12 - Mother with, or at risk for, HIV infection

13 - Child received transfusion of blood/blood components or transplant of organ/tissue

14 - Child with other risk

18 - Child with other confirmed risk

19 - Child with risk not reported/other

YES

All

System

20

HARS Legacy - Class

A1 - Asymptomatic, CD4 count > 500 or percent > 29%

A2 - Asymptomatic, CD4 count 200-499 or percent 14-28%

A3 - Asymptomatic, CD4 count < 200 or percent < 14%

A9 - Asymptomatic, unknown CD4

B1 - Symptomatic, CD4 count > 500 or percent > 29%

B2 - Symptomatic, CD4 count 200-499 or percent 14-28%

B3 - Symptomatic, CD4 count < 200 or percent < 14%

B9 - Symptomatic, unknown CD4

C1 - AIDS, CD4 count > 500 or percent > 29%

C2 - AIDS, CD4 count 200-499 or percent 14-28%

C3 - AIDS, CD4 count < 200 or percent < 14%

C9 - AIDS, unknown CD4

Unknown clinical category, X1 - CD4 count > 500 or percent > 29%

X2 - Unknown clinical category, CD4 count 200-499 or percent 14-28%

X3 - Unknown clinical category, CD4 count < 200 or percent < 14%

X9 - Unknown clinical category, unknown CD4

YES

All

System

21

HARS Legacy - Date of first positive HIV test result or doctor diagnosis of HIV

YYYYMMDD

YES

All

System

78

HARS Legacy - CD4 count < 400

YES_NO

YES

All

System

85

HARS Legacy - First positive HIV-1 EIA test result date

YYYYMMDD

YES

All

System

86

HARS Legacy - Last negative HIV-1 EIA test result date

YYYYMMDD

YES

All

System

87

HARS Legacy - Most recent HIV-1 EIA test result value

POS=Positive
NEG=Negative

YES

All

System

89

HARS Legacy - Most recent HIV-1 EIA test result date

 

YES

All

System

90

HARS Legacy - Overall HIV-1 EIA test result value

POS=Positive
NEG=Negative

YES

All

System

91

HARS Legacy - Overall HIV-1 EIA test result date

YYYYMMDD

YES

All

System

92

HARS Legacy - First positive HIV-1/2 combined test result date

YYYYMMDD

YES

All

System

93

HARS Legacy - Last negative HIV-1/2 combined test result date

YYYYMMDD

YES

All

System

94

HARS Legacy - Most recent HIV-1/2 combined test result value

POS=Positive
NEG=Negative

YES

All

System

95

HARS Legacy - Most recent HIV-1/2 combined test result date

YYYYMMDD

YES

All

System

96

HARS Legacy - Overall HIV-1/2 combined test result value

POS=Positive
NEG=Negative

YES

All

System

97

HARS Legacy - Overall HIV-1/2 combined test result date

YYYYMMDD

YES

All

System

98

HARS Legacy - First positive Western Blot/IFA test result date

YYYYMMDD

YES

All

System

99

HARS Legacy - Last negative Western Blot/IFA test result date

YYYYMMDD

YES

All

System

100

HARS Legacy - Most recent Western Blot/IFA test result value

POS_NEG_IND

YES

All

System

101

HARS Legacy - Most recent Western Blot/IFA test result date

YYYYMMDD

YES

All

System

102

HARS Legacy - Overall Western Blot/IFA test result value

POS_NEG_IND

YES

All

System

103

HARS Legacy - Overall Western Blot/IFA test result date

YYYYMMDD

YES

All

System

104

HARS Legacy - First positive Other HIV Antibody test result date

YYYYMMDD

YES

All

System

105

HARS Legacy - Last negative Other HIV Antibody test result date

YYYYMMDD

YES

All

System

106

HARS Legacy - Most recent Other HIV Antibody test result value

POS_NEG_IND

YES

All

System

107

HARS Legacy - Most recent Other HIV Antibody test result date

YYYYMMDD

YES

All

System

108

HARS Legacy - Overall Other HIV Antibody test result value

POS_NEG_IND

YES

All

System

109

HARS Legacy - Overall Other HIV Antibody test result date

YYYYMMDD

YES

All

System

110

HARS Legacy - First positive Detection/Antigen/Viral load test result date

YYYYMMDD

YES

All

System

111

HARS Legacy - Last negative Detection/Antigen/Viral load test result date

YYYYMMDD

YES

All

System

112

HARS Legacy - Most recent Detection/Antigen/Viral load test result value

POS_NEG_IND

YES

All

System

113

HARS Legacy - Most recent Detection/Antigen/Viral load test result date

YYYYMMDD

YES

All

System

114

HARS Legacy - Overall Detection/Antigen/Viral load test result value

POS_NEG_IND

YES

All

System

115

HARS Legacy - Overall Detection/Antigen/Viral load test result date

YYYYMMDD

YES

All

System

116

HARS Legacy - Most recent CD4 count value

 

YES

All

System

117

HARS Legacy - Most recent CD4 percent value

 

YES

All

System

118

HARS Legacy - Most recent CD4 test result date

YYYYMMDD

YES

All

System

119

HARS Legacy - Lowest count from all CD4 test result values

 

YES

All

System

120

HARS Legacy - Lowest CD4 count test result date

YYYYMMDD

YES

All

System

121

HARS Legacy - Lowest percent from all CD4 test result values

 

YES

All

System

122

HARS Legacy - Lowest CD4 percent test result date

YYYYMMDD

YES

All

System

123

HARS Legacy - First CD4 count < 200 value

 

YES

All

System

124

HARS Legacy - First CD4 percent < 14 value

 

YES

All

System

125

HARS Legacy - First CD4 count < 200 or percent < 14 date

YYYYMMDD

YES

All

System

216

HARS Legacy - Expanded mode of transmission

01 - Male sexual contact with other male (MSM)

02 - Injection drug use (nonprescription) (IDU)

03 - Male sexual contact with other male and injection drug use (MSM & IDU)

04 - Adult received clotting factor for hemophilia/coagulation disorder

05 - Heterosexual contact with injection drug user

06 - Heterosexual contact with bisexual man

07 - Heterosexual contact with person with hemophilia

08 - Born in an NIR country

Heterosexual contact with person born in an NIR country

09 - Heterosexual contact with HIV-infected transfusion recipient

11 - Heterosexual contact with HIV-infected person

12 - Heterosexual contact with person at risk for HIV infection

13 - Adult received transfusion of blood/blood components, transplant of organ/tissue, or artificial insemination

14 - Adult with risk not reported/other

15 - Child received clotting factor for hemophilia/coagulation disorder

16 - Mother injection drug use (nonprescription) (IDU)

17 - Mother had sex with male injection drug user

18 - Mother had sex with bisexual man

19 - Mother had sex with person with hemophilia

20 - Mother born in an NIR country

21 - Mother had sex with person born in an NIR country

22 - Mother had sex with HIV-infected transfusion recipient

23 - Mother had sex with HIV-infected man

24 - Mother received transfusion of blood/blood components, transplant of organ/tissue, or artificial insemination

25 - Mother has HIV infection

26 - Child received transfusion of blood/blood components or transplant of organ/tissue

27 - Child with risk not reported/other

28 - Child with other risk

88 - Child with other confirmed risk

YES

All

System

217

Old race

1 - White, not Hispanic

2 - Black, not Hispanic

3 - Hispanic

4 - Asian/Pacific Islander

5 - American Indian/Alaska Native

9 - Unknown

YES

All

System

218

Race

1 - Hispanic, All races

2 - Not Hispanic, American Indian/Alaska Native

3 - Not Hispanic, Asian

4 - Not Hispanic, Black

5 - Not Hispanic, Native Hawaiian/Pacific Islander

6 - Not Hispanic, White

7 - Not Hispanic, Legacy Asian/Pacific Islander

8 - Not Hispanic, Multi-race

9 - Unknown

YES

All

System

219

Earliest date the first document was entered into the system

YYYYMMDD

YES

All

System

220

Earliest date the first document was received at the health department

YYYYMMDD

YES

All

System

221

Transmission category

01 - Male sexual contact with other male (MSM)

02 - Injection drug use (nonprescription) (IDU)

03 - Male sexual contact with other male and injection drug use (MSM+IDU)

04 - Adult received clotting factor for hemophilia/coagulation disorder

05 - Heterosexual contact

06 - Adult received transfusion of blood/blood components, transplant of organ/tissue, or artificial insemination

07 - Perinatal exposure with HIV infection first diagnosed at age 13 years or older

08 - Adult with other confirmed risk

09 - Adult with No Identified Risk (NIR)

10 - Adult with No Reported Risk (NRR)

11 - Child received clotting factor for hemophilia/coagulation disorder

12 - Perinatal exposure

13 - Child received transfusion of blood/blood components or transplant of organ/tissue

18 - Child with other confirmed risk

19 - Child with No Identified Risk (NIR)

20 - Child with No Reported Risk (NRR)

99 - Risk factors selected with no age at diagnosis

YES

All

System

222

Expanded transmission category

01-Adult male sexual contact with male (MSM)

02-Adult injection drug use (IDU)

03-Adult MSM & IDU

04-Adult received clotting factor

05-Adult heterosexual contact with IDU

06-Adult heterosexual contact with bisexual male

07-Adult heterosexual contact with person with hemophilia or coagulation disorder

10-Adult heterosexual contact with transfusion or transplant recipient with documented HIV infection

11-Adult heterosexual contact with person with documented HIV infection, risk factor not specified

13-Adult received transfusion or transplant

14-Adult undetermined transmission category

15-Child received clotting factor

16-Mother IDU

17-Mother had heterosexual contact with IDU

18-Mother had heterosexual contact with bisexual male

19-Mother had heterosexual contact with person with hemophilia or coagulation disorder

22-Mother had heterosexual contact with transfusion or transplant recipient with documented HIV infection

23-Mother had heterosexual contact with person with documented HIV infection, risk factor not specified

24-Mother received transfusion or transplant

25-Mother HIV positive

26-Child received transfusion or transplant

27-Child undetermined transmission category

28-Child other confirmed risk factor

88-Adult other confirmed risk factor

99-Adult and pediatric risk factors selected with no age at diagnosis

f

YES

All

System

223

Exposure category

01 - MSM only

02 - IDU only

03 - Heterosexual contact only

04 - MSM & IDU

05 - IDU & Heterosexual contact

06 - MSM & Heterosexual contact

07 - MSM & IDU & Heterosexual contact

08 - Perinatal exposure

09 - Other

10 - No Identified Risk (NIR)

11 - No Reported Risk (NRR)

99-Adult and pediatric risk factors selected with no age at diagnosis

YES

All

System

224

Date of first positive HIV test result or doctor diagnosis of HIV

YYYYMMDD

YES

All

System

225

Type of first evidence of HIV infection (positive HIV test result or doctor diagnosis of HIV)

1 - Lab test

2 - Physician diagnosis

YES

All

System

226

First CD4 or viral load test result date after HIV diagnosis

YYYYMMDD

YES

All

System

227

Type of first test after HIV diagnosis (CD4 or viral load)

1 - CD4

2 - Viral load

3 - CD4 and Viral Load

YES

All

System

228

Most recent test result date

YYYYMMDD

YES

All

System

229

Most recent test type

1 - CD4

2 - Viral load

YES

All

System

230

Most recent test result value

LAB_RESULT_VALUE

YES

All

System

243

First detectable viral load test result date

YYYYMMDD

YES

All

System

244

First detectable viral load test result value (copies/ml)

 

YES

All

System

245

Most recent viral load test result value (copies/ml)

 

YES

All

System

246

Most recent viral load test result date

YYYYMMDD

YES

All

System

247

Most recent undetectable viral load test result date

YYYYMMDD

YES

All

System

252

The earliest date on which the immunologic criteria for stage 3 were met

YYYYMMDD

YES

All

System

253

First CD4 count test result < 350 value

 

YES

All

System

254

First CD4 count test result < 350 date

YYYYMMDD

YES

All

System

255

Most recent CD4 count test result value

 

YES

All

System

256

Most recent CD4 count test result date

YYYYMMDD

YES

All

System

257

Most recent CD4 percent test result value

 

YES

All

System

258

Most recent CD4 percent test result date

YYYYMMDD

YES

All

System

259

Most recent CD4 test result (count or percent) date

YYYYMMDD

YES

All

System

260

First CD4 test result value after HIV diagnosis

 

YES

All

System

261

First CD4 test result date after HIV diagnosis

YYYYMMDD

YES

All

System

262

Lowest CD4 count test result value

 

YES

All

System

263

Lowest CD4 count test result date

YYYYMMDD

YES

All

System

264

Lowest CD4 percent test result value

 

YES

All

System

265

Lowest CD4 percent test result date

YYYYMMDD

YES

All

System

266

First positive Qualitative RNA/DNA test result date

YYYYMMDD

YES

All

System

267

Most recent Qualitative RNA/DNA test result value

 

YES

All

System

268

Most recent Qualitative RNA/DNA test result date

YYYYMMDD

YES

All

System

269

Most recent negative Qualitative RNA/DNA Test Result date

YYYYMMDD

YES

All

System

270

First positive HIV antigen test result date

YYYYMMDD

YES

All

System

271

First positive HIV culture test result date

YYYYMMDD

YES

All

System

272

HIV case definition category

1 - HIV positive, definitive

2 - HIV positive, presumptive

3 - HIV indeterminate

4 - HIV negative, definitive

5 - HIV negative, presumptive

8 - Pending confirmation

9 - Unknown

YES

All

System

273

AIDS case definition category

7 - AIDS case defined by immunologic (CD4 count or percent) criteria

9 - Not an AIDS case

A - AIDS case defined by clinical disease (OI) criteria

YES

All

System

274

Age at HIV diagnosis (years)

1-99

YES

All

System

275

Age at HIV diagnosis (months)

1-99

YES

All

System

276

Age at AIDS diagnosis (years)

1-99

YES

All

System

277

Age at AIDS diagnosis (months)

1-99

YES

All

System

278

Age at HIV disease diagnosis (years)

1-99

YES

All

System

279

Age at HIV disease diagnosis (months)

1-99

YES

All

System

281

Date of the earliest condition classifying the case as stage 3 HIV infection

YYYYMMDD

YES

All

System

282

The earliest date on which the clinical disease criterion (opportunistic illness [OI] diagnosis) for stage 3 HIV infection was met

YYYYMMDD

YES

All

System

285

HIV disease diagnosis date

YYYYMMDD

YES

All

System

287

Diagnostic status

1 - Adult HIV

2 - Adult AIDS

3 - Perinatal HIV exposure

4 - Pediatric HIV

5 - Pediatric AIDS

6 - Pediatric seroreverter

9 - Unknown

YES

All

System

288

Date reported as HIV positive

YYYYMMDD

YES

All

System

289

Date reported as not infected with HIV (seroreverters)

YYYYMMDD

YES

All

System

290

Date reported as perinatal exposure

YYYYMMDD

YES

All

System

291

Date reported as AIDS (non-immunologic)

YYYYMMDD

YES

All

System

292

Date reported as AIDS (immunologic)

YYYYMMDD

YES

All

System

293

Date reported as AIDS (earliest)

YYYYMMDD

YES

All

System

294

Date reported as HIV disease

YYYYMMDD

YES

All

System

295

Disease progression category (report date)

YYYYMMDD

YES

All

System

296

Disease progression category (diagnosis date)

YYYYMMDD

YES

All

System

297

Meets CDC case definition for HIV (not AIDS)

YES_NO

YES

All

System

298

Meets CDC case definition for AIDS

YES_NO

YES

All

System

299

Meets CDC case definition for HIV disease

YES_NO

YES

All

System

300

Meets CDC eligibility for HIV (not AIDS)

YES_NO

YES

All

System

301

Meets CDC eligibility for AIDS

YES_NO

YES

All

System

302

Meets CDC eligibility for HIV disease

YES_NO

YES

All

System

303

Age at death (years)

1-99

YES

All

System

304

Age at death (months)

1-99

YES

All

System

305

Date death reported

YYYYMMDD

YES

All

System

306

Type of first CD4 test after HIV diagnosis (count or percent)

RESULT_UNITS_CD4

YES

All

System

307

Meets CDC case definition for HIV perinatal exposure or pediatric seroreverter

YES_NO

YES

All

System

308

Meets CDC eligibility for HIV perinatal exposure or pediatric seroreverter

YES_NO

YES

All

System

309

Laboratory documented date of last negative before first positive HIV test result

YYYYMMDD

YES

All

System

310

Date of last negative before first positive HIV test result from testing history

YYYYMMDD

YES

All

System

312

Stage 0 HIV infection at diagnosis

A – Stage 0, acute infection at diagnosis
B – Stage 0, unknown if acute at diagnosis
N – Insufficient evidence for Stage 0 at diagnosis

YES

All

System

313

Stage at diagnosis based only on CD4 and opportunistic illness (OI)

1 - Stage 1, CD4 cnt≥500 or CD4 pct≥26

2 - Stage 2, 200≤CD4 cnt≤499 or 14≤CD4 pct≤25

3 - Stage 3, OI or CD4 cnt<200 or CD4 pct <14

9 - Stage unknown

YES

All

System

314

Date of earliest use of antiretroviral medications for HIV treatment

YYYYMMDD

YES

All

System

315

Date of last use of antiretroviral medications for HIV treatment

YYYYMMDD

YES

All

System

316

Date of earliest use of antiretroviral medications for pre-exposure prophylaxis

YYYYMMDD

YES

All

System

317

Date of last use of antiretroviral medications for pre-exposure prophylaxis

YYYYMMDD

YES

All

System

318

Date of earliest use of antiretroviral medications for post-exposure prophylaxis

YYYYMMDD

YES

All

System

319

Date of last use of antiretroviral medications for post-exposure prophylaxis

YYYYMMDD

YES

All

System

320

Date of earliest use of antiretroviral medications for prevention of mother-to-child transmission

YYYYMMDD

YES

All

System

321

Date of last use of antiretroviral medications for prevention of mother-to-child transmission

YYYYMMDD

YES

All

System

322

Date of earliest use of antiretroviral medications for Hepatitis B treatment

YYYYMMDD

YES

All

System

323

Date of last use of antiretroviral medications for Hepatitis B

YYYYMMDD

YES

All

System

324

Date of earliest use of antiretroviral medications for other reasons

YYYYMMDD

YES

All

System

325

Date of last use of antiretroviral medications for other reasons

YYYYMMDD

YES

All

System

326

Date of earliest use of antiretroviral medications

YYYYMMDD

YES

All

System

327

Date of last use of antiretroviral medications

YYYYMMDD

YES

All

System

328

Did mother receive any antiretroviral medications prior to this pregnancy?

YES, NO_REF_UNK

YES

All

System

329

Date of mother’s earliest use of antiretroviral medications prior to this pregnancy

YYYYMMDD

YES

All

System

330

Date of mother’s last use of antiretroviral medications prior to this pregnancy

YYYYMMDD

YES

All

System

331

Did mother receive any antiretroviral medications during pregnancy?

YES, NO_REF_UNK

YES

All

System

332

Date of mother’s earliest use of antiretroviral medications during pregnancy

YYYYMMDD

YES

All

System

333

Date of mother’s last use of antiretroviral medications during pregnancy

YYYYMMDD

YES

All

System

334

Did mother receive any antiretroviral medications during labor/delivery?

YES, NO_REF_UNK

YES

All

System

335

Date of mother’s earliest use of antiretroviral medications during labor/delivery

YYYYMMDD

YES

All

System

336

Date of mother’s last use of antiretroviral medications during labor/delivery

YYYYMMDD

YES

All

System

338

Most recent viral load test

Enter codes Table 4-5

YES

All

System

339

First viral suppression date at or after HIV disease diagnosis

YYYYMMDD

YES

All

System

340

First HIV suppression result at or after HIV disease diagnosis

YES

All

System

341

First HIV suppression result test type at or after HIV disease diagnosis

Enter codes Table 4-5

YES

All

System

CONSENT_QUESTIONNAIRE

Maintains information on a person's consent for STARHS (Serologic Testing Algorithm for Recent HIV Seroconversion).

Note: All variables in this tables were not collected since 2005 but are stored in eHARS.

cconsent1

Did the person consent to participate in STARHS when approached the first time?

Y – Yes

N – No

U – Unknown

YES

LEGACY_CONSENT

Retired

cconsent2

Did the person consent to participate in STARHS when approached the second time?

Y – Yes

N – No

U – Unknown

YES

LEGACY_CONSENT

Retired

cconsentvisit1

The type of visit when the person was approached for STARHS consent the first time.

01 – Pre-test

02 – Post-test

03 – Other follow-up

YES

LEGACY_CONSENT

Retired

cconsentvisit2

The type of visit when the person was approached for STARHS consent the second time.

01 – Pre-test

02 – Post-test

03 – Other follow-up

YES

LEGACY_CONSENT

Retired

cdate1

Date of first approach for consent.

 YYYYMMDD

YES

LEGACY_CONSENT

Retired

cdate2

Date of second approach for consent.

 YYYYMMDD

YES

LEGACY_CONSENT

Retired

document_uid

A unique identifier for a document.

 

YES

LEGACY_CONSENT

System

DEATH

Maintains information on a person's death. 

 

autopsy

Was an autopsy performed?

Y – Yes

N – No

U – Unknown

YES

LEGACY_NDI, DEATH

Optional

city_fips

The FIPS code for the city where the person died.

FIPS_CITY (table)

YES

LEGACY_NDI, DEATH

Optional

city_name

The name of the city where the person died.

FIPS_CITY (table)

YES

LEGACY_NDI, DEATH

Optional

country_cd

The ISO code for the country where the person died.

COUNTRY_CODE (table)

YES

LEGACY_NDI, DEATH

Optional

country_usd

The FIPS code for the U.S. Minor Outlying Island where the person died.

COUNTRY_CODE (table)

YES

LEGACY_NDI, DEATH

Optional, if country_cd = “UMI” (U.S. Minor Outlying Islands)

county_fips

The FIPS code for the county where the person died.

FIPS_COUNTY (table)

YES

LEGACY_NDI, DEATH

Optional

county_name

The name of the county where the person died.

FIPS_COUNTY (table)

YES

LEGACY_NDI, DEATH

Optional

document_uid

A unique identifier for a document.

 

YES

ACRF, PCRF, DEATH, LEGACY_NDI, LEGACY_ACRF, LEGACY_PCRF

System

dod

The person's date of death.

 YYYYMMDD

YES

ACRF, PCRF, DEATH, LEGACY_NDI, LEGACY_ACRF, LEGACY_PCRF

Required, if person’s vital_status = “2” (Dead)

place

The type of place where the person died, such as a residence or hospital.

001 – Hospital, inpatient

002 – Hospital, outpatient or emergency room

003 – Hospital, dead on arrival

004 – Nursing home or hospice

005 – Residence

006 – Jail/Adult detention center

007 – Juvenile detention center

008 – Group/Assisted living home

009 – Homeless shelter

010 – Homeless, on the street

011 – Hospital, institution (HARS)

888 – Other

999 – Unknown

YES

DEATH, LEGACY_NDI,

Optional

state_cd

The postal code for the state where the person died.

STATE_CODES

YES

ACRF, PCRF, DEATH, LEGACY_NDI, LEGACY_ACRF, LEGACY_PCRF

Required, if person’s vital_status = “2” (Dead)

DEATH_DX

Maintains information on a person's causes of death.

descr

A phrase or statement describing the cause of death.

 

YES

LEGACY_NDI, DEATH

Optional

document_uid

A unique identifier for a document.

 

YES

LEGACY_NDI, DEATH

Optional

icd_cd

The ICD code assigned.

YES

LEGACY_NDI, DEATH

Optional

icd_cd_type

The type of ICD code assigned, either ICD 9 (represented by 9) or ICD 10 (represented by 10).

9 – ICD9

10 – ICD10

YES

LEGACY_NDI, DEATH

Optional

line

line on death certificate that contains the ICD code.

1-9

YES

LEGACY_NDI, DEATH

Optional

line_number

A number indicating Underlying or Additional cause (00 indicates Underlying; all other numbers indicate Additional).

00-20

YES

LEGACY_NDI, DEATH

Optional

nature_of_injury

For NCHS electronic data, the nature of injury flag (1 represents nature of injury codes and 0 represents all other cause codes).

0, 1

YES

LEGACY_NDI, DEATH

Optional

position

Corresponds to the position of the cause of death on each line of the death certificate (1 if the cause is the first one listed, 2 if the cause is the second one listed, and so forth).

 

YES

LEGACY_NDI, DEATH

Optional

DOCUMENT

Maintains information about a document (such as a case report form).

author

The person who completed the original form.

 

NO

All

Optional

author_phone

The phone number of the person who completed the original form.

7 or 10 digits

NO

All

Optional

complete_dt

Date the form or document was completed or populated with information. For example, when the chart abstraction was completed.

YYYYMMDD

YES

All

Required

document_number

A field indicating the number of the document. For example, the certificate number associated with a birth certificate.

 

NO

All

Optional

document_source_cd

The source code of the document.

A01.01-Inpatient Record/Acute Care Facility

A01.01.01-Inpatient Record/Acute Care Facility/Infection Control Practitioner

A01.01.02-Inpatient Record/Acute Care Facility/Obstetrics and Gynecology

A01.01.02.01-Inpatient Record/Acute Care Facility/Obstetrics and Gynecology/Prenatal Care

A01.01.02.02-Inpatient Record/Acute Care Facility/Obstetrics and Gynecology/Labor and Delivery

A01.01.03-Inpatient Record/Acute Care Facility/Pediatric

A01.01.04-Inpatient Record/Acute Care Facility/Birth

A01.01.05-Inpatient Record/Acute Care Facility/All Other

A01.02-Inpatient Record/Veteran's Administration Hospital

A01.02.01-Inpatient Record/Veteran's Administration Hospital/Infection Control Practitioner

A01.02.02-Inpatient Record/Veteran's Administration Hospital/All Other

A01.03-Inpatient Record/Military Hospital

A01.03.01-Inpatient Record/Military Hospital/Infection Control Practitioner

A01.03.02-Inpatient Record/Military Hospital/Obstetrics and Gynecology

A01.03.02.01-Inpatient Record/Military Hospital/Obstetrics and Gynecology/Prenatal Care

A01.03.02.02-Inpatient Record/Military Hospital/Obstetrics and Gynecology Labor and Delivery

A01.03.03-Inpatient Record/Military Hospital/Pediatric

A01.03.04-Inpatient Record/Military Hospital/All Other

A01.04-Inpatient Record/Long Term Care Facility

A01.04.01-Inpatient Record/Long Term Care Facility/Nursing Home

A01.04.02-Inpatient Record/Long Term Care Facility/Rehabilitation Center

A01.04.03-Inpatient Record/Long Term Care Facility/Drug Treatment Program

A01.05-Inpatient Record/Hospice

A02-Outpatient Record

A02.01-Outpatient Record/HMO

A02.01.01-Outpatient Record/HMO/Hospital- associated outpatient clinic

A02.01.02-Outpatient Record/HMO/Non- Hospital associated outpatient clinic

A02.02-Outpatient Record/VA Outpatient Clinic

A02.03-Outpatient Record/Private Physician

A02.03.01-Outpatient Record/Private Physician/Hospital-associated outpatient clinic

A02.03.02-Outpatient Record/Private Physician/Non-Hospital associated outpatient clinic

A02.04-Outpatient Record/Adult HIV Clinic

A02.04.01-Outpatient Record/Adult HIV Clinic/Hospital-associated outpatient clinic

A02.04.02-Outpatient Record/Adult HIV Clinic/Non-Hospital associated outpatient clinic

A02.05-Outpatient Record/Infectious Disease Clinic

A02.05.01-Outpatient Record/Infectious Disease Clinic/Hospital- associated outpatient clinic

A02.05.02-Outpatient Record/Infectious Disease Clinic/Non-Hospital associated outpatient clinic

A02.06-Outpatient Record/County Health Dept. Clinic

A02.07-Outpatient Record/Maternal HIV Clinic

A02.07.01-Outpatient Record/Maternal HIV Clinic/Hospital-associated outpatient clinic

A02.07.02-Outpatient Record/Maternal HIV Clinic/Non-Hospital associated outpatient clinic

A02.08-Outpatient Record/Prenatal Clinic

A02.08.01-Outpatient Record/Prenatal Clinic/Hospital-associated outpatient clinic

A02.08.02-Outpatient Record/Prenatal Clinic/Non-Hospital associated outpatient clinic

A02.09-Outpatient Record/Pediatric HIV Clinic

A02.09.01-Outpatient Record/Pediatric HIV Clinic/Hospital-associated outpatient clinic

A02.09.02-Outpatient Record/Pediatric HIV Clinic/Non-Hospital associated outpatient clinic

A02.10-Outpatient Record/Obstetrics and Gynecology

A02.10.01-Outpatient Record/Obstetrics and Gynecology/Hospital- associated outpatient clinic

A02.10.02-Outpatient Record/Obstetrics and Gynecology/Non-Hospital associated outpatient clinic

A02.11-Outpatient Record/Pediatric Clinic

A02.11.01-Outpatient Record/Pediatric Clinic/Hospital-associated outpatient clinic

A02.11.02-Outpatient Record/Pediatric Clinic/Non-Hospital associated outpatient clinic

A02.12-Outpatient Record/TB Clinic

A02.12.01-Outpatient Record/TB Clinic/Hospital-associated outpatient clinic

A02.12.02-Outpatient Record/TB Clinic/Non-Hospital associated outpatient clinic

A02.14-Outpatient Record/Indian Health Service Clinic

A02.14.01-Outpatient Record/Indian Health Service Clinic/Hospital- associated outpatient clinic

A02.14.02-Outpatient Record/Indian Health Service Clinic/Non- Hospital associated outpatient clinic

A02.15-Outpatient Record/Early Intervention Nurse

A02.15.01-Outpatient Record/Early Intervention Nurse/Hospital- associated outpatient clinic

A02.15.02-Outpatient Record/Early Intervention Nurse/Non- Hospital associated outpatient clinic

A02.16-Outpatient Record/Visiting Nurse Service

A02.16.01-Outpatient Record/Visiting Nurse Service/Hospital- associated outpatient clinic

A02.16.02-Outpatient Record/Visiting Nurse Service/Non-Hospital associated outpatient clinic

A02.17-Outpatient Record/Hemophilia Treatment Center

A02.17.01-Outpatient Record/Hemophilia Treatment Center/Hospital- associated outpatient clinic

A02.17.02-Outpatient Record/Hemophilia Treatment Center/Non- Hospital associated outpatient clinic

A02.18-Outpatient Record/Hospice

A02.18.01-Outpatient Record/Hospice/Hospital- associated outpatient clinic

A02.18.02-Outpatient Record/Hospice/Non-Hospital associated outpatient clinic

A02.19-Outpatient Record/Drug Treatment Center

A02.19.01-Outpatient Record/Drug Treatment Center/Hospital- associated outpatient clinic

A02.19.02-Outpatient Record/Drug Treatment Center/Non- Hospital associated outpatient clinic

A02.20-Outpatient Record/Rehabilitation Center

A02.20.01-Outpatient Record/Rehabilitation Center/Hospital-associated outpatient clinic

A02.20.02-Outpatient Record/Rehabilitation Center/Non-Hospital associated outpatient clinic

A02.25-Outpatient Record/Other Clinic

A02.25.01-Outpatient Record/Other Clinic/Hospital-associated outpatient clinic

A02.25.02-Outpatient Record/Other Clinic/Non-Hospital associated outpatient clinic

A02.26-Outpatient Record/PrEP Clinic

A02.27-Outpatient Record/Telemedicine Clinic

A03-Emergency Room

A04-Screening, Diagnosis and Referral Agency

A04.01-Screening, Diagnosis and Referral Agency/Blood Bank

A04.02-Screening, Diagnosis and Referral Agency/Drug Treatment Clinic or Program

A04.03-Screening, Diagnosis and Referral Agency/Family Planning Clinic

A04.04-Screening, Diagnosis and Referral Agency/HIV Case Management Agency

A04.05-Screening, Diagnosis and Referral Agency/HIV Counseling and Testing Site

A04.06-Screening, Diagnosis and Referral Agency/Immigration

A04.07-Screening, Diagnosis and Referral Agency/Insurance Report

A04.08-Screening, Diagnosis and Referral Agency/Job Corps

A04.09-Screening, Diagnosis and Referral Agency/Military

A04.10-Screening, Diagnosis and Referral Agency/Partner Counseling and Referral Services

A04.11-Screening, Diagnosis and Referral Agency/STD Clinic

A04.12-Public health notes

A05-Laboratory

A05.01-Laboratory/Hospital

A05.02-Laboratory/State

A05.03-Laboratory/Private

A05.03.01-Laboratory/Private/Reference

A05.03.02-Laboratory/Private/Other

A06-Other Database

A06.01-Other Database/AIDS Drug Assistance Program (ADAP)

A06.02-Other Database/ASD

A06.03-Other Database/Birth Certificate

A06.04-Other Database/Birth Defects Registry

A06.05-Other Database/Cancer Registry

A06.06-Other Database/Database provided by coroner not associated with inpatient facility

A06.07-Other Database/Death Certificate

A06.08-Other Database/EHRAP

A06.09-Other Database/EPS

A06.10-Other Database/HARS

A06.11-Other Database/Health department records

A06.12-Other Database/Hepatitis Registry

A06.13-Other Database/Hospital billing summary or discharge records

A06.14-Other Database/HRSA HIV CARE

A06.15-Other Database/Immunization registry

A06.16-Other Database/Medicaid Records

A06.17-Other Database/National Death Index (NDI) Search

A06.18-Other Database/Out of State Reports

A06.19-Other Database/Prison, Jail or Other Correctional Facility

A06.20-Other Database/PSD

A06.21-Other Database/State Disease Registry

A06.22-Other Database/SHAS

A06.23-Other Database/SHDC

A06.24-Other Database/STD Registry

A06.25-Other Database/Tuberculosis Registry

A06.27-Other Database/Vital Statistics (State/Local)

A06.28-Other Database/HARS NDI

A06.29-Other Database/RIDR

A06.29.01-Other Database/RIDR/CDC RIDR

A06.29.02-Other Database/RIDR/CDC Soundex Check

A06.29.03-Other Database/RIDR/Other State-to-State Communications

A06.30-Other Database/SSDMF or SSDI

A06.31-Other Database/Legacy TTH Pre-test

A06.32-Other Database/Legacy TTH Post-test

A06.33-Other Database/Legacy Consent

A06.34-Other Database/MMP

A06.34.01-Other Database/MMP/Medical Record Abstraction

A06.34.02-Other Database/MMP/Patient Interview

A06.35-Other Database/FIMR

A06.35.01-Other Database/FIMR/Medical Record Abstraction

A06.35.02-Other Database/FIMR/Patient Interview

A06.36-Other Database/Internet Person/People Search

A06.50-Other Database/Other

A07-Other Facility Record

A07.01-Other Facility Record/Prison, jail, or other correctional facility

A07.02-Other Facility Record/Coroner not associated with inpatient facility

A10-Other source

A10.01-COPHI Investigation

A10.02-Patient interview

UNK-Unknown

SOURCE-No source defined

YES

All

Required

document_type_cd

A code indicating the type of document.

000 – Person View

001 – Adult Case Report Form (ACRF)

002 – Pediatric Case Report Form (PCRF)

003 – Legacy ACRF

004 – Laboratory Document 005 – Birth Certificate Document

006 – Death Document

009 – Legacy PCRF

010 – Supplemental Risk Form

011 – Legacy HARS NDI

012 – Testing and

013 – Consent Form

YES

All

System

document_uid

A unique identifier for a document.

 

YES

All

System

ehars_uid

A unique identifier for a case or person.

 

YES

All

System

enter_by

The user ID of the person who entered the information into eHARS, auto populated by the application.

 

NO

All

Optional

enter_dt

The system date when the document was entered into eHARS.

YYYYMMDD

YES

All

System

facility_uid

Facility completing the form.

FACILITY_CODE (table)

YES

ACRF, PCRF, LEGACY_CONSENT, LEGACY_TTH

Optional - System

initdocuid

If this document contains follow up information, this field captures the document UID of the report that initiated the investigation.

 

YES

All

Required if follow-up document

initinvest

Did this document initiate a follow-up investigation?

Y – Yes

N – No

U – Unknown

YES

All

Optional

modify_dt

The date the document was last modified.

YYYYMMDD

YES

All

Optional

notes

Notes or comments regarding the document.

 

NO

All

Optional

primary_owner

For the PV, the site_cd of the site who owns the case as determined by multiple jurisdiction hierarchy, Also, the site_cd indicating who owns the document (for all other document types)

YES

All

System

provider_uid

Provider completing the form.

PROVIDER_CODE (table)

NO

ACRF, PCRF, LEGACY_CONSENT, LEGACY_TTH

Optional - System

pv_categ

The Person View stage 3 HIV infection (AIDS) category at the time the document was entered into eHARS. (Note: This field was retired from usage as of version 4.0)

YES

All

System

pv_hcateg

The Person View HIV category at the time the document was entered into the system. (Note: This field was retired from usage as of version 4.0)

YES

All

System

receive_dt

The date the document was received at the health department.

YYYYMMDD

YES

All

Optional

rep_hlth_dept_cd

The health department reporting this information to the site. The code consists of the state abbreviation and either the three-digit FIPS county code (state + fips county code), or the five- digit FIPS place code (state + fips place code).

Two-character state abbreviation + three-digit FIPS county code or five-digit FIPS place code

YES

All

Optional

rep_hlth_dept_name

The name of the reporting health department.

 

YES

All

Required

rpt_medium

The medium used to transport the information to the site, such as paper form, faxed or diskette, mailed.

1 - Paper form, field visit

2 - Paper form, mailed

3 - Paper form, faxed

4 - Telephone

5 - Electronic transfer, Internet

6 - Diskette, mailed

YES

All

Optional

ship_flag

A value indicating if the document/Person View needs to be transferred to CDC.

0-9999

YES

All

System

site_cd

A unique identifier representing the reporting site or location where eHARS is installed.

SITE_CODE

YES

All

System

status_flag

Status of the document or Person View.

A – Active

D – Deleted

E – Error

M – Moved

P – Purged

R – Required field missing

W – Warning

YES

All

System

surv_method

A field indicating whether the report was obtained via active or passive surveillance.

A - Active

F - Follow-up

P - Passive

R - Reabstraction

U - Unknown

YES

All

Required

FACILITY_CODE

Maintains information for selecting and identifying healthcare facilities.

city_fips

City FIPS code for the facility's address.

FIPS_CITY (table)

YES

N/A

Optional

city_name

City name associated with the facility's address.

FIPS_CITY (table)

YES

N/A

Optional

country_cd

ISO country code for the facility's address.

COUNTRY_CODE (table)

YES

N/A

Optional

country_usd

The FIPS code for the facility’s address on the U.S. Minor Outlying Island.

COUNTRY_CODE (table)

YES

N/A

Optional, if country_cd = “UMI” (U.S. Minor Outlying Islands)

county_fips

County FIPS code for the facility's address.

FIPS_COUNTY (table)

YES

N/A

Optional

county_name

County name associated with the facility's address.

FIPS_COUNTY (table)

YES

N/A

Optional

email

The email address of the facility.

 

NO

N/A

Optional

facility_type_cd

Type of healthcare facility.

F.OTH-Facility/Other

F.UNK-Facility/Unknown

F01-Inpatient Facility

F01.01-Inpatient Facility/Hospital

F01.04-Inpatient Facility/Long Term Care

F01.50-Inpatient Facility/Drug Treatment

F01.OTH-Inpatient Facility/Other

F01.UNK -Inpatient Facility/Unknown

F02-Outpatient Facility

F02.01-Outpatient Facility/HMO Clinic

F02.03-Outpatient Facility/Private Physician's Office

F02.04-Outpatient Facility/Adult HIV Clinic

F02.05-Outpatient Facility/Infectious Disease Clinic

F02.09-Outpatient Facility/Pediatric HIV Specialty Clinic

F02.10-Outpatient Facility/Obstetrics and Gynecology Clinic

F02.11-Outpatient Facility/Pediatric Clinic

F02.12-Outpatient Facility/TB Clinic

F02.16-Outpatient Facility/Home Health Agency

F02.17-Outpatient Facility/Hemophilia Treatment Center

F02.18-Outpatient Facility/Hospice

F02.19-Outpatient Facility/Drug Treatment Center

F02.25-Outpatient Facility/Other Clinic

F02.50-Outpatient Facility/ACTG Site

F02.51-Outpatient Facility/Community Health Center

F02.52-Outpatient Facility/Employee Health Clinic

F02.53-Outpatient Facility/Health Department/Public Health Clinic

F02.54-Outpatient Facility/Mobile Clinic

F02.55-Outpatient Facility/Non-mobile Street Outreach

F02.56-Outpatient Facility/PACTG Site

F02.57-Outpatient Facility/Primary Care Clinic, Not Specified

F02.58-Outpatient Facility/School or University Clinic

F02.59-Outpatient Facility/PrEP Clinic

F02.60-Outpatient Facility/Telemedicine Clinic

F02.OTH-Outpatient Facility/Other

F02.UNK -Outpatient Facility/Unknown

F03-Emergency Room

F04-Screening, Diagnostic, Referral Agency (S,D,R)

F04.01-(S,D,R) Blood Bank or Plasma Center

F04.02-(S,D,R) Drug Treatment Center

F04.03-(S,D,R) Family Planning Clinic

F04.04-(S,D,R) HIV Case Management Agency

F04.05-(S,D,R) HIV Counseling and Testing Site

F04.07-(S,D,R) Insurance Screening

F04.11-(S,D,R) STD Clinic

F04.OTH-(S,D,R) Other

F04.UNK -(S,D,R) Unknown

F05-Laboratory

F07-Other Specific Facility

F07.01-Other Specific Facility/Correctional Facility

F07.02-Other Specific Facility/Coroner or Medical Examiner

YES

N/A

Required

facility_uid

A unique identifier for a healthcare facility.

 

YES

N/A

System

fax

The fax number of the facility.

 

NO

N/A

Optional

funding_cd

Type of HRSA funding a facility receives.

1 – Title I

2 – Title II

3 – Title III

4 – Title IV

5 – SPNS

6 – None

8 – Other

9 – Unknown

YES

N/A

Optional

funding_flag

Does the facility receive HRSA funding?

Y – Yes

N – No

YES

N/A

Optional

name1

Primary name of the facility.

 

YES

N/A

Optional

name2

Secondary or alternative name of the facility.

 

YES

N/A

Optional

phone

Phone number of the facility.

 

NO

N/A

Optional

setting_cd

Facility setting

001 – Public, unspecified

002 – Federal, VA

003 – Federal, IHS

004 – Federal, military

005 – Federal, corrections

006 – Federal, other/unspecified

007 – State

008 – County/Parish

009 – City/Town/Township

010 – Private

999 – Unknown

YES

N/A

Optional

ship_flag

A field used by the application to determine if the information for this facility needs to be transferred to CDC.

0 = Do not ship, 1 = Ship to CDC

NO

N/A

Optional

state_cd

State postal code of the facility's address.

STATE_CODES

YES

N/A

Optional

street_address1

Facility’s primary street address.

 

NO

N/A

Optional

street_address2

Facility’s secondary street address.

 

NO

N/A

Optional

zip_cd

Zip code for the facility's address.

ZIP_CITY (table)

NO

N/A

Optional

FACILITY_EVENT

Maintains information pertaining to a person's events that involve a facility, such as facility at birth or facility at HIV diagnosis.

doc_belongs_to

Indicates if the facility event data (such as facility at HIV dx or facility at birth) belong to PERSON, MOTHER, or CHILD.

PERSON, MOTHER, CHILD

YES

All except DEATH and LAB

Optional

document_uid

A unique identifier for a document.

 

YES

All except DEATH and LAB

System

event_cd

The type of event that occurred.

01 – Facility of HIV diagnosis

02 – Facility of stage 3 HIV infection (AIDS) diagnosis

03 – Facility of perinatal exposure

05 – Fospital of birth

07 – Facility where child was transferred within 24 hours of delivery

YES

All except DEATH and LAB

Optional

facility_uid

The unique identifier of the facility associated with this event.

FACILITY_CODE (table)

YES

All except DEATH and LAB

Optional - System

provider_uid

The unique identifier of the provider associated with this event.

PROVIDER_CODE (table)

NO

All except DEATH and LAB

Optional - System

ID

Maintains identifiers belonging to a person, or to a child’s biological mother, or to a female patient’s children.

doc_belongs_to

The identifier belongs to: PERSON, MOTHER, or CHILDn.

PERSON, MOTHER, CHILDn

YES

All

System

document_uid

A unique identifier for a document.

 

YES

All

System

id_cd

The type of identifier assigned to a person, mother, or child.

ID_CODE

YES

All

Refer to ID_CODE table for requirements for each variable

id_seq

Sequence identifier for each identification type added to a document

1-99999999

YES

All

System

id_value

The value of the person's, the mother’s or the child’s identifier.

 

YES

All

Refer to ID_CODE table for valid data element values for each variable

ID_CODE

A table that contains all distinct ID.id_cd values and associated descriptions, including any locally-defined ID types.

*Required for the stateno associated with the state of report and the cityno associated with the applicable city of report.

001

FL STATENO

 

YES

All

Optional*

003

HRSA URN

 

NO

All

Optional

004

Medicaid Number

 

NO

All

Optional

005

GA STATENO

 

YES

All

Optional*

006

PA STATENO

 

YES

All

Optional*

007

Ryan White Number

 

NO

All

Optional

008

AIDS Drug Assistance Program (ADAP) Number

 

NO

All

Optional

009

STD*MIS Number

 

YES

All

Optional

010

Prison Number

 

NO

All

Optional

011

RVCT (TB) Number

 

YES

All

Optional

012

Social Security Number (SSN)

 

NO

All

Optional

013

Social Security Number Alias

 

NO

All

Optional

015

CA Non-named Code (reported)

 

NO

All

Optional

016

CA Non-named Code (verified)

 

NO

All

Optional

017

CT Coded Identifier (reported)

 

NO

All

Optional

019

DC Unique Id (reported)

 

NO

All

Optional

020

DC Unique Id (verified)

 

NO

All

Optional

021

DE Coded Identifier (reported)

 

NO

All

Optional

022

DE Coded Identifier (verified)

 

NO

All

Optional

023

HI Unnamed Test Code (reported)

 

NO

All

Optional

024

HI Unnamed Test code (verified)

 

NO

All

Optional

025

IL Patient Code Number (reported)

 

NO

All

Optional

026

IL Patient Code Number (verified)

 

NO

All

Optional

027

Philadelphia, PA Unique Code (reported)

 

NO

All

Optional

028

Philadelphia, PA Unique Code (verified)

 

NO

All

Optional

029

MA Coded Identifier (reported)

 

NO

All

Optional

030

MA Coded Identifier (verified)

 

NO

All

Optional

031

MD Unique Identifier (reported)

 

NO

All

Optional

032

MD Unique Identifier (verified)

 

NO

All

Optional

033

ME Coded Identifier (reported)

 

NO

All

Optional

034

ME Coded Identifier (verified)

 

NO

All

Optional

035

MT Coded Identifier (reported)

 

NO

All

Optional

036

MT Coded Identifier (verified)

 

NO

All

Optional

037

OR Coded Identifier (reported)

 

NO

All

Optional

038

OR Coded Identifier (verified)

 

NO

All

Optional

041

RI Coded Identifier (reported)

 

NO

All

Optional

042

RI Coded Identifier (verified)

 

NO

All

Optional

043

VT Non-named Code (reported)

 

NO

All

Optional

044

VT Non-named Code (verified)

 

NO

All

Optional

045

WA Non-named Coded Id (reported)

 

NO

All

Optional

046

WA Non-named Coded Id (verified)

 

NO

All

Optional

047

PATNO (HARS)

 

YES

All

Optional

048

HIVNO (HARS)

 

YES

All

Optional

049

Medical Record Number (MEDRECNO)

 

NO

All

Optional

050

TX STATENO

 

YES

All

Optional*

051

Houston, TX CITYNO

 

YES

All

Optional*

052

LA STATENO

 

YES

All

Optional*

053

WA STATENO

 

YES

All

Optional*

054

MI STATENO

 

YES

All

Optional*

055

AL STATENO

 

YES

All

Optional*

056

NJ STATENO

 

YES

All

Optional*

059

Counseling and Testing

 

NO

All

Optional

067

WA Non-named Code (generated)

 

NO

All

Optional

069

DC Unique Id (generated)

 

NO

All

Optional

070

DE Coded Identifier (generated)

 

NO

All

Optional

071

HI Unnamed Test Code (generated)

 

NO

All

Optional

072

IL Patient Code Number (generated)

 

NO

All

Optional

073

Philadelphia, PA Unique Code (generated)

 

NO

All

Optional

074

MA Coded Identifier (generated)

 

NO

All

Optional

075

MD Unique Identifier (generated)

 

NO

All

Optional

076

ME Coded Identifier (generated)

 

NO

All

Optional

077

MT Coded Identifier (generated)

 

NO

All

Optional

078

OR Coded Identifier (generated)

 

NO

All

Optional

079

PR Coded Identifier (retired)

 

NO

All

Optional

080

VT Non-named Code (generated)

 

NO

All

Optional

081

CA Non-named Code (generated)

 

NO

All

Optional

082

CT Coded Identifier (generated)

 

NO

All

Optional

083

RI Coded Identifier (generated)

 

NO

All

Optional

084

WA Non-named Code Alias (reported)

 

NO

All

Optional

086

CA Non-named Code Alias (reported)

 

NO

All

Optional

090

DC Unique Id Alias (reported)

 

NO

All

Optional

092

DE Coded Identifier Alias (reported)

 

NO

All

Optional

094

HI Unnamed Test Code Alias (reported)

 

NO

All

Optional

096

IL Patient Code Number Alias (reported)

 

NO

All

Optional

098

Philadelphia, PA Unique Code Alias (reported)

 

NO

All

Optional

100

MA Coded Identifier Alias (reported)

 

NO

All

Optional

102

MD Unique Identifier Alias (reported)

 

NO

All

Optional

104

ME Coded Identifier Alias (reported)

 

NO

All

Optional

106

MT Coded Identifier Alias (reported)

 

NO

All

Optional

108

OR Coded Identifier Alias (reported)

 

NO

All

Optional

112

RI Coded Identifier Alias (reported)

 

NO

All

Optional

114

VT Non-named Code Alias (reported)

 

NO

All

Optional

132

UCSF Patient Identifier

 

NO

All

Optional

133

Reporting Health Department Number (generic cityno)

 

YES

All

Optional

134

AK STATENO

 

YES

All

Optional*

135

AZ STATENO

 

YES

All

Optional*

136

AR STATENO

 

YES

All

Optional*

137

CA STATENO

 

YES

All

Optional*

138

CO STATENO

 

YES

All

Optional*

139

CT STATENO

 

YES

All

Optional*

140

DE STATENO

 

YES

All

Optional*

141

HI STATENO

 

YES

All

Optional*

142

ID STATENO

 

YES

All

Optional*

143

IL STATENO

 

YES

All

Optional*

144

IN STATENO

 

YES

All

Optional*

145

IA STATENO

 

YES

All

Optional*

146

KS STATENO

 

YES

All

Optional*

147

KY STATENO

 

YES

All

Optional*

148

ME STATENO

 

YES

All

Optional*

149

MD STATENO

 

YES

All

Optional*

150

MA STATENO

 

YES

All

Optional*

151

MN STATENO

 

YES

All

Optional*

152

MS STATENO

 

YES

All

Optional*

153

MO STATENO

 

YES

All

Optional*

154

MT STATENO

 

YES

All

Optional*

155

NE STATENO

 

YES

All

Optional*

156

UT STATENO

 

YES

All

Optional*

157

VT STATENO

 

YES

All

Optional*

158

VA STATENO

 

YES

All

Optional*

159

WV STATENO

 

YES

All

Optional*

160

WI STATENO

 

YES

All

Optional*

161

WY STATENO

 

YES

All

Optional*

162

NV STATENO

 

YES

All

Optional*

163

NH STATENO

 

YES

All

Optional*

164

NM STATENO

 

YES

All

Optional*

165

NY STATENO

 

YES

All

Optional*

166

NC STATENO

 

YES

All

Optional*

167

ND STATENO

 

YES

All

Optional*

168

OH STATENO

 

YES

All

Optional*

169

OK STATENO

 

YES

All

Optional*

170

OR STATENO

 

YES

All

Optional*

171

RI STATENO

 

YES

All

Optional*

172

SC STATENO

 

YES

All

Optional*

173

SD STATENO

 

YES

All

Optional*

174

TN STATENO

 

YES

All

Optional*

175

New York, NY CITYNO

 

YES

All

Optional*

176

American Samoa STATENO

 

YES

All

Optional*

177

Mariana Islands STATENO

 

YES

All

Optional*

178

DC STATENO

 

YES

All

Optional*

179

Guam STATENO

 

YES

All

Optional*

180

Puerto Rico STATENO

 

YES

All

Optional*

181

Virgin Islands STATENO

 

YES

All

Optional*

182

San Francisco, CA CITYNO

 

YES

All

Optional*

183

Los Angeles, CA CITYNO

 

YES

All

Optional*

184

Chicago, IL CITYNO

 

YES

All

Optional*

185

Philadelphia, PA CITYNO

 

YES

All

Optional*

186

PATNO (ASD)

 

YES

All

Optional

187

INS Number

 

NO

All

Optional

188

KY Unique Code Alias (Retired)

 

NO

All

Optional

189

Tracking ID

 

NO

All

Optional

190

Generic ID

 

NO

All

Optional

191

PEMS Client Unique Key

 

NO

All

Optional

192

PEMS Local Client Key

 

NO

All

Optional

193

PEMS Form ID

 

NO

All

Optional

195

Palau STATENO

 

YES

All

Optional

196

Marshall Islands STATENO

 

YES

All

Optional

197

MMP PARID

 

YES

All

Optional

198

FIMR ID

 

YES

All

Optional

199

Federated States of Micronesia STATENO

 

YES

All

Optional*

200

EvalWeb Client ID

NO

All

Optional

201

EvalWeb Form ID

YES

All

Optional

202

EvalWeb Partner Services Case Number

YES

All

Optional

203

Integrated Disease Surveillance System Person ID

No

All

Optional

204

Integrated Disease Surveillance System Event ID

No

All

Optional

INVESTIGATION_CASE

Maintains investigation information about a person (e.g., not in HIV medical care investigation).

document_uid

A unique identifier for a document.

YES

ACRF

System

int_dispo

Intervention disposition.

1 – No linkage/re-engagement intervention initiated

2 – Linkage/re-engagement intervention declined by client

3 – Returned to care before linkage/re-engagement intervention was initiated

4 – Linkage/re-engagement intervention initiated, not successfully linked to/re-engaged in care

5 – Linked to/re-engaged in care, documented

6 – Linked to/re-engaged in care, client self-report, only

7 – Linkage/re-engagement status unknown

YES

ACRF

Required

int_dispo_dt

Intervention disposition date.

YYYYMMDD

YES

ACRF

Required

invest_case_seq

Sequence number to make the record unique.

YES

ACRF

System

invest_dispo

Investigation disposition.

1 – Deceased

2 – Resides out of jurisdiction

3 – In care

4 – Not in care

5 – Unable to determine

YES

ACRF

Required

invest_dispo_dt

Investigation disposition date.

YYYYMMDD

YES

ACRF

Required

invest_dispo_method

Basis of investigation disposition.

1 – Database/record search, only

2 – Patient contact/field investigation, only

3 – Database/record search and patient contact/field investigation

YES

ACRF

Required

invest_ident_dt

Date first identified as needing investigation

YYYYMMDD

YES

ACRF

Required

invest_ident_method

How person was first identified as needing investigation.

01 – Health department HIV surveillance system (e.g., eHARS)

02 – Health department integrated data system

03 – Provider report

04 – Cluster investigation

05 – Elevated viral load investigation

06 – Partner services investigation

07 – Medical Monitoring Project (MMP)

88 – Other

YES

ACRF

Required

invest_incl

Included in investigation.

Y - Included in investigation

N - Excluded from investigation

YES

ACRF

Required

invest_start_dt

Date investigation opened.

YYYYMMDD

YES

ACRF

Required

invest_type_cd

Type of investigation

0 - Transmission Cluster

1 - Not in care

YES

ACRF

Required

INVESTIGATION_CLUSTER

A table that maintains the details of molecular cluster investigation.

cluster_ident_method

Method of cluster identification.

01 – State/local molecular cluster analysis

02 – National molecular cluster analysis

03 – State/local time-space cluster analysis

04 – National time-space cluster analysis

05 – Provider notification

06 – Partner services notification

88 – Other

YES

ACRF

Required

cluster_uid

Unique cluster ID number.

A-Z, 0-9,-,_, blank

YES

ACRF

Required

document_uid

A unique identifier for a document.

YES

ACRF

System

invest_cluster_seq

Sequence number to make the record unique.

YES

ACRF

System

person_ident_dt

Date person was identified as part of this cluster.

YYYYMMDD

YES

ACRF

Required

person_ident_met

How person was identified as part of this cluster.

1 – Through analysis/notification

2 – Through investigation

YES

ACRF

Required

LAB

Maintains information on a person's laboratory test results.

accession_number

An identifier assigned by the lab to a specimen when received; acts as a tracking mechanism for the specimen.

 

NO

ACRF, PCRF, LAB

Optional

case_cd

For application use, a code associating a diagnostic test with the HIV/AIDS case definition algorithm.

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

System

clia_uid

The CLIA or CLIP identifier of the laboratory that performed the test.

CLIA_CODE (table)

YES

ACRF, PCRF, LAB

Optional

comments

Notes or comments regarding a lab test entered by a user.

 

YES

ACRF, PCRF, LAB

Optional

document_uid

A unique identifier for a document.

 

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

System

facility_uid

The unique identifier of the facility that ordered the test.

FACILITY_CODE (table)

YES

ACRF, PCRF, LAB

Optional - System

lab_seq

Sequence identifier for every laboratory test result belonging to a person.

 

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

System

lab_test_cd

The eHARS defined codes to identify laboratory tests

EC-001 – HIV-1 IA

EC-002 – HIV-1/2 IA

EC-003 – HIV-2 IA

EC-004 – HIV-1/2 Ag/Ab

EC-005 – HIV-1/2 type-differentiating IA (initial)

EC-006 – HIV-1 Western Blot

EC-007 – HIV-2 Western Blot

EC-008 – HIV-1 IFA

EC-009 – HIV-1 culture

EC-010 – HIV-2 culture

EC-011 – HIV-1 p24 antigen

EC-012 – HIV-1 RNA/DNA NAAT (Qualitative)

EC-013 – HIV-2 RNA/DNA NAAT (Qualitative)

EC-014 – HIV-1 RNA/DNA NAAT (Quantitative) – Retired

EC-015 – HIV-2 RNA/DNA NAAT (Quantitative) – Retire

EC-016 – CD4 T-lymphocytes

EC-017 – CD4 percent

EC-018 – HIV-1 Genotype (PR RNA Nucleotide Sequence-Sanger method)

EC-019 – HIV-1 Genotype (RT RNA Nucleotide Sequence-Sanger method)

EC-020 – HIV-1 Genotype (PR/RT RNA Nucleotide Sequence-Sanger method)

EC-021 – HIV-1 Genotype (IN RNA Nucleotide Sequence-Sanger method)

EC-022 – HIV-1 Genotype (PR/RT/IN RNA Nucleotide Sequence-Sanger method)

EC-023 – STARHS (BED)

EC-024 – STARHS (Vironostika-LS)

EC-025 – STARHS (Bio-Rad Avidity)

EC-026 – STARHS (Other)

EC-027 – STARHS (Unknown)

EC-028 – Rapid

EC-029 – HIV-1/2 Ag/Ab-Differentiating IA

EC-030 – HIV-1 Genotype (EN RNA Nucleotide Sequence-Sanger method)

EC-031 – HIV-1 Genotype (FI RNA Nucleotide Sequence-Sanger method)

EC-032 – HIV-1/2 Ag/Ab and type-differentiating IA

EC-036 – HIV-1/2 type-differentiating IA (supplemental)

EC-039 – HIV-1 Genotype (Unspecified)

EC-040 – HIV-1 Genotype (PR RNA Nucleotide Sequence-NGS method)

EC-041 – HIV-1 Genotype (RT RNA Nucleotide Sequence-NGS method)

EC-042 – HIV-1 Genotype (PR/RT RNA Nucleotide Sequence-NGS method)

EC-043 – HIV-1 Genotype (IN RNA Nucleotide Sequence-NGS method)

EC-044 – HIV-1 Genotype (PR/RT/IN RNA Nucleotide Sequence-NGS method)

EC-045 – HIV-1 Genotype (EN RNA Nucleotide Sequence-NGS method)

EC-046 – HIV-1 Genotype (FI RNA Nucleotide Sequence-NGS method)

EC-047 – HIV-1 Genotype (PR DNA Nucleotide Sequence NGS method)

EC-048 – HIV-1 Genotype (RT DNA Nucleotide Sequence NGS method)

EC-049 – HIV-1 Genotype (PR/RT DNA Nucleotide Sequence NGS method)

EC-050 – HIV-1 Genotype (PR/RT DNA Nucleotide Sequence NGS method)

EC-051 – HIV-1 Genotype (PR/RT DNA Nucleotide Sequence NGS method)

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Required

lab_test_type

The type of lab test.

07 – Point-of-care test by provider

08 – Self-test, result directly observed by a provider

09 – Lab test, self-collected sample.

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional if the test is rapid

manufacturer

The manufacturer of the test (applicable to viral load tests only)

01-Bayer Diagnostics

02-Organon Teknika

03-Roche Molecular Systems Inc.

04-Abbott Laboratories

05-ABBOTT Molecular Inc.

06-Alere

07-Avioq Inc.

08-BioLife Plasma Services

09-bioLytical Laboratories Inc.

10-Bio-Rad Laboratories

11-Celera Diagnostics

12-Chembio Diagnostic Systems Inc.

13-Gen-Probe Inc.

14-Home Access Health Corp.

15-Maxim Biomedical Inc.

16-MedMira Laboratories Inc.

17-National Genetics Institute

18-OraSure Technologies

19-Ortho-Clinical Diagnostics Inc.

21-Sanochemia Pharmazeutika AG

22-Siemens Healthcare Diagnostics Inc.

23-Trinity Biotech

24-Becton Dickinson

25-Beckman Coulter

26-Cytognos

27-Guava Technologies

28-Partec

29-Invitrogen/Dynal biotech

30-PointCare technologies

31-Sysmex

32-i+MED Laboratories Co. Ltd.

33-Visible Genetics

34-Applied Biosystems

35-Virco

36-bioMerieux, Inc

37-Siemens Medical Solutions Diagnostics

38-Chiron Corporation

40-Streck

41-DiaSorin

42-Hologic

88-Other

99-Unknown

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

provider_uid

The unique identifier of the provider who ordered the test.

PROVIDER_CODE (table)

NO

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional-System

receive_dt

The date the lab that performed the test received the specimen from either a healthcare provider or another laboratory.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

result

The result value including the optical density for STARHS.

LAB_RESULT_VALUE (but depends upon the test)

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Required when entering a lab test

result_interpretation

An interpretation of the lab result. For viral load tests, values include: within range =, below range (limit) <, above range (limit) >. For STARHS tests the STARHS_RESULT values as found in LOOKUP_CODE table.

RESULT_INTERPRETATION - For viral load tests
STARHS_RESULT - For STARHS tests
Old HARS value "I" (indeterminate) [viewable only]

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

result_range_lower

The lower boundary reference range or detection limit for viral load.

0-999.999,999

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

result_range_upper

The upper boundary reference range or detection limit for viral load.

0-999.999,999

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

result_rpt_dt

The date the test result was reported or processed at the lab.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Optional

result_units

The reported units.

RESULT_UNITS_CD4, RESULT_UNITS

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Required when entering a CD4 test

sample_dt

The date the specimen was collected.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF

Required when entering a lab test

sample_id

A unique identifier used to distinguish samples; may be specimen number or ID.

 

NO

ACRF, PCRF, LAB

Optional

specimen

The type of specimen collected.

BLD - Blood

OTH - Other

SAL - Saliva

UNK - Unknown

URN - Urine

YES

ACRF, PCRF, LAB

Optional

sreason

The reason the STARHS specimen was not sent for testing.

1 - Quantity not sufficient

2 - Specimen never received at public lab

3 - Specimen broke in transit

4 - Other

5 - Not sufficient antibodies

YES

ACRF, PCRF, LAB

Optional

starhs_sample_id

If this is a confirmatory test aliquoted for STARHS, the STARHS specimen ID.

 

YES

ACRF, PCRF, LAB

If lab_test_cd=EC-023, EC-024, EC-025, EC-026, or EC-027 then this variable is REQUIRED

LAB_ANALYTE

A table that contains the HIV-1/2 Ag/Ab and Type-Differentiating Immunoassay lab test’s analyte results.

document_uid

A unique identifier for a document.

YES

ACRF, PCRF, LAB

System

lab_seq

Sequence identifier for a person's laboratory results.

YES

ACRF, PCRF, LAB

System

lab_test_cd

The eHARS defined codes to identify lab tests

LAB_TEST_CODE (table)

YES

ACRF, PCRF, LAB

Required

result_interpretation

An interpretation of the lab result.

RESULT_INT_ANALYTE

YES

ACRF, PCRF, LAB

Required when entering a lab test

result

The result value.

0.00000-9999.99999, <, >, =

YES

ACRF, PCRF, LAB

Optional

result_units

The reported units

IDX

YES

ACRF, PCRF, LAB

System

LAB_GENOTYPE

A table that contains the gene sequence from a person's genotype diagnostic test.

document_uid

A unique identifier for a document.

YES

ACRF, PCRF, LAB

System

genotype_sequence

The genotype sequence result from a genotype diagnostic test.

GENE_VALIDATION

YES

ACRF, PCRF, LAB

Required

lab_seq

Sequence identifier for a person's laboratory results.

YES

ACRF, PCRF, LAB

System

OBSERVATION

A table that maintains information on a person’s observations.

document_uid

An internal unique identifier for a document. For person-based local fields, the ehars_uid is stored in this field. For document-based local fields, the document_uid is stored in this field.

 

YES

All

System

obs_uid

An internal unique identifier for an observation.

OBSERVATION_CODE (table)

YES

All

Refer to OBSERVATION_CODE table for requirements for each variable

obs_value

The value for the observed object.

 

YES

All

Refer to OBSERVATION_CODE table for valid data element values for each variable

OBSERVATION_CODE

A table that contains all distinct obs_value and associated descriptions.

1

Report status

 

YES

All

Optional

2

HARS Legacy - Laboratory name

 

YES

All

Legacy HARS

3

HARS Legacy - Other facility type at HIV diagnosis (specify)

 

YES

All

Legacy HARS

4

HARS Legacy - Has patient received a physical exam for this condition?

YES_NO_UNK

YES

All

Legacy HARS

5

HARS Legacy - Other facility type at perinatal exposure (specify)

 

YES

All

Legacy HARS

6

If HIV laboratory tests were not documented, is HIV diagnosis documented by a physician?

YES_NO_UNK

YES

All

Required if laboratory test not documented

7

Date patient was confirmed by a physician as HIV infected

YYYYMMDD

YES

All

Required if laboratory test not documented and physician diagnosis

8

Entered age at HIV diagnosis (years)

 

YES

All

Optional

9

Entered age at AIDS diagnosis (years)

 

YES

All

Optional

10

Clinical record reviewed

YES_NO

YES

All

Optional

11

Date patient was diagnosed as asymptomatic

YYYYMMDD

YES

All

Optional

12

Date patient was diagnosed as symptomatic

YYYYMMDD

YES

All

Optional

13

HARS Legacy - Other facility type at AIDS diagnosis (specify)

 

YES

All

Legacy HARS

14

Has patient been informed of his/her HIV infection?

YES_NO_UNK

YES

All

Optional

15

By whom patient's partners will be notified and counseled about their HIV exposure

PATIENT_NOTIFIER

YES

All

Optional

16

Is patient receiving or has patient been referred for medical services?

YES_NO_UNK

YES

All

Optional

17

Is patient receiving or has patient been referred for substance abuse treatment services?

YES_NO_NA_UNK

YES

All

Optional

18

HARS Legacy - Follow up date

 

YES

All

Legacy HARS

19

HARS Legacy - Follow up status of patient

1=Active follow-up
2=Moved from state
3=Provider out of state
4=Lost to follow-up
9=Unknown

YES

All

Legacy HARS

20

HARS Legacy - Laboratory ID number

 

YES

All

Legacy HARS

21

HARS Legacy - Did patient have heterosexual relations with a person born outside of the U.S.?

YES_NO_UNK

YES

All

Legacy HARS

22

HARS Legacy - Country of person with whom patient had heterosexual relations

See HARS country codes

YES

All

Legacy HARS

23

Patient is receiving or has been referred for OB-GYN services

YES_NO_UNK

YES

All

Optional

24

Is patient currently pregnant?

YES_NO_UNK

YES

All

Required

25

Has patient delivered live-born infant?

YES_NO_UNK

YES

All

Optional

26

HARS Legacy - Has child's mother had sex with a man born outside of the U.S.?

YES_NO_UNK

YES

All

Legacy HARS

27

HARS Legacy - Is patient receiving HIV prophylactic therapy?

YES_NO_UNK

YES

All

Legacy HARS

28

HARS Legacy - Has patient been referred for treatment?

YES_NO_UNK

YES

All

Legacy HARS

29

HARS Legacy - Country of man with whom child's mother had sex

See HARS country codes

YES

All

Legacy HARS

31

HARS Legacy - Method of partner notification

1=Patient referred
2=Health department referred
8=Other provider

YES

All

Legacy HARS

32

HARS Legacy - Source of AIDS report

LEGACY_SOURCE

YES

All

Legacy HARS

33

HARS Legacy - Source of HIV report

LEGACY_SOURCE

YES

All

Legacy HARS

34

HARS Legacy - Source of AIDS report (specify)

 

YES

All

Legacy HARS

35

HARS Legacy - Source of HIV report (specify)

 

YES

All

Legacy HARS

39

Date of last medical evaluation

YYYYMMDD

YES

All

Optional

40

Date of initial evaluation for HIV infection

YYYYMMDD

YES

All

Optional

41

Was reason for initial HIV evaluation due to clinical signs/symptoms?

YES_NO_UNK

YES

All

Optional

42

Date of mother's first HIV positive test

YES_NO_UNK

YES

All

Optional

43

eHARS Retired ––Was mother counseled about HIV testing during this pregnancy, labor, or delivery?

YES_NO_UNK

YES

All

Optional

44

eHARS Retired –– If HIV tests were not positive or were not done, does this patient have an immunodeficiency that would disqualify him/her from AIDS case definition?

YES_NO_UNK

YES

All

Optional

45

Is patient confirmed by a physician as not HIV infected?

YES_NO_UNK

YES

All

Optional

46

Date patient confirmed by physician as not HIV infected

YYYYMMDD

YES

All

Optional

47

Is child's birth history available?

YES_NO_UNK

YES

All

Optional

48

Entered diagnostic status at report

1 - Adult HIV

2 - Adult AIDS

3 - Perinatal HIV exposure

4 - Pediatric HIV

5 - Pediatric AIDS

6 - Pediatric seroreverter

9 - Unknown

YES

All

Optional

58

HARS Legacy - Mother's type of coagulation disorder

1=Hemophilia A
2=Hemophilia B
8=Other disorder

YES

All

Legacy HARS

74

HARS Legacy - Was mother diagnosed with HIV/AIDS?

YES_NO_UNK

YES

All

Legacy HARS

75

HARS Legacy - Was mother diagnosed with HIV/AIDS prior to child's birth?

YES_NO_UNK

YES

All

Legacy HARS

76

Has child received neonatal zidovudine?

YES_NO_UNK

YES

All

Retired

78

Has child received other neonatal anti-retroviral therapy?

YES_NO_UNK

YES

All

Retired

81

Has patient received anti-retroviral therapy?

YES_NO_UNK

YES

All

Retired

83

Has patient received PCP prophylaxis?

YES_NO_UNK

YES

All

Optional

84

Date PCP prophylaxis started

YYYYMMDD

YES

All

Optional

86

Is patient enrolled in government/other clinical trial?

PATIENT_ENROLLED_TRIAL

YES

All

Optional

87

Is patient enrolled at clinic?

PATIENT_ENROLLED_CLINIC

YES

All

Optional

88

HARS Legacy - Primary source of reimbursement for medical treatment

1=Medicaid
2=Private coverage
3=No coverage
4=Other public fund
7=Government program
9=Unknown

YES

All

Legacy HARS

89

Child's primary caretaker

1 - Biological parent(s)

2 - Other relative

3 - Foster/Adoptive parent, relative

4 - Foster/Adoptive parent, unrelated

7 - Social service agency

8 - Other (please specify in comments)

9 - Unknown

YES

All

Optional

90

HARS Legacy - For pediatric presumptive AIDS before 10/94, was lymphocyte count low (< 1000 ul)?

YES_NO_UNK

YES

All

Legacy HARS

91

HARS Legacy - For pediatric presumptive AIDS before 10/94, was CD4/CD8 ratio low (< 1000 ul)?

YES_NO_UNK

YES

All

Legacy HARS

92

HARS Legacy - For pediatric presumptive AIDS before 10/94, total serum immunoglobulins category

1=<1500 mg/dl
2=1500-2500
3=>2500 mg/dl
9=Unknown

YES

All

Legacy HARS

93

HARS Legacy - For pediatric presumptive AIDS before 10/94, highest total serum immunoglobulins value (mg/dl)

 

YES

All

Legacy HARS

94

HARS Legacy - For pediatric presumptive AIDS before 10/94, date of highest total serum immunoglobulins

 

YES

All

Legacy HARS

95

HARS Legacy - Was mother known to be uninfected after child's birth?

YES_NO_UNK

YES

All

Legacy HARS

96

HARS Legacy - Scheduled follow-up: TB update

range: 0-9, A-Z

YES

All

Legacy HARS

99

HARS Legacy - Scheduled follow-up: heterosexual case update

range: 0-9, A-Z

YES

All

Legacy HARS

100

HARS Legacy - Father's birthplace

1=US
7=US possession
8=Other
9=Unknown

YES

All

Legacy HARS

101

HARS Legacy - Father's country of birth

See HARS country codes

YES

All

Legacy HARS

102

HARS Legacy - Father's U.S. dependency of birth

See HARS US dependency codes

YES

All

Legacy HARS

114

Entered age at HIV diagnosis (months)

 

YES

All

Optional

115

Entered age at AIDS diagnosis (months)

 

YES

All

Optional

116

HARS Legacy - Clinical status assessed within one month of initial report

1=Asymptomatic
2=Symptomatic for HIV/AIDS

YES

All

Legacy HARS

118

HARS Legacy - NDI match category

1=Death not previously known
2=Death previously known; certificate identified by NDI
3=Death and certificate previously identified

YES

All

Legacy HARS

128

HARS Legacy - Scheduled follow-up: immunologic case update

range: 0-9, A-Z

YES

All

Legacy HARS

138

HARS Legacy - Physician name

 

YES

All

Legacy HARS

139

HARS Legacy - Patient name

 

YES

All

Legacy HARS

179

HARS Legacy - Comments from ARS

 

YES

All

Legacy HARS

180

HARS Legacy - Was this child referred?

1=Yes, by health dept.
2=Yes, by health care/provider
3=No, family refused
4=No
9=Unknown

YES

All

Legacy HARS

181

HARS Legacy - Comment line 1

 

YES

All

Legacy HARS

182

HARS Legacy - Comment line 2

 

YES

All

Legacy HARS

183

HARS Legacy - Comment line 3

 

YES

All

Legacy HARS

184

HARS Legacy - Comment line 4

 

YES

All

Legacy HARS

186

HARS Legacy - Date initial AIDS form completed

YYYYMMDD

YES

All

Legacy HARS

187

HARS Legacy - State GSA geographic code of current residence

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

189

HARS Legacy - Form (Adult of Pediatric)

A=Adult
P=Pediatric

YES

All

Legacy HARS

190

HARS Legacy - Date initial HIV form completed

YYYYMMDD

YES

All

Legacy HARS

192

HARS Legacy - Date of HIV diagnosis reported at facility

YYYYMMDD

YES

All

Legacy HARS

194

HARS Legacy - Date of AIDS diagnosis reported at facility

YYYYMMDD

YES

All

Legacy HARS

196

HARS Legacy - State GSA geographic code of residence at HIV diagnosis

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

197

HARS Legacy - State GSA geographic code of facility at HIV diagnosis

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

198

HARS Legacy - Has child received IVIG therapy?

YES_NO_UNK

YES

All

Legacy HARS

199

HARS Legacy - Mother received blood products

YES_NO_UNK

YES

All

Legacy HARS

200

HARS Legacy - Date of perinatal HIV exposure reported at facility

YYYYMMDD

YES

All

Legacy HARS

202

HARS Legacy - State GSA geographic code of facility at perinatal HIV exposure

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

204

HARS Legacy - State GSA geographic code of residence at AIDS diagnosis

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

205

HARS Legacy - Record shipment to CDC indicator

N=No
Y, 2, ….=Yes

YES

All

Legacy HARS

206

HARS Legacy - State GSA geographic code of facility at AIDS diagnosis

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

207

HARS Legacy - State GSA geographic code of reporting state

(FIPS_CITY.state_fips)

YES

All

Legacy HARS

208

HARS Legacy - Record status

A - Active record
B - Deleted record
E - Fields in error
F - Deleted with fields in error
R – Required fields missing
S – Deleted with reqd fields missing
V - Pending verification
W - Deleted before verified
X – Reuse record in Database
Z – ID number change

YES

All

Legacy HARS

210

HARS Legacy - Physician phone

 

YES

All

Legacy HARS

211

HARS Legacy - Reporting state

(FIPS_CITY.state_cd)

YES

All

Legacy HARS

212

HARS Legacy - Mother receive any other anti-retroviral medication during pregnancy (specify)

 

YES

All

Legacy HARS

220

Primary source of reimbursement for medical treatment at time of AIDS diagnosis

01 - CHAMPUS/TRICARE

02 - CHIP

03 - Medicaid

04 - Medicaid, pending

05 - Medicare

06 - Other public funding

07 - Private insurance, HMO

08 - Private insurance, PPO

09 - Private insurance, unspecified

10 - Self insured

11 - State funded, COBRA

12 - State funded, other

13 - State funded, unspecified

14 - VA

15 - No health insurance

88 - Other

99 - Unknown

YES

All

Optional

221

Primary source of reimbursement for medical treatment at time of HIV diagnosis

01 - CHAMPUS/TRICARE

02 - CHIP

03 - Medicaid

04 - Medicaid, pending

05 - Medicare

06 - Other public funding

07 - Private insurance, HMO

08 - Private insurance, PPO

09 - Private insurance, unspecified

10 - Self insured

11 - State funded, COBRA

12 - State funded, other

13 - State funded, unspecified

14 - VA

15 - No health insurance

88 - Other

99 - Unknown

YES

All

Optional

222

Did the documented laboratory test results meet approved alternate HIV testing algorithm criteria?

YES_NO_UNK

YES

All

Required if laboratory tests meet approved alternative algorithm

223

If YES, provide specimen collection date of earliest positive test for this algorithm

YYYYMMDD

YES

All

Required if laboratory tests meet approved alternative algorithm

224

Ever taken any ARVs?

YES_NO_UNK

YES

ACRF, PCRF

Required

225

Main source of antiretroviral (ARV) use information

1 - Provider Report

2 - Patient Interview

3 – Medical Record Review

4 – NHM&E

5 – Other

YES

ACRF

Required

227

Date patient reported information

YYYYMMDD

YES

ACRF

Required

229

Date of last use of PCP prophylaxis

YYYYMMDD

YES

ACRF, PCRF

Optional

230

eHARS Retired -Did mother receive zidovudine(ZDV,AZT) prior to this pregnancy?

YES_NO_UNK

YES

PCRF

Retired

231

eHARS Retired - Did mother receive zidovudine(ZDV,AZT) during pregnancy

YES_NO_REF_UNK

YES

PCRF

Retired

232

eHARS Retired -If yes, what week of pregnancy was zidovudine (ZDV, AZT) start)

01-52

YES

PCRF

Retired

233

eHARS Retired -Did mother receive any other Antiretroviral medication during pregnancy?

YES_NO_UNK

YES

PCRF

Retired

234

eHARS Retired -Did mother receive zidovudine(ZDV,AZT) during labor/delivery?

YES_NO_REF_UNK

YES

PCRF

Retired

235

eHARS Retired -Did mother receive any other Antiretroviral medication during labor/delivery

YES_NO_UNK

YES

PCRF

Retired

236

Did mother receive any ARVs prior to this pregnancy?

YES_NO_UNK

YES

PCRF

Optional

237

Did mother receive any ARVs during pregnancy?

YES_NO_UNK

YES

PCRF

Optional

238

Did mother receive any ARVs during labor/delivery?

YES_NO_UNK

YES

PCRF

Optional

239

Evidence of receipt of HIV medical care other than laboratory test result

1 – Yes, documented

2 – Yes, client self-report, only

YES

ACRF

Optional

240

Date of medical visit or prescription

YYYYMMDD

YES

ACRF

Optional

241

Suspect acute HIV infection

YES_NO_UNK

YES

ACRF

Optional

242

Clinical sign/symptom consistent with acute retroviral syndrome

YES_NO_UNK

YES

ACRF

Optional

243

Date of acute retroviral syndrome sign/symptom onset

YYYYMMDD

YES

ACRF

Optional

244

Other evidence suggestive of acute HIV infection

YES_NO_UNK

YES

ACRF

Optional

245

Date of other evidence

YYYYMMDD

YES

ACRF

Optional

246

Description of other evidence

[A-Z,0-9, special character]

YES

ACRF

Optional

247

eHARS Retired - 1. If information on the mother is not available, was the child adopted, or in foster care?

YES_NO_NA

YES

PCRF

Retired

248

eHARS Retired -2. Records Abstracted

YES

PCRF

Retired

249

eHARS Retired -3. Weeks' gestation at first prenatal care visit.

YES

PCRF

Retired

250

eHARS Retired - 19. Was mothers HIV serostatus noted in prenatal care, labor and delivery and child’s birth records?

YHIVP_YHIVN_NO_RNA_UNK

YES

PCRF

Retired

251

eHARS Retired -12. Were ARV's prescribed for the mother during this pregnancy: gestational age

YES

PCRF

Retired

252

eHARS Retired -14.Did mother receive ARV's during labor and delivery?: time received, type of administration

YES

PCRF

Retired

253

eHARS Retired -20.Were antiretroviral drugs prescribed for the child?: time started, art completed, stop codes

YES

PCRF

Retired

254

eHARS Retired -15. Was mother referred for HIV care after delivery?

YES_NO_ND_RNA_UNK

YES

PCRF

Retired

255

eHARS Retired -16a. Indicate first CD4 result after discharge from hospital (up to 6 months after discharge)

YES

PCRF

Retired

256

eHARS Retired -16b. Indicate first viral load after discharge from hospital (up to 6 months after discharge)

YES

PCRF

Retired

257

eHARS Retired -17. Birth information available

BNH_RNA

YES

PCRF

Retired

258

eHARS Retired -17. Onset of labor

YES_NO hh:mm:ssss MM/DD/YYYY

YES

PCRF

Retired

259

eHARS Retired -17. Admission to labor and delivery

YES_NO hh:mm:ssss MM/DD/YYYY

YES

PCRF

Retired

260

eHARS Retired - 7. Sibling date of birth, HIV serostatus, State No, City No

YES

PCRF

Retired

261

eHARS Retired - 8. Was substance use during pregnancy noted in medical or social work records?

YES

PCRF

Retired

262

eHARS Retired - 8b. If substances used, were any injected? Specify injected substance(s).

YES

PCRF

Retired

263

eHARS Retired - 9. Was a toxicology screen done on the mother (either during pregnancy or at the time of delivery)?

YES

PCRF

Retired

264

eHARS Retired - 10. Was a toxicology screen done on the infant at birth?

YPR_YNR_NO_TSND

YES

PCRF

Retired

265

eHARS Retired - Was this child breastfed?

YES_NO

YES

PCRF

Retired

266

eHARS Retired - Maternal stateno

YES

PCRF

Retired

OI

A table that maintains information on a person's opportunistic infections (diseases indicative of AIDS).

document_uid

A unique identifier for a document.

 

YES

All

System

dx

A code indicating if the diagnosis was presumptive or definitive.

DEF_PRE

YES

ACRF, PCRF, LEGACY_ACRF, LEGACY_PCRF

Optional

dx_dt

The date the AIDS defining condition was diagnosed.

YYYYMMDD

YES

ACRF, PCRF, LEGACY_ACRF, LEGACY_PCRF

Optional

oi_cd

A code indicating a person's AIDS defining conditions.

AD01 - Bacterial infection, multiple or recurrent (including Salmonella septicemia)

AD02 - Candidiasis, bronchi, trachea, or lungs

AD03 - Candidiasis, esophageal

AD04 - Carcinoma, invasive cervical

AD05 - Coccidioidomycosis, disseminated or extrapulmonary

AD06 - Cryptococcosis, extrapulmonary

AD07 - Cryptosporidiosis, chronic intestinal (>1 mo. duration)

AD08 - Cytomegalovirus disease (other than in liver, spleen, or nodes)

AD09 - Cytomegalovirus retinitis (with loss of vision)

AD10 - HIV encephalopathy

AD11 - Herpes simplex: chronic ulcer(s) (>1 mo. duration) or bronchitis, pneumonitis, or esophagitis

AD12 - Histoplasmosis, disseminated or extrapulmonary

AD13 - Isosporiasis, chronic intestinal (> 1 mo. duration)

AD14 - Kaposi's sarcoma

AD15 - Lymphoid interstitial pneumonia and/or pulmonary lymphoid

AD16 - Lymphoma, Burkitts (or equivalent term)

AD17 - Lymphoma, immunoblastic (or equivalent term)

AD18 - Lymphoma, primary in brain

AD19 - Mycobacterium avium complex or M. kansasii, disseminated or extrapulmonary

AD20 - M. tuberculosis, pulmonary

AD21 - M. tuberculosis, disseminated or extrapulmonary

AD22 - Mycobacterium, of other species or unidentified species, disseminated or extrapulmonary

AD23 - Pneumocystis carinii pneumonia

AD24 - Pneumonia, recurrent, in 12 mo. period

AD25 - Progressive multifocal leukoencephalopathy

AD26 - Salmonella septicemia, recurrent

AD27 - Toxoplasmosis of brain, onset at >1 mo. of age

AD28 - Wasting syndrome due to HIV

YES

ACRF, PCRF, LEGACY_ACRF, LEGACY_PCRF

Optional

oi_seq

Sequence identifier for a person's AIDS defining conditions.

0-99,999,999

YES

ACRF, PCRF, LEGACY_ACRF, LEGACY_PCRF

System

OTHER_HEALTH_CONDITIONS

A table that maintains the health conditions, other than HIV, of biological mother and infant during pregnancy, labor and delivery. This information is collected in the Birth History and Biological Mother History sections of Pediatric Case Report Forms (PCRF) documents.

document_uid

A unique identifier for a document.

YES

PCRF, LEGACY_PCRF

System

condition_seq

Sequence number. Implement sequence number to way RISK and ADDRESS to handle all codes on PV.

0-999999

YES

PCRF, LEGACY_PCRF

System

condition_event_cd

Connects to the overall question or section to allow storage when data gathered for different questions for the same case.

CONDITION_EVENT_CD

YES

PCRF, LEGACY_PCRF

System

condition_cd

Unique code for health condition

HEALTH_CONDITION_CD

YES

PCRF, LEGACY_PCRF

Optional

condition_value

Screening value or diagnosis value of other health condition.

YES_NO_UNK - only for new records, manual entry and ADI
ND & RNA- valid for PHER converted data and will appear as greyed out options in manual entry drop-down box

YES

PCRF, LEGACY_PCRF

Optional

condition_dt

Date screening or performed or date condition diagnosed. 

YYYYMMDD .

YES

PCRF, LEGACY_PCRF

Optional

doc_belongs_to

Indicates who the address data belong to: PERSON, MOTHER.

PERSON, MOTHER

YES

PCRF, LEGACY_PCRF PCRF, LEGACY_PCRF

System

PERSON

A table that maintains demographic information about a person.

birth_country_cd

A code indicating the country of birth.

COUNTRY_CODE (table)

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, LEGACY_CONSENT, LEGACY_TTH

Optional

birth_country_usd

A code indicating the specific U.S. dependency of birth.

COUNTRY_CODE (table)

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, LEGACY_CONSENT, LEGACY_TTH

Optional

birth_sex

The person's sex, as noted on the birth certificate.

F - Female

M - Male

U –Unknown/undetermined

YES

All

Required

current_gender

The person's current gender or psychosocial construct that most people use to classify a person as male, female, both, or neither. When eHARS is first installed and configured, the state determines whether or not this field is displayed.

F - Female

FM - Transgender-Female to Male

U - Unknown

M - Male

MF - Transgender-Male to Female

AD - Additional Gender Identity

NO

All except BC

Discontinued

current_sex

Physiological anatomy and biology that determines if someone is male, female, or intersexed. At installation, the state determines whether or not this field is displayed.

F - Female

I - Intersexed

M - Male

YES

All except BC

Retired

dob

The first known date of birth.

YYYYMMDD

YES

All

Required

dob_alias

The second known or alias date of birth.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, LEGACY_CONSENT, LEGACY_TTH

Optional

doc_belongs_to

Indicates if the demographics data belong to PERSON, MOTHER, FATHER, or CHILDn.

PERSON, MOTHER, FATHER, CHILDn

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC

System

document_uid

A unique identifier for a document.

 

YES

All

System

education

The level of education (optional field).

1 - 8th grade or less

2 - Some high school

3 - High school graduate, GED or equivalent

4 - Some college

5 - College degree

6 - Post-graduate work

7 - Some school, level unknown

9 - Unknown

NO

All except BC

Optional

ethnicity1

Indicates if the person is of Hispanic or Latino origin. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

ETHNICITY

YES

All

Required

ethnicity2

Indicates if the person is of Hispanic or Latino origin. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

ETHNICITY

YES

All

Optional

gender_identity_dt

The date the gender identity of the person was identified.

YYYYMMDD

NO

All except BC

Discontinued

gender_identity

User entered gender identity of the person

NO

All except BC

Discontinued

Other_gender_identity

User entered gender identity when gender_identity is “AD” (Additional gender identity)

NO

All except BC

Discontinued

hars_race

For legacy HARS data, a read-only field indicating the person's race code entered in HARS previous to v6.0 (prior to implementation of Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity [http://www.whitehouse.gov/omb/fedreg/ombdir15.html]).

1-White, not Hispanic

2-Black, not Hispanic

3-Hispanic

4-Asian/Pacific Islander

5-American Indian/Alaska Native

9-Unknown

YES

LEGACY_ACRF, LEGACY_PCRF

Legacy HARS

hars_xrace

HARS expanded race.

HARS_XRACE

YES

LEGACY_ACRF, LEGACY_PCRF

Legacy HARS

hcw

Is this person a healthcare worker? (optional field)

YES_NO_UNK

YES

ACRF

Optional

hcw_occup

Occupation, if healthcare worker (optional field).

OCCUPATION

YES

ACRF, LEGACY_CONSENT, LEGACY_TTH

Optional

marital_status

The person's marital status.

A - Married and separated

D - Divorced

M - Married

N - Not otherwise specified

O - Other

S - Single and never married

U - Unknown

W - Widowed

NO

All except PCRF

Optional

race1

Indicates the person’s race.

RACE

YES

All

Required

race2

Indicates the person’s race.

RACE

YES

All

Required

race3

Indicates the person’s race.

RACE

YES

All

Required

race4

Indicates the person’s race.

RACE

YES

All

Required

race5

Indicates the person’s race.

RACE

YES

All

Required

sexual_orientation

The person’s sexual orientation

SEXUAL_ORIENTATION

YES

All except BC

Required

sexual_orientation_dt

The date the sexual orientation of the person was identified.

YYYYMMDD

YES

All except BC

Required

other_sexual_orientation_

Use entered sexual orientation when sexual_orientation is “AD” (Additional sexual orientation)

YES

All except BC

Required

vital_status

Indicates vital status at time form was completed—alive, dead, or unknown.

1 - Alive

2 - Dead

9 - Unknown

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC

Required

PERSON_NAME

A table that maintains information on a person’s names and Soundex codes.

doc_belongs_to

Indicates if the name belongs to PERSON, MOTHER, or CHILDn.

PERSON, MOTHER, CHILDn

YES

All

System

document_uid

A unique identifier for a document.

 

YES

All

System

first_name

The person's first name.

 

NO

All

Optional

first_name_sndx

The person's first name in a Soundex format.

NO

All

System

last_name

The person's last name. For hyphenated or last names containing two words, the standard is as follows: Smith Jones.

NO

All

Required

last_name_sndx

The person's last name in a Soundex format.

YES

All

System

middle_name

The person's middle name.

NO

All

Optional

name_prefix

The person's name prefix.

 

NO

All

Optional

name_suffix

The person's name suffix.

 

NO

All

Optional

name_use_cd

A code indicating the type of name being used, such as Maiden or Birth. The default value is Legal.

NAME_USE

YES

All

Optional

person_name_seq

Sequence identifiers for a person's name.

0-999,999,999

YES

All

System

removal_ind

A field used by the application to determine if the name removal utility has been applied to this row.

YES_NO

NO

System

PREGNANCY_OUTCOME

A table to capture final outcome of previous pregnancies of biological mother.

document_uid

A unique identifier for a document.

YES

PCRF, LEGACY_PCRF

System

preg_outcome

Final outcome of pregnancy.

PREGNANCY_OUTCOME

YES

PCRF, LEGACY_PCRF

Optional

preg_seq

Auto-generated number to allow for multiple events per document.

0-9

YES

PCRF, LEGACY_PCRF

System

preg_outcome_dt

Year in which pregnancy event occurred.

YYYY….
YYYYMMDD
99999999

YES

PCRF, LEGACY_PCRF

Optional

PRETEST_QUESTIONNAIRE

A table that maintains information on a person's pretest questionnaire.

document_uid

A unique identifier for the person’s Pretest Questionnaire.

 

YES

ACRF, LEGACY_TTH

System

qhrtnw

Are you now taking any ARVs?

YES_NO

YES

ACRF, LEGACY_TTH

Optional

Ucts

Main source of testing history information.

UCTS

YES

ACRF, LEGACY_TTH

Required

ufposa

When you first tested positive for HIV, was the HIV test an anonymous test?

YES_NO_REF

YES

ACRF, LEGACY_TTH

Optional

ufposd

Date of first positive HIV test

 

YES

ACRF, LEGACY_TTH

Required

ufposd_self

First positive test result from self-test performed by patient

YES_NO_UNK

YES

ACRF

Required

ufps_site

Name of facility where first tested positive for HIV

SITE_CD

NO

ACRF, LEGACY_TTH

Optional

ufps_state

State where first tested positive for HIV

STATE_CODES_PR

YES

ACRF, LEGACY_TTH

Optional

ufpstyp

Type of facility where first tested positive for HIV

FACILITY_TYPE

YES

ACRF, LEGACY_TTH

Optional

uftstd

When was the first time you ever got tested for HIV?

 

YES

ACRF, LEGACY_TTH

Optional

ulstnd

Date of last negative HIV test

 

YES

ACRF, LEGACY_TTH

Required

ulstnd_sef

Last negative test result from a self-test performed by patient

YES_NO_UNK

YES

ACRF

Required

ulstngs

Type of facility where last tested negative for HIV

FACILITY_TYPE

YES

ACRF, LEGACY_TTH

Optional

ulstngs_site

Name of facility where last tested negative for HIV

SITE_CD

NO

ACRF, LEGACY_TTH

Optional

ulstngs_state

State where last tested negative for HIV

STATE_CODES_PR

YES

ACRF, LEGACY_TTH

Optional

ungtst

Ever had a negative HIV test?

YES_NO_REF_UNK

YES

ACRF, LEGACY_TTH

Required

unumtsts

Number of negative HIV tests within 24 months before first positive test

0-99

YES

ACRF, LEGACY_TTH

Required

unumtsts_self

Number of negative test results were self-tests performed by patient

0-99

YES

ACRF

Required

upastp

Ever had a positive HIV test result?

YES_NO_REF

YES

ACRF, LEGACY_TTH

Required

upnumtsts

For persons who had a previous positive test (Legacy Pre-test form only): In the two years before your first positive test, how many times did you get tested for HIV?

0-99

YES

ACRF, LEGACY_TTH

Legacy Incidence

uptests

Have you been tested for HIV before today?

YES_NO_REF

YES

ACRF, LEGACY_TTH

Optional

uqintd

Date patient reported information

 

YES

ACRF, LEGACY_TTH

Required

ur3_5sp

Reason for getting today’s HIV test: If other reason, describe

 

YES

ACRF, LEGACY_TTH

Optional

ur4e_5sp

Reason for getting the first positive HIV test: If other reason, describe

 

YES

ACRF, LEGACY_TTH

Optional

ureas3_1

Reason for getting today’s HIV test: Think you might have been exposed to HIV in the 6 months before the test

YES_NO

YES

ACRF, LEGACY_TTH

Optional

ureas3_2

Reason for getting today’s HIV test: Get tested on a regular basis and it is time to get tested again

YES_NO

YES

ACRF, LEGACY_TTH

Optional

ureas3_3

Reason for getting today’s HIV test: Just checking to make sure you are HIV negative

YES_NO

YES

ACRF, LEGACY_TTH

Optional

ureas3_4

Reason for getting today’s HIV test: Required by insurance, military, court, or other agency

YES_NO

YES

ACRF, LEGACY_TTH

Optional

ureas3_5

Reason for getting today’s HIV test: Other reason you want to get tested

YES_NO

YES

ACRF, LEGACY_TTH

Optional

urs4e_1

Reason for getting the first positive HIV test: Thought you might have been exposed to HIV in the past 6 months before the test

YES_NO

YES

ACRF, LEGACY_TTH

Optional

urs4e_2

Reason for getting the first positive HIV test: Got tested on a regular basis and it was time to get tested again

YES_NO

YES

ACRF, LEGACY_TTH

Optional

urs4e_3

Reason for getting the first positive HIV test: Just checking to make sure you were HIV negative

YES_NO

YES

ACRF, LEGACY_TTH

Optional

urs4e_4

HIV test required

YES_NO

YES

ACRF, LEGACY_TTH

Optional

urs4e_5

Reason for getting the first positive HIV test: Other reason you wanted to get tested

YES_NO

YES

ACRF, LEGACY_TTH

Optional

PROVIDER_CODE

A table that maintains information on healthcare providers.

first_name

The first name of the healthcare provider.

 

NO

N/A

Optional

last_name

The last name of the healthcare provider.

 

NO

N/A

Optional

middle_name

The middle name of the healthcare provider.

 

NO

N/A

Optional

name_prefix

The name prefix of the healthcare provider.

 

NO

N/A

Optional

name_suffix

The name suffix of the healthcare provider.

 

NO

N/A

Optional

phone

The phone number of the healthcare provider.

7 or 10 digits

NO

N/A

Optional

provider_uid

A unique identifier for a healthcare provider.

 

NO

N/A

System

ship_flag

A field used by the application to determine if the information needs to be transferred to CDC

 

NO

N/A

System

specialty_cd

A code indicating the type of specialty for this health care provider.

SPECIALTY_CD

YES

N/A

Optional

RIDR

A table that maintains information pertaining to a case's duplicate status review.

comments

Notes or comments pertaining to the duplicate status information entered for this person.

 

NO

ACRF, PCRF

Optional

document_uid

A unique identifier of the current document.

 

YES

ACRF, PCRF

System

duplicate_status

The status of the duplicate review, such as Pending or Same As.

1 - Same as

2 - Different than

3 - Pending

YES

ACRF, PCRF

Required if case identified as potential duplicate

ehars_uid

A unique identifier for the existing case.

 

YES

ACRF, PCRF

System

last_verify_dt

The date when the status of the duplicate review was last verified.

YYYYMMDD

YES

ACRF, PCRF

Optional

state_cd

The two character postal code of the state of the possible duplicate case.

STATE_CODES_PR

YES

ACRF, PCRF

Required if case identified as potential duplicate

stateno

The stateno identifier of the possible duplicate case.

 

YES

ACRF, PCRF

Required if case identified as potential duplicate

verify_by

The person who reviewed the duplicate status entry.

 

YES

ACRF, PCRF

Optional

RISK

A table that maintains information on a person's risk factors.

cophi_status

Code that indicates the COPHI investigation status, if applicable.

1 - Open, under investigation

2 - Closed, confirmed COPHI

3 - Closed, investigated, not confirmed

4 - Closed, not a COPHI

5 – Will not be investigated, not confirmed

9 - Unknown

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH _DOC

Optional

detail

This field captures detailed information about risk factor—the type of clotting factor the person had or the occupation, if occupational exposure.
Note: RISK.detail also stores NIR type information (1 = user entered [if date investigation was completed is entered], 2 = system assigned)

For R04, R30, R33, R32 => CLOTTING_FACTOR
For R13 => OCCUPATION
For R80, R81 => 1 = user entered [if date investigation was completed is entered], 2 = system assigned

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Optional

display

A field used by the application for display purposes.

A(adult), P(pediatric), H(hemophilia)

NO

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

System

document_uid

A unique identifier for a document.

 

YES

All

System

resolution_dt

The date the COPHI investigation was resolved.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Optional

risk_cd

Code indicating a risk factor (such as R03 indicating IDU).

RISK_CD (table)

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Refer to RISK_CD table for requirements for each variable

risk_seq

Sequence identifier for a person's modes of exposure.

0-99,999,999

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

System

risk_value

Code indicating the risk factor value (Y-Yes, N-No, U-Unknown, or 2-CDC confirmed) or the mother's infection status (1–9).

YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Refer to RISK_CD table for valid data element values for each variable

trans_first_dt

If patient received transfusion of blood/blood components, the first date the patient received transfusion. Note: For user entered NIR (No Identified Risk), the date entered is stored in this field.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

trans_last_dt

If patient received transfusion of blood/blood components, the last date the patient received transfusion. Note: When the system identifies NIR, the system date is stored in this field.

YYYYMMDD

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

RISK_CD

A table that contains all distinct RISK.risk_cd values and associated descriptions.

R01

Sex with male

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R02

Sex with female

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R03

Injected non-prescription drugs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R04

Received clotting factor for hemophilia/coagulation disorder

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R05

Heterosexual contact with person who injected drugs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R06

Heterosexual contact with bisexual male

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R07

Heterosexual contact with person with hemophilia/coagulation disorder

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R08

Heterosexual contact with transfusion recipient with documented HIV infection

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R09

Heterosexual contact with transplant recipient with documented HIV infection

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R10

Heterosexual contact with person with AIDS or documented HIV infection, risk not specified

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R11

Received transfusion of blood/blood components (other than clotting factor)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R12

Received transplant of tissue/organs or artificial insemination

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R13

Worked in a health care or clinical laboratory setting

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R14

Sexual contact with male

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R15

Sexual contact with female

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R16

Child's biological mother’s infection status

 For R16 only => M_INFECTION_STATUS

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R17

Perinatally acquired HIV infection

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R18

Injected non-prescription drugs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R19

Heterosexual contact with person who injected drugs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R20

Heterosexual contact with bisexual male

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R21

Heterosexual contact with male with hemophilia/coagulation disorder

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R22

Heterosexual contact with transfusion recipient with documented HIV infection

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R23

Heterosexual contact with transplant recipient with documented HIV infection

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R24

Heterosexual contact with male with AIDS or documented HIV infection, risk not specified

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R25

Received transfusion of blood/blood components (other than clotting factor)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R26

Received transplant or tissue/organs or artificial insemination

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R27

Injected non-prescription drugs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R30

Received clotting factor for hemophilia/coagulation disorder (LEGACY)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R32

Received clotting factor for hemophilia/coagulation disorder (LEGACY)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R33

Received clotting factor for hemophilia/coagulation disorder

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R34

Received transfusion of blood/blood components (other than clotting factor)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R35

Received transplant of tissue/organs

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R36

Child breastfed by biological mother

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R37

Child received premasticated/pre-chewed food from biological mother

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R38

Child breastfedby biological mother

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R39

Child received premasticated/pre-chewed food from a person (not biological mother)

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R40

Adult other documented risk

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R41

Child other documented risk

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R80

Adult no identified risk

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

R81

Child no identified risk

 YES_NO_UNK_CDC

YES

ACRF, PCRF, LAB, LEGACY_ACRF, LEGACY_PCRF, BC, DEATH

Required

SUBSTANCE_HISTORY

A table that maintains the toxicology data of biological mother and infant during pregnancy, labor and delivery. This information is collected in the Birth History and Biological Mother History sections of Pediatric Case Report Forms (PCRF) documents.

document_uid

A unique identifier for a document.

YES

PCRF, LEGACY_PCRF

System

substance_seq

Sequence number.

YES

PCRF, LEGACY_PCRF

System

doc_belongs_to

Indicates who the substance data belongs to: PERSON or MOTHER.

MOTHER, PERSON

YES

PCRF, LEGACY_PCRF

System

substance_event_cd

Code to determine if and when substance was tested for use or injection by mother or person.

SUBSTANCE_EVENT_CD

YES

PCRF, LEGACY_PCRF

System

substance_cd

Substance code used or injected by person.

SUBSTANCE_CD

YES

PCRF, LEGACY_PCRF

Optional

substance_value

Result value selected.

SUBSTANCE_USE_RESULT

SUBSTANCE_SCREEN_RESULT

YES

PCRF, LEGACY_PCRF

Optional

substance_detail

User entered substance name when Other (specify) code is chosen.

alphanumeric, NULL, blank

YES

PCRF, LEGACY_PCRF

Optional

substance_dt

Date of substance screening or use.

YYYYMMDD

YES

PCRF, LEGACY_PCRF

Optional