NHM&E variables

National HIV Prevention Program Monitoring and Evaluation (NHM&E) Data.

Attachment 5 NHME Variables and Values

PEMS Data Collection for Community-Based Organizations

OMB: 0920-0696

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0696 can be found here:

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NHME Variables and Values
Agency Level
Table: A

General Agency Information

This table is required to be completed by all directly funded grantees. It is also required for all agencies
that indirectly receive CDC funds for HIV prevention AND: 1) Provide HIV prevention services and/or 2)
Provide contracts (using CDC funds) to support the provision of HIV prevention services.
Num
A01

Variable Name

Program

Requirements

System

Optional Not Reported

Agency Name
Definition: The official legal name of the agency or organization.
Instructions: This variable will be entered by the CDC PEMS Superadministrator at the time of the ageny's first funding award.
Once entered and saved in PEMS, this information can only be corrected by the CDC PEMS Superadminstrator.

A01a

PEMS Agency ID
Definition: An identification generated by the PEMS system or by the agency used to uniquely identify an agency.
Instructions: PEMS generates a unique ID for each agency.

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NHME Variables and Values
Requirements
Num

Variable Name

A02

Program

System

Optional Not Reported

Community Plan Jurisdiction
Definition: The CDC-directly funded state, territory, city area, or region where a state or local health department receives funding
to monitor HIV prevention activities. Each jurisdiction has a corresponding Federal Information Processing Standards
(FIPS) code.
Instructions: Select the name of state, city or territory that identifies the jurisdiction in which your agency is located.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

San Francisco, CA

San Francisco Health Department

Los Angeles, CA

Los Angeles Health Department

New York City, NY

New York City Health Department

Houston, TX

Houston Health Department

Chicago, IL

City of Chicago Health Department

Philadelphia, PA

City of Philadelphia Health Department

Optional Not Reported

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NHME Variables and Values
Requirements
Num
A03

Variable Name

Program

System

Optional Not Reported

Agency Employer Identification Number (EIN)
Definition: The federal tax identification number that is used to identify a business entity.
Instructions: Enter your agency’s Employer Identification Number (EIN). The EIN is also known as the federal tax identification
number and is used to identify a business entity. It is a nine-digit number assigned by the IRS for businesses,
estates, and trusts. (For more information, see also www.irs.gov )

A04

Agency Street Address 1
Definition: A part of the official mailing address that indicates the primary street and street number of the agency.
Instructions: Enter the first part of the official mailing address that indicates the primary street and street number location where the
agency named in A01: Agency Name is located.

A05

Agency Street Address 2
Definition: A part of the official mailing address that indicates apartment or suite number, if applicable, or other information
needed to complete the official mailing address of the agency.
Instructions: Use this second address variable for additional information such as a suite number, room number, or other
information that will assist CDC in getting all program correspondence to you in a timely manner.

A06

Agency - City
Definition: The city in which the official mailing address for the agency is physically located.
Instructions: Enter the name of the city where the agency entered for variable A01: Agency Name is located.

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NHME Variables and Values
Requirements
Num

Variable Name

A08

Program

System

Optional Not Reported

Agency - State
Definition: The state, territory or district in which the official mailing address is physically located.
Instructions: Select the name of the state, territory or district where your agency is physically located. This must represent one of
the 50 states, the District of Columbia, the U.S. Virgin Islands, or Puerto Rico.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

U.S. Minor Outlying Islands

Virgin Islands of the U.S.

A09

Optional Not Reported

Agency - Zip Code
Definition: The postal zip code for the agency.
Instructions: Enter your agency’s 5 digit postal zip code.

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NHME Variables and Values
Requirements
Num
A10

Variable Name

Program

System

Optional Not Reported

Agency Website
Definition: The organization or agency's website address, also known as the universal resource locator (URL).
Instructions: Enter your agency’s website address, if applicable.

A11

Agency DUNS Number
Definition: The Data Universal Numbering System (DUNS) number is a unique nine-digit identification number which identifies
business entities. It is provided by the commercial company Dun & Bradstreet.
Instructions: Enter your agency’s unique Data Universal Numbering System (DUNS) number. Obtaining a DUNS number is easy
and there is no charge. To obtain a DUNS number, access www.dnb.com.

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NHME Variables and Values
Requirements
Num

Variable Name

A12

Program

System

Optional Not Reported

Agency Type
Definition: The term(s) used to describe or characterize the type of agencies involved in HIV prevention activities. This variable is
not used to describe the site or setting of HIV prevention services.
Instructions: Indicate the type of agency that best describes your agency. This variable is NOT used to describe the site or setting
at which HIV prevention services are delivered.

Code

Value Description

Value Definition

State health department

A health department and/or health department facility responsible for
providing and/or supporting the provision of direct client services in a
state, district or territorial jurisdiction.

Local health department

A health department and/or health department facility responsible for
providing and/or supporting the provision of direct client services in a
county or city.

Other public agency

Other offices or organizations that are supported by public funds and
serve the community at large; such as correctional institutions, mental
health facilities, etc.

Community based organization (CBO)

An agency that has a valid Internal Revenue Service (IRS) 501(c)(3)
tax-exempt status (or state proof of incorporation as a non-profit
organization), and is typically located in the area(s) where the
agency's services are provided.

Academic/research institution

An organization chartered for educational purposes and providing
college credit or awarding degrees or dedicated to conducting
research in a specific area (e.g. health and human services) with the
aim of advancing knowledge and understanding in this area.

Hospital

An institution that provides medical, surgical, or psychiatric care and
treatment to patients on an inpatient or outpatient basis.

Other (specify)

An agency type other than specified above.

A12-1

Specify Agency Type
Definition: A specification of the type of agency if 89-Other (specify) was selected in A12.
Instructions: Specify the type of agency if 89-Other (specify) was selected and none of the other value choices in A12 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

A13

Program

System

Optional Not Reported

Faith-based
Definition: A faith-based agency is a non-governmental agency owned by religiously affiliated entities such as (1) individual
churches, mosques, synagogues, temples, or other places of worship; or (2) a network or coalition of churches,
mosques, synagogues, temples, or other places of worship.
Instructions: Indicate whether or not your agency is a faith-based agency.

Code

Value Description

Value Definition

The agency is not a faith-based agency.

Yes

The agency is a faith-based agency.

N/A

This information is not applicable to the agency.

A14

Race/Ethnicity Minority Focused
Definition: A non-governmental agency serving a clientele that is composed of 85% or more of racial/ethnic minority populations.
Instructions: Indicate whether or not your non-governmental agency serves a clientele that is composed of 85% or more of
racial/ethnic minority populations.

Code

Value Description

Value Definition

The agency does not serve a clientele that is composed of 85% or
more of racial/ethnic minority populations.

Yes

The agency does serve a clientele that is composed of 85% or more
of racial/ethnic minority populations.

N/A

This information is not applicable to the agency.

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NHME Variables and Values
Requirements
Num

Variable Name

A15

Program

System

Optional Not Reported

Annual Agency Budget for HIV Prevention from All
Sources
Definition: The part of the agency's budget that includes all funds used to conduct community planning, HIV prevention services,
as well as evaluation and capacity building done in the context of HIV prevention. It also includes STD prevention
specifically to enhance HIV prevention efforts and reduce HIV transmission (as approved by CDC). The annual
budget period is based on the agency's fiscal year.
Instructions: Enter your agency’s annual HIV Prevention Budget, including all funds used to conduct community planning, HIV
prevention services, as well as evaluation and capacity building done in the context of HIV prevention. It also includes
STD prevention specifically to enhance HIV prevention efforts and reduce HIV transmission (as approved by CDC).
The annual budget period is based on the agency's fiscal year.

A16

Fiscal Year Start Date
Definition: The beginning of the agency's fiscal year (month/year) which the Annual Agency HIV Prevention Budget (A15)
describes.
Instructions: Enter the beginning of your agency's fiscal year (month/year) for the Annual Agency HIV Prevention Budget described
in A15.

A17

Fiscal Year End Date
Definition: The end of the agency's fiscal year (month/year) which the Annual Agency HIV Prevention Budget (A15) describes.
Instructions: Enter the end of your agency's fiscal year (month/year) for the Annual Agency HIV Prevention Budget described in
A15.

A18

Directly Funded Agency
Definition: An agency that receives HIV prevention funding directly from the CDC through an HIV prevention cooperative
agreement for a specified reporting period (e.g., PA04064 or PA04012).
Instructions: Indicate whether or not your agency receives HIV prevention funding directly from the CDC through an HIV prevention
cooperative agreement.

Code

Value Description

Value Definition

The agency does not receive funds directly from the CDC for HIV
prevention services.

Yes

The agency receives funds directly from the CDC for HIV prevention
services.

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NHME Variables and Values
Requirements
Num

Variable Name

A19

Program

System

Optional Not Reported

Funding Sources
Definition: The source(s) of funding that the agency receives for HIV prevention. The agency should have a cooperative
agreement or contract with the source(s), and should be able to identify one or multiple sources of funding for all HIV
prevention.
Instructions: Indicate the source(s) of funding that your agency receives for HIV prevention. Each source should contribute to the
HIV prevention budget described in A15: Annual Agency HIV Prevention Budget. Choose all that apply.

Code

Value Description

Value Definition

01.01

Federal - Centers for Disease Control and Prevention (CDC) Division of HIV/AIDS Prevention

Funding is provided by the CDC - Division of HIV/AIDS Prevention.

01.02

Federal - Centers for Disease Control and Prevention (CDC) Division of Sexually Transmitted Diseases

Funding is provided by the CDC - Division of STD Prevention.

01.03

Federal - Centers for Disease Control and Prevention (CDC) Division of Adolescent and School Health

Funding is provided by the CDC - Division of Adolescent and School
Health.

01.04

Federal - Health Resources and Services Administration (HRSA)

Funding is provided by any division of HRSA.

01.05

Federal - Substance Abuse and Mental Health Services
Administration (SAMHSA)

Funding is provided by any division of SAMHSA.

01.06

Federal - Office of Population Affairs

Funding is provided by the Office of Population Affairs.

01.07

Federal - Department of Justice

Funding is provided by the Department of Justice.

01.08

Federal - Other (specify)

Funding is provided by a federal agency not otherwise listed.

02.00

State

Funding is provided by an agency of State or territorial government in
which the agency is located.

03.00

Local government

Funding is provided by an agency of city or county government in
which the agency is located.

04.00

Private sources

Funding provided by an organization or institution that is not under
federal or public supervision or control.

05.00

Agency generated sources

Funding is provided by revenue or earnings produced by the
organization or institution or services or products produced.

Other (specify)

Funding is provided by sources that do not fit into one of the specified
categories listed above.

A19-1

Specify Funding Source
Definition: A specification of funding source if 89-Other (specify) was selected in A19.
Instructions: Specify the funding source if 89-Other (specify) was selected and none of the other value choices in A19 apply.

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NHME Variables and Values
Requirements
Num
A20

Variable Name

Program

System

Optional Not Reported

Percent Funds from Federal Sources
Definition: The estimated percent of the agency's annual budget for HIV prevention that was awarded (as described in A15)
directly by a federal source to the agency, including CDC and non-CDC federal sources. This does not include federal
funds that are awarded indirectly to the agency (e.g., a CBO who receives CDC funds through a directly funded CBO
or state health department using CDC prevention). An example of an indirectly funded agency is a CBO who is
funded by the state health department using CDC prevention funds awarded to the state.
Instructions: Enter the estimated percent of your agency’s annual budget for HIV prevention that comes directly from federal
sources, including CDC and non-CDC federal sources (e.g., HRSA, CSAT, CSAP).

A21

Agency Contact Last Name
Definition: The legal last name of the agency's primary contact person (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal last name of the primary contact person for your agency. Be sure to examine your agency’s protocol
for whether the contact person should be Executive Director or AIDS Director, project director.

A22

Agency Contact First Name
Definition: The legal first name of the agency's primary contact person (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal first name of the primary contact person you listed in variable A21.

A23

Agency Contact Title
Definition: The official title of the agency's primary contact person (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the official title of your agency's primary contact person noted in variables A21 and A22.

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NHME Variables and Values
Requirements
Num

Variable Name

A24

Program

System

Optional Not Reported

Agency Contact Phone
Definition: The telephone area code and number for the agency's primary contact specified in A21: Agency Contact Last Name
and A22: Agency Contact First Name.
Instructions: Enter the primary telephone area code and number for your agency contact.

A25

Agency Contact Fax
Definition: The fax area code and number for the agency's primary contact specified in A21: Agency Contact Last Name and
A22: Agency Contact First Name.
Instructions: Enter the primary fax number for your agency contact.

A26

Agency Contact Email
Definition: The email address for the agency's primary contact specified in A21: Agency Contact Last Name and A22: Agency
Contact First Name.
Instructions: Enter the primary email address for the agency's primary contact person noted in variables A21 and A22.

Table: B

CDC Program Announcement Award Information

This table is required to be completed by all directly funded grantees (A18 "Directly Funded Agency" =
"Yes"). An agency can be directly funded under multiple CDC program announcements. Table B must
be completed for each award.
Num
B01

Variable Name

Program

Requirements

System

Optional Not Reported

CDC HIV Prevention PA Number
Definition: The Program Announcement (PA) number issued by CDC for EACH program announcement through which funds
were awarded to your agency.
Instructions: Enter program announcement number issued by CDC for EACH program announcement through which funds were
awarded to your agency. If you have more than one CDC HIV prevention award, you will need to enter Table B
variables for each one. This variable will be entered by the CDC PEMS Superadministrator for the 1st year of the
Program Award.

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NHME Variables and Values
Requirements
Num
B02

Variable Name

Program

System

Optional Not Reported

CDC HIV Prevention PA Budget Start Date
Definition: The beginning month and year of a specific CDC Program Announcement Annual Award period. The date format is
MM/YYYY.
Instructions: Specify the beginning month and year of a specific CDC Program Announcement’s ANNUAL Award period. This date
should be referenced in the official Program Announcement award paperwork that your agency received from CDC.
This variable will be entered by the CDC PEMS Superadministrator for the 1st year of the Program Award.

B03

CDC HIV Prevention PA Budget End Date
Definition: The end month and year of a specific CDC Program Announcement Annual Award period.
Instructions: Specify the end month and year of a specific CDC Program Announcement’s ANNUAL Award period. This date
should be referenced in the official Program Announcement award paperwork that your agency received from CDC.
This variable is entered by the CDC PEMS Superadministrator for the 1st year of the Program Award.

B04

CDC HIV Prevention PA Award Number
Definition: A number that is given to each award granted through a specific CDC program announcement. This number uniquely
identifies each grantee given an award from a specific program announcement.
Instructions: Enter the number for the award granted through the specific CDC program announcement noted in variable B01: CDC
HIV Prevention PA Number. This number should be referenced in the official Program Announcement award
paperwork that your agency received from CDC. This variable is entered by the CDC PEMS Superadministrator for
the 1st year of the Program Award.

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NHME Variables and Values
Requirements
Num

Variable Name

B05

Program

System

Optional Not Reported

Funded CBO HIV Prevention Activity
Definition: The funding category in the Program Announcement under which a directly funded CBO receives an award.
Instructions: Specify the funding category under which you received an award. This variable is used only for CBO grantees. This
variable should be completed for all Program Announcements awarded to the agency.

Code

Value Description

Value Definition

Targeted outreach + HE/RR for high risk individuals

The funding category for which activities include targeted outreach,
HE/RR interventions delivered to individuals, and/or small groups and
referral to HIV CTR for individuals at high risk for HIV infection and
transmission.

Targeted outreach + CT for high risk individuals

The funding category for which activities include targeted outreach,
the provision of HIV CT and post-test counseling, and referral for
individuals at high risk for HIV infection and transmission.

Prevention for HIV+ and partners

The funding category for which activities include the provision of
prevention interventions to individuals living with HIV, and their sex
and injection drug-sharing partners.

Prevention for persons at very high risk for HIV infection

The funding category for which activities include the provision of
prevention interventions to seronegative individuals at very high risk
for HIV infection.

Prevention - PS

The funding category for which activities include the elicitation,
notification and referral to HIV CTR for those sex and injection drugsharing partners of a person who has tested positive for HIV.

N/A

The variable is not applicable because the agency is not a directly
funded CBO receiving funding under Program Announcement 04064.

B06

Total CDC HIV Prevention Award Amount
Definition: The total annual award amount for this CDC HIV Prevention award. This should correspond to the time frame
provided in B02: CDC HIV Prevention PA Start Date and B03: CDC HIV Prevention PA End Date.
Instructions: Enter the total annual award amount for this CDC HIV Prevention PA award. This should correspond to the time
frame provided in B02: CDC HIV Prevention PA Start Date and B03: CDC HIV Prevention PA End Date. This variable
will be entered by the CDC Super Administrator for the first year.

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NHME Variables and Values
Requirements
Num
B06a

Variable Name

Program

System

Optional Not Reported

Annual CDC HIV Prevention Award Amount
Expended
Definition: The total amount of this CDC HIV Prevention award that was expended during the time frame provided in B02: CDC
HIV Prevention PA Start Date and B03: CDC HIV Prevention PA End Date.
Instructions: At the end of the CDC PA budget period, enter the total annual award amount expended for this CDC HIV Prevention
PA award. This should correspond to the time frame provided in B02: CDC HIV Prevention PA Start Date and B03:
CDC HIV Prevention PA End Date. The value will equal the dollar amount from line 10b of the Financial Status
Report (FSR): “Total outlays from report period”.

B07

Amount Allocated For Community Planning
Definition: For a specific CDC HIV prevention award, this value represents the annual costs associated with conducting the
community planning process (e.g., leadership, coordination, staff support, travel, meeting costs, reproductions, and
reimbursed costs). This should also include costs associated with conducting planning tasks such as developing an
epidemiologic profile, conducting needs assessments, setting priorities, developing a comprehensive prevention plan,
and enhancing membership recruitment. These activities may be conducted by agency staff or community planning
group members, or these activities may be contracted to an outside source.
Instructions: Indicate the amount your agency allocated for Community Planning. Budget allocations must be indicated for one or
more of the following categories: Community Planning, Prevention Services, Evaluation, and Capacity Building.

B08

Amount Allocated for Prevention Services
Definition: For a specific CDC HIV prevention award, this value represents the annual costs associated with the implementation
of HIV prevention activities such as Counseling, Testing, and Referral (CT); HIV Partner Services (PS); laboratory
support for HIV CT and PS; prevention for HIV-infected persons, Health Education and Risk Reduction (HE/RR);
Health Communication and Public Information (HC/PI); prevention of perinatal transmission; and the quality
assurance, collaboration, and coordination of costs associated with these activities.
Instructions: Indicate the amount your agency allocated for Prevention Services. Budget allocations must be indicated for one or
more of the following categories: Community Planning, Prevention Services, Evaluation, and Capacity Building.

B09

The allocated amount under CT includes the costs associated with conducting HIV counseling, testing (including
laboratory services), and referral activities. All costs for health department staff and materials, including direct
assistance involved in CT, as well as allocations for prevention partners (contractors) will be included here. For
example, costs for program administration, stafffing, training, quality control, laboratory costs, and materials should be
Amount Allocated for Evaluation
Definition: For a specific CDC HIV prevention award, this value represents the annual costs associated with conducting
evaluation of prevention programs and community planning. These efforts may include evaluation activities conducted
by agency staff or contracted to an outside provider. The allocated amount should include routine quality assurance
and program monitoring costs, costs for conducting special studies, and costs for staffing and administering
evaluation projects, materials, and data collection and processing costs.
Instructions: Indicate the amount your agency allocated for Evaluation. Budget allocations must be indicated for one or more of the
following categories: Community Planning, Prevention Services, Evaluation, and Capacity Building.

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NHME Variables and Values
Requirements
Num
B10

Variable Name

Program

System

Optional Not Reported

Amount Allocated for Capacity Building
Definition: For a specific CDC HIV prevention award, this value represents the annual costs specifically associated with
infrastructure development for health departments and community-based organizations (CBOs) and for building the
capacity of the agency and its prevention partners to conduct more effective prevention programs, including capacity
building training for evaluation and community planning. These activities may be conducted by agency staff or
contracted to an outside source. These costs should include staff time, materials, and meeting costs, as well as
quality assurance, collaboration, and coordination of costs associated with these activities.
Instructions: Indicate the amount your agency allocated for Capacity Building. Budget allocations must be indicated for one or
more of the following categories: Community Planning, Prevention Services, Evaluation, and Capacity Building.

B11

Amount Allocated for STD Prevention and Treatment
Definition: For a specific CDC HIV prevention award, this value represents the annual costs associated with supporting STD
detection and treatment services to enhance HIV prevention efforts and reduce HIV transmission (as approved by
CDC). These costs should include costs associated with STD laboratory support, quality assurance, and collaboration
and coordination related to these activities.
Instructions: Indicate the amount your agency allocated for STD Prevention and Treatment.

B12

Amount Allocated for Other
Definition: For a specific CDC HIV prevention award, this value represents the annual costs associated with other activities that
are not described in B07-B13. Do not include amounts used to support general operations or administrative activities.
Instructions: Indicate the amount your agency allocated for other activities not included in the preceding categories.

B13

Amount Allocated for Indirect Costs
Definition: For a specific CDC HIV Prevention award, this value represents the annual cost used to support an agency's general
operations or administrative activities. These costs are not directly attributable to a specific program but are
necessary for the support of that program and the operations of the organization.
Instructions: Indicate the amount your agency allocated for Indirect Costs. This amount will equal the dollar amount from Financial
Status Report (FSR) - Line 11.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: C

Program

C01

Optional Not Reported

Contractor Information

An agency can award many contracts. An agency providing funding using CDC HIV prevention dollars
is required to complete this table for each contractor.
Num

System

Variable Name

Program

Requirements
System

Optional Not Reported

Contractor Agency Name
Definition: The official legal name of the contractor.
Instructions: Enter the official legal name of the contractor.

C02

Contractor - Street Address 1
Definition: A part of the official mailing address that indicates the primary street and street number location of the contractor.
Instructions: Enter the first part of the official mailing address that indicates the primary street and street number location where the
contractor named in C01: Agency Name is located.

C03

Contractor - Street Address 2
Definition: A part of the official mailing address that indicates the apartment or suite number if applicable, or other information
needed to complete the official mailing address of the contractor.
Instructions: Use this second address variable for additional information such as a suite number, room number, or other
information that will assist in getting program correspondence to your contractor in a timely manner.

C04

Contractor - City
Definition: The city in which the official mailing address for the contractor is physically located.
Instructions: Enter the city in which the contractor you entered for variable C01: Agency Name is located.

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NHME Variables and Values
Requirements
Num

Variable Name

C06

Program

System

Optional Not Reported

Contractor - State
Definition: The state, territory or district in which the official mailing address for the contractor is physically located.
Instructions: Select the name of the state, territory or district in which the agency named in C01: Agency Name is physically
located. This must represent one of the 50 states, the District of Columbia, the U.S. Virgin Islands, or Puerto Rico.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

U.S. Minor Outlying Islands

Virgin Islands of the U.S.

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

C07

Program

System

Optional Not Reported

Contractor - Zip Code
Definition: The postal zip code of the contractor.
Instructions: Enter the postal zip code for the agency named in C01: Agency Name.

Code

C08

Value Description

Value Definition

#####-####

Only the 5 digit zip code is mandatory.

Contractor - Contact Phone Number
Definition: The telephone area code and number for the contractor's primary contact specified in C11: Contact First Name and
C12: Contact Last Name.
Instructions: Enter the primary telephone area code and number for the contract agency primary contact person named in C11C12: Contact First/Last Name.

C09

Contractor - Contact Fax Number
Definition: The fax area code and number for the contractor's primary contact specified in C11: Contact First Name and C12:
Contact Last Name.
Instructions: Enter the primary fax number for the contract agency primary contact person named in C11-C12: Contact First/Last
Name.

C10

Contractor - Contact Email Address
Definition: The email address for the contractor's primary contact specified in C11: Contact First Name and C12: Contact Last
Name.
Instructions: Enter the primary email address for the contract agency primary contact person named in C11-C12: Contact First/Last
Name.

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NHME Variables and Values
Requirements
Num
C11

Variable Name

Program

System

Optional Not Reported

Contractor - Contact First Name
Definition: The legal first name of contractor's primary contact (e.g., CBO Executive Director, CBO Director for HIV Prevention,
Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal first name of the primary contact for the contractor named in C01: Agency Name. Be sure to verify this
information with each of your contractors; as people change agencies or positions within an agency.

C12

Contractor - Contact Last Name
Definition: The legal last name of the contractor's primary contact (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal last name for the primary contact of the contractor named in C01: Agency Name. Be sure to verify this
information with each of your contractors; as people change agencies or positions within an agency.

C13

Contractor - Employer Identification Number (EIN)
Definition: The federal tax identification number that is used to identify a business entity.
Instructions: Enter the Employer Identification Number (EIN) for the agency named in C01: Agency Name. The EIN is also known
as a federal tax identification number and is used to identify a business entity. It is a nine-digit number assigned by
the IRS for businesses, estates, and trusts. (For more information, see also www.irs.gov )

C14

Contractor - DUNS Number
Definition: The Data Universal Numbering System (DUNS) number is a unique nine-digit identification number which identifies
business entities. It is provided by the commercial company Dun & Bradstreet.
Instructions: Enter the unique Data Universal Numbering System (DUNS) number for the agency named in variable C01: Agency
Name. Obtaining a DUNS number is easy and there is no charge. To obtain a DUNS number, access www.dnb.com.

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NHME Variables and Values
Requirements
Num

Variable Name

C15

Program

System

Optional Not Reported

Contractor Agency Type
Definition: The term(s) used to describe or characterize the type of organizations involved in HIV prevention activities. This
variable is not used to describe the site or setting of HIV prevention services.
Instructions: Indicate the type of organization that best describes the contractor named in variable C01: Agency Name (e.g., CBO,
academic institution). If the contractor is an individual, select "other" and specify that the contractor is an individual.

Code

Value Description

Value Definition

Local health department

A local health department includes county or city health departments
and/or their associated facilities.

Other public agency

Other offices or organizations that are supported by public funds and
serve the community at large such as correctional institutions, mental
health facilities, etc.

Community based organization (CBO)

Academic/research institution

Hospital

An institution that provides medical, surgical, or psychiatric care and
treatment to patients on an inpatient or outpatient basis.

Other (specify)

An agency type other than specified above.

C15-1

Specify Contractor Agency Type
Definition: A specification of the type of agency if 89-Other (specify) was selected in C15.
Instructions: Specify the type of agency if 89-Other (specify) was selected and none of the other value choices in C15 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

C16

Program

System

Optional Not Reported

Contractor Agency Activities
Definition: The type(s) of HIV prevention activities the contractor is funded to provide.
Instructions: Indicate the types of HIV prevention activities that the contractor named in C01: Agency Name is funded to provide.

Code

Value Description

Value Definition

Provision of HIV prevention services

HIV prevention services are activities designed to reduce the risk of
HIV infection or transmission to others. These activities include
Counseling, Testing, and Referral (CTR), HIV Partner Services (PS),
laboratory support for HIV CT and PS, prevention for HIV-infected
persons, Health Education and Risk Reduction (HE/RR) and Health
Communication and Public Information (HC/PI).

Capacity building

Activities that strengthen the core competencies of an organization
and contribute to its ability to develop and implement an effective HIV
prevention intervention and sustain the infrastructure and resource
base necessary to support and maintain the intervention.

Community planning support

Activities involved in conducting the community planning process
(e.g., leadership, coordination, staff support, travel, meeting costs,
reproductions, and reimbursed costs). This should also include
activities associated with conducting planning tasks such as
developing an epidemiologic profile, conducting needs assessments,
setting priorities, developing a comprehensive prevention plan, and
enhancing membership recruitment.

Evaluation

Activities associated with conducting monitoring or evaluation of HIV
prevention programs and HIV prevention community planning.

Master contractor

An agency that does not provide HIV prevention services but uses
CDC funds to award additional contracts to other agencies to provide
HIV prevention services.

Other (specify)

HIV prevention activities other than those listed above.

C16-1

Specify Contractor Agency Activities
Definition: A specification of agency activities if 89-Other (specify) was selected in C16.
Instructions: Specify agency activities if 89-Other (specify) was selected and none of the other value choices in C16 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

C17

Program

System

Optional Not Reported

Contractor - Faith-based
Definition: A faith-based agency is a non-governmental agency owned by religiously affiliated entities such as (1) individual
churches, mosques, synagogues, temples, or other places of worship; or (2) a network or coalition of churches,
mosques, synagogues, temples, or other places of worship.
Instructions: Indicate whether or not the contractor is a faith-based agency.

Code

Value Description

Value Definition

The contract agency is not a faith-based agency.

Yes

The contract agency is a faith-based agency.

N/A

This information is not applicable to the contract agency.

C18

Contractor - Race/Ethnicity Minority Focused
Definition: A non-governmental agency serving a clientele that is composed of 85% or more of racial/ethnic minority populations.
Instructions: Indicate whether or not the contract is non-governmental agency that serves a clientele that made up of 85% or more
of racial/ethnic minority populations.

Code

Value Description

Value Definition

The contract agency does not serve a clientele that is composed of
85% or more of racial or ethnic minority populations.

Yes

The contract agency does serve a clientele that is composed of 85%
or more of racial/ethnic minority populations.

N/A

This information is not applicable to the contract agency.

C19

Contract Start Date - Month/Year
Definition: The calendar month and year that the contract begins or takes effect. This contract award applies to the annual
budget period.
Instructions: Enter the calendar month and year that the contract begins or takes effect. Be sure to refer to the official contracting
agreement documents for this date. The contract start date should fall between the PA award start and end date
specified in B02: CDC HIV Prevention PA Budget Start Date and B03: CDC HIV Prevention PA Budget End Date.

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NHME Variables and Values
Requirements
Num
C21

Variable Name

Program

System

Optional Not Reported

Contract End Date - Month/Year
Definition: The calendar month and year that the contract ends. This contract award applies to the annual budget period.
Instructions: Enter the calendar month and year that the contract is scheduled to end. Be sure to refer to the official contracting
agreement documents for this date.

C23

Total Contract Amount Awarded
Definition: The total dollar amount awarded to the contractor using CDC/DHAP funds from the funding agency. This award
applies to the annual budget period (C19: Contract Start Date-Month - C22: Contract End Date - Year).
Instructions: Enter the CDC/DHAP dollar amount awarded to the contractor named in C01: Agency Name from your agency.If the
total amount in C23 includes non DHAP funds then C24 must be completed.

C24

Percent of Contract from CDC Funds
Definition: The percent of the total annual contract amount awarded that came from a CDC program award. This variable must
be completed if the total amount in C23 includes non DHAP funds.
Instructions: If your agency is directly funded by CDC, enter the percent of the total contract amount awarded to the contractor
named in C1: Agency Name that came from one of your CDC program awards. If there are multiple contracts
awarded to your agency, report the percent of CDC funds for each individual contract award.

C25

Contractor - CDC HIV Prevention PA Number
Definition: The CDC HIV Prevention Program Announcement (PA) Number through which this contractor is being funded.
Instructions: If your agency is directly funded by CDC, enter your CDC HIV prevention program announcement number through
which this contractor is being funded.

C26

Contractor - CDC HIV Prevention PA Budget Start
Date
Definition: The beginning of the CDC Program Announcement Annual Award Period through which this contractor is being
funded. The date format is MM/YYYY.
Instructions: If your agency is directly funded by CDC, enter the beginning of the CDC Program Announcement Award Period from
which you awarded funds to this contractor. This should be the award period for the PA award that was entered in
C25: CDC HIV Prevention Program Announcement Number.

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NHME Variables and Values
Requirements
Num

Variable Name

C27

Program

System

Optional Not Reported

Contractor - CDC HIV Prevention PA Budget End
Date
Definition: The end of the CDC Program Announcement Annual Award Period through which this contractor is being funded.
The date format is MM/YYYY.
Instructions: If your agency is directly funded by CDC, enter the end of the CDC Program Announcement Award Period from which
you awarded funds to this contractor. This should be the award period for the PA award that was entered in C25:
CDC HIV Prevention Program Announcement Number.

C28

Method of Selection
Definition: The procedures or steps followed in selecting how funds are awarded to the contractor.
Instructions: If your agency is directly funded by CDC, indicate the method by which awards to the contractor were selected
(competitive process, sole source, etc.). This variable is optional and can be used by directly funded grantees to meet
the reporting requirements of PGO and PO.

Code

Value Description

Value Definition

Competitive process

Selection of a contractor is based on the best response to a formal
proposal for services.

Sole source

Selection of a contractor is based on the unique ability of a particular
contractor to provide a given service.

Other

Selection of the contractor was based on some other type of criteria
or locally-defined standard/measures.

C29

Target Population
Definition: The primary population(s) that the contractor will serve.
Instructions: If your agency is directly funded by CDC, indicate the primary target population(s) the contract agency or individual
contractor will serve. If the population served by the contractor is not a priority population (i.e., population is health
department staff), the variable should be left blank. This variable is optional and can be used by directly funded
grantees to meet the reporting requirements of PGO and PO.

C30

Itemized Budget - Personnel
Definition: The amount of the contract budgeted for personnel costs such as salary and fringe benefits.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for personnel. This variable
is optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

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NHME Variables and Values
Requirements
Num
C31

Variable Name

Program

System

Optional Not Reported

Itemized Budget - Travel
Definition: The amount of the contract budgeted for in-state and out-of-state travel costs such as mileage reimbursement, airfare,
and lodging.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for travel. This variable is
optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

C32

Itemized Budget - Equipment
Definition: The amount of the contract budgeted for equipment.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for equipment. This variable
is optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

C33

Itemized Budget - Supplies
Definition: The amount of the contract budgeted for supplies, such as general office supplies, educational material or word
processing software.
Instructions: If your agency is directly funded by CDC, indicate the contract amount to be used for supplies. This variable is
optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

C34

Itemized Budget - Contractual
Definition: The amount of the contract budgeted for a subcontracted entity to perform activities that may be either the same as or
directly related to the scope of work of the project.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for contractual activities.
This variable is optional and can be used by directly funded grantees to meet the reporting requirements of PGO and
PO.

C35

Itemized Budget - Other
Definition: The amount of the contract that is budgeted for other expenses such as postage, telephone and printing.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for other expenses. This
variable is optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

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NHME Variables and Values
Requirements
Num

Variable Name

C36

Program

System

Optional Not Reported

Itemized Budget - Indirect Costs
Definition: The amount of the contract that is budgeted for overhead and/or general administrative costs. This does not include
any of the costs associated with the other itemized budget categories C31: Itemized Budget: Personnel - C26:
Itemized Budget - Other.
Instructions: If your agency is directly funded by CDC, indicate the contract budget amount to be used for indirect costs. This
variable is optional and can be used by directly funded grantees to meet the reporting requirements of PGO and PO.

C37

Notes
Definition: A text field to record any additional text notes about the contractor or contracted activities for PGO and PO reporting.
Instructions: If your agency is directly funded by CDC, enter any additional notes about the contractor or contracted activities for
PGO and PO reporting.

Table: N

Network Agency

Complete this table for each agency belonging to a referral network or coalition of service providers.
Use of this table will facilitate the tracking and verification of client referrals to services outside the
agency and track recruitment efforts. The entire table is optional, but is used for local programmatic
purposes.
Num
N01

Variable Name

Program

Requirements

System

Optional Not Reported

Network Agency Name
Definition: The official legal name of the network agency or organization.
Instructions: Enter the official name of the agency in your referral network.

N02

Network - Street Address 1
Definition: A part of the official mailing address that indicates the primary street and street number location of the network
agency or organization.
Instructions: Enter the first part of the official mailing address that indicates the primary street and street number location where the
network agency named in N01 is located.

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NHME Variables and Values
Requirements
Num
N03

Variable Name

Program

System

Optional Not Reported

Network - Street Address 2
Definition: A part of the mailing address that indicates the apartment or suite number if applicable, or other information needed to
complete the official mailing address of the network agency or organization.
Instructions: Use this second address variable for additional information such as a suite number, room number, or other
information that will assist in getting program correspondence to your network agency in a timely manner.

N04

Network - City
Definition: The city in which the official mailing address for network agency is physically located.
Instructions: Enter the name of the city where the network agency you entered for variable N01: Agency Name is located.

N05

Network - County
Definition: The county, parish, or municipality of the network agency.
Instructions: Select the name of the county where the network agency is located.

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NHME Variables and Values
Requirements
Num

Variable Name

N06

Program

System

Optional Not Reported

Network - State
Definition: The state, territory or district in which the official mailing address of the network agency is physically located. This
must represent one of the 50 states, the District of Columbia, the U.S. Virgin Islands, or Puerto Rico.
Instructions: Select the name of the state, territory, or district where the network agency or organization is physically located.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

U.S. Minor Outlying Islands

Virgin Islands of the U.S.

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

N07

Program

System

Optional Not Reported

Network - Zip Code
Definition: The postal zip code for the network agency.
Instructions: Enter the postal zip code for the network agency.

Code

N08

Value Description

Value Definition

#####-####

Only the 5 digit zip code is required for entry.

Network - Phone Number
Definition: The telephone area code and number for the network agency's primary contact specified in N11: Contact First Name
and N12: Contact Last Name.
Instructions: Enter the primary telephone area code and number for the network agency's primary contact.

N09

Network - Fax Number
Definition: The fax area code and number for the network agency's primary contact specified in N11: Contact First Name and
N12: Contact Last Name.
Instructions: Enter the primary fax area code and number for the network agency's primary contact.

N10

Network - Email Address
Definition: The email address for the network agency's primary contact specified in N11: Contact First Name and N12: Contact
Last Name.
Instructions: Enter the primary email address for the network agency's primary contact.

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NHME Variables and Values
Requirements
Num
N11

Variable Name

Program

System

Optional Not Reported

Contact First Name
Definition: The legal first name of the network agency's primary contact (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal first name of the network agency’s primary contact. Be sure to check with each agency to determine
what type of agency employee they would like to be the official contact listed in PEMS.

N12

Contact Last Name
Definition: The legal last name of the network agency's primary contact (e.g., CBO Executive Director, CBO Director for HIV
Prevention, Health Department AIDS Director or Director of HIV Prevention).
Instructions: Enter the legal last name of the network agency’s primary contact. Be sure to check with each agency to determine
what type of agency employee they would like to be the official contact listed in PEMS.

N13

Network - Employer Identification Number (EIN)
Definition: The federal tax identification number that is used to identify a business entity.
Instructions: Enter the Employer Identification Number (EIN) for the network agency named in N01: Agency Name. The EIN is also
known as a federal tax identification number and is used to identify a business entity. It is a nine-digit number
assigned by the IRS for businesses, estates, and trusts. (For more information, see also www.irs.gov )

N14

Network - DUNS Number
Definition: The Data Universal Numbering System (DUNS) number is a unique nine-digit identification number which uniquely
identifies business entities. It is provided by the commercial company Dun & Bradstreet.
Instructions: Enter the unique Data Universal Numbering System (DUNS) number for the network agency named in variable N01:
Agency Name. Obtaining a DUNS number is easy and there is no charge. To obtain a DUNS number, access
www.dunandbradstreet.com or call 1-866-705-5711. For more information, see the CDC web site at:
http://www.cdc.gov/od/pgo/funding/pubcommt.htm

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NHME Variables and Values
Requirements
Num

Variable Name

N15

Program

System

Optional Not Reported

Network Agency Type
Definition: The term(s) used to describe or characterize the type of organizations involved in HIV prevention activities. This
variable is not used to describe the site or setting of HIV prevention services.
Instructions: Indicate the type of organization that best describes the network agency named in variable N01: Agency Name (e.g.,
CBO, academic institution). Remember that this variable is NOT used to describe the site or setting at which HIV
prevention services are delivered.

Code

Value Description

Value Definition

State health department

A health department and/or health department facility responsible for
providing and/or supporting the provision of direct client services in a
state or territorial jurisdiction.

Local health department

A health department and/or health department facility responsible for
providing and/or supporting the provision of direct client services in a
county or city.

Other public agency

Other offices or organizations that are supported by public funds and
serve the community at large such as correctional institutions, mental
health facilities, etc.

Community based organization (CBO)

Academic/research institution

Hospital

An institution that provides medical, surgical, or psychiatric care and
treatment to patients on an inpatient or outpatient basis.

Other (specify)

An agency type other than specified above.

N15-1

Specify Network Agency Type
Definition: A specification of the type of network agency if 89-Other (specify) was selected in N15.
Instructions: Specify the type of network agency if 89-Other (specify) was selected and none of the other value choices in N15
apply.

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NHME Variables and Values
Requirements
Num

Variable Name

N17

Program

System

Optional Not Reported

Network Service Type
Definition: The primary service(s) provided by the network agency.
Instructions: Indicate which types of service(s) this agency provides. These are likely the services provided by this agency to which
you may refer clients or from which you are likely to recruit clients (e.g. HIV testing, PS, etc.).

Code

Value Description

Value Definition

HIV Testing

A diagnostic, laboratory procedure to assess for the presence of HIV
antibodies.

HIV confirmatory test

An HIV test designed to confirm the results of a preliminary positive
screening test.

HIV prevention counseling

An interactive risk-reduction counseling model usually conducted with
HIV testing, in which the counselor helps the client identify and
acknowledge personal HIV risk behaviors and commit to a single,
achievable behavior change step that could reduce the client's HIV
risk.

STD screening and treatment

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis and treatment if infected.

Viral Hepatitis screening and treatment

Provision of testing to determine infection with viral hepatitis (A, B,
and C) and treatment if positive or vaccination if negative.

Tuberculosis testing

Testing for tuberculosis (TB), prophylactic TB treatment, and clinical
evaluation for active TB disease.

Syringe exchange services

Services that provide clean syringes in exchange for used syringes.

Reproductive health services

Health care services for female clients who are pregnant or of childbearing age.

Prenatal care

Health care services for female clients before and during pregnancy
to monitor the health of the pregnant mother and fetus.

HIV medical care/evaluation/treatment

Medical services that address HIV infection including evaluation of
immune system function and screening, treatment, and prevention of
opportunistic infection.

IDU risk reduction services

Services that promote practices that reduce the health risks of
injection drug use (i.e., using sterile needles, never sharing needles,
disinfecting needles, disposing of needles).

Substance abuse services

Services for the treatment and prevention of drug or alcohol use.

General medical care

Professional treatment for illness, injury or routine health care
services (non-HIV related).

Partner Services

A range of services available to HIV-infected persons, their partners
and affected communities that involves informing current and past
partners that a person who is HIV-infected has identified them as a
sex or injection-drug-paraphernalia-sharing partner and advising
them to have HIV counseling and testing. Notified partners, who may
not have suspected their risk, can then choose whether to be tested
for HIV, enabling those who test HIV positive to receive early medical
evaluation, treatment, and prevention services, including riskreduction counseling.

Mental health services

Services to assist with mental illness, developmental disabilities or
difficulty coping with HIV diagnosis or HIV-related conditions.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Comprehensive Risk Counseling Services

A client-centered HIV prevention counseling activity with the
fundamental goal of promoting the adoption and maintenance of HIV
risk-reduction behaviors by clients with multiple, complex problems
and risk-reduction needs. CRCS provides intensive, on-going,
individualized prevention counseling, support, and service brokerage.
This HIV prevention activity addresses the relationship between HIV
risk and other issues such as substance abuse, STD treatment,
mental health, and social and cultural factors.

Other HIV prevention services

Service to address additional prevention service or treatment needs
such as health education, individual counseling, and community level
interventions (e.g., workshops, health fairs).

Other support services

Assistance with housing, food, employment, transportation, child
care, domestic violence, support groups and legal services.

Case Management

A range of client-centered services that links clients with primary
medical care, psychosocial and other services to insure timely,
coordinated access to medically-appropriate levels of health and
support services, continuity of care, ongoing assessment of the
client’s and other family members’ needs and personal support
systems, and inpatient case-management services that prevent
unnecessary hospitalization or that expedite discharge, as medically
appropriate, from inpatient facilities. This refers to services such as
those provided under the Ryan White CARE Act and is different from
Comprehensive Risk Counseling Services (CRCS).

Other

The service type cannot be identified by the other service types listed.

N18

Notes
Definition: A text field to record any additional information regarding a network agency.
Instructions: Use this space to record any additional information regarding an agency in the network that may be helpful for any
uses you or your colleagues may have.

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NHME Variables and Values
Requirements
Num

Variable Name

N19

Program

System

Optional Not Reported

Network Activity Status
Definition: The agency's current activity status within the network. This is an indication of whether the network agency is one that
your agency currently provides referrals to or receives referrals from.
Instructions: Indicate the activity status that best describes the current status of a particular agency's participation in the network
as either active or inactive. As agencies make decisions to enter and leave networks for various reasons, you may
want to confirm their status.

Code

Value Description

Value Definition

Active

The network agency is currently an agency that your agency provides
referrals to or receives referrals from.

Inactive

The network agency is currently not an agency that your agency
provides referrals to or receives referrals from.

Table: P

Worker

An agency should complete this table for each paid staff or volunteer who provides HIV prevention
services to clients. The entire table is optional, but is used for local programmatic purposes.
Num
P01

Variable Name

Program

Requirements
System

Optional Not Reported

Worker ID
Definition: A system generated code used to distinguish between persons who are delivering services to clients within the same
agency. It is made up of a combination of non-identifying characteristics.
Instructions: The system will generate the Worker ID variable once you enter the worker in Table P and begin entering data about
the worker. This ID can then be used if you choose to track worker information related to prevention services that
your agency provides.

P02

Local Worker ID
Definition: A locally developed identification system used to distinguish between persons within the same agency who are
delivering services to clients.
Instructions: If you agency has already established a local worker ID, you can use this variable to continue tracking workers by their
existing ID numbers. Remember that they will now have two ID numbers if you choose to continue using existing
numbers. If this number is used by other departments to identify workers, you may want to communicate to other
departments, especially Human Resources, that workers involved in providing services will have two ID numbers.

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NHME Variables and Values
Requirements
Num
P03

Variable Name

Program

System

Optional Not Reported

First Name
Definition: The worker's first name.
Instructions: Enter the worker’s formal first name. If you are using Table P to track worker activity within your agency, this variable
must be completed for the record to be saved in PEMS. If it is not feasible to enter the worker's true first name,
grantees can use another naming convention (e.g., pseudo-name), as long as it can be used to distinguish this worker
from other workers in PEMS.

P04

Middle Initial
Definition: The first letter of the worker's middle name.
Instructions: Enter the first letter of the worker's middle name.

P05

Last Name
Definition: The worker's last name.
Instructions: Enter the worker’s last name. If you are using Table P to track worker activity within your agency, this variable must be
completed for the record to be saved in PEMS. If it is not feasible to enter the worker's true last name, grantees can
use another naming convention (e.g., pseudo-name), as long as it can be used to distinguish this worker from other
workers in PEMS.

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NHME Variables and Values
Requirements
Num

Variable Name

P06

Program

System

Optional Not Reported

Worker Type
Definition: The role or type of work done by the worker.
Instructions: Choose ALL the categories that describe the role of the worker (e.g., counselor, educator, test administrator). You
can also enter a new category if the worker plays an additional role or if none of the roles in the value list describe the
worker type.

Code

Value Description

Value Definition

Counselor

A person who provides client-centered information and assistance to
help individuals reduce their risk(s) for HIV infection and
transmission. Activities may include the provision of risk reduction
messages that are tailored to the specific behaviors, circumstances,
and special needs of the person being served, assisting the client in
the development of plan to reduce his/her risk for HIV infection and
transmission and making referrals to other needed services.

Educator

A person who promotes, maintains, and improves individual and
community health by teaching individuals and communities how to
assume responsibility for addressing prevention and health care
issues. This person may be formally trained through an academic
program or trained on-the-job or through other experiences.

Health care worker

An individual who provides health care services, including care and
treatment of HIV/AIDS patients (e.g. doctor, nurse, physician
assistant, psychiatrist).

Outreach worker

An individual who provides face-to-face prevention services to highrisk individuals where they live or congregate (e.g., in the community).

Peer

An individual who is a current or former member of the target
population and is trained to provide education, information or other
prevention services.

HIV Test Administrator

An individual qualified to administer rapid and/or conventional HIV
tests.

Partner Services Provider

A staff member who is trained to do one or more of the following: 1)
introduce the concept to HIV positive clients; 2) assess partner needs
and determine methods to inform partners; 3) locate partners, 4)
inform the potentially exposed sex or needle-sharing partner; and 5)
make referrals to CT or other services.

Other

Individuals who deliver all or part of an intervention and who do not fit
into one of the specified categories listed above (e.g. phlebotomist,
lawyer, social worker, celebrity).

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NHME Variables and Values
Requirements
Num

Variable Name

P06-1

Program

System

Optional Not Reported

Specify Worker Type
Definition: A specification of the worker type if 89-Other (specify) was selected in P06.
Instructions: Specify the worker type if 89-Other was selected.

P07

Employment Status
Definition: The current condition of employment or labor position that an individual holds within the agency.
Instructions: Indicate if the worker is a paid employee, volunteer or a contractor.

Code

Value Description

Value Definition

Paid staff

Individuals who receive compensation from your agency to provide
direct services to clients.

Volunteer

Individuals who provide direct services to clients without
compensation.

Contractor

Individuals who are contracted by your agency to provide direct HIV
prevention services to clients.

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NHME Variables and Values
Requirements
Num

Variable Name

P08

Program

System

Optional Not Reported

Education Level
Definition: The highest level of formal education the agency worker has completed.
Instructions: Choose the highest level of education for a particular agency worker. Even though a worker may have a high school
diploma and a bachelor’s degree, you would choose bachelor’s degree only as the highest education level.

Code

Value Description

Value Definition

No schooling completed

The worker has completed no formal schooling.

8th grade or less

The worker has completed up to the 8th grade of formal schooling.

Some high school

The worker has completed some years of high school but has not
received a high school diploma, GED or equivalent.

High school graduate, GED or equivalent

The worker has graduated from high school or received a GED or
equivalent diploma.

Some college

The worker has completed some years of college at a university or
technical college.

Bachelor's degree

The worker has received an undergraduate academic degree
typically requiring four years of full-time equivalent preparation.

Not asked

The worker was not asked to provide his or her highest level of
education.

Post graduate degree

The client received completed a Masters, Doctorate, and/or other
professional degrees.

Declined to answer

The worker refuses or is unwilling to provide his or her highest level
of education.

Don't know

The worker does not know or is unsure of his or her highest level of
education.

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NHME Variables and Values
Requirements
Num

Variable Name

P09

Program

System

Optional Not Reported

Prevention Intervention Training
Definition: The prevention intervention training curriculum the agency worker has completed.
Instructions: Indicate the prevention intervention training curriculum the agency worker has completed. You should list all the
training each worker has personally been involved in—and not all the training that is offered at your agency or to your
agency. For example, if your agency sponsored RAPP and SISTA training sessions, and Worker X only participated
in RAPP training, then you should only check RAPP for this variable for Worker X.

Code

Value Description

Value Definition

None

The agency worker has not completed a CDC-based training
curriculum.

Introduction to HIV prevention: "HIV 101"

A training course that introduces the basics of HIV transmission and
describes techniques for HIV prevention.

DEBI - Community PROMISE

A community-level STD/HIV prevention intervention that relies on the
outreach work of peer advocates from the target community to deliver
role model stories to members of the target population.

DEBI - RAPP

A community-level HIV prevention intervention designed to help lowincome women (aged 15-34) and their partners reduce their risk for
HIV infection. The intervention objectives are to increase consistent
condom use by women and their partners, to change community
norms so that practicing safer sex is seen as the acceptable norm,
and to involve as many people in the community as possible.

DEBI - Street Smart

An intensive HIV/AIDS and STD prevention program for youth whose
behaviors place them at very high risk of becoming infected.

DEBI - SISTA

A social skills training intervention aimed at reducing HIV sexual risk
behavior among African-American women at highest risk.

DEBI - Healthy Relationships

A five-session, small-group intervention for men and women living
with HIV/AIDS that focuses on developing skills and self-efficacy and
positive expectations about new behaviors through modeling
behaviors and practicing new skills.

DEBI - Holistic Health Recovery

A 12-session, manual-guided, group level program to reduce harm,
promote health, and improve quality of life for HIV-positive injection
drug users.

DEBI - Together Learning Choices

An intervention for young people, (ages 13-29) living with HIV. It is
delivered in small groups using cognitive-behavioral strategies to
change behavior.

DEBI - Safety Counts

A seven-session, HIV prevention intervention for out-of-treatment
active injection and non-injection drug users aimed at reducing both
high-risk drug use and sexual behaviors. The intervention includes
both structured and unstructured psycho-educational activities in
group and individual settings.

DEBI - VOICES/VOCES

A single-session, video-based HIV/STD prevention workshop
designed to encourage condom use and improve condom negotiation
skills among heterosexual African American and Latino men and
women.

DEBI - Many Men, Many Voices

A six- or seven-session, group level STD/HIV prevention intervention
for gay and bisexual men of color.

HIV prevention counseling - Basic

A training course that discusses measures of preventing HIV
transmission, including testing for HIV infection.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Partner Services

An HIV intervention that includes a broad array of services that can
be offered to persons with HIV and their partners. Identifying
partners and notifying them of their exposure (i.e., partner
notification) are two critical elements of these services. Others
include risk reduction counseling; testing for HIV and other STDs;
linkage to medical evaluation and treatment; and linkage or referral to
other services, such as family planning, prenatal care, substance
abuse treatment, social support, housing, and mental health services.

Evaluation Guidance

Training designed to provide HIV program managers and their staff
with monitoring and evaluation information that can be used for
national-level data reporting or to inform local monitoring and
evaluation efforts.

WiLLOW

A four-session intervention for HIV positive, heterosexual women.

SiHLE

A four-session intervention deisgned to lower teen's risk for STDs
and teen pregnancy.

CLEAR

A three module intervention that is delivered in one-on-one sessions
to young people living with HIV.

OPTIONS

A clinician-initiated HIV risk reduction intervention for HIV positivie
persons in clinical care using motivational interviewing techniques.

HIV Test administration - Conventional

Training for persons conducting HIV testing using venous blood or
oral specimen collection which requires follow-up visits within two
weeks of the specimen collection. Conventional testing requires preand post-test counseling visits with clients.

HIV Test administration - Rapid

Training for persons conducting HIV testing using whole blood or oral
specimen collection for point-of-care testing. The rapid HIV testing
session incorporates counseling and testing within one visit for most
clients and counselors must be prepared to test results within the visit.

HIV prevention counseling - Issues for youth

Training for persons conducting HIV counseling and testing with
youth at high risk of HIV-infection.

HIV prevention counseling - Issues for clients who test positive

Training for persons conducting prevention programs with HIVinfected individuals. Prevention counseling for this population focuses
on preventing the spread of HIV transmission and ensuring linkage to
medical care and treatment.

Supervisory training for HIV CT - Quality assurance

Training for persons conducting HIV testing using conventional or
rapid testing methods. Training focuses on conducting testing
according to CDC guidelines.

DEBI - POL

A specialized type of outreach that consists of a group of trusted, wellliked people who are recruited and trained to endorse safer sexual
behaviors in casual, one-on-one conversations with peers in their
own social network at a range of venues and settings.

Other (specify)

A prevention intervention training other than those specified above.

DEBI - Mpowerment

A community-level HIV prevention intervention for young men who
have sex with men. The intervention is run by a core group of 12-20
young gay/bi-sexual men from the community and paid staff.

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NHME Variables and Values
Requirements
Num
P09-1

Variable Name

Program

System

Optional Not Reported

Specify Prevention Intervention Training
Definition: A specification of prevention intervention training if 89-Other (specify) was selected in P09.
Instructions: Specify the prevention intervention training if 89-Other (specify) was selected and none of the other value choices in
P09 apply.

P10

Certification Start Date
Definition: The date that the agency worker is eligible to start provision of service(s).
Instructions: For each Worker Type selected in P05: Worker Type, indicate the start date for when the worker is certified or
authorized to provide a specific service(s).

P11

Certification End Date
Definition: The date that the worker is no longer eligible to provide service(s).
Instructions: For each Worker Type selected in P05: Worker Type, tell us the date that the agency worker is no longer certified or
authorized to provide a specific service(s).

P12

Training Comments
Definition: A text field to describe any additional details about the prevention intervention training a worker has received.
Instructions: Provide any additional comments about the prevention intervention training the worker has received.

P13

Site Name of Service Delivery
Definition: The name of the sites or locations where an agency worker performs HIV prevention service activities.
Instructions: Select the site(s) where an agency worker performs HIV prevention service activities.

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NHME Variables and Values
Requirements
Num

Variable Name

P14

Program

System

Optional Not Reported

Worker Start Date
Definition: The date that the agency worker became eligible to work at a the agency.
Instructions: Enter the date that the worker became eligible to work at the agency.

P15

Worker End Date
Definition: The date that the agency worker became ineligible to work at the agency (for example, contract expired, etc.)
Instructions: Enter the date that the worker became ineligible to work at the agency.

Table: S

Site Information

A site is a facility or non-facility based setting (e.g. park, street corner), which serves as a point of
service delivery. If an agency has multiple sites, this table is completed for each site. However, if an
agency has multiple sites with the same zip code that are of the same site type, the agency may use a
single site name and ID for the encompassing locations. For example, a mobile van that rotates to
several sites within the same zip code. When entering site information in the PEMS software "is active"
must be enabled for sites to appear in modules throughout the system.
Num

Variable Name

S01

Site ID

Program

Requirements

System

Optional Not Reported

Definition: A unique code used to distinguish the locations where an agency delivers services.
Instructions: The PEMS system will generate a Site ID for every site name that is entered. The Site ID will be used to link
prevention services delivered by a particular agency to a specific geographic area and type of setting.

S02

Legacy Site ID
Definition: A unique identification system used to distinguish between publicly funded HIV Counseling and Testing sites.
Instructions: If your agency has established legacy site sites, then you have the option of entering your existing CDC Legacy Site
ID here.

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NHME Variables and Values
Requirements
Num
S03

Variable Name

Program

System

Optional Not Reported

Service Delivery Site Name
Definition: The official name of the agency's HIV prevention site of service delivery.
Instructions: Enter the official name of the site where your agency provides HIV prevention services. The Site Name must be
unique for each site supported by your agency. If your agency’s services are delivered at the same place your
administrative office is located, then this site will automatically be entered in the PEMS software. Note: Please
provide the official name for your agency’s HIV prevention site, even though some staff and community residents may
refer to it as something other than its official name.

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NHME Variables and Values
Requirements
Num

Variable Name

S04

Program

System

Optional Not Reported

Site Type
Definition: The setting in which HIV prevention services are provided.
Instructions: Select the site type from the list provided that best represents the setting and/or primary type of services offered at the
site named in S03: Site Name of Service Delivery even though a number of services may be offered there.
Remember, you can only choose one site type. Select the site type that best represents the primary services that are
provided. You may select a primary category (indicated by an asterisk *) for the site type; however, only one site type
may be selected.

Code

Value Description

Value Definition

F01

*Inpatient facility

A hospital or other health facility where services are provided to
patients that reside within that facility while they are receiving those
services.

F01.01

Inpatient - Hospital

A health facility that provides medical care to patients that reside
within that facility while they are receiving those services.

F01.50

Inpatient - Drug/alcohol treatment

A residential health facility that provides substance abuse treatment
and rehabilitation.

F01.88

Inpatient facility - Other

A health facility where services (other than those specified) are
provided to patients that reside within that facility while they are
receiving those services.

F01.99

Inpatient facility - Unknown

A health facility where services are provided to patients that reside
within that facility while they are receiving those services. The type of
service that this facility provides is unknown.

F02

*Outpatient facility

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services.

F02.03

Outpatient - Private medical practice

A non-residential health care facility that is privately owned and/or
operated.

F02.04

Outpatient - HIV specialty clinic

A non-residential health care facility that concentrates in the provision
of HIV treatment, care and prevention services.

F02.10

Outpatient - Prenatal/OBGYN clinic

A non-residential health care facility that provides obstetric,
gynecological and other pregnancy-related health services.

F02.12

Outpatient - TB clinic

A non-residential health care facility that specializes in the provision
of tuberculosis treatment, care and prevention services.

F02.19

Outpatient - Drug/alcohol treatment clinic

A non-residential health care facility that provides alcohol and
chemical dependency treatment services.

F02.20

Outpatient - Family planning

A non-residential health care facility that provides pregnancy testing,
birth control services, and other reproductive health services.

F02.30

Outpatient - Community mental health

A non-residential health care facility that provides treatment and
support services for the mentally ill or others with mental health
problems including counseling, case management, treatment,
peer/family support and public education.

F02.51

Outpatient - Community health clinic

A non-residential health care facility that provides primary and
preventative health care services to the members of a community in
which it is located.

F02.58

Outpatient - School/university clinic

A non-residential health clinic that is operated by and provides
services within a school or university setting.

F02.60

Outpatient - Health department/public health clinic

A non-residential health clinic that is supported by public funds.

F02.61

Outpatient - Health department/public health clinic - HIV

A non-residential health clinic that is supported by public funds and
provides HIV prevention, diagnosis and treatment services.

F02.62

Outpatient - Health department/public health clinic - STD

A non-residential health clinic that is supported by public funds and
provides STD prevention, diagnosis and treatment services.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

F02.88

Outpatient facility - Other

A health care facility where services (other than those specified) are
provided to patients that do not reside within that facility while they
are receiving services.

F02.99

Outpatient facility - Unknown

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services. The
type of service that this facility provides is unknown.

F03

*Emergency room

A section of a hospital or clinic staffed and equipped to provide
emergency care to persons requiring immediate medical treatment for
sudden illness or trauma.

F04.01

*Blood bank/plasma center

A place where blood is collected from donors, typed, separated into
components, stored, and prepared for transfusion to recipients. A
blood bank may be a separate free-standing facility or part of a larger
laboratory in a hospital.

F04.05

*HIV counseling and testing site

A facility or non-facility based setting where HIV prevention
counseling and testing services are provided.

F06

*Community setting

A defined area, environment or context in which a group of people
live, work or congregate.

F06.01

Community setting - AIDS service organization - non-clinical

A health association, support agency, or other service actively
involved in the prevention and treatment of AIDS.

F06.02

Community setting - School/education facility

A building or place where individuals receive knowledge through
learning and instruction.

F06.03

Community setting - Church/mosque/synagogue/temple

A building where a group of people who adhere to a common faith
gather for prayer.

F06.04

Community setting - Shelter/transitional housing

Shelters are facilities in which people can stay temporarily when they
would otherwise have to sleep on the street. Shelters also
sometimes provide other services (e.g., soup kitchen, job seeking
skills training, job training, support groups), or refer their clients to
agencies that do. Transitional housing is short to long-term housing
(6 to 24 months) available for individuals or families who are
homeless.

F06.05

Community setting - Commercial

A business or commercial facility (e.g., beauty salon, grocery store,
shopping center) where HIV prevention services may also occur.

F06.06

Community setting - Residential area

A primary residence that might include residential neighborhoods or
the common areas of apartment complexes or housing developments.

F06.07

Community setting - Bar/club/adult entertainment

A place of entertainment, typically open at night, usually serves food
and alcoholic beverages, and often provides music and space for
dancing or having a floor show which may depict, describe, or relate
to sexual conduct or sexual excitement.

F06.08

Community setting - Public area

An area, environment or context that is open to the community as a
whole such as a park or city street.

F06.09

Community setting - Workplace

A location where a worker normally performs his/her job tasks or the
businesses administrative offices. Use this site type for prevention
services delivered to a particular employer's employees.

F06.10

Community setting - Community center

A facility where the members of a community can gather for social or
cultural activities

F06.12

Community setting - Individual residence

An individual's home or place of residence. If Individual Residence is
chosen, no locating information (e.g., address) is collected.

F06.88

Community setting - Other

A defined area, environment or context (other than those already
specified) in which a group of people live, work or congregate.

F07

*Correctional facility

A penal or correctional facility, prison, jail detention center,
community-based rehabilitation center, or any similar institution
designed for the confinement or rehabilitation of criminal offenders

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NHME Variables and Values
Requirements
Num

Variable Name

F88

S05

*Other

Program

System

Optional Not Reported

A site where prevention services are conducted other than those
specified above.

Site - Street Address 1
Definition: A part of the official mailing address that indicates the primary street and street number location of the site.
Instructions: Enter the first part of the official mailing address that indicates the primary street and street number location where the
site named in S03: Site Name is located.

S06

Site - Street Address 2
Definition: A part of the mailing address that indicates apartment or suite number if applicable, or other information needed to
complete the official mailing address of the site.
Instructions: Use this second address variable for additional information such as a suite number, room number, or other
information for the site you entered for S03: Site Name.

S07

Site - City
Definition: The city in which the official mailing address for the site is physically located.
Instructions: Enter the name of the city where the site you entered for variable S03: Site Name is located.

S08

Site - County
Definition: The county, parish, or municipality where the agency's site of service is physically located.
Instructions: Select the name of the county where the site you entered for variable S03: Site Name is located.

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NHME Variables and Values
Requirements
Num

Variable Name

S09

Program

System

Optional Not Reported

Site - State
Definition: The state, territory or district in which the official mailing address for the site is physically located.
Instructions: Select the name of the state, territory or district where the site you entered for variable S03: Site Name is located.
This must represent one of the 50 states, the District of Columbia, the U.S. Virgin Islands, or Puerto Rico.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

S10

Program

System

Optional Not Reported

Site - Zip Code
Definition: The postal zip code associated with the site where services are provided.
Instructions: Enter the postal zip code for the site you entered for variable S03: Site Name.

Code

S11

Value Description

Value Definition

#####-####

Only the 5 digit zip code is mandatory.

Site - Phone Number
Definition: The telephone area code and number for the site's primary contact specified in S14: Contact First Name and S15:
Contact Last Name.
Instructions: Enter the primary telephone area code and number for the contact named in S14: Contact First Name and S15:
Contact Last Name.

S12

Site - Fax Number
Definition: The fax area code and number for the site's primary contact specified in S14: Contact First Name and S15: Contact
Last Name.
Instructions: Enter the primary fax area code and number for the site's primary contact specified in S14: Contact First Name and
S15: Contact Last Name.

S13

Site - Email
Definition: The email address for the site's primary contact specified in S14: Contact First Name and S15: Contact Last Name.
Instructions: Enter the primary email address for the site's primary contact specified in S14: Contact First Name and S15: Contact
Last Name.

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NHME Variables and Values
Requirements
Num

Variable Name

S14

Program

System

Optional Not Reported

Site - Contact First Name
Definition: The legal first name of the primary contact for the site.
Instructions: Enter the legal first name of the primary contact for the site named in S03: Site Name. Be sure to determine your
agency’s protocol for whether or not the contact person is the project director, project manager, or executive director.

S15

Site - Contact Last Name
Definition: The legal last name of the primary contact of the site.
Instructions: Enter the legal last name of the primary contact for the site named in S03: Site Name. Be sure to determine your
agency’s protocol for whether or not the contact person is the project director, project manager, or executive director.

S16

Use of Mobile Unit
Definition: A specialized vehicle is used at the site to provide HIV prevention services beyond the transport of agency staff to the
field and/or for client recruitment.
Instructions: If the site type for the site specified in S03: Site Name is a community setting (S04: Site Type = F06.01-F06.12),
indicate whether or not your agency has a mobile unit that has been customized to provide off-site HIV prevention
services. Note: This is different from your agency’s van for transporting staff to various field sites.

Code

Value Description

Value Definition

A mobile unit is not used at the site to provide HIV prevention
services beyond the transport of agency staff to the field and/or for
client recruitment.

Yes

A mobile unit is used at the site to provide HIV prevention services
beyond the transport of agency staff to the field and/or for client
recruitment.

S17

Other Site Information
Definition: A text field to enter other site information if needed.
Instructions: Use this variable to help your local staff organize details about a particular site.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Program Planning Level
Table: D

Program Name (Planning)

This table is required to be completed by all directly and indirectly funded agencies that provide HIV
prevention services directly to clients. An agency must report information for each prevention program
plan (e.g. the program name, the program 12 month funding cycle, and name of the community plan
jurisdiction in which the program will be implemented).
Num
D01

Variable Name

Program

Requirements

System

Optional Not Reported

Program Name
Definition: The name of the program used by an agency to organize one or more program models designed to provide HIV
prevention services to clients and the interventions that comprise them. The Program Name links the Agency Name
with the Program Model and distinguishes it from similar programs provided within the same agency.
Instructions: Indicate the name used by the agency to identify this program. If your agency organizes its prevention services into
multiple programs (as defined in PEMS), then Table D: Program Name must be completed for each program. The
number and organization of Programs is at the discretion of the agency. All services could be organized under one
Program Name or divided into multiple Programs, whichever way best meets the agency's needs. Note: Add the year
of service delivery to Program Name selected.

D02

Community Planning Jurisdiction
Definition: The CDC-directly funded state, territory, or city health department jurisdiction in which this program is intended to be
delivered.

D03

Instructions: Select the Community Planning Jurisdiction(s) in which this program is intended to be delivered. If your agency is a
directly funded CBO that is funded to serve in more than one Community Planning jurisdiction (e.g., you specified
multiple jurisdictions in A02: Community Plan Jurisdiction), select all the Community Planning Jurisdictions in which
this program is intended to be delivered. If your agency is a health department or an indirectly funded CBO select
only one Community Planning Jurisdiction in which this program is intended to be delivered even if you specified
multiple jurisdictions in A02: Community Planning Jurisdiction. Note: Indirectly funded CBOs are required to separate
their programs by jurisdiction (i.e., by state, city, or territorial funding streams).
Community Planning Year
Definition: The annual period (e.g., 2005) within the Comprehensive HIV Prevention Community Plan that guides how the HIV
prevention program indicated in D01: Program Name will be implemented in the jurisdiction.
Instructions: Indicate the Community Planning Year (e.g., 2005) in which this program indicated in D01: Program Name will be
initiated. If the plan is a multi-year plan (e.g., 2005-2008), indicate the annual period (e.g., 2005) within the plan that
guides how the HIV prevention program indicated in D01: Program Name will be implemented in the jurisdiction.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: E1

Program

System

Program Model and Budget (Planning)

This table is required to be completed by all agencies that provide HIV prevention services directly to
clients. This table provides descriptive information for each prevention program model (defined as the
scientific or operational basis for a program, including the replication model or procedural document on
which the program is based) and time period of implementation. A program can have one or multiple
program models.
Num
E101

Optional Not Reported

Variable Name

Program

Requirements

System

Optional Not Reported

Program Model Name
Definition: A Program Model is the scientific or operational rationale (e.g., evidence-base, CDC recommended guideline or other
basis), that serves as the foundation for the development of an intervention. The name of the Program Model used by
an agency to represent the specific set of interventions or activities present in a Program. This variable allows the
provider to develop and use a unique name for a Program Model that distinguishes it from other Program Models
within the same Program.
Instructions: Indicate the name of the Program Model within the Program which coincides with the Program name listed in D01:
Program Name. Each program model within a Program must have a unique name. The name can be the original
name of the Program Model (e.g., RAPP or CTR) or any other name determined by the agency. If more than one of
the same Program Model will be implemented more than once within a Program (e.g., each with different target
populations), then each program model needs a unique name so that it is distinguished from other program models
within the Program. Note: Include the year of service delivery after the Program Model Name. For each program
model, select either E102, E103, or E104.

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NHME Variables and Values
Requirements
Num

Variable Name

E102

Program

System

Optional Not Reported

Evidence Base
Definition: A program model that has been proven effective through research studies that have shown positive behavioral and/or
health outcomes.
Instructions: When indicating the basis for the program model identified in E101: Program Model Name, select only one of the
following categories: Evidence-Based (E102), CDC Recommended Guideline (E103), or Other Basis (E104). If you
are a directly funded CBO and were funded to implement a specific program model (e.g., "RAPP") choose the
corresponding program model (e.g., "RAPP"). Only use this variable if you plan to implement all of the core elements
of the program model. If you plan to either drop or change any of the core elements, choose variable E104: Other
Basis for Program Model.

Code

Value Description

Value Definition

1.01

Community PROMISE

A community-level STD/HIV prevention intervention that relies on the
outreach work of peer advocates from the target community to deliver
role model stories to members of the target population.

1.02

Healthy Relationships

1.03

Holistic Health Recovery

A 12-session, manual-guided, group level program to reduce harm,
promote health, and improve quality of life for HIV-positive injection
drug users.

1.04

Many Men, Many Voices

A six- or seven-session, group level STD/HIV prevention intervention
for gay and bisexual men of color.

1.05

Mpowerment

A community-level HIV prevention intervention for young men who
have sex with men. The intervention is run by a core group of 12-20
young gay/bi-sexual men from the community and paid staff.

1.06

Popular Opinion Leader

1.07

RAPP

1.08

Safety Counts

A cognitive-behavioral intervention to reduce HIV risks among active
drug users and specifically target active crack cocaine and injection
drug users who are at very high risk for HIV/STD infection.

1.09

SISTA

A social skills training intervention aimed at reducing HIV sexual risk
behavior among African-American women at highest risk.

1.10

Street Smart

An intensive HIV/AIDS and STD prevention program for youth whose
behaviors place them at very high risk of becoming infected.

1.11

Together Learning Choices

An intervention for young people, (ages 13-29) living with HIV. It is
delivered in small groups using cognitive-behavioral strategies to
change behavior.

1.12

VOICES/VOCES

A single-session, video-based HIV/STD prevention workshop
designed to encourage condom use and improve condom negotiation
skills among heterosexual African American and Latino men and
women.

1.13

WiLLOW

A four-session intervention for HIV positive, heterosexual women.

1.14

SiHLE

A four-session intervention deisgned to lower teen's risk for STDs
and teen pregnancy.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

1.15

CLEAR

A three module intervention that is delivered in one-on-one sessions
to young people living with HIV.

1.16

OPTIONS

A clinician-initiated HIV risk reduction intervention for HIV positivie
persons in clinical care using motivational interviewing techniques.

1.17

Focus on Youth with imPact

A community-based, eight session group intervention that provides
youth with the skills and knowledge they need to protect themselves
from HIV and other STDs. The curriculum, founded on the Protection
Motivation Theory, uses fun, interactive activities such as games, role
plays and discussions to convey prevention knowledge and skills.

1.18

MIP

A holistic behavioral intervention for reducing high-risk behaviors for
infection and transmission of HIV among intravenous drug users
(IDUs).

1.19

D-UP

An adaptation of Popular Opinion Leader (POL) intervention for
African-American MSM.

1.20

Sister to Sister

A single-session, skills-building intervention with a group- and
individual-level component to increase self-efficacy, condom use
skills, and condom negotiation with sex partners among inner-city
African American female clinic patients.

1.21

Project START

A multi-session, community re-entry intervention to lower rates of
sexual risk behavior among young men who are released from prison

1.22

Connect

A 5-session HIV/STD prevention intervention delivered to
heterosexual couples or women alone that emphasizes the
importance of communication, negotiating safer sex, and problemsolving skills.

1.23

SHIELD

Self - Health in Eliminating Life-Threatening Disease - A small-group,
interactive intervention that relies on peer networks to reduce drug
and sex risk behaviors.

1.24

Nia

A video-based motivational skills-building small-group intervention
targeting inner-city heterosexually active, African American men.

2.01

Partnership for Health

A brief counseling program for individual men and women living with
HIV/AIDS delivered by medical providers in HIV outpatient clinics.

2.02

Project RESPECT

A client-focused, HIV prevention counseling intervention that seeks to
reduce high-risk sexual behaviors and prevent new sexually
transmitted infections among heterosexual clients in STD clinics.

2.03

NIMH Multisite HIV Prevention Trial Group (1998): Project LIGHT
(Living in Good Health Together)

A small group intervention for persons receiving services at STD
clinics or health care clinics with the goals of decreasing unprotected
sexual intercourse and increasing condom use.

3.01

Cohen (1991): Condom Skills Education

A single, 30-minute group condom skills education session for people
waiting in STD clinics.

3.02

Des Jarlais (1992): AIDS/Drug Injection Prevention

A small group intervention to prevent the transition from sniffing
heroin to injecting heroin.

3.03

El-Bassel (1992): Skills Building

A small group intervention to reduce sexual risk behavior and HIV
transmission for women methadone patients.

3.04

McCusker (1992): Informational and Enhanced AIDS Education

A small group informational and enhanced education intervention on
drug- and sex-related HIV risk behaviors for drug abusers.

3.05

Cohen (1992): Group Discussion Condom Promotion

A group video and discussion session about condom use for people
waiting in STD clinics.

3.06

Hobfoll (1994): Reducing AIDS Risk Activities

A small group intervention to enhance AIDS knowledge, attitudes,
and skills and, as a result, to influence behavior change for inner-city
clinics for low-income women.

3.07

Kelly (1994): Cognitive-Behavioral Skills Training Group

A small group intervention concerning high-risk behaviors for highrisk women in urban clinics.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

3.08

Wenger (1991): HIV Education, Testing, and Counseling

An education, testing, and one-on-one counseling intervention to
reduce high-risk sexual behavior among heterosexuals undergoing
HIV Antibody testing.

3.09

Kelly (1989): Behavioral Self-management and Assertion Skills
(Project ARIES)

A 12-session, small group intervention for a gay men to reduce the
frequency of high-risk sexual practices and increase behavioral skills
for refusing sexual coercions.

3.10

Jemmott (1992): Be Proud! Be Responsible

A small group intervention in which skills building is utilized to
increase knowledge of AIDS and sexually transmitted diseases to
reduce positive attitudes and intentions toward risky sexual behaviors
among African-American male adolescents.

3.11

Rotheram-Borus (1998): 3-Session and 7-Session Small groups

A brief HIV intervention for adolescents and young adults.

3.12

Magura (1994): Intensive AIDS Education in Jail

A small group intervention to reduce HIV drug- and sex-related risk
behaviors for male adolescent drug users in jail.

3.13

Sellers (1994): HIV Prevention for Latino Youth

A community intervention delivered to high-risk Latino youth designed
to increase awareness of HIV and reduce the risk of infection by
increasing condom use by promotion and distributions of condoms.

3.14

Orr (1996): Brief Behavioral Intervention

Behavioral intervention to increase condom use among high-risk
female adolescents.

3.15

Eldridge (1997): Behavioral Skills Training

A HIV risk reduction intervention for women entering inpatient
substance abuse treatment centers.

3.16

Get Real About AIDS, 1992

A classroom intervention to postpone the initiation of sexual
intercourse and to reduce the number of high school students
engaging in unsafe sex and drug-using behaviors.

3.17

Stanton (1996): Focus on Kids

A peer network decision-making intervention to increase condom use
among sexually active low-income African-American youths.

3.18

Kirby (1991): Reducing the Risk

A classroom intervention presented through a 10th grade
comprehensive health curriculum to postpone initiation of sexual
intercourse and, among those sexually experienced, to reduce
unprotected sex.

3.19

Get Real About AIDS, 1993

Classroom intervention to postpone the initiation of sexual intercourse
and to reduce the number of students engaging in unsafe sex and
drug-using behaviors.

3.20

St. Lawrence (1995): Becoming a Responsible Teen (BART)

An 8-session small group intervention to reduce African-American
adolescents' risk for HIV infection.

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NHME Variables and Values
Requirements
Num

Variable Name

E103

Program

System

Optional Not Reported

CDC Recommended Guidelines
Definition: A program model for which an official CDC-endorsed document describes the policies, procedures and strategies for
implementing specific HIV prevention activities of CTR, PS and CRCS.
Instructions: When indicating the basis for the program model identified in E101: Program Model Name, select only one of the
following categories: Evidence-Based (E102), CDC Recommended Guideline (E103), or Other Basis (E104). If your
agency is funded to implement CTR, PS or CRCS using CDC Guidelines, then select from the list of CDC
Recommended Guidelines that were used to design the intervention and activities. If you plan to modify significant
aspects of the activities outlined in the guidelines or use other protocols, (e.g., agency or state developed), then
choose E104: Other Basis for Program.

Code

Value Description

Value Definition

1.00

Counseling, Testing, and Referral

Revised Guidelines for HIV Counseling, Testing and Referral, 2001
or Revised Recommendations for HIV Testing of Adults, Adolescents,
and Pregnant Women in Health-Care Settings, 2006

2.00

Comprehensive Risk Counseling Services

HIV Prevention Case Management Guidance, 1997 or Resource
Manual and Implementation Guidance for Prevention Case
Management, Draft; 2004

4.00

Partner Services

HIV Partner Services Guidance, 1998

5.00

Recommendations for HIV/STD Partner Services

HIV/STD Partner Services Recommendations, 2008

E104

Other Basis for Program Model
Definition: The scientific, theoretical or operational rationale that serves as the foundation for the development of an intervention,
other than what is listed as an Evidence Based model or a CDC Recommended Guideline.
Instructions: If neither an Evidence Based model (E102: Evidence Based) nor a CDC Recommended Guideline (E103: CDC
Recommended Guideline) serves as the basis for a program model specified in E101: Program Model Name, indicate
the scientific, theoretical or operational basis for the program model. If applicable, specify the published article or
study upon which this program is modeled. Otherwise, briefly describe the source of the model for the program. If you
are directly funded CBO, this variable should not be used to describe a program model funded through a CDC
Program Announcement.

Code

Value Description

Value Definition

6.00

Study (specify)

The published article or study upon which this program is modeled.

Other (specify)

The source or basis (scientific, theoretical or operational) upon which
the program is modeled, if it is not an evidence-based model or CDC
Guideline noted in E102: Evidence Based or E103: CDC
Recommended Guideline and if there is not a specific study or
published article supporting it.

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NHME Variables and Values
Requirements
Num

Variable Name

E104-1

Program

System

Optional Not Reported

Specify Other Basis for Program Model
Definition: A specification of the rationale for the development of the intervention if 6.00-Study (specify) or 89-Other (specify) is
selected in E104.

Instructions: Specify the rationale for the development of the intervention if 6.00-Study (specify) or 89-Other (specify) was selected
in E104.

E105

Target Population
Definition: The primary groups of people that this program model and its components are designed to serve. Target populations
are defined by both their risk(s) for HIV infection or transmission as well as their demographic characteristics and the
characteristics of the epidemic within this population.
Instructions: Indicate the target population(s) intended to be served by this intervention by selecting from the list of priority
populations that have been generated from the Community Planning Priority Population worksheets (CP-B01)
reported for the jurisdiction(s) specified in D02: Community Planning Jurisdiction. If the target population you intend
to target is not included in this list, you may add an additional target population.

E106

Sub-target Population
Definition: A more specific or detailed population embedded within the target population that is being targeted by the
intervention.
Instructions: A text field to indicate and further describe the sub-target populations that your program intends to serve. This is an
optional variable.

E107

Program Model Start Date
Definition: The start date of the annual funding period for this program model.
Instructions: Indicate the program model start date (mm/yyyy).

E108

Program Model End Date
Definition: The end date of the annual funding period for this program model.
Instructions: Indicate the program model end date (mm/yyyy).

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NHME Variables and Values
Requirements
Num

Variable Name

E109

Program

System

Optional Not Reported

Proposed Annual Budget
Definition: The estimated annual CDC/DHAP budget for this program model.
Instructions: Indicate your agency’s estimated annual CDC/DHAP budget to be used specifically for the implementation of this
program model. The annual budget is defined by the dates given in E107: Program Model Start Date and E108:
Program Model End Date.

Table: E2

Program Model and Budget (End of Year)

This table supplements Table E1 with estimates of the amount of funds actually expended (as reported
at the end of the agency's fiscal year) for a specific program model.
Num

Variable Name

E201

Program

Requirements

System

Optional Not Reported

Program Model Name
Definition: The Program Model Name given in variable E101: Program Model Name about which the end-of-year information in
Table E2: Program Model and Budget (End of Year) will be provided.
Instructions: Select one of the Program Models entered in variable E101: Program Model Name.

E202

Program Model Status
Definition: The operational state of the program model at the time of reporting.
Instructions: Select the value that best describes the status of the program model you selected in E201: Program Model Name at
the end of the program model year. If the program model will continue in the next year, then choose "Ongoing." If the
program model will have been completed as planned at the end of the year and will not continue in the next year, then
choose "Completed as Planned." If the program model was stopped before completion at the end of the year and will
not continue in the next year, then choose "Terminated Prematurely."

Code

Value Description

Value Definition

Completed as planned

The program model was completed according to the timeline outlined
in the program plan.

Terminated prematurely

The program model ended before completion and will not be
continued.

Ongoing

The program model is continuing at the time of reporting.

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NHME Variables and Values
Requirements
Num

Variable Name

E203

Program

System

Optional Not Reported

Program Model Termination Date
Definition: The termination date of a program model that was not completed as planned.
Instructions: If you selected the value = "Terminated Prematurely" in variable E202: Program Model Status, then indicate the date
the program model was terminated.

E204

Funds Expended
Definition: The total annual funds expended to carry out this specific program model using CDC/DHAP funds during the annual
funding period.
Instructions: Indicate the total annual funds expended to carry out the program model during the annual funding period. This
includes funds from all sources (e.g., federal, state, private) for program-related expenses such as personnel,
supplies, travel and indirect costs if applicable.

E205

Indirect Costs
Definition: Indirect costs refer to general administrative costs associated with implementation of the program model. These are
defined by CDC as allowable costs which cannot be readily identified with an individual project or program, (Grantee's
Financial Reference Guide for Managing CDC Grants and Cooperative Agreements, p. 32.)
Instructions: Indicate whether the total annual funds expended includes any general administrative costs associated with the
program model.

Code

Value Description

Value Definition

The budget associated with implementing the program model did not
include indirect costs.

Yes

The budget associated with implementing the program model did
include direct costs.

E206

Percent CDC Contribution
Definition: The percentage of total annual funds expended to carry out a program model that came from CDC HIV prevention
funds.
Instructions: Indicate the percentage of total annual funds expended (as reported in E204: Funds Expended), to carry out this
program model that came from CDC HIV prevention funds. For example, suppose the total funds expended for
Program Model X equals $100,000 and includes $60,000 from CDC funds. You would enter 60% as your response
to variable E206 Percent CDC Contribution (60,000/100,000 x 100 = 60%). Note: Indirectly-funded agencies should
contact their primary funder(s) to verify this percentage.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: F

Program

System

Intervention Plan Characteristics

This table is required to be completed by all agencies that provide HIV prevention services directly to
clients. This table provides detailed plan information for each intervention to be delivered as part of a
program model (e.g. target population, unit of delivery, number of sessions, target number of persons to
be reached, activities, and methods of delivery). A program model can have one or multiple
interventions*.
*For Counseling, Testing, and Referral (CTR) and Partner Services (PS) program models, only one
intervention can be associated with each model.
Num

Optional Not Reported

Variable Name

Program

Requirements

System

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

F01

Program

System

Optional Not Reported

Intervention Type
Definition: A classification of interventions that differentiates broad categories of prevention services. An intervention contains
one or more specific activities or methods used to promote changes that will result in reduced risk for HIV infection or
transmission.
Instructions: Indicate the type of intervention that will be implemented under the Program Model selected in E101: Program Model
Name. If there are multiple interventions associated with the Program Model, then Table F variables should be
completed for each intervention. There are six intervention types from which to choose in PEMS: Counseling, Testing
and Referral, Health Communication/Public Information (HCPI), Partner Services (PS), Comprehensive Risk
Counseling Services (CRCS), Outreach, Health Education/Risk Reduction (HERR). If you are implementing an
intervention other than what is listed you may choose “Other” and specify.

Code

Value Description

Value Definition

Counseling, Testing, and Referral

A process through which an individual receives information about
HIV transmission and prevention, information about HIV tests and the
meaning of tests results, HIV prevention counseling to reduce their
risk for transmitting or acquiring HIV, is provided testing to detect the
presence of HIV antibodies, and if positive is referred to appropriate
services.

Health Communication/Public Information

The delivery of planned HIV/AIDS prevention messages through one
or more channels to encourage safe behavior, personal risk-reduction
efforts, the use of HIV prevention services and changing community
norms. Channels of delivery include electronic media, print media,
hotlines, clearinghouses, and presentations/lectures.

Partner Services

Comprehensive Risk Counseling Services

Outreach

Interventions generally conducted by peer or paraprofessional
educators face-to-face with high-risk individuals in neighborhoods or
other areas where they typically congregate. Outreach may include
risk reduction counseling, referral to HIV testing, and the distribution
of condoms or educational materials. A major purpose of outreach
activities is to encourage those at high risk to learn their HIV status
and to provide information and assistance in accessing HIV testing
services. Note: The distribution of materials by itself is not
considered outreach, but rather an activity associated with an HC/PI
intervention.

Health Education/Risk Reduction

A set of prevention activities provided to individuals or groups to
assist clients in making plans for individual behavior change, to
promote and reinforce safer behaviors and to provide interpersonal
skills training in negotiating and sustaining appropriate behavior
change. Activities range from individual HIV prevention counseling to
group interventions to broad, community-based interventions.

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NHME Variables and Values
Requirements
Num
89

F01-1

Variable Name
Other (specify)

Program

System

Optional Not Reported

Interventions that do not fit one of the prior six categories. These
may include interventions that address substance abuse, mental
health, housing or domestic violence issues.

Specify Intervention Type
Definition: A specification of the type of intervention if 89-Other (specify) was selected in F01.
Instructions: Specify the type of intervention if 89-Other (specify) was selected and none of the other value choices in F01 apply.

F02

Intervention ID
Definition: A PEMS unique ID number that corresponds with each unique intervention name.
Instructions: PEMS will generate an intervention ID for every intervention name.

F02a

Intervention Name
Definition: The unique name of the intervention as defined by the agency.
Instructions: Indicate the unique name of the intervention selected in F01: Intervention Type. Each intervention within a Program
Model must have a unique name that will link it to the associated client-service data and distinguish it from other
interventions of the same type (e.g., two distinct group level interventions with two distinct curricula, etc.).

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NHME Variables and Values
Requirements
Num

Variable Name

F03

Program

System

Optional Not Reported

HIV+ Intervention
Definition: An intervention that primarily or exclusively targets persons living with HIV/AIDS (PLWHAs) and their sex and/or
injection drug using partners.
Instructions: If the intervention specified in F02: Intervention Name will primarily or exclusively target persons living with HIV/AIDS
(PLWHAs) and their sex and/or injection drug using partners, select "Yes" for this variable. If your intervention serves
both HIV-positive and HIV-negative people, you select “No” for this variable.

Code

Value Description

Value Definition

The intervention does not primarily or exclusively target persons living
with HIV/AIDS (PLWHAs) and their sex and/or injection drug using
partners.

Yes

The intervention primarily or exclusively targets persons living with
HIV/AIDS (PLWHAs) and their sex and/or injection drug using
partners.

F04

Perinatal Intervention
Definition: An intervention that primarily or exclusively targets pregnant women to reduce the risk of perinatal HIV transmission.
Instructions: Indicate “Yes” for this variable only if your organization intends to target the HIV testing of pregnant women primarily
or exclusively with this intervention. You would answer “No” to this variable if your intervention serves some pregnant
women but targets women who may or may not be pregnant.

Code

Value Description

Value Definition

The intervention does not primarily or exclusively target pregnant
women to reduce the risk of perinatal HIV transmission.

Yes

The intervention primarily or exclusively targets pregnant women to
reduce the risk of perinatal HIV transmission.

F05

Total Number of Clients
Definition: The total annual number of clients intended to be reached by the intervention in the Program Model period. If there
are multiple target populations among those clients, then this number represents the sum of all clients combined.
That is, the sum of the number provided for each total defined in F06: Sub-total Target Population, must equal the
number given for F05: Total Number of Clients.
Instructions: Calculate how many clients your agency will be able to serve with all cycles of this intervention during the Program
Model period defined by E107: Program Model Start Date and E108: Program Model End Date (typically one year).
To calculate the total number of clients for an intervention delivered to a group, multiply the planned number of cycles
(F07: Planned Number of Cycles) by the number of individuals expected to be served in each intervention cycle.
Example: If you can see 12 people in each intervention cycle, and you can offer the entire cycle 9 times over the
year, then: 12 people x 9 cycles = 108 total annual clients.
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NHME Variables and Values
Requirements
Num

Variable Name

F06

Program

System

Optional Not Reported

Sub-Total Target Population
Definition: The total annual number of clients in each target population identified in variable E105: Target Population intended to
be reached by the intervention in the Program Model period.
Instructions: If you indicated in E105: Target Population that this Program Model serves more than one target population, then you
would indicate the total annual number of clients in EACH target population intended to be reached by the intervention
in the Program Model period. For example, if you plan to target YMSMs and female sex workers, then you would
report a separate total for each population, one for YMSMs and one for female sex workers.

F07

Planned Number of Cycles
Definition: The number of times a complete delivery of an intervention will be delivered to its intended audience over the program
model period.

Instructions: Indicate the number of times planned to deliver the entire intervention over the Program Model period, E107: Program
Model Start Date and E108: Program Model End Date. For group-delivered interventions, provide the total number of
times planned to deliver all sessions during the year. For individual-delivered interventions, provide the number of
individuals expected to receive the intervention. For interventions with potentially large numbers of individual sessions
(e.g., CTR, CRCS or PS) the number of cycles should be “ongoing”. If interventions are to be delivered continuously,
the value should be “ongoing”. For outreach, provide the number of discrete episodes workers will conduct (e.g., 4
workers x 5 times/week x 48 weeks = 960 cycles).
Code
Value Description
Value Definition
#######

Number

The specific number of times that the entire intervention is intended to
be delivered during the program model period.

9999999

Ongoing

The intervention will be delivered continuously during the program
model period or the number of cycles is dependent on the number of
clients who actually enroll in the intervention and the capacity of the
agency to serve these individuals.

F08

Number of Sessions/Events
Definition: A session consists of one or more activities delivered to clients on a given date. This variable represents the number
of sessions planned for in a single cycle of an intervention.
Instructions: Indicate the total number of sessions planned for one cycle of an intervention that has a predetermined or targeted
number of sessions. If the number of sessions is not pre-determined but will be determined at client service delivery
(e.g. CRCS or HERR that involves individual counseling), a response of "unknown" is appropriate. The provider
should instead note the number of sessions in variable H02: Intended Number of Sessions for each client enrolled in
the intervention.

Code

Value Description

Value Definition

###

Number

The number of sessions in one complete cycle of an intervention.

999

Unknown

The number of sessions will be determined at client service delivery.

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NHME Variables and Values
Requirements
Num

Variable Name

F09

Program

System

Optional Not Reported

Unit of Delivery
Definition: The category or grouping of intended clients to be seen per session for a unique intervention.
Instructions: Indicate how many clients you intend to serve per session. For instance, an intervention may be delivered to an
individual, a couple, groups of different sizes, or to an entire community. If you provided a specific number for variable
F08: Number of Sessions (e.g., “3 sessions”), then specify the unit of delivery for each session (H22). If you choose
“unknown” (e.g., CRCS or individual counseling), for variable F08: Number of Sessions, then specify the unit of
delivery at the intervention level (F09) and choose all that apply.

Code

Value Description

Value Definition

Individual

The provision of service to one person at a time.

Couple

The provision of service to two people that are in a sex or drug-using
relationship.

Small group

Intervention provided to 2-12 people at the same time and setting.

Large group

Intervention provided to more than 12 people at the same time and
setting.

Community

An intervention that addresses a population as a whole, rather than
individuals or small/large groups, (i.e. community mobilizations, social
marketing campaigns, community-wide events, health fairs, policy
interventions, and structural interventions) and may include the use of
broadcast media.

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NHME Variables and Values
Requirements
Num

Variable Name

F10

Activity

Program

System

Optional Not Reported

Definition: The specific actions or components that are proposed to occur during the implementation of a particular intervention
session.
Instructions: Indicate the specific action(s) that you intend to undertake during the implementation of this particular intervention
session. If you plan to provide multiple sessions for this intervention, then this variable is completed for each session
of the intervention. If you are describing an intervention with a known number of sessions then a separate list of
activities should be completed for each session (H20). If the number of session equals "unknown" (e.g., CRCS or
individual counseling), then this variable is completed once for the entire intervention. Examples of activities include
providing information about STDs, demonstrating condom use, or making referrals. Definitions for the major
categories of activity types include: 1) Information: The provision or communication of factual knowledge (written or
Code
Value Description
Value Definition
01.00

Not collected

Agency currently does not collect or report data on session activities.

03.00

HIV Testing

A diagnostic, laboratory procedure to assess for the presence of HIV
antibodies.

04.00

Referral

A process by which immediate client needs for prevention, care, and
supportive services are assessed and prioritized and clients are
provided with information and assistance in identifying and accessing
specific services (such as, setting up appointments and providing
transportation). Note: The provision of a referral also includes a plan
for tracking whether or not the client accessed the referral.

05.00

Personalized risk assessment

The process by which an individual client, a provider or both working
together identify, acknowledge, and understand the details and
context of the client's HIV risk. The assessment should explore
previous risk reduction efforts and identify successes and challenges
of those efforts.

06.00

Elicit partners

The process by which the provider assists the index client in
identifying partners and other sexual and drug-injecting networks at
high risk for transmission of HIV who might benefit from testing and/or
medical examination. (These networks do not include sex partners of
the HIV-infected individual but are made up of individuals who share
social relationships involving sex or drug use.).

07.00

Notification of exposure

The process of informing a HIV-positive client's sex and/or needle
sharing partners of their exposure to HIV. This activity is only
applicable if the intervention type is Partner Services (PS).

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual or a
group on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual or a group on
abstaining from sexual activity or postponing sexual activity.

08.03

Information - Other sexually transmitted diseases

Any information, written or verbal, given to an individual or a group on
STDs (other than HIV or viral hepatitis), how it is transmitted, how to
reduce risk for transmission or infection, or treatment options.

08.04

Information - Viral hepatitis

Any information on viral hepatitis, how it is transmitted, and/or how to
reduce risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

Any information, written or verbal, given to an individual or a group
about where and how to access HIV-related CTR or STD counseling
and testing. This includes referral lists that only list CTR and/or STD
counseling and testing sites.

08.06

Information - Availability of partner notification and referral services

Any information, written or verbal, given to an individual or a group
about where and how to access partner notification services. The
availability information provided is exclusive to PS. This includes
referral lists that only list PS sites.

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual or a group
living with HIV/AIDS specific to living with the disease.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.08

Information - Availability of social services

Any information, written or verbal, given to an individual or a group
about how and where to access social services. This could include a
referral list that only includes social services agencies or providers.

08.09

Information - Availability of medical services

Any information, written or verbal, given to an individual or a group
about how and where to access HIV medical services. This could
include a referral list that only includes HIV medical care providers.

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual or a group on
how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual or a group on
how to reduce injection drug use risk for HIV transmission or infection.

08.12

Information - IDU risk free behavior

Any information, written or verbal given to an individual or a group on
abstaining from injection drug use or only using new needles and
disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual or a group
regarding appropriate use and disposal of condoms or other barrier
methods.

08.14

Information - Negotiation/communication

Any information, written or verbal, given to an individual or a group
regarding communication of desire for safer practices and negotiating
safer practices with partners (sexual and needle sharing).

08.15

Information - Decision making

Any information, written or verbal, given to an individual or a group
regarding the steps and techniques needed for reassessing, planning
and using judgment to avoid situations that may expose them to HIV
infection or transmission risk and/or decision to engage in a risk
behavior.

08.16

Information - Disclosure of HIV status

Any information, written or verbal, given to an individual or a group
regarding disclosure of their HIV status, applicable laws,
accompanying ramifications, and options regarding non-disclosure.

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual or a group on
how to communicate prevention messages and/or demonstrate risk
reduction skills with others.

08.18

Information - HIV Testing

Any information, written or verbal, given to an individual, couple, or
group regarding HIV testing including explanation of the testing
process and meaning of results, behavioral risks for infection, and
importance of knowing their status.

08.19

Information - Partner notification

Any information, written or verbal, given to an individual or a group
regarding the notification of possible exposure to HIV and
accompanying ramifications, behaviors associated with possible
exposure, and consideration of alternatives or information on how to
notify partners regarding possible exposure.

08.20

Information - HIV medication therapy adherence

Any information, written or verbal, given to an individual or a group
regarding HIV medication therapy, benefits and risk, medical therapy
alternatives, and importance of adhering to medication therapy for
HIV.

08.21

Information - Alcohol and drug use prevention

Any information, written or verbal, given to an individual or a group on
the negative effects and consequences of alcohol and drug use and
its relationship to HIV transmission or infection risk behavior including
strategies to avoid or abstain from use.

08.22

Information - Sexual health

Any information, written or verbal, given to an individual or a group on
reproductive health, sexuality, sexual development and similar topics.

08.23

Information - TB Testing

Any information, written or verbal, given to an individual, couple, or
group on TB, how it is transmitted, and/or how to reduce risk for
transmission or infection, or treatment options.

08.88

Information - Other

Any information, written or verbal, given to an individual or group that
cannot be captured in any of the other information codes.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

09.04

Demonstration - Decision making

Provider or participant demonstration of steps, and techniques
needed for reassessing, planning and using judgment to avoid
situations that may expose them to HIV infection or transmission risk
and/or decision to engage in a risk behavior.

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others .

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.88

Demonstration - Other

Any provider or participant demonstration of a skills or technique that
is not decision making, IDU risk reduction, condom/barrier use,
negotiation and communication, disclosure, or providing prevention
services.

10.01

Practice - Condom/barrier use

Participant practice (using a teaching tool) of appropriate condom
and/or barrier use and disposal during the intervention session.

10.02

Practice - IDU risk reduction

Participant practice of safe needle use and disposal including the use
of bleach kits to clean works during the intervention session(s).

10.03

Practice - Negotiation/communication

Participant practice communication of desire for safer practices and
negotiation of safer practices with partners (sexual and needle
sharing) during the intervention session(s).

10.04

Practice - Decision making

Participant practice using steps and techniques needed for
reassessing, planning and using judgment to avoid situations that
may expose them to HIV infection or transmission risk and/or
decision to engage in a risk behavior.

10.05

Practice - Disclosure of HIV status

Participant practice of techniques to disclose seropositive status or
discuss issues relevant to disclosure.

10.06

Practice - Providing prevention services

Participant practice communication of prevention messages and/or
demonstration of risk reduction skills with others during intervention
session(s).

10.07

Practice - Partner notification

Participant practice of how to notify partners regarding possible
exposure to HIV or how to discuss issues relevant to partner
notification.

10.88

Practice - Other

Participant practice of a skill or technique that is not decision making,
IDU risk reduction, condom/barrier use, negotiation and
communication, disclosure, or providing prevention services.

11.01

Discussion - Sexual risk reduction

Facilitation of discussion with individuals or groups involving
examination of sexual risk behaviors (self or others) and
accompanying ramifications, examination of attitudes and feelings
about their risks, consideration of alternatives, and decision making to
reduce sexual risk.

11.02

Discussion - IDU risk reduction

Facilitation of discussion with individuals or groups involving
examination of IDU risk and accompanying ramifications, examination
of attitudes and feelings about their risks, consideration of
alternatives, and decision making to reduce IDU risk.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.03

Discussion - HIV Testing

Facilitation of discussion with individuals, couples, or groups
regarding HIV testing including explanation of the testing process and
meaning of results, discussion of behavioral risks for infection,
examination of attitudes and feelings about their risks, consideration
of alternatives, and decision making to know their status and reduce
HIV transmission risk.

11.04

Discussion - Other sexually transmitted diseases

Facilitation of discussion with individuals or groups regarding sexually
transmitted diseases (other than HIV), involving an examination of
behavioral risks and accompanying ramifications, examination of
attitudes and feelings about their risks, consideration of alternatives,
treatment alternatives, and decision making to reduce behavioral risk
for other sexually transmitted diseases and/or seek treatment.

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

Facilitation of discussion with individuals or groups regarding HIV
medication therapy and accompanying ramifications, examination of
attitudes and feelings about HIV medication therapy, discussion of
medical therapy alternatives, and decision making to begin and
adhere to medication therapy for HIV.

11.08

Discussion - Abstinence/postpone sexual activity

Facilitation of discussion with individuals or groups on abstaining from
sexual activity or postponing the initiation of sexual activity and
accompanying ramifications including an examination of risks
associated with sexual activities, discussion of alternatives, and
decision making to abstain or postpone sexual activity.

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

11.13

Discussion - Availability of HIV/STD counseling and testing

Facilitation of discussion with individuals or groups on where and how
to access HIV-related CTR or STD counseling and testing and may
include the importance of knowing your status. This includes referral
lists that only list CTR and/or STD counseling and testing sites.

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

Facilitation of discussion with individuals or groups on the appropriate
use and disposal of condoms or other barrier methods and
accompanying ramifications, examination of attitudes and feelings
about condom use, and decision making regarding use of
condoms/barriers.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.18

Discussion - Negotiation/communication

Facilitation of discussion with individuals or groups on communication
of desire for safer practices and negotiating safer practices with
partners (sexual and needle sharing), including discussion of
accompanying ramifications, examination of attitudes and feeling,
and decision making regarding communicating and negotiating safer
practices.

11.19

Discussion - Decision making

Facilitation of discussion with individuals or groups on steps and
techniques needed for reassessing, planning and using judgment to
avoid situations that may expose them to HIV infection or
transmission risk and/or decision to engage in a risk behavior.

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

Facilitation of discussion with individuals or groups on the negative
effects and consequences of alcohol and drug use and its
relationship to HIV transmission or infection risk including strategies
to avoid or abstain from use.

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.23

Discussion - TB Testing

Facilitation of discussion with individuals or groups about TB, how it is
transmitted, and/or how to reduce risk for transmission or infection, or
treatment options.

11.24

Discussion - Stage Based Encounters

Facilitation of discussion with individuals or groups using Stage
Based Encounters.

11.88

Discussion - Other

Discussion with individuals or groups regarding HIV infection,
transmission, or risk reduction issues and accompanying
ramifications, examination of attitudes and feelings about these
issues, consideration of alternatives, and decision making to reduce
HIV infection, transmission, or risk reduction. Issues do not include
sexual or IDU risk reduction, HIV testing, other sexually transmitted
diseases, HIV status disclosure, partner notification, or HIV
medication therapy.

12.01

Other testing - Pregnancy

Provision of testing to determine pregnancy.

12.02

Other testing - STD

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis.

12.03

Other testing - Viral hepatitis

Provision of testing to determine infection with Viral Hepatitis.

12.04

Other testing - TB

Provision of testing to determine infection with tuberculosis.

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

Provision of packages that minimally contain a small bottle of bleach
and needle cleaning instructions. Packages may include bottle caps
for cookers, cotton, alcohol wipes, and bottles of water for rinsing
needles. Materials are provided at no cost to the consumer.

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

13.07

Distribution - Referral lists

Provision of lists of specific organizations that provide a specific set of
HIV prevention, care, or support services with contact information.
The agencies listed are known by the provider to be reliable sources
for those services based on provider knowledge and experience.
Lists may be disseminated by handing them out, placing them in a
location to be accessed by the consumer, or emailed to consumers.

13.08

Distribution - Role model stories

Provision stories of individuals who have changed their behaviors or
plan to change their behaviors to reduce their risk for HIV
transmission or infection. Stories may be disseminated by handing
them out, placing them in a location to be accessed by the consumer,
or emailed to consumers.

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.88

Distribution - Other

Provision of materials or supplies to consumers with the intent to
decrease their risk for HIV transmission or infection and/or to improve
health outcomes. Distribution may include dissemination in person,
by placing materials in locations to be accessed by consumers, sent
to consumers electronically or land mail. Does not include condoms,
safer sex kits, bleach kits, lubricants, education materials, referral
lists, or role model stories.

14.01

Post-intervention follow up

Individual or group meeting or contact with participant(s) of an
intervention after the last session of the intervention to assess or
discuss changes targeted by the intervention and/or revisions to risk
reduction goals and/or strategies.

14.02

Post-intervention booster session

An intervention session conducted with participant(s) of an
intervention after the last session to review and reinforce risk
reduction skills and information addressed by the intervention.

15.00

HIV testing history survey

The provision of the "HIV Testing History Survey." This value choice
is applicable only to those organizations who are funded by CDC to
administer the survey.

Other (specify)

Any HIV prevention activity not captured in other value choices.

F10-1

Specify Activity
Definition: A specification of the activity if 89-Other (specify) was selected in F10.
Instructions: Specify the activity if 89-Other (specify) was selected and none of the other value choices in F10 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

F11

Program

System

Optional Not Reported

Delivery Method
Definition: The medium(s) or channel(s) through which the intervention will be delivered.
Instructions: Indicate how you plan to deliver the intervention, such as delivering it in person, via the Internet, over the radio, or by
video, etc.

Code

Value Description

Value Definition

01.00

In person

The intervention is delivered by an individual or a group of individuals
in the physical presence of the client(s). Includes counseling, face to
face discussions, facilitating group activities, lectures, presentations,
etc.

02.00

Internet

The use of email, chat rooms, or websites to deliver information to
clients electronically.

03.00

Printed materials

The use of pamphlets, direct mailing, magazines, newspapers,
posters, billboards, etc. If chosen, please specify the subcategory
(value codes 3.01-3.04) for printed material.

03.01

Printed materials - Magazines/newspapers

Magazine: A bound periodical published at regular intervals under the
same title containing articles of specific interest. Newspaper: A
periodical that is folded rather than bound and published at regular
intervals under the same title containing news, opinions,
advertisements, and other items of current, often local, interest.

03.02

Printed materials - Pamphlets/brochures

Pamphlet/Brochure: A short, printed publication that is unbound or
has a paper binding written to inform on a specific topic or to address
a public issue or event. This can be multiple pages bound in a
booklet form or single page folded in panels. In the context of HIV
prevention, it is typically used to promote practices (such as safer
sex), services (such as counseling and testing) information (such as
HIV transmission risk).

03.04

Printed materials - Posters/billboards

Posters: A single sheet sign posted or displayed used to advertise
simple messages or as an advertisement for goods and services.
This is typically used to promote practices (such as safer sex),
services (such as counseling and testing) information (such as HIV
transmission risk), or products (condoms). Billboards: Large signs or
posters that are typically outdoors on which messages or
advertisements are placed with the intent to be viewed by the general
public. This is typically used to promote practices (such as safer sex),
services (such as counseling and testing) information (such as HIV
transmission risk), or products (condoms).

04.00

Radio

The use of radio broadcasts using public service announcements,
commercial air time, and the inclusion of messages in radio
programs, etc.

05.00

Telephone

The use of telephones or telephone "hot lines".

06.00

Television

The use of televised broadcasts using public service announcements,
commercial air time, etc.

07.00

Video

The use of pre-recorded visual and audio messages not delivered via
broadcast or cable TV (e.g., on a VHS tape or DVD).

Other (specify)

The use of methods or mediums to deliver the intervention other than
those that are listed in the other value choices (1.0-7.0). If chosen,
please specify the delivery method.

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NHME Variables and Values
Requirements
Num

Variable Name

F11-1

Program

System

Optional Not Reported

Specify Delivery Method
Definition: A specification of the type of delivery method if 89-Other (specify) was selected in F11.
Instructions: Specify the method of delivery if 89-Other (specify) was selected and none of the other value choices in F11 apply.

F12

Language of Intervention Delivery
Definition: The primary language(s) in which the intervention is delivered.
Instructions: Indicate the primary language in which the intervention is delivered.

Code

Value Description

Value Definition

English

The intervention will be delivered primarily in English.

Spanish

The intervention will be delivered primarily in Spanish.

Arabic

The intervention will be delivered primarily in Arabic.

Cambodian

The intervention will be delivered primarily in Cambodian.

Cantonese

The intervention will be delivered primarily in Cantonese.

Creole/French

The intervention will be delivered primarily in Creole/French.

Farsi

The intervention will be delivered primarily in Farsi.

Haika

The intervention will be delivered primarily in Haika.

Hindi

The intervention will be delivered primarily in Hindi.

Japanese

The intervention will be delivered primarily in Japanese.

Korean

The intervention will be delivered primarily in Korean.

Lao

The intervention will be delivered primarily in Lao.

Mandarin

The intervention will be delivered primarily in Mandarin.

Russian

The intervention will be delivered primarily in Russian.

Tagalog

The intervention will be delivered primarily in Tagalog.

Thai

The intervention will be delivered in Thai.

Vietnamese

The intervention will be delivered primarily in Vietnamese.

Other

The intervention will be delivered in a language other than the
languages specified in the categories above.

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NHME Variables and Values
Requirements
Num

Variable Name

F13

Program

System

Optional Not Reported

Detailed Behavior Data Collection
Definition: An indication of whether the intervention involves the collection of Table I: Client Behavior Details.
Instructions: Indicate whether this particular intervention will include the collection of Table I: Client Behavior Details.

Code

Value Description

Value Definition

Table I: Client Behavior Details data will not be collected for this
intervention.

Yes

Table I: Client Behavior Details data will be collected for this
intervention.

F14

Level of Data Collection
Definition: The type of client service data, (i.e., client-level or aggregate-level), that will be collected during an intervention.
Instructions: Indicate if client service data for the intervention will be collected at the aggregate or the individual level. In PEMS,
some types of interventions require collecting client demographic and risk data for each client (“client-level data”) and
some require that this information is gathered for the whole group receiving the intervention (“aggregate-level data”).

Code

Value Description

Value Definition

Individual

Client-level data associated with this intervention will be collected.

Aggregate

Aggregate-level data associated with this intervention will be
collected.

F15

Duration of Intervention Cycle
Definition: A number that represents the period of time over which the predetermined number of sessions that comprise an
intervention is to be delivered.
Instructions: Enter the number that represents the period of time over which the predetermined number of sessions in one cycle is
to be delivered. Remember that an “intervention cycle” is one complete delivery of an intervention to its intended
audience. For this variable, you should describe how long it will take to complete that entire cycle. This variable is not
applicable if the selection for F07: Planned Number of Cycles is "Ongoing." Note: For F15: Duration of Intervention
Cycle, indicate the number of days or months it takes to complete an intervention cycle. In F16: Unit of Duration
select the unit that represents this period of time (days or months).

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NHME Variables and Values
Requirements
Num

Variable Name

F16

Program

System

Optional Not Reported

Unit of Duration
Definition: The measure of time used to describe the duration of the intervention cycle.
Instructions: Indicate the specific measure of time in "days" or "months" used to describe the duration of the intervention cycle
described in F15: Duration of Intervention Cycle.

Code

Value Description

Value Definition

Month(s)

The intervention cycle will be delivered over a specified number of
months.

Day(s)

The intervention cycle will be delivered over a specified number of
days.

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NHME Variables and Values
Requirements
Num

Variable Name

F17

Program

System

Optional Not Reported

Specified Recall Period
Definition: Indicate the recall period used for the collection of detailed behavior data.
Instructions: If variable F13: Detailed Behavioral Data Collection = “Yes”, then specify the recall period that will be used during the
collection of Table I: Client Behavior Details. A "recall period” is the period of time you want someone to recall certain
behavior(s) or situations they have been exposed to. For instance, a client may be asked, “How many times have you
had unprotected sex in the last 30 days?” In this example, the recall period is 30 days. You will use the same
selected recall period each time you collect Table I data (e.g., intake or first session and final session).

Code

Value Description

Value Definition

Local recall period (specify)

The recall period used during the collection of Table I: Client
Behavior Details will be a locally-defined period of time other than 15,
30, 90 days or 12 months. The recall period chosen should be used
at intake, the final session and any other point of data collection for
the intervention (e.g., midpoint or post-intervention).

90 days

The recall period used during the collection of Table I: Client
Behavior Details will be 90 days. The recall period chosen should be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention follow-up).

12 months

The recall period used during the collection of Table I: Client
Behavior Details will be 12 months. The recall period chosen should
be used at intake, the final session and any other point of data
collection for the intervention (e.g., midpoint or post-intervention).

15 days

The recall period used during the collection of Table I: Client
Behavior Details will be 15 days. The recall period chosen should be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention).

30 days

The recall period used during the collection of Table I: Client
Behavior Details will be 30 days. The recall period chosen should be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention).

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Client Level
Table: CDC

CDC Use Variables

This table is for CDC use only. All variables are defined by the CDC for grantee use.
Requirements
Num

Variable Name

CDC01

Program

System

Optional Not Reported

CDC Variable 1
Definition: An indication of whether or not an HIV Test was conduted as part of an agency's screening or targeted testing
strategies.This variable only applies to HIV Testing.

Instructions: This variable may be entered by the agency at the service delivery level (e.g., by the counselor on the HIV test form,
during data entry into CPEMS, etc.) or pre-populated before data submission. If an agency is unable to determine at
this time whether the testing was conducted in a screening or testing context, the agency should enter '99-Don't Know'.

Code

Value Description

Value Definition

Screening

The HIV test was performed as part of an agency's efforts to provide
testing to all persons within a generalized population.

Targeted testing

The HIV test was performed as part of an agency's efforts to provide
HIV testing to a defined population or subpopulation, typically defined
on the basis of risk behavior, settings, demographic characteristics, or
geographical considerations.

Don't know

The agency is currently unable to report this or the provider is unsure
whether the test was part of targeted HIV testing or screening.

CDC02

CDC Variable 2
Definition: An indication of whether or not an HIV Test was conducted as part of the Expanded and Integrated Human
Immunodeficiency Virus (HIV) Testing for Populations Disproportionately Affected by HIV, Primarily African
Americans, Program Announcement 07-768.

Instructions: Indicate the 5-digit value, 07768, if the HIV test was conducted under the PS 07-768 program announcement. This
variable is only required to be completed by those jurisdictions funded under this announcement.

Code

Value Description

Value Definition

07768

PS 07-768

The program announcement number for the Expanded and
Integrated Human Immunodeficiency Virus (HIV) Testing for
Populations Disproportionately Affected by HIV, Primarily African
Americans.

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NHME Variables and Values
Requirements
Num

Variable Name

CDC03

Program

System

Optional Not Reported

CDC Variable 3
Definition: TBD

Instructions: TBD

CDC04

CDC Variable 4
Definition: TBD

Instructions: TBD

CDC05

CDC Variable 5
Definition: TBD

Instructions: TBD

CDC06

CDC Variable 6
Definition: TBD

Instructions: TBD

CDC07

CDC Variable 7
Definition: TBD

Instructions: TBD

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NHME Variables and Values
Requirements
Num

Variable Name

CDC08

Program

System

Optional Not Reported

CDC Variable 8
Definition: TBD

Instructions: TBD

CDC09

CDC Variable 9
Definition: This field will be dedicated for Partner Servcies use. Use is TBD.

Instructions: Dedicated for Partner Services

CDC10

CDC Variable 10
Definition: This field will be dedicated for Partner Servcies use. Use is TBD.

Instructions: Dedicated for Partner Services

Table: EST

Outcome Monitoring Variables

This table should be completed by agencies participating in outcome evaluation projects.
Requirements
Num

Variable Name

EST101

Program

System

Optional Not Reported

Age
Definition: The client's self-reported age

Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST102

Program

System

Optional Not Reported

Staff ID
Definition: Staff identification number.

Instructions:

EST103

Data Collection Time Point
Definition: Time point when data is collected (interview with client is conducted).

Instructions: Enter the client's data collection time point (e.g. follow-up 1 is conducted 3 months after the baseline interview).

Code

Value Description

Value Definition

Baseline

Client's basline data collection time point.

Follow-up 1

Client's follow-up 1 data collection time point.

Follow-up 2

Client's follow-up 2 data collection time point.

EST104

Data Collection Method
Definition: The method used to collect the client's information.

Instructions: Enter the method used to collect client's information.

Code

Value Description

Value Definition

Self-administered by client (handheld or laptop)

Data was entered by client into a handheld device or laptop.

Self-administered by client (other)

Data was entered by client using another method (e.g paper).

Provider-administered (in person)

Data was collected and entered by a provider during a face-to-face
interview with client.

Provider-administered (by telephone)

Data was collected and entered by a provider during a telephone
interview with client.

Other(specify)

Other methid used for data collection.

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NHME Variables and Values
Requirements
Num

Variable Name

EST104-1

Program

System

Optional Not Reported

Specify other data collection method.

Definition: If EST104=89 Other (specify), specify the data collection method.
Instructions: Enter other method used to collect client's information.

EST105

Sexual orientation
Definition: Client's sexual orientation (e.g. bisexual).

Instructions: Choose one option to enter client's sexual orientation.

Code

Value Description

Gay, homosexual, same gender loving

Bisexual

Heterosexual

Questioning

Declined to answer

Other (specify)

EST105-1

Value Definition

Specify other sexual orientation.

Definition: If EST105= 89 Other (specify), specify the data collection method.
Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST106

Program

System

Optional Not Reported

Primary relationship
Definition: If client lives with someone or is seeing someone a lot, and whom he/she feels a special emotional commitment or
call his/her boyfriend/girlfriend.

Instructions: Choose on option.

Code

Value Description

Value Definition

Client is not in a primary relationship with someone.

Yes

Client is in a primary relationship with someone.

Decline to answer

Client declines to answer

EST107

Sex of primary partner
Definition: Sex of client's primary partner. Primary partner would be someone the client lives with or is seeing a lot, and to whom
he/she feels a special emotional commitment or call yhis/her boyfriend/girlfriend.

Instructions: Choose one option.

Code

Value Description

Male

Female

Decline to answer

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

EST108

Program

System

Optional Not Reported

Relationship length
Definition: Length of time the client was in a relationship with primary partner (e.g less than 6 months).

Instructions: Use variable only if client is in a primary relationship with someone.

Code

Value Description

Value Definition

Less than 6 months

Client was in a primary relationship with someone for less than 6
months.

6 months to 1 year

Client was in a primary relationship with someone for 6 months to 1
year.

1 year to 5 years

Client was in a primary relationship with someone for 1 to 5 years.

Longer than 5 years

Client was in a primary relationship with someone for longer than 5
years.

Decline to answer

Client declines to answer.

EST109

Employment status
Definition: Client's self-reported employment status.

Instructions: Choose one option.

Code

Value Description

Employed full-time

Employed part-time

Unemployed

Decline to answer

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

EST110

Program

System

Optional Not Reported

Student
Definition: If client is currently enrolled in school.

Instructions: Choose one option.

Code

Value Description

Value Definition

Yes (full-time)

Client is a full-time student.

Yes (part-time)

Client is a part-time student.

Client is not a student.

Decline to answer

Client declined to answer.

EST111

Incarceration
Definition: If client has been in jail, prison, or juvenile hall for more than a week in the last 3 months.

Instructions: Choose one option.

Code

Value Description

Value Definition

Client has been incarcerated in the last 3 months for more than a
week.

Yes

Client has not been incarcerated in the last 3 months for more than a
week.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST112

Program

System

Optional Not Reported

STD in last 3 months
Definition: If client had Syphilis, Gonorrhea or Chlamydia in the last 3 months

Instructions: Choose one option.

Code

Value Description

Value Definition

Client has not had Syphilis, Gonorrhea, or Chlamydia in the last 3
months.

Yes

Client has had Syphilis, Gonorrhea, or Chlamydia in the last 3
months.

Don't know

Client declined to answer.

EST113

STD notification last 3 months
Definition: If client indicated yes STD in last 3 months, was he/she told that he/she had Syphillis, Gonorrhea or Chlamydia by a
medical provider or was he/she self-diagnosed

Instructions: Use this variable only if the client was diagnosed with Syphilis, Gonorrhea, or Chlamydia in the last 3 months.Choose
one option.

Code

Value Description

Value Definition

Medical Provider

Client was told by a medical provider that he/she had Syphilis,
Gonorrhea, or Chlamydia in the last 3 months.

Self-diagnosed

Client was not told by a medical provider that he/she had Syphilis,
Gonorrhea, or Chlamydia in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST114

Program

System

Optional Not Reported

Housing
Definition: Where client has been living for the last 3 months

Instructions: Choose one option.

Code

Value Description

Value Definition

Stable housing

Includes apartments, houses, foster homes, dorms, long-term
residences, housing for military staff, and boarding homes as long as
they are not time-limited and do not involve "couch surfing"

Non-stable housing

Includes transient or transitional housing shelters and couch surfing

Decline to answer

Client declined to answer.

EST115

Homeless in the last 3 months
Definition: If client has slept in a shelter for homeless people, on the streets, or another place not intended for sleeping.

Instructions: Choose one option.

Code

Value Description

Value Definition

Client has not been homeless in the last 3 months.

Yes

Client has been homeless in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST116

Program

System

Optional Not Reported

Drug/alcohol use in the last 12 months
Definition: Client's self- reported drug/alcohol use in the last 12 months.

Instructions: Choose one option.

Code

Value Description

Value Definition

Client has not used alcohol or drugs in the past 12 months.

Yes

Client reports using alcohol or drugs in the past 12 months.

Declined to answer

Client declined to provide alcohol or drug use history.

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NHME Variables and Values
Requirements
Num

Variable Name

EST117

Program

System

Optional Not Reported

If yes, substance use in the last 12 months
Definition: EST116=Yes, the client used substances , please indicate which substances have been used in the past 12 months

Instructions: Use this variable only if client used drugs/ alcohol in the last 12 months.

Code

Value Description

Alcohol

Amphetamines

Meth, crystal, ice, or crank

Club drugs

Such as GHB and ketamine

Cocaine

This includes cocaine that is injected, smoked, or snorted

Crack

Downers

Ecstasy

Hallucinogens

Such as LSD

Heroin

This includes heroin that is injected, smoked, or snorted

Hormones

Such as Botox, steriods, and silicone

Marijuana

Poppers

Amyl nitrate

Declined to answer

Client declined to answer

Other (specify)

Don't know

EST117-1

Value Definition

Such as Valium, Activan, and Xanax

Specify other drug use during the past 12 months

Definition: If EST117=89 Other (specify), specify the other drug used.
Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST118

Program

System

Optional Not Reported

Drugs injected in the last 12 months
Definition: The client's self-reported drugs/ substances that he/she has injected in the last 12 months.

Instructions: Use this variable only is client reported injection drug use in the last 12 months. Check all that apply.

Code

Value Description

Alcohol

Amphetamines

Meth, speed, crystal, ice, or crank

Club drugs

Such as GHB, Ketamine

Cocaine

Injected, smoked, or snorted

Crack

Downers

Ecstasy

Hallucinogens

Such as LSD

Heroin

Injected, smoked, or snorted

Hormones

Such as Botox, steroids, silicone

Marijuana

Poppers

Decline to answer

Other Specify

Don't know

EST118-1

Value Definition

Such as Valium, Activan, Xanax

Amyl nitrate

Specify other drug injected in the last 12 months

Definition: If EST118= 89 Other (specify), specify the drug used in the last 12 months.
Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST119

Program

System

Optional Not Reported

Drug/alcohol use in the last 3 months
Definition: If client self-reported drug/alcohol use in the last 3 months (e.g. yes).

Instructions: Choose one option.

Code

Value Description

Value Definition

Client has not used alcohol or drugs in the past 3 months.

Yes

Client has used alcohol or drugs in the past 3 months

Decline to answer

Client declined to provide alcohol or drug use history.

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NHME Variables and Values
Requirements
Num

Variable Name

EST120

Program

System

Optional Not Reported

If yes, drugs used in the last 3 months
Definition: If EST119=Yes. The client's self-reported drugs/substances that he/she used in the last 3 months (e.g alcohol).

Instructions: Use this variable only is client reported durg/alcohol use in the last 3 months. Select all drugs/ substances used in the
last 3 months.

Code

Value Description

Alcohol

Amphetamines

Meth, speed, crystal, ice, or crank

Club drugs

Such as GHB and Ketamine

Cocaine

Injected, smoked, or snorted

Crack

Downers

Ecstasy

Hallucinogens

Such as LSD

Heroin

Injected, smoked, or snorted

Hormones

Botox, steroids, silicone

Marijuana

Poppers

Decline to answer

Other, specify

Don't know

EST120-1

Value Definition

Valium, Activan, Xanax

Amyl nitrate

Specify other drug used in the last 3 months

Definition: If EST120=89 other specify , specify the drug used in the last 3 months.
Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST121

Program

System

Optional Not Reported

If yes, drugs injected in last 3 months
Definition: Client's self-reported drugs/substances that he/she injected in the last 3 months.

Instructions: Use this variable only if client reports injection drug use in the last 3 months. Select all drugs/substances client
injected in the last 3 months.

Code

Value Description

Alcohol

Amphetamines

Meth, speed, crystal, ice, or crank

Club drugs

Such as GHB and Ketamine

Cocaine

Injected, smoked, or snorted

Crack

Downers

Ecstasy

Hallucinogens

Such as LSD

Heroin

Injected, smoked, or snorted

Hormones

Such as Botox, steroids, or slicone

Marijuana

Poppers

Decline to answer

Other specify

Don't know

EST121-1

Value Definition

Such as Valium Activan, Xanax

Amyl nitrate

Specify other drug injected in last 3 months

Definition: If EST121=89 other (specify), specify the other drug injected in the last 3 months.
Instructions:

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NHME Variables and Values
Requirements
Num

Variable Name

EST122

Program

System

Optional Not Reported

Needle/syringe sharing frequency
Definition: If client injected drugs in the last 3 months, out of all the times, how often did he/she share needles/syringes with
someone else

Instructions: Use this variable only if client reported injection drug use in the last 3 months. Choose one option.

Code

Value Description

Value Definition

None

Client did not share needles/syringes during injection drugs use in the
last 3 months.

Almost never

Client reports sharing needles/syringes during injection drug use
almost never during the last 3 months.

Less than half the time

Client reports sharing needles/syringes during injection drug use less
than half the time during the last 3 months.

Half the time

Client reports sharing needles/syringes during injection drug use half
the time during the last 3 months.

More than half the time

Client reports sharing needles/syringes during injection drug use
more than half the time during the last 3 months.

Almost all the time

Client reports sharing needles/syringes during injection drug use
almost all the time during the last 3 months.

All the time

Client reports sharing needles/syringes during injection drug use all
the time the time during the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST123

Program

System

Optional Not Reported

Needle/syringe sharing frequency with someone
whose HIV status was unknown
Definition: If client injected drugs in the last 3 months, out of all the times, how often didhe/she share needles/syringes with
someone else whose HIV status was unknown to him/her.

Instructions: Use this variable only if client reported injection drug use in the last 3 months. Choose one option.

Code

Value Description

Value Definition

None

Client did not share needles/syringes with someone whose HIV
status was unknown during injection drugs use in the last 3 months.

Almost never

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use almost never during
the last 3 months.

Less than half the time

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use less than half the time
during the last 3 months.

Half the time

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use half the time during the
last 3 months.

More than half the time

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use more than half the time
during the last 3 months.

Almost all the time

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use almost all the time
during the last 3 months.

All the time

Client reports sharing needles/syringes with someone whose HIV
status was unknown during injection drug use all the time during the
last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST124

Program

System

Optional Not Reported

Needle sharing in last 3 months with someone whose
HIV status was different
Definition: If client injected drugs in the last 3 months, out of all the times, how often did the client share needles/syringes with
someone else whose HIV status was different from their own status

Instructions: Use the variable only if client reported injection drug use in the last 3 months. Indicate the frequency of needle sharing
in the last 3 months

Code

Value Description

Value Definition

None

Client did not share needles/syringes with someone whose HIV
status was different from their own during injection drugs use in the
last 3 months.

Almost never

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use almost
never during the last 3 months.

Less than half the time

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use less than
half the time during the last 3 months.

Half the time

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use half the
time during the last 3 months.

More than half the time

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use more
than half the time during the last 3 months.

Almost all the time

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use almost
all the time during the last 3 months.

All the time

Client reports sharing needles/syringes with someone whose HIV
status was different from their own during injection drug use all the
time during the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num
EST125

Variable Name

Program

System

Optional Not Reported

Additional client risk factors in last 12 months
Definition: If the client's risk factors in the past 12 months involve anal or vaginal sexual activity, these are additional factors that
further describe the client's sexual risk for HIV exposure and/or transmission.

Instructions: Use this variable only if the client reported anal or vaginal sex with male, female, or transgender as one of the client
risk factors. For each of those client risk factors identified, indicate additional risk characteristics that describe the
client’s risk for either being exposed to HIV or transmitting HIV. If the client did not report having anal or vaginal sex
with a male, female, or transgender, then do not select any “Additional Client Risk Factors”. If the client knows he or
she has an “Additional Risk Factor” (e.g., sex "with a person who is an IDU") but he or she does not remember the
sex of the person (in this case the ID user), the provider should ask the client for his or her best guess as to whether
the partner(s) were male, female, or transgender. The value options for "Exchange sex…" and "While intoxicated
Code
Value Description
Value Definition
00

None

The client does not report any risk or client does not report any of the
additional client risk factors noted below.

Without a condom

The client has had sex without using a condom.

While drunk or high

The client used alcohol and/or illicit drugs before and/or during sex.

That you met on the internet

The client had sex with someone that he/she met on the internet

So you could get drugs, money, a place to stay, clothing, or
something else you needed

The client participated in sex events in exchange for drugs or money
or something he/she needed.

Who has sex with others so he or she could get drugs, money, a
place to stay, clothing, or something else he or she needed

The client has had a sex with a person who he or she knows
exchanges sex for drugs/money.

Who you knew was an injection drug user

The client has had a sex with a person who he or she knows to be an
IDU.

Whose HIV status was unknown to you

The client has had sex with a person whose HIV status is unknown to
either the client or to the partner.

Whose HIV status was different from your own HIV status

The client has had sex with a person whose HIV status is different
from his/her own status.

Who was anonymous

The client had sex with a person and did not know the person's name
or have any way to contact the person in the future

Who was a primary partner

The client has had sex with a person who was a primary partner.

Who was a non-primary partner

The client has had sex with a person who was a non-primary partner.

Who was over age 30

The client has had sex with a person who was over age 30.

Who was a hemophiliac/recipient of blood transfusion or transplant

The client has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Decline to answer

The client declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num

Variable Name

EST126

Program

System

Optional Not Reported

Partner gender last 3 months
Definition: Gender of partners client reports having sex with in the last 3 months.

Instructions: Choose all that apply. Sex refers to anal or vaginal sex.

Code

Value Description

Value Definition

None

Client did not have sex in the last 3 months.

Male

Client had sex with a male partner in the last 3 months.

Female

Client had sex with a female partner in the last 3 months.

Transgender

Client had sex with a transgender partner in the last 3 months.

Decline to answer

Client declined to answer

EST126A

Number of males client had sex with in the last 3
months

Definition: Number of male partners client reports having sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a male partner in the last 3 months. Sex refers to anal sex only.

EST126B

Number of females client had sex with in the last 3
months

Definition: Number of female partners client reports having sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a female partner in the last 3 months. Sex refers to anal and
vaginal sex only.

EST126C

Number of transgender partners client had sex with
in the last 3 months

Definition: Number of transgender partners client reports having sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a transgender partner in the last 3 months. Sex refers to anal
and vaginal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST127

Program

System

Optional Not Reported

Gender of partners client had unprotected sex with in
the last 3 months
Definition: Gender of partners client reports having unprotected sex with in the last 3 months.

Instructions: Select none (00) if client has not had unprotected sex in the last 3 months. If client reports having unprotected sex,
check all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex in the last 3 months.

Male

Client had unprotected sex with a male partner in the last 3 months.

Female

Client had unprotected sex with a female partner in the last 3 months.

Transgender

Client had unprotected sex with a transgender partner in the last 3
months.

Decline to answer

Client declined to answer.

EST127A

Number of males client had unprotected sex with in
the last 3 months

Definition: Total number of male partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a male partner in the last 3 months for variable EST127. Sex
refers to anal sex only.

EST127B

Number of female partners client had unprotected
sex with in the last 3 months

Definition: Total number of female partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a female partner in the last 3 months for variable EST127. Sex
refers to anal and vaginal sex only.

EST127C

Number of transgender partners client had
unprotected sex with in the last 3 months

Definition: Total number of transgender partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having sex with a transgender partner in the last 3 months for variable EST127.
Sex refers to anal and vaginal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST128

Program

System

Optional Not Reported

Frequency unprotected sex in the last 3 months
Definition: Frequency client had unprotected sex in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Choose one option.

Code

Value Description

Value Definition

Almost never

The client reports having unprotected sex almost never in the last 3
months.

Less than half the time

The client reports having unprotected sex less than half the time in
the last 3 months.

Half the time

The client reports having unprotected sex half the time in the last 3
months.

More than half the time

The client reports having unprotected sex more than half the time in
the last 3 months.

Almost all the time

The client reports having unprotected sex almost all the time in the
last 3 months.

All the time

The client reports having unprotected sex all the time in the last 3
months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST129

Program

System

Optional Not Reported

Frequency client had unprotected sex in the last 3
months with a primary partner
Definition: Frequency client had unprotected sex with a primary partner in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Choose one option.

Code

Value Description

Value Definition

None

Client has not had unprotected sex with a primary partner

Almost never

The client reports having unprotected sex with a primary partner
almost never in the last 3 months.

Less than half the time

The client reports having unprotected sex with a primary partner less
than half the time in the last 3 months.

Half the time

The client reports having unprotected sex with a primary partner half
the time in the last 3 months.

More than half the time

The client reports having unprotected sex with a primary partner more
than half the time in the last 3 months.

Almost all the time

The client reports having unprotected sex with a primary partner
almost all the time in the last 3 months.

All the time

The client reports having unprotected sex with a primary partner all
the time in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST130

Program

System

Optional Not Reported

Frequency client had unprotected sex with a nonprimary partner in the last 3 months
Definition: Frequency client had unprotected sex with a non-primary partner in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Choose one option.

Code

Value Description

Value Definition

None

Client has not had unprotected sex with a non-primary partner

Almost never

The client reports having unprotected sex with a non-primary partner
almost never in the last 3 months.

Less than half the time

The client reports having unprotected sex with a non- primary partner
less than half the time in the last 3 months.

Half the time

The client reports having unprotected sex with a non-primary partner
half the time in the last 3 months.

More than half the time

The client reports having unprotected sex with a non-primary partner
more than half the time in the last 3 months.

Almost all the time

The client reports having unprotected sex with a non-primary partner
almost all the time in the last 3 months.

All the time

The client reports having unprotected sex with a non-primary partner
all the time in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST131

Program

System

Optional Not Reported

Frequency client had unprotected sex with someone
whose HIV status was unknown in the last 3 months
Definition: Frequency client had unprotected sex with someone whose HIV status was unknown in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Choose one option.

Code

Value Description

Value Definition

None

Client has not had unprotected sex with someone whose HIV status
was unknown in the last 3 months.

Almost never

The client reports having unprotected sex with someone whose HIV
status is unknown almost never in the last 3 months.

Less than half the time

The client reports having unprotected sex with someone whose HIV
status was unknown less than half the time in the last 3 months.

Half the time

The client reports having unprotected sex with someone whose HIV
status was unknown half the time in the last 3 months.

More than half the time

The client reports having unprotected sex with someone whose HIV
status is unknown more than half the time in the last 3 months.

Almost all the time

The client reports having unprotected sex with someone whose HIV
status is unknown almost all the time in the last 3 months.

All the time

The client reports having unprotected sex with someone whose HIV
status is unknown all the time in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST132

Program

System

Optional Not Reported

Frequency client had unprotected sex with someone
whose HIV status was different from their own in the
last 3 months
Definition: Frequency client had unprotected sex with someone whose HIV status was different from their own in the last 3
months (e.g. client is HIV negative and partner is HIV positive).

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Choose one option.

Code

Value Description

Value Definition

None

Client has not had sex with someone whose HIV status was different
from their own in the last 3 months.

Almost never

The client reports having unprotected sex with someone whose HIV
status was different from their own almost never in the last 3 months.

Less than half the time

The client reports having unprotected sex with someone whose HIV
status was different from their own less than half the time in the last 3
months.

Half the time

The client reports having unprotected sex with someone whose HIV
status was different from their own half the time in the last 3 months.

More than half the time

The client reports having unprotected sex with someone whose HIV
status was different from their own more than half the time in the last
3 months.

Almost all the time

The client reports having unprotected sex with someone whose HIV
status was different from their own almost all the time in the last 3
months.

All the time

The client reports having unprotected sex with someone whose HIV
status was different from their own all the time in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST133

Program

System

Optional Not Reported

Anal or vaginal unprotected sex while drunk or high
Definition: If client reports having sex while drunk or high in the last 3 months

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only. Check all that apply.

Code

Value Description

Value Definition

Male

Client reports having unprotected sex with a male partner while drunk
or high in the last 3 months.

Female

Client reports having unprotected sex with a female partner while
drunk or high in the last 3 months.

Transgender

Client reports having unprotected sex with a transgender partner
while drunk or high in the last 3 months.

Decline to answer

Client declined to answer

EST133A

Number of males client had unprotected sex with
while drunk or high

Definition: Number of male partners client reports having unprotected sex with while drunk or high in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal sex only.

EST133B

Number of females client reported having
unprotected sex with while drunk or high

Definition: Number of female partners client reports having unprotected sex with while drunk or high in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only.

EST133C

Number of transgender partners client reported
having unprotected sex with while drunk or high

Definition: Number of transgender partners client reports having unprotected sex with while drunk or high in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months for variable EST127. Sex refers to
anal and vaginal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST134

Program

System

Optional Not Reported

Internet sex partners in the last 3 months
Definition: If client reports having unprotected sex with someone that he/she met on the internet in the last 3 months

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only. Check all that apply.

Code

Value Description

Value Definition

Male

Client reports having unprotected sex with a male partner that he/she
met on the internet in the last 3 months.

Female

Client reports having unprotected sex with a male partner that he/she
met on the internet in the last 3 months.

Transgender

Client reports having unprotected sex with a male partner that he/she
met on the internet in the last 3 months.

Decline to answer

Client declined to answer.

EST134A

Number of males client reported having unprotected
sex with that he met on the internet

Definition: Number of male partners client reports having unprotected sex with that he met on the internet in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal sex only.

EST134B

Number of females client reported having
unprotected sex with that he met on the internet

Definition: Number of female partners client reports having unprotected sex with that he met on the internet in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST134C

Program

System

Optional Not Reported

Number of transgender partners client reported
having unprotected sex with that he/she met on the
internet

Definition: Number of transgender partners client reports having unprotected sex with that he met on the internet in the last 3
months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

EST135

Partners that clients exchanged sex with for items
they needed
Definition: If client reports he/she exchanged unprotected sex for drugs, money, a place to stay, clothing, or something else
he/she needed.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

Code

Value Description

Value Definition

None

Client did not exhange sex for drugs, money, a place to stay, clothing
or something else he/she needed.

Male

Client had sex with a male partner in exchange for drugs, money, a
place to stay, clothing or something else he/she needed.

Female

Client had sex with a female partner in exchange for drugs, money, a
place to stay, clothing or something else he/she needed.

Transgender

Client had sex with a transgender partner in exchange for drugs,
money, a place to stay, clothing or something else he/she needed.

Decline to answer

Client declined to answer

EST135A

Number of male sex partners client exchanged sex
for items he/she needed

Definition: Number of male partners client reports having unprotected sex with in exchange for drugs, money, a place to stay,
clothing, or something else he/she needed in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST135B

Program

System

Optional Not Reported

Number of female sex partners client exchanged sex
for items he/she needed

Definition: Number of female partners client reports having unprotected sex with in exchange for drugs, money, a place to stay,
clothing, or something else he/she needed in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

EST135C

Number of transgender sex partners client
exchanged sex for items he/she needed

Definition: Number of transgender partners client reports having unprotected sex with in exchange for drugs, money, a place to
stay, clothing, or something else he/she needed in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

EST136

Client's sex partners who had sex with others in
exchange for items
Definition: If client reports he/she had unprotected sex with someone who he/she knows exchanges sex for drugs, money, a
place to stay, or something else in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with someone who he/she knows
exchanged sex for drugs, money, a place to stay, or something else
in the last 3 months.

Male

Client reports having unprotected sex with a male partner who he/she
knows exchanged sex for drugs, money, a place to stay, or
something else in the last 3 months.

Female

Client reports having unprotected sex with a female partner who
he/she knows exchanged sex for drugs, money, a place to stay, or
something else in the last 3 months.

Transgender

Client reports having unprotected sex with a transgender partner who
he/she knows exchanged sex for drugs, money, a place to stay, or
something else in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST136A

Program

System

Optional Not Reported

Number of male partners who had sex with others in
exchange for items

Definition: In the last 3 months, number of male partners client reports having unprotected sex with who he/she knew exchanged
sex for drugs, money, a place to stay, clothing, or something else.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal sex only.

EST136B

Number of female partners who had sex with others
in exchange for items

Definition: In the last 3 months, number of female partners client reports having unprotected sex with who he/she knew
exchanged sex for drugs, money, a place to stay, clothing, or something else.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

EST136C

Number of transgender partners who had sex with
others in exchange for items

Definition: In the last 3 months, number of transgender partners client reports having unprotected sex with who he/she knew
exchanged sex for drugs, money, a place to stay, clothing, or something else.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST137

Program

System

Optional Not Reported

Injection drug user partners
Definition: If client reports he/she had unprotected sex with someone who he/she knows to be an injection drug user in the last 3
months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

Code

Value Description

Value Definition

None

Client did not have unprotected sex in the last 3 months with
someone who injects drugs.

Male

Client reports having unprotected sex in the last 3 months with a male
partner who injects drugs.

Female

Client reports having unprotected sex in the last 3 months with a
female partner who injects drugs.

Transgender

Client reports having unprotected sex in the last 3 months with a
transgender partner who injects drugs.

Decline to answer

Client declined to answer

EST137A

Number of male IDU partners

Definition: In the last 3 months, number of male partners client reports having unprotected sex with who he/she knew were
injection drug users.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal sex only.

EST137B

Number of female IDU partners

Definition: In the last 3 months, number of female partners client reports having unprotected sex with who he/she knew were
injection drug users.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST137C

Program

System

Optional Not Reported

Number of transgender IDU partners

Definition: In the last 3 months, number of transgender partners client reports having unprotected sex with who he/she knew
were injection drug users.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.

EST138

Partner-unknown HIV status
Definition: If client reports he/she had unprotected sex with someone whose HIV status was unknown in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only. Choose all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with someone whose HIV status
was unknown in the last 3 months

Male

Client reports having sex with a male partner whose HIV status was
unknown in the last 3 months.

Female

Client reports having sex with a female partner whose HIV status was
unknown in the last 3 months.

Transgender

Client reports having sex with a transgender partner whose HIV
status was unknown in the last 3 months.

Decline to answer

Client declined to answer.

EST138A

Number of male partners-unknown HIV status

Definition: Number of male partners client reports having sex with whose HIV status was unknown in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of males in
variable EST127A, indicate how many of those males in the last 3 months had an unknown HIV status. Sex refers to
anal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST138B

Program

System

Optional Not Reported

Number of female partners-unknown HIV status

Definition: Number of female partners client reports having sex with whose HIV status was unknown in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months had an unknown HIV status. Sex refers to
anal and vaginal sex only.

EST138C

Number of transgender partners-unknown HIV status

Definition: Number of transgender partners client reports having sex with whose HIV status was unknown in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenders in the last 3 months had an unknown HIV status.Sex
refers to anal and vaginal sex only.

EST139

Partners- HIV status different to client's
Definition: If client reports he/she had unprotected sex with someone whose HIV status was different to their own in the last 3
months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only. Choose all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with someone whose HIV status
was different from their own in the last 3 months

Male

Client reports having unprotected sex with a male whose HIV status
was different from their own in the last 3 months.

Female

Client reports having unprotected sex with a female whose HIV status
was different from their own in the last 3 months.

Transgender

Client reports having unprotected sex with a transgender whose HIV
status was different from their own in the last 3 months.

Decline to answer

Client declined to answer

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST139A

Program

System

Optional Not Reported

Number of male partners- HIV status different from
client's

Definition: Number of male partners client reports having unprotected sex with whose HIV status was different from their own in
the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of males in
variable EST127A, indicate how many of those males in the last 3 months were serodiscordant (i.e. male partners
who had an HIV serostatus different from the client). Sex refers to anal sex only.

EST139B

Number of female partners- HIV status different from
client's

Definition: Number of female partners client reports having unprotected sex with whose HIV status was different from their own in
the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months were serodiscordant (i.e. female partners
who had an HIV serostatus different from the client). Sex refers to anal and vaginal sex only.

EST139C

Number of transgender partners- HIV status different
from client's

Definition: Number of transgender partners client reports having unprotected sex with whose HIV status was different from their
own in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenderss in the last 3 months were serodiscordant (i.e.
transgender partners who had an HIV serostatus different from the client). Sex refers to vaginal and anal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST140

Program

System

Optional Not Reported

Partners- anonymous
Definition: If client reports he/she had unprotected sex with someone who was anonymous ( client did not know the person's
name or have no way to contact the person again in the future) in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.Check all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with and anonymous partner in
the last 3 months.

Male

Client reports having unprotected sex with and anonymous male
partner in the last 3 months.

Female

Client reports having unprotected sex with and anonymous female
partner in the last 3 months.

Transgender

Client reports having unprotected sex with and anonymous
transgender partner in the last 3 months.

Decline to answer

Client declined to answer.

EST140A

Number of anonymous partners-male

Definition: Number of anonymous male partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of males in
variable EST127A, indicate how many of those males in the last 3 months were anonymous. Sex refers to anal sex
only.

EST140B

Number of anonymous partners- female

Definition: Number of anonymous female partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months were anonymous. Sex refers to anal and
vaginal sex only.

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NHME Variables and Values
Requirements
Num

Variable Name

EST140C

Program

System

Optional Not Reported

Number of anonymous partners- transgender

Definition: Number of anonymous transgender partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenders in the last 3 months were anonymous. Sex refers to
anal and vaginal sex only.

EST141

Partners- primary
Definition: If client reports he/she had unprotected sex with someone who was a primary partner ( someone who client lived with
or saw a lot or whom they have felt a special emotional commitment or call their boyfriend/girlfriend) in the last 3
months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.Check all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with a primary partner in the last
3 months.

Male

Client had unprotected sex with a male primary partner in the last 3
months.

Female

Client had unprotected sex with a female primary partner in the last 3
months.

Transgender

Client had unprotected sex with a transgender primary partner in the
last 3 months.

Decline to answer

Client declined to answer.

EST141A

Number of primary partners-male

Definition: Number of male primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal sex only. Of the
total number of males in variable EST127A, indicate how many of those males in the last 3 months were primary
partners.

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NHME Variables and Values
Requirements
Num

Variable Name

EST141B

Program

System

Optional Not Reported

Number of primary partners-female

Definition: Number of female primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months were primary partners.Sex refers to anal
and vaginal sex only.

EST141C

Number of primary partners-trangender

Definition: Number of transgender primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenders in the last 3 months were primary partners.Sex refers
to anal and vaginal sex only.

EST142

Partners- non-primary
Definition: If client reports he/she had unprotected sex with someone who was a non-primary partner in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.Check all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with a non- primary partner in the
last 3 months.

Male

Client had unprotected sex with a male non-primary partner in the last
3 months.

Female

Client had unprotected sex with a female non-primary partner in the
last 3 months.

Transgender

Client had unprotected sex with a transgender non-primary partner in
the last 3 months.

Decline to answer

Client declined to answer.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST142A

Program

System

Optional Not Reported

Number of non-primary partners-male

Definition: Number of male primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of males in
variable EST127A, indicate how many of those males in the last 3 months were non-primary partners.Sex refers to
anal and vaginal sex only.Sex refers to anal sex only.

EST142B

Number of non-primary partners-female

Definition: Number of female primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months were non-primary partners.Sex refers to
anal and vaginal sex only.

EST142C

Number of non-primary partners-transgender

Definition: Number of transgender primary partners client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenders in the last 3 months were non-primary partners.Sex
refers to anal and vaginal sex only.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST143

Program

System

Optional Not Reported

Partners-over age 30
Definition: If client reports he/she had unprotected sex with someone who was over age 30 in the last 3 months.

Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Sex refers to anal and vaginal sex
only.Choose all that apply.

Code

Value Description

Value Definition

None

Client did not have unprotected sex with someone over age 30 in the
last 3 months.

Male

Client reports having unprotected sex with a male partner over age
30 in the last 3 months.

Female

Client reports having unprotected sex with a female partner over age
30 in the last 3 months.

Transgender

Client reports having unprotected sex with a transgender partner over
age 30 in the last 3 months.

Decline to answer

Client declined to answer.

EST143A

Number of partners over age 30- males

Definition: Number of male partners over age 30 client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of males in
variable EST127A, indicate how many of those males in the last 3 months were over age 30. Sex refers to anal sex
only.

EST143B

Number of partners over age 30-females

Definition: Number of female partners over age 30 client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of females in
variable EST127B, indicate how many of those females in the last 3 months were over age 30. Sex refers to anal and
vaginal sex only.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST143C

Program

System

Optional Not Reported

Number of partners over age 30- transgender

Definition: Number of transgender partners over age 30 client reports having unprotected sex with in the last 3 months.
Instructions: Use this variable only if client reports having unprotected sex in the last 3 months. Of the total number of transgenders
in variable EST127C, indicate how many of those transgenders in the last 3 months were over age 30.Sex refers to
anal and vaginal sex only.

EST144

Partners while drunk/high
Definition: Client self-report of partners duing unprotected sex while drunk or high in the last 3 months.

Instructions: Use this variable only if client reports using drugs while having unprotected sex in the last 3 months. Sex refers to anal
and vaginal sex only.Choose only one.

Code

Value Description

Value Definition

Primary partners

Client reports having unprotected sex with primary partners while
drunk or high in the last 3 months.

Non-primary partners

Client reports having unprotected sex with non-primary partners while
drunk or high in the last 3 months.

Both

Client reports having unprotected sex with primary and non-primary
partners while drunk or high in the last 3 months.

Decline to answer

Client declined to answer.

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NHME Variables and Values
Requirements
Num

Variable Name

EST145

Program

System

Optional Not Reported

Satisfaction of safer sex- client on bottom
Definition: Client self-reported satisfaction when partner is wearing a condom and he (the client) is on the bottom.

Instructions: Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not at all satisfying

Client reports that safer sex is not satisfying when his partner is
wearing a condom and he is on the bottom.

Slightly satisfying

Client reports that safer sex is slightly satisfying when his partner is
wearing a condom and he is on the bottom.

Moderately satisfying

Client reports that safer sex is moderately satisfying when his partner
is wearingng a condom and he is on the bottom.

Very satisfying

Client reports that safer sex is very satisfying when his partner is
wearing a condom and he is on the bottom.

Extremely satisfying

Client reports that safer sex is extremely satisfying when his partner
is wearing a condom and he is on the bottom.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST146

Program

System

Optional Not Reported

Satisfaction of safer sex- partner on bottom
Definition: Client self-reported satisfaction when he (the client) is wearing a condom and partner is on the bottom.

Instructions: Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not at all satisfying

Client reports that safer sex is not satisfying when he is wearing a
condom and his partner is on the bottom.

Slightly satisfying

Client reports that safer sex is slightly satisfying when he is wearing
a condom and his partner is on the bottom.

Moderately satisfying

Client reports that safer sex is moderately satisfying when he is
wearing a condom and his partner is on the bottom.

Extremely satisfying

Client reports that safer sex is extremely satisfying when he is
wearing a condom and his partner is on the bottom.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST147

Program

System

Optional Not Reported

Condom use- client on bottom
Definition: Client self-reported level of fun when his partner is wearing a condom and he (the client) is on the bottom.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

None of the fun out of sex

Client reports that using a condom does not take any fun out of sex
when his partner is wearing a condom and he is on the bottom.

A little of the fun out of sex

Client reports that using a condom takes a little of the fun out of sex
when his partner is wearing a condom and he is on the bottom.

Some of the fun out of sex

Client reports that using a condom takes a little of the fun out of sex
when his partner is wearing a condom and he is on the bottom.

A lot of the fun out of sex

Client reports that using a condom takes a lot of the fun out of sex
when his partner is wearing a condom and he is on the bottom.

A great deal of the fun out of sex

Client reports that using a condom takes a great deal of the fun out of
sex when his partner is wearing a condom and he is on the bottom.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 125 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST148

Program

System

Optional Not Reported

Condom use- partner on bottom
Definition: Client self-reported level of fun when he (the client) is wearing a condom and his partner is on the bottom.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

None of the fun out of sex

Client reports that using a condom does not take any fun out of sex
when he is wearing a condom and his partner is on the bottom.

A little of the fun out of sex

Client reports that using a condom takes a little of the fun out of sex
when he is wearing a condom and his partner is on the bottom.

Some of the fun out of sex

Client reports that using a condom takes some of the fun out of sex
when he is wearing a condom and his partner is on the bottom.

A lot of the fun out of sex

Client reports that using a condom takes a lot of fun out of sex when
he is wearing a condom and his partner is on the bottom.

A great deal of fun out of sex

Client reports that using a condom takes a great deal of fun out of sex
when he is wearing a condom and his partner is on the bottom.

Decline to answer

Client declined to answer.

Don't know

EST149

Pleasure of safer sex
Definition: Client self-report of how pleasurable safer sex is compared to unsafe sex.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Much less

Client reports safer sex is much less pleasurable than unsafe sex.

A little less

Client reports safer sex is a little less pleasurable than unsafe sex.

Equally

Client reports safer sex is equally pleasurable as unsafe sex.

A little more

Client reports safer sex is a little more pleasurable than unsafe sex.

Much more

Client reports safer sex is much more pleasurable than unsafe sex.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 126 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST150

Program

System

Optional Not Reported

Mood during condom use
Definition: Client self-report on how much pausing to put on a condom can ruin the sexual mood.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not at all

Client reports that pausing to put on a condom does not ruin the
sexual mood at all.

A little

Client reports that pausing to put on a condom ruins the sexual mood
a little.

A moderate amount

Client reports that pausing to put on a condom ruins the sexual mood
a moderate amount.

A lot

Client reports that pausing to put on a condom ruins the sexual mood
a lot.

A great deal

Client reports that pausing to put on a condom ruins the sexual mood
a great deal.

Decline to answer

Client declined to answer

Don't know

Version Date: 14-Dec-09
Page 127 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST151

Program

System

Optional Not Reported

Orgasm difficulty during condom use
Definition: Client self-report on the level of difficulty to experience an orgasm during sex while using condoms.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not difficult at all

Client reports it is not at difficult to have an orgasm while using
condoms.

Slightly difficult

Client reports that it is slightly difficult to have an orgasm while using
condoms.

Moderately difficult

Client reports that it is moderately difficult to have an orgasm while
using condoms.

Very difficult

Client reports that it is very difficult to have an orgasm while using
condoms.

Extremely difficult

Client reports that it is extremely difficult to have an orgasm while
using condoms.

Decline to answer

Client declined to answer.

Version Date: 14-Dec-09
Page 128 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST152

Program

System

Optional Not Reported

Erection difficulty during condom use
Definition: Client self-report of difficulty keeping an erection when wearing a condom during sex.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not difficult at all

Client reports keeping an erection is not difficult at all when wearing a
condom.

Slightly difficult

Client reports keeping an erection is slightly difficult when wear a
condom.

Moderately difficult

Client reports keeping an erection is moderately difficult when wear a
condom.

Very difficult

Client reports keeping an erection is very difficult when wear a
condom.

Extremely difficult

Client reports keeping an erection is extremely difficult when wear a
condom.

Decline to answer

Client declined to answer.

Version Date: 14-Dec-09
Page 129 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST153

Program

System

Optional Not Reported

Difficulty stopping during sex
Definition: Client self-report on how difficult it is for him to stop their partner if their partner starts to do something unsafe sexually.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not at all

Client reports that it is not at all difficult to stop their partner if his
partner start to do something unsafe sexually.

Slightly difficult

Client reports that it is slightly difficult to stop his partner if his partner
starts to do something unsafe sexually.

Moderately difficult

Client reports that it is moderately difficult to stop his partner if his
partner starts to do something unsafe sexually.

Very difficult

Client reports that it is very difficult to stop his partner if his partner
starts to do something unsafe sexually.

Extremely difficult

Client reports that it is extremely difficult to stop his partner if his
partner starts to do something unsafe sexually.

Decline to answer

Client declined to answer

Don't know

Version Date: 14-Dec-09
Page 130 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST154

Program

System

Optional Not Reported

Difficulty using a condom if really turned on
Definition: Client self-report on difficulty using concomd if he is really turned on.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not difficult at all

Client reports it is not difficult at all to use a condom if he is really
turned on.

Slightly difficult

Client reports that it is slightly difficult to use a condom if he is really
turned on.

Moderately difficult

Client reports that it is moderately difficult to use a condom if he is
really turned on.

Very difficult

Client reports that it is very difficult to use a condom if he is really
turned on.

Extremely difficult

Client reports that it is extremely difficult to use a condom if he is
really turned on.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 131 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST155

Program

System

Optional Not Reported

Difficulty telling male partner not to do something
risky
Definition: Client self-report of difficulty telling male partner no to do something risky.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not difficult at all

Client reports that it is not difficult at all to tell his male partner not to
do something risky.

Slightly difficult

Client reports that it is slightly difficult to tell his male partner not to do
something risky.

Moderately difficult

Client reports that it is moderately difficult to tell his male partner not
to do something risky.

Very difficult

Client reports that it is very difficult to tell his male partner not to do
something risky.

Extremely difficult

Client reports that it is extremely difficult to tell his male partner not to
do something risky.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 132 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST156

Program

System

Optional Not Reported

Difficulty of practicing safer sex with male partner
Definition: Client self-report of difficulty telling male parter that he wants to practice safer sex.

Instructions: Recall period: last 3 months. Sex refers to anal sex only.Choose only one.

Code

Value Description

Value Definition

Not difficult at all

Client reports that it is not difficult at all to tell his male partner that he
wants to practice safer sex.

Slightly difficult

Client reports that it is slightly difficult to tell him male partner that he
wants to practice safer sex.

Moderately difficult

Client reports that it is moderately difficult to tell him male partner that
he wants to practice safer sex.

Very difficult

Client reports that it is very difficult to tell him male partner that he
wants to practice safer sex.

Extremely difficult

Client reports that it is extremely difficult to tell him male partner that
he wants to practice safer sex.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 133 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST157

Program

System

Optional Not Reported

Friends -condom use
Definition: Client self-report on the amount of their gay/bi/transgender friends who always use condoms when having anal sex
with new partners.

Instructions: Recall period: last 3 months. Sex refers to anal sex only but can include both male and female partners.Choose only
one.

Code

Value Description

Value Definition

None

Client reports that none of their gay/bi/transgender friends use
condoms when having anal sex with new partners.

Less than half

Client reports that less than half of their gay/bi/transgender friends
use condoms when having anal sex with new partners.

About half

Client reports that about half of their gay/bi/transgender friends use
condoms when having anal sex with new partners.

More than half

Client reports that more than half of their gay/bi/transgender friends
use condoms when having anal sex with new partners.

All

Client reports that all of their gay/bi/transgender friends use condoms
when having anal sex with new partners.

I don't have gay/bi/transgender friends

Client does not have gay/bi/transgender friends.

Decline to answer

Client declined to answer.

Don’t know

Version Date: 14-Dec-09
Page 134 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST158

Program

System

Optional Not Reported

Friends-importance of using a condom with new
partner
Definition: Client self-report on how important his gay/bi/transgender friends think it is to use a condom when having sex with a
new male partner

Instructions: Recall period: last 3 months. Sex refers to anal sex only but includes male and partners.Choose only one.

Code

Value Description

Value Definition

Not important at all

Client reports that it is not at all important to their gay/bi/transgender
friends to use a condom when having sex with a new male partner.

Slightly important

Client reports that it is slightly important to their gay/bi/transgender
friends to use a condom when having sex with a new male partner.

Moderately important

Client reports that it is moderately important to their
gay/bi/transgender friends to use a condom when having sex with a
new male partner.

Very important

Client reports that it is very important to their gay/bi/transgender
friends to use a condom when having sex with a new male partner.

Extremely important

Client reports that it is extremely important to their gay/bi/transgender
friends to use a condom when having sex with a new male partner.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 135 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST159

Program

System

Optional Not Reported

Friends- engaging in safe sex practices
Definition: Client self-report on the amount of his gay/bi/transgender friends who only engage in safe sex practices.

Instructions: Recall period: last 3 months. Sex refers to anal sex only but includes male and partners.Choose only one.

Code

Value Description

Value Definition

None

Client reports none of his gay/bi/transgender friends enage in safe
sex practices.

Less than half

Client reports less than half of his gay/bi/transgender friends engage
in safe sex practices.

About half

Client reports about half of his gay/bi/transgender friends engage in
safe sex practices.

More than half

Client reports morethan half of his gay/bi/transgender friends engage
in safe sex practices.

All

Client reports all of his gay/bi/transgender friends engage in safe sex
practices.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 136 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST160

Program

System

Optional Not Reported

Friends-advice about protected anal sex
Definition: Client self-report on the amount of his friends that think he should always have protected anal sex.

Instructions: Recall period: last 3 months. Sex refers to anal sex only but includes male and partners.Choose only one.

Code

Value Description

Value Definition

None

Client reports that none of his friends think that he should always
have anal sex with a condom.

Less than half

Client reports that less than half of his friends think that he should
always have anal sex with a condom.

About half

Client reports that about half of his friends think that he should always
have anal sex with a condom.

More than half

Client reports that more than half of his friends think that he should
always have anal sex with a condom.

All

Client reports that all of his friends think that he should always have
anal sex with a condom.

Decline to answer

Don't know

EST161

Number of times talking about importance of safer
sex with friends
Definition: Client self- report on the number of times his gay/bi/transgender friends talked to with him about the importance of
safer sex.

Instructions: Choose only one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition

Version Date: 14-Dec-09
Page 137 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST162

Program

System

Optional Not Reported

Number of times shared ideas about how to avoid
unsafe sex
Definition: Client self-report on the number of times in the last 3 months he shared ideas about how to avoid unsafe sex with his
gay/bi/transgender friends.

Instructions: Choose only one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST163

Value Definition
Client declined to answer

Number of times encouraged each other to practice
safer sex.
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends encouraged each
other to practice safer sex.

Instructions: Choose only one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition
Client declined to answer.

Version Date: 14-Dec-09
Page 138 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST164

Program

System

Optional Not Reported

Number of times told each other that you practice
safer sex.
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends told each other
that they practice safer sex.

Instructions: Choose only one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST165

Value Definition
Client declined to answer

Number of times client talked about negotiating safer
sex
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends talked about
negotiating safer sex.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition
Client declined to answer

Version Date: 14-Dec-09
Page 139 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST166

Program

System

Optional Not Reported

Number of times given each other condoms or safer
sex literature
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends gave each other
condoms or safer sex literature.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST167

Value Definition
Client declined to answer

Number of times encouraged each other to get
tested for HIV
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends encouraged each
other to get tested for HIV.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition
Client declined to answer

Version Date: 14-Dec-09
Page 140 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST168

Program

System

Optional Not Reported

Number of times talked about having taken the HIV
antibody test
Definition: Client self-report on the number of times in the last 3 months he and his gay/bi/transgender friends talked about
having taken the HIV antibody test.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST169

Value Definition
Client declined to answer

Internalized homophobia: religious beliefs
Definition: Client self-report on how guilty his religious beliefs make him feel about having sex with other men.

Instructions: Choose one.

Code

Value Description

Value Definition

No guilt at at all

Client reports that his religious beliefs do not make him feel any guilt
about having sex with other men.

A little guilt

Client reports that his religious beliefs make him feel a little guilt
about having sex with other men.

A moderate amount of guilt

Client reports that his religious beliefs make him feel a lmoderate
amount of guilt about having sex with other men.

A lot of guilt

Client reports that his religious beliefs make him feel a lot of guilt
about having sex with other men.

A great deal of guilt

Client reports that his religious beliefs make him feel a lgreat deal of
guilt about having sex with other men.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 141 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST170

Program

System

Optional Not Reported

Internalized homophobia: dislike
Definition: Client self-report on how whether having sex with other men makes him dislike himself, and if so, how much.

Instructions: Choose one.

Code

Value Description

Value Definition

Not at all

Client reports that having sex with other men does not make him
dislike himself at all.

A little

Client reports that having sex with other men makes him dislike
himself a little.

A moderate amount

Client reports that having sex with other men makes him dislike
himself a moderate amount.

A lot

Client reports that having sex with other men makes him dislike
himself a lot.

A great deal

Client reports that having sex with other men makes him dislike
himself a great deal.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 142 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST171

Program

System

Optional Not Reported

Internalized homophobia: attraction to women
Definition: Client self-report on whether he wished he was only attracted to women, and if so, how much.

Instructions: Choose one.

Code

Value Description

Value Definition

Not at all

Client reports that he does not wish he was attracted to women only.

A little

Client reports that he wished he was only attracted to women a little.

A moderate amount

Client reports that he wished he was only attracted to women a
moderate amount.

A lot

Client reports that he wished he was only attracted to women a lot.

A great deal

Client reports that he wished he was only attracted to women a great
deal.

Decline to answer

Client declined to answer

Don't know

Version Date: 14-Dec-09
Page 143 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST172

Program

System

Optional Not Reported

Gay pride: happiness
Definition: Client self-report on whether he is happy about being gay or bisxual, and if so, how happy.

Instructions: Choose one.

Code

Value Description

Value Definition

Not at all

Client reports that he is not at all happy that he is gay or bisexual.

A little

Client reports that he feels a little happiness about being gay or
bisexual.

A moderate amount

Client reports that he feels a moderate amount of happiness about
being gay or bisexual.

A lot

Client reports that he feels a lot of happiness about being gay or
bisexual.

A great deal

Client reports that he feels a great deal of happiness about being gay
or bisexual.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 144 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST173

Program

System

Optional Not Reported

Gay pride: pride
Definition: Client self-report on whether feels pride about being gay or bisexual, and if so, how much.

Instructions: Choose one.

Code

Value Description

Value Definition

Not at all

Client reports that he does not feel any pride about being gay or
bisexual.

A little

Client reports he feels a little pride about being gay or bisexual.

A moderate amount

Client reports he feels a moderate amount of pride about being gay
or bisexual.

A lot

Client reports he feels a lot of pride about being gay or bisexual.

A great deal

Client reports he feels a great deal of pride about being gay or
bisexual.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 145 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST174

Program

System

Optional Not Reported

Gay pride: comfort
Definition: Client self-report on whether he feels comfortable about being gay or bisexual, and if so, how much.

Instructions: Choose one.

Code

Value Description

Value Definition

Not comfortable at all

Client reports that he does not feel comfortable at all about being gay
or bisexual.

Slightly comfortable

Client reports that he feels slightly comfortable about being gay or
bisexual.

Moderately comfortable

Client reports that he feels moderately comfortable about being gay
or bisexual.

Very comfortable

Client reports that he feels very comfortable about being gay or
bisexual.

Extremely comfortable

Client reports that he feels extremely comfortable about being gay or
bisexual.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 146 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST175

Program

System

Optional Not Reported

Support: help when needed
Definition: Client self-report regarding whether he disagrees ort agrees that his friends really try to help him if he needs it.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that his friends really try to
help him if he needs it.

Disagree moderately

Client reports that he moderately disagrees that his friends really try
to help him if he needs it.

Disagree slightly

Client reports that he slightly disagrees that his friends really try to
help him if he needs it.

Agree slightly

Client reports that he slightly agrees that his friends really try to help
him if he needs it.

Agree moderately

Client reports that he moderately agrees that his friends really try to
help him if he needs it.

Agree strongly

Client reports that he strongly agrees that his friends really try to help
him if he needs it.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 147 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST176

Program

System

Optional Not Reported

Support: when things go wrong
Definition: Client self-report on whether he disagrees or agrees that he can count on his friends when things go wrong.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that he can count on his
friends when things go wrong.

Disagree moderately

Client reports that he moderately disagrees that he can count on his
friends when things go wrong.

Disagree slightly

Client reports that he slightly disagrees that he can count on his
friends when things go wrong.

Agree slightly

Client reports that he slightly agrees that he can count on his friends
when things go wrong.

Agree moderately

Client reports that he moderately agrees that he can count on his
friends when things go wrong.

Agree strongly

Client reports that he strongly agrees that he can count on his friends
when things go wrong.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 148 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST177

Program

System

Optional Not Reported

Support: during joys and sorrows
Definition: Client self-report regarding whether he agrees or disagrees that he has friends with whom he can share joys and
sorrows.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that he has friends with
whom he can share joys and sorrows.

Disagree moderately

Client reports that he moderately disagrees that he has friends with
whom he can share joys and sorrows.

Disagree slightly

Client reports that he slightly disagrees that he has friends with whom
he can share joys and sorrows.

Agree slightly

Client reports that he slightly agrees that he has friends with whom he
can share joys and sorrows.

Agree moderately

Client reports that he moderately agrees that he has friends with
whom he can share joys and sorrows.

Agree strongly

Client reports that he strongly agrees that he has friends with whom
he can share joys and sorrows.

Decline to answer

Client declined to answer

Don't know

Version Date: 14-Dec-09
Page 149 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST178

Program

System

Optional Not Reported

Support:talk about problems
Definition: Client self-report regarding whether he agrees or disagrees that he can talk about his problems with his friends.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that he can talk about his
problems with his friends.

Disagree moderately

Client reports that he moderately disagrees that he can talk about his
problems with his friends.

Disagree slightly

Client reports that he slightly disagrees that he can talk about his
problems with his friends.

Agree slightly

Client reports that he slightly agrees that he can talk about his
problems with his friends.

Agree moderately

Client reports that he moderately agrees that he can talk about his
problems with his friends.

Agree strongly

Client reports that he strongly agrees that he can talk about his
problems with his friends.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 150 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST179

Program

System

Optional Not Reported

Support: being with friends
Definition: Client self-report regarding whether he agrees or disagrees that being with his gay/bi/transgender friends helps him to
feel good about himself.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Disagree moderately

Client reports that he moderately disagrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Disagree slightly

Client reports that he slightly disagrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Agree slightly

Client reports that he slightly agrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Agree moderately

Client reports that he moderately agrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Agree strongly

Client reports that he strongly agrees that being with his
gay/bi/transgender friends helps him to feel good about himself.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 151 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST180

Program

System

Optional Not Reported

Support: helpful information
Definition: Client self-report regarding whether he agrees or disagrees that being with his gay/bi/transgender friends provide him
with helpful information or advice.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that his gay/bi/transgender
friends provide him with helpful information or advice.

Disagree moderately

Client reports that he moderately disagrees that his
gay/bi/transgender friends provide him with helpful information or
advice.

Disagree slightly

Client reports that he slightly disagrees that his gay/bi/transgender
friends provide him with helpful information or advice.

Agree slightly

Client reports that he slightly agrees that his gay/bi/transgender
friends provide him with helpful information or advice.

Agree moderately

Client reports that he moderately agrees that his gay/bi/transgender
friends provide him with helpful information or advice.

Agree strongly

Client reports that he strongly agrees that his gay/bi/transgender
friends provide him with helpful information or advice.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
Page 152 of 411

NHME Variables and Values
Requirements
Num

Variable Name

EST181

Program

System

Optional Not Reported

Support:problem solving
Definition: Client self-report regarding whether he agrees or disagrees that his gay/bi/transgender friends are good at helping him
solve problems.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that his gay/bi/transgender
friends are good at helping him solve problems.

Disagree moderately

Client reports that he moderately disagrees that his
gay/bi/transgender friends are good at helping him solve problems.

Disagree slightly

Client reports that he slightly disagrees that his gay/bi/transgender
friends are good at helping him solve problems.

Agree slightly

Client reports that he slightly agrees that his gay/bi/transgender
friends are good at helping him solve problems.

Agree moderately

Client reports that he moderately agrees that his gay/bi/transgender
friends are good at helping him solve problems.

Agree strongly

Client reports that he strongly agrees that his gay/bi/transgender
friends are good at helping him solve problems.

Decline to answer

Client declined to answer.

Don't know

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NHME Variables and Values
Requirements
Num

Variable Name

EST182

Program

System

Optional Not Reported

Support: relationship
Definition: Client self-report regarding whether he agrees or disagrees he has a deep sharing relationship with is
gay/bi/transgender friends.

Instructions: Choose one.

Code

Value Description

Value Definition

Disagree strongly

Client reports that he strongly disagrees that he has a deep sharing
relationship with his gay/bi/transgender friends.

Disagree moderately

Client reports that he moderately disagrees that he has a deep
sharing relationship with his gay/bi/transgender friends.

Disagree slightly

Client reports that he slightly disagrees that he has a deep sharing
relationship with his gay/bi/transgender friends.

Agree slightly

Client reports that he slightly agrees that he has a deep sharing
relationship with his gay/bi/transgender friends.

Agree moderately

Client reports that he moderately agrees that he has a deep sharing
relationship with his gay/bi/transgender friends.

Agree strongly

Client reports that he strongly agrees that he has a deep sharing
relationship with his gay/bi/transgender friends.

Decline to answer

Client declined to answer.

Don't know

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NHME Variables and Values
Requirements
Num

Variable Name

EST183

Program

System

Optional Not Reported

Exposure to messages in last 3 months
Definition: Client self-report of exposure experiences in the last 3 months.

Instructions: Check all that apply. Refer to local name of Mpowerment Project at individual project sites.

Code

Value Description

Value Definition

I have not experienced any of these in the last 3 months

Client reports that he has not experiencd any of the events in the last
3 months.

Saw an ad encouraging me to be safe or to use condoms, or an ad
promoting local HIV prevention activities

Client reports that in the last 3 months he saw an ad encouraging him
to be safe or use condoms, or an ad promoting local HIV prevention
activities

Saw HIV prevention outreach in a local bar or other community
location

Client reports that in the last 3 months he saw HIV prevention
outreach in a local bar or other community location

Had a discussion about HIV prevention, safer sex, HIV testing, or
received condoms from a local outreach worker.

Client reports that in the last 3 months he had a discussion about HIV
prevention, safer sex, HIV testing, or received condoms from a local
outreach worker.

Picked up free condoms and/or lube

Client reports that in the last 3 months he picked up free condoms
and/or lube

Asked someone or searched for information about HIV/AIDS

Client reports that in the last 3 months he asked someone or
searched for information about HIV/AIDS.

Saw an Mpowerment Project advertisement

Client reports that in the last 3 months he saw an Mpowerment
Project advertisement.

Visited the Mpowerment Project website

Client reports that in the last 3 months he visited the Mpowerment
Project website.

Decline to answer

Client declined to answer.

Don't know

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST184

Program

System

Optional Not Reported

Number of times volunteered with local HIV
prevention effort
Definition: Client self-report on the number of times he volunteered with a local prevention effort in the last 3 months.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST185

Value Definition
Client declined to answer.

Number of times particpated in a small-group
discussion
Definition: Client self-report on the number of times he particpated in a small-group discussion about safer sex or HIV prevention
in the last 3 months.

Instructions: Choose one.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition
Client declined to asnwer.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST186

Program

System

Optional Not Reported

Number of times volunteered for the Mpowerment
Project
Definition: Client self-report on the number of times he volunteered for the Mpowerment Project in the last 3 months.

Instructions: Choose one. Refer to local name of Mpowerment Project at individual project sites.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

EST187

Value Definition
Client declined to answer.

Number of times attended an Mpowerment Project
event
Definition: Client self-report on the number of times he attended an Mpowerment Project event in the last 3 months.

Instructions: Choose one. Refer to local name of Mpowerment Project at individual project sites.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Value Definition
Client declined to answer.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

EST188

Program

System

Optional Not Reported

Number of times visited the Mpowerment Project
space
Definition: Client self-report on the number of times he visited the Mpowerment Project space in the last 3 months.

Instructions: Choose one. Refer to local name of Mpowerment Project at individual project sites.

Code

Value Description

####

7777

Decline to answer

9999

Don't know

Table: G1

Value Definition
Client declined to answer.

Client Characteristics-Demographic

This table is required to be completed by all agencies that provide HIV prevention interventions
individually to clients (e.g. CRCS).
It is also required for most effective behavioral interventions delivered to groups and some outreach.
Num
G101

Variable Name

Program

Requirements

System

Optional Not Reported

Date Collected
Definition: The date on which client demographic data are collected. For reporting to CDC, this should be the intake date or the
date of the first session before the intervention begins.
Instructions: Enter the date that client demographic data are collected. This should be the intake date or the date of the first
session before the intervention begins.

G102

PEMS Client ID
Definition: A system generated code that is used to distinguish between clients receiving HIV prevention services within a
particular agency.
Instructions: The system will generate a unique, non-identifying code to represent each client receiving HIV prevention services.
This code enables PEMS to manage client-level data while protecting the client’s confidentiality. It is a randomly
generated number and is not created by combining parts of other PEMS variables. If a single client is served by
multiple agencies, he or she will have a different PEMS Client Unique Key in each agency. Your agency can also use
a locally-developed client key. See G103: Local Client Unique Key.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num
G103

Variable Name

Program

System

Optional Not Reported

Local Client ID
Definition: A locally developed client unique key used to distinguish an individual client receiving multiple services within an
agency.
Instructions: If your agency has chosen to use a locally generated or developed client key other than one assigned by PEMS
(G102: PEMS Client Unique Key), then enter that code. This code can be shared and used by more than one agency
throughout a city, territory or state. This code should not contain personal information that is organized in a way that
can be easily deciphered (e.g., birth date, month and year). G103 is only program required if G102 is not used.

G104

Local Partner Services ID
Definition: This variable allows PS programs to link information on a particular client from their own databases to the PEMS HIV
program data. For example, the STD MIS Patient ID could be entered here.
Instructions: If you have a local identification system for PS clients, enter the local ID here.

G105

Last Name
Definition: The client's last name.
Instructions: Enter the client's last name. This information will not be reported to CDC.

G106

First Name
Definition: The client's formal first name.
Instructions: Enter the client's formal first name. This information will not be reported to CDC.

G107

Middle Initial
Definition: The first letter of the client's middle name.
Instructions: Enter the first letter of the client's middle name. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

G108

Nick Name

Program

System

Optional Not Reported

Definition: An alternative name for a client that is often descriptive and familiar to the client.
Instructions: If the client has a nickname that is used to identify the client and distinguish the client from other clients, enter that
name. The nickname can be a name used to assist in identifying the client for post-intervention follow-up or may just
be a name the client reports they prefer (e.g., shorter version of the client's first name such as "Joe" for "Joseph").
This information will not be reported to CDC.

G109

Aliases
Definition: An alternative or fictitious name for a client that is typically used instead of the person's legal name. An alias bears no
relation to the person's legal or actual name.
Instructions: Enter the client's aliases if available. (For instance, a person named Sonya Smith may use an alias of Sara Steele
instead of her legal name.) This information will not be reported to CDC.

G110

Date of Birth - Month
Definition: The calendar month in which the client was born.
Instructions: Enter the month in which the client was born. This information will not be reported to CDC.

G111

Date of Birth - Day
Definition: The calendar day on which the client was born.
Instructions: Enter the day in which the client was born. This information will not be reported to CDC.

G112

Date of Birth - Year
Definition: The calendar year in which the client was born.
Instructions: Enter the year in which the client was born.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

G113

Program

System

Optional Not Reported

Calculated Age
Definition: The client's age at the time of data collection. This variable is system generated and only appears within the PEMS
extracts.
Instructions: The system will generate the client’s age at the time client demographic data were collected based on the date of data
collection (G101: Date Collected) and the client’s year of birth (G112: Date of Birth - Year).

G114

Ethnicity
Definition: The client's self report of whether they are of Hispanic or Latino origin. Standard OMB ethnicity codes are applied.
Instructions: Indicate whether the client reported that he or she is Hispanic or Latino or not Hispanic or Latino.

Code

Value Description

Value Definition

Declined to answer

The client declines or is unwilling to report his or her ethnicity.

Don't know

The client reports that he or she is unaware of his or her ethnicity.

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central
American, or other Spanish culture or origin, regardless of race.

Not Hispanic or Latino

A person not identified by the definition of Hispanic or Latino.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

G115

Program

System

Optional Not Reported

Ethnicity Expanded
Definition: A more detailed description of the client's Hispanic or Latino background based on their self-reported ethnicity in
variable G114: Ethnicity. Expanded OMB ethnicity codes are applied.

Instructions: If the client's reported “Ethnicity” in G114 is “Hispanic or Latino,” then the “Ethnicity Expanded” field should be used
when the client provides a more detailed description of his/her ethnic background. For example, this variable can
differentiate a person of Mexican descent from a person whose ethnic background is Puerto Rican. If the client does
not provide a more detailed description of his/her ethnic background, the value field for this variable can be left blank.
The complete list of “Ethnicity Expanded” codes can be found in the document titled, “CDC Race & Ethnicity Code
Sets” at http://www.cdc.gov/nedss/DataModels/Race_Ethnicity_CodeSet.pdf on CDC’s National Electronic Disease
Surveillance webpage: http://www.cdc.gov/nedss/DataModels/.
Code
Value Description
Value Definition
E1.01

Spaniard

Source = OMB Ethnicity Codes

E1.01.001

Andalusian

Source = OMB Ethnicity Codes

E1.01.002

Asturian

Source = OMB Ethnicity Codes

E1.01.003

Castillian

Source = OMB Ethnicity Codes

E1.01.004

Catalonian

Source = OMB Ethnicity Codes

E1.01.005

Belearic Islander

Source = OMB Ethnicity Codes

E1.01.006

Gallego

Source = OMB Ethnicity Codes

E1.01.007

Valencian

Source = OMB Ethnicity Codes

E1.01.008

Canarian

Source = OMB Ethnicity Codes

E1.01.009

Spanish Basque

Source = OMB Ethnicity Codes

E1.02

Mexican

Source = OMB Ethnicity Codes

E1.02.001

Mexican American

Source = OMB Ethnicity Codes

E1.02.002

Mexicano

Source = OMB Ethnicity Codes

E1.02.003

Chicano

Source = OMB Ethnicity Codes

E1.02.004

La Raza

Source = OMB Ethnicity Codes

E1.02.005

Mexican American Indian

Source = OMB Ethnicity Codes

E1.03

Central American

Source = OMB Ethnicity Codes

E1.03.001

Costa Rican

Source = OMB Ethnicity Codes

E1.03.002

Guatemalan

Source = OMB Ethnicity Codes

E1.03.003

Honduran

Source = OMB Ethnicity Codes

E1.03.004

Nicaraguan

Source = OMB Ethnicity Codes

E1.03.005

Panamanian

Source = OMB Ethnicity Codes

E1.03.006

Salvadoran

Source = OMB Ethnicity Codes

E1.03.007

Central American Indian

Source = OMB Ethnicity Codes

E1.03.008

Canal Zone

Source = OMB Ethnicity Codes

E1.04

South American

Source = OMB Ethnicity Codes

E1.04.001

Argentinean

Source = OMB Ethnicity Codes

E1.04.002

Bolivian

Source = OMB Ethnicity Codes

E1.04.003

Chilean

Source = OMB Ethnicity Codes

E1.04.004

Columbian

Source = OMB Ethnicity Codes

E1.04.005

Ecuadorian

Source = OMB Ethnicity Codes
Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

E1.04.006

Paraguayan

Source = OMB Ethnicity Codes

E1.04.007

Peruvian

Source = OMB Ethnicity Codes

E1.04.008

Uruguayan

Source = OMB Ethnicity Codes

E1.04.009

Venezuelan

Source = OMB Ethnicity Codes

E1.04.010

South American Indian

Source = OMB Ethnicity Codes

E1.04.011

Criollo

Source = OMB Ethnicity Codes

E1.05

Latin American

Source = OMB Ethnicity Codes

E1.06

Puerto Rican

Source = OMB Ethnicity Codes

E1.07

Cuban

Source = OMB Ethnicity Codes

E1.08

Dominican

Source = OMB Ethnicity Codes

G116

Optional Not Reported

Race
Definition: A client's self-reported classification or classifications of the biological heritage with which they most closely identify.
Standard OMB race codes are applied.
Instructions: Indicate the client’s self reported race(s) using standard OMB race codes. Record all race categories that the client
reports.

Code

Value Description

Value Definition

Declined to answer

The client declines or is unwilling to report his or her race.

Don't know

The client reports that he or she is unaware of their race.

American Indian or Alaska Native

A person having origins in any of the original peoples of North or
South America (including Central America), and who maintains tribal
affiliation or community attachment.

Asian

A person having origins in any of the original peoples of the Far East,
Southeast Asia, or the Indian Subcontinent including, for example,
Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the
Philippine Islands, Thailand, and Vietnam.

Black or African American

A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Pacific Islander

A person having origins in any of the original peoples of Hawaii,
Guam, Samoa, or other Pacific Islands.

White

A person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

G117

Program

System

Optional Not Reported

Race Expanded
Definition: A more detailed description of the client's racial background based on their self-reported race in variable G116: Race.
Expanded OMB race codes are applied.
Instructions: If the client provides a more detailed description of their racial background reported in G116: Race, select an
expanded race value using the expanded OMB race codes. For example, if variable G116: Race = "Asian", a person
might be further categorized here as being of Korean descent (e.g., G117: Race Expanded = "Korean"). If the client
does not provide a more detailed description of their racial background, the value field for this variable should be left
blank.

Code

Value Description

Value Definition

R1.01

American Indian

Source = OMB Ethnicity Codes

R1.01.001

Abenaki

Source = OMB Ethnicity Codes

R1.01.002

Algonquian

Source = OMB Ethnicity Codes

R1.01.003

Apache

Source = OMB Ethnicity Codes

R1.01.003.001

Chiricahua

Source = OMB Ethnicity Codes

R1.01.003.002

Fort Sill Apache

Source = OMB Ethnicity Codes

R1.01.003.003

Jicarilla Apache

Source = OMB Ethnicity Codes

R1.01.003.004

Lipan Apache

Source = OMB Ethnicity Codes

R1.01.003.005

Mescalero Apache

Source = OMB Ethnicity Codes

R1.01.003.006

Oklahoma Apache

Source = OMB Ethnicity Codes

R1.01.003.007

Payson Apache

Source = OMB Ethnicity Codes

R1.01.003.008

San Carlos Apache

Source = OMB Ethnicity Codes

R1.01.003.009

White Mountain Apache

Source = OMB Ethnicity Codes

R1.01.004

Arapaho

Source = OMB Ethnicity Codes

R1.01.004.001

Northern Arapaho

Source = OMB Ethnicity Codes

R1.01.004.002

Southern Arapaho

Source = OMB Ethnicity Codes

R1.01.004.003

Wind River Arapaho

Source = OMB Ethnicity Codes

R1.01.005

Arikara

Source = OMB Ethnicity Codes

R1.01.006

Assiniboine

Source = OMB Ethnicity Codes

R1.01.007

Assiniboine Sioux

Source = OMB Ethnicity Codes

R1.01.007.001

Fort Peck Assinibone Sioux

Source = OMB Ethnicity Codes

R1.01.008

Bannock

Source = OMB Ethnicity Codes

R1.01.009

Blackfeet

Source = OMB Ethnicity Codes

R1.01.010

Brotherton

Source = OMB Ethnicity Codes

R1.01.011

Burt Lake Band

Source = OMB Ethnicity Codes

R1.01.012

Caddo

Source = OMB Ethnicity Codes

R1.01.012.001

Oklahoma Caddo

Source = OMB Ethnicity Codes

R1.01.013

Cahuilla

Source = OMB Ethnicity Codes

R1.01.013.001

Agua Caliente Cahuilla

Source = OMB Ethnicity Codes

R1.01.013.002

Augustine

Source = OMB Ethnicity Codes

R1.01.013.003

Cabazon

Source = OMB Ethnicity Codes
Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.013.004

Los Coyotes

Source = OMB Ethnicity Codes

R1.01.013.005

Morongo

Source = OMB Ethnicity Codes

R1.01.013.006

Santa Rosa Cahuilla

Source = OMB Ethnicity Codes

R1.01.013.007

Torres-Martinez

Source = OMB Ethnicity Codes

R1.01.014

California Tribes

Source = OMB Ethnicity Codes

R1.01.014.001

Cahto

Source = OMB Ethnicity Codes

R1.01.014.002

Chimariko

Source = OMB Ethnicity Codes

R1.01.014.003

Coast Miwok

Source = OMB Ethnicity Codes

R1.01.014.004

Digger

Source = OMB Ethnicity Codes

R1.01.014.005

Kawaiisu

Source = OMB Ethnicity Codes

R1.01.014.006

Kern River

Source = OMB Ethnicity Codes

R1.01.014.007

Mattole

Source = OMB Ethnicity Codes

R1.01.014.008

Red Wood

Source = OMB Ethnicity Codes

R1.01.014.009

Santa Rosa

Source = OMB Ethnicity Codes

R1.01.014.010

Takelma

Source = OMB Ethnicity Codes

R1.01.014.011

Wappo

Source = OMB Ethnicity Codes

R1.01.014.012

Yana

Source = OMB Ethnicity Codes

R1.01.014.013

Yuki

Source = OMB Ethnicity Codes

R1.01.015

Canadian & Latin American Indian

Source = OMB Ethnicity Codes

R1.01.015.001

Canadian Indian

Source = OMB Ethnicity Codes

R1.01.015.002

Central American Indian

Source = OMB Ethnicity Codes

R1.01.015.003

French American Indian

Source = OMB Ethnicity Codes

R1.01.015.004

Mexican American Indian

Source = OMB Ethnicity Codes

R1.01.015.005

South American Indian

Source = OMB Ethnicity Codes

R1.01.015.006

Spanish American Indian

Source = OMB Ethnicity Codes

R1.01.016

Catawba

Source = OMB Ethnicity Codes

R1.01.017

Cayuse

Source = OMB Ethnicity Codes

R1.01.018

Chehalis

Source = OMB Ethnicity Codes

R1.01.019

Chemakuan

Source = OMB Ethnicity Codes

R1.01.019.001

Hoh

Source = OMB Ethnicity Codes

R1.01.019.002

Quileute

Source = OMB Ethnicity Codes

R1.01.020

Chemehuevi

Source = OMB Ethnicity Codes

R1.01.021

Cherokee

Source = OMB Ethnicity Codes

R1.01.021.001

Cherokee Alabama

Source = OMB Ethnicity Codes

R1.01.021.002

Cherokees of Northeast Alabama

Source = OMB Ethnicity Codes

R1.01.021.003

Cherokees of Southeast Alabama

Source = OMB Ethnicity Codes

R1.01.021.004

Eastern Cherokee

Source = OMB Ethnicity Codes

R1.01.021.005

Echota Cherokee

Source = OMB Ethnicity Codes

R1.01.021.006

Etowah Cherokee

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.021.007

Northern Cherokee

Source = OMB Ethnicity Codes

R1.01.021.008

Tuscola

Source = OMB Ethnicity Codes

R1.01.021.009

United Keetowah Band of Cherokee

Source = OMB Ethnicity Codes

R1.01.021.010

Western Cherokee

Source = OMB Ethnicity Codes

R1.01.022

Cherokee Shawnee

Source = OMB Ethnicity Codes

R1.01.023

Cheyenne

Source = OMB Ethnicity Codes

R1.01.023.001

Northern Cheyenne

Source = OMB Ethnicity Codes

R1.01.023.002

Southern Cheyenne

Source = OMB Ethnicity Codes

R1.01.024

Cheyenne-Arapaho

Source = OMB Ethnicity Codes

R1.01.025

Chickahominy

Source = OMB Ethnicity Codes

R1.01.025.001

Eastern Chickahominy

Source = OMB Ethnicity Codes

R1.01.025.002

Western Chickahominy

Source = OMB Ethnicity Codes

R1.01.026

Chickasaw

Source = OMB Ethnicity Codes

R1.01.027

Chinook

Source = OMB Ethnicity Codes

R1.01.027.001

Clatsop

Source = OMB Ethnicity Codes

R1.01.027.002

Columbia River Chinook

Source = OMB Ethnicity Codes

R1.01.027.003

Kathlamet

Source = OMB Ethnicity Codes

R1.01.027.004

Upper Chinook

Source = OMB Ethnicity Codes

R1.01.027.005

Wakiakum Chinook

Source = OMB Ethnicity Codes

R1.01.027.006

Willapa Chinook

Source = OMB Ethnicity Codes

R1.01.027.007

Wishram

Source = OMB Ethnicity Codes

R1.01.028

Chippewa

Source = OMB Ethnicity Codes

R1.01.028.001

Bad River

Source = OMB Ethnicity Codes

R1.01.028.002

Bay Mills Chippewa

Source = OMB Ethnicity Codes

R1.01.028.003

Bois Forte

Source = OMB Ethnicity Codes

R1.01.028.004

Burt Lake Chippewa

Source = OMB Ethnicity Codes

R1.01.028.005

Fond du Lac

Source = OMB Ethnicity Codes

R1.01.028.006

Grand Portage

Source = OMB Ethnicity Codes

R1.01.028.007

Grand Traverse Band of Ottawa/Chippewa

Source = OMB Ethnicity Codes

R1.01.028.008

Keweenaw

Source = OMB Ethnicity Codes

R1.01.028.009

Lac Courte Oreilles

Source = OMB Ethnicity Codes

R1.01.028.010

Lac Du Flambeau

Source = OMB Ethnicity Codes

R1.01.028.011

Lac Vieux Desert Chippewa

Source = OMB Ethnicity Codes

R1.01.028.012

Lake Superior

Source = OMB Ethnicity Codes

R1.01.028.013

Leech Lake

Source = OMB Ethnicity Codes

R1.01.028.014

Little Shell Chippewa

Source = OMB Ethnicity Codes

R1.01.028.015

Mille Lacs

Source = OMB Ethnicity Codes

R1.01.028.016

Minnesota Chippewa

Source = OMB Ethnicity Codes

R1.01.028.017

Ontonagon

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.028.018

Red Cliff Chippewa

Source = OMB Ethnicity Codes

R1.01.028.019

Red Lake Chippewa

Source = OMB Ethnicity Codes

R1.01.028.020

Saginaw Chippewa

Source = OMB Ethnicity Codes

R1.01.028.021

St. Croix Chippewa

Source = OMB Ethnicity Codes

R1.01.028.022

Sault Ste. Marie Chippewa

Source = OMB Ethnicity Codes

R1.01.028.023

Sakoagon Chippewa

Source = OMB Ethnicity Codes

R1.01.028.024

Turtle Mountain

Source = OMB Ethnicity Codes

R1.01.028.025

White Earth

Source = OMB Ethnicity Codes

R1.01.029

Chippewa Cree

Source = OMB Ethnicity Codes

R1.01.029.001

Rocky Boy's Chippewa Cree

Source = OMB Ethnicity Codes

R1.01.030

Chitimacha

Source = OMB Ethnicity Codes

R1.01.031

Choctaw

Source = OMB Ethnicity Codes

R1.01.031.001

Clifton Choctaw

Source = OMB Ethnicity Codes

R1.01.031.002

Jena Choctaw

Source = OMB Ethnicity Codes

R1.01.031.003

Mississippi Choctaw

Source = OMB Ethnicity Codes

R1.01.031.004

Mowa Band of Choctaw

Source = OMB Ethnicity Codes

R1.01.031.005

Okalahoma Choctaw

Source = OMB Ethnicity Codes

R1.01.032

Chumash

Source = OMB Ethnicity Codes

R1.01.032.001

Santa Ynez

Source = OMB Ethnicity Codes

R1.01.033

Clear Lake

Source = OMB Ethnicity Codes

R1.01.034

Coeur D'Alene

Source = OMB Ethnicity Codes

R1.01.035

Coharie

Source = OMB Ethnicity Codes

R1.01.036

Colorado River

Source = OMB Ethnicity Codes

R1.01.037

Colville

Source = OMB Ethnicity Codes

R1.01.038

Comanche

Source = OMB Ethnicity Codes

R1.01.038.001

Okalahoma Comanche

Source = OMB Ethnicity Codes

R1.01.039

Coos, Lower Umpqua, Siuslaw

Source = OMB Ethnicity Codes

R1.01.040

Coos

Source = OMB Ethnicity Codes

R1.01.041

Coquilles

Source = OMB Ethnicity Codes

R1.01.042

Costanoan

Source = OMB Ethnicity Codes

R1.01.043

Coushatta

Source = OMB Ethnicity Codes

R1.01.043.001

Alabama Coushatta

Source = OMB Ethnicity Codes

R1.01.044

Cowlitz

Source = OMB Ethnicity Codes

R1.01.045

Cree

Source = OMB Ethnicity Codes

R1.01.046

Creek

Source = OMB Ethnicity Codes

R1.01.046.001

Alabama Creek

Source = OMB Ethnicity Codes

R1.01.046.002

Alabama Quassarte

Source = OMB Ethnicity Codes

R1.01.046.003

Eastern Creek

Source = OMB Ethnicity Codes

R1.01.046.004

Eastern Muscogee

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 167 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.046.005

Kialegee

Source = OMB Ethnicity Codes

R1.01.046.006

Lower Muscogee

Source = OMB Ethnicity Codes

R1.01.046.007

Machis Lower Creek Indian

Source = OMB Ethnicity Codes

R1.01.046.008

Poarch Band

Source = OMB Ethnicity Codes

R1.01.046.009

Principal Creek Indian Nation

Source = OMB Ethnicity Codes

R1.01.046.010

Star Clan of Muscogee Creeks

Source = OMB Ethnicity Codes

R1.01.046.011

Thlopthlocco

Source = OMB Ethnicity Codes

R1.01.046.012

Tuckabachee

Source = OMB Ethnicity Codes

R1.01.047

Croatan

Source = OMB Ethnicity Codes

R1.01.048

Crow

Source = OMB Ethnicity Codes

R1.01.049

Cupeno

Source = OMB Ethnicity Codes

R1.01.049.001

Agua Caliente

Source = OMB Ethnicity Codes

R1.01.050

Delaware

Source = OMB Ethnicity Codes

R1.01.050.001

Eastern Delaware

Source = OMB Ethnicity Codes

R1.01.050.002

Lenni-Lenape

Source = OMB Ethnicity Codes

R1.01.050.003

Munsee

Source = OMB Ethnicity Codes

R1.01.050.004

Okalahoma Delaware

Source = OMB Ethnicity Codes

R1.01.050.005

Rampough Mountain

Source = OMB Ethnicity Codes

R1.01.050.006

Sand Hill

Source = OMB Ethnicity Codes

R1.01.051

Diegueno

Source = OMB Ethnicity Codes

R1.01.051.001

Campo

Source = OMB Ethnicity Codes

R1.01.051.002

Capitan Grande

Source = OMB Ethnicity Codes

R1.01.051.003

Cuyapaipe

Source = OMB Ethnicity Codes

R1.01.051.004

La Posta

Source = OMB Ethnicity Codes

R1.01.051.005

Manzanita

Source = OMB Ethnicity Codes

R1.01.051.006

Mesa Grande

Source = OMB Ethnicity Codes

R1.01.051.007

San Pasqual

Source = OMB Ethnicity Codes

R1.01.051.008

Santa Ysabel

Source = OMB Ethnicity Codes

R1.01.051.009

Sycuan

Source = OMB Ethnicity Codes

R1.01.052

Eastern Tribes

Source = OMB Ethnicity Codes

R1.01.052.001

Attacapa

Source = OMB Ethnicity Codes

R1.01.052.002

Biloxi

Source = OMB Ethnicity Codes

R1.01.052.003

Georgetown

Source = OMB Ethnicity Codes

R1.01.052.004

Moor

Source = OMB Ethnicity Codes

R1.01.052.005

Nansemond

Source = OMB Ethnicity Codes

R1.01.052.006

Natchez

Source = OMB Ethnicity Codes

R1.01.052.007

Nausu Waiwash

Source = OMB Ethnicity Codes

R1.01.052.008

Nipmuc

Source = OMB Ethnicity Codes

R1.01.052.009

Paugussett

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 168 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.052.010

Pocomoke Acohonock

Source = OMB Ethnicity Codes

R1.01.052.011

Southeastern Indians

Source = OMB Ethnicity Codes

R1.01.052.012

Susquehanock

Source = OMB Ethnicity Codes

R1.01.052.013

Tunica Biloxi

Source = OMB Ethnicity Codes

R1.01.052.014

Waccamaw-Siousan

Source = OMB Ethnicity Codes

R1.01.052.015

Wicomico

Source = OMB Ethnicity Codes

R1.01.053

Esselen

Source = OMB Ethnicity Codes

R1.01.054

Fort Belknap

Source = OMB Ethnicity Codes

R1.01.055

Fort Berthold

Source = OMB Ethnicity Codes

R1.01.056

Fort McDowell

Source = OMB Ethnicity Codes

R1.01.057

Fort Hall

Source = OMB Ethnicity Codes

R1.01.058

Gabrieleno

Source = OMB Ethnicity Codes

R1.01.059

Grande Ronde

Source = OMB Ethnicity Codes

R1.01.060

Gros Ventres

Source = OMB Ethnicity Codes

R1.01.060.001

Atsina

Source = OMB Ethnicity Codes

R1.01.061

Haliwa

Source = OMB Ethnicity Codes

R1.01.062

Hidatsa

Source = OMB Ethnicity Codes

R1.01.063

Hoopa

Source = OMB Ethnicity Codes

R1.01.063.001

Trinity

Source = OMB Ethnicity Codes

R1.01.063.002

Whilkut

Source = OMB Ethnicity Codes

R1.01.064

Hoopa Extension

Source = OMB Ethnicity Codes

R1.01.065

Houma

Source = OMB Ethnicity Codes

R1.01.066

Inaja-Cosmit

Source = OMB Ethnicity Codes

R1.01.067

Iowa

Source = OMB Ethnicity Codes

R1.01.067.001

Iowa of Kansas-Nebraska

Source = OMB Ethnicity Codes

R1.01.067.002

Iowa of Okalahoma

Source = OMB Ethnicity Codes

R1.01.068

Iroquois

Source = OMB Ethnicity Codes

R1.01.068.001

Cayuga

Source = OMB Ethnicity Codes

R1.01.068.002

Mohawk

Source = OMB Ethnicity Codes

R1.01.068.003

Oneida

Source = OMB Ethnicity Codes

R1.01.068.004

Onondaga

Source = OMB Ethnicity Codes

R1.01.068.005

Seneca

Source = OMB Ethnicity Codes

R1.01.068.006

Seneca Nation

Source = OMB Ethnicity Codes

R1.01.068.007

Seneca-Cayuga

Source = OMB Ethnicity Codes

R1.01.068.008

Tonawanda Seneca

Source = OMB Ethnicity Codes

R1.01.068.009

Tuscarora

Source = OMB Ethnicity Codes

R1.01.068.010

Wyandotte

Source = OMB Ethnicity Codes

R1.01.069

Juaneno

Source = OMB Ethnicity Codes

R1.01.070

Kalispel

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 169 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.071

Karuk

Source = OMB Ethnicity Codes

R1.01.072

Kaw

Source = OMB Ethnicity Codes

R1.01.073

Kickapoo

Source = OMB Ethnicity Codes

R1.01.073.001

Okalahoma Kickapoo

Source = OMB Ethnicity Codes

R1.01.073.002

Texas Kickapoo

Source = OMB Ethnicity Codes

R1.01.074

Kiowa

Source = OMB Ethnicity Codes

R1.01.074.001

Oklahoma Kiowa

Source = OMB Ethnicity Codes

R1.01.075

Klallam

Source = OMB Ethnicity Codes

R1.01.075.001

Jamestown

Source = OMB Ethnicity Codes

R1.01.075.002

Lower El Wha

Source = OMB Ethnicity Codes

R1.01.075.003

Port Gamble Klallam

Source = OMB Ethnicity Codes

R1.01.076

Klamath

Source = OMB Ethnicity Codes

R1.01.077

Konkow

Source = OMB Ethnicity Codes

R1.01.078

Kootenai

Source = OMB Ethnicity Codes

R1.01.079

Lassik

Source = OMB Ethnicity Codes

R1.01.080

Long Island

Source = OMB Ethnicity Codes

R1.01.080.001

Matinecock

Source = OMB Ethnicity Codes

R1.01.080.002

Montauk

Source = OMB Ethnicity Codes

R1.01.080.003

Poospatuck

Source = OMB Ethnicity Codes

R1.01.080.004

Setauket

Source = OMB Ethnicity Codes

R1.01.081

Luiseno

Source = OMB Ethnicity Codes

R1.01.081.001

La Jolla

Source = OMB Ethnicity Codes

R1.01.081.002

Pala

Source = OMB Ethnicity Codes

R1.01.081.003

Pauma

Source = OMB Ethnicity Codes

R1.01.081.004

Pechanga

Source = OMB Ethnicity Codes

R1.01.081.005

Soboba

Source = OMB Ethnicity Codes

R1.01.081.006

Twenty-Nine Palms

Source = OMB Ethnicity Codes

R1.01.081.007

Temecula

Source = OMB Ethnicity Codes

R1.01.082

Lumbee

Source = OMB Ethnicity Codes

R1.01.083

Lummi

Source = OMB Ethnicity Codes

R1.01.084

Maidu

Source = OMB Ethnicity Codes

R1.01.084.001

Mountain Maidu

Source = OMB Ethnicity Codes

R1.01.084.002

Nishinam

Source = OMB Ethnicity Codes

R1.01.085

Makah

Source = OMB Ethnicity Codes

R1.01.086

Maliseet

Source = OMB Ethnicity Codes

R1.01.087

Mandan

Source = OMB Ethnicity Codes

R1.01.088

Mattaponi

Source = OMB Ethnicity Codes

R1.01.089

Menominee

Source = OMB Ethnicity Codes

R1.01.090

Miami

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 170 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.090.001

Illinois Miami

Source = OMB Ethnicity Codes

R1.01.090.002

Indiana Miami

Source = OMB Ethnicity Codes

R1.01.090.003

Oklahoma Miami

Source = OMB Ethnicity Codes

R1.01.091

Miccosukee

Source = OMB Ethnicity Codes

R1.01.092

Micmac

Source = OMB Ethnicity Codes

R1.01.092.001

Aroostook

Source = OMB Ethnicity Codes

R1.01.093

Mission Indians

Source = OMB Ethnicity Codes

R1.01.094

Miwok

Source = OMB Ethnicity Codes

R1.01.095

Modoc

Source = OMB Ethnicity Codes

R1.01.096

Mohegan

Source = OMB Ethnicity Codes

R1.01.097

Mono

Source = OMB Ethnicity Codes

R1.01.098

Nanticoke

Source = OMB Ethnicity Codes

R1.01.099

Narragansett

Source = OMB Ethnicity Codes

R1.01.100

Navajo

Source = OMB Ethnicity Codes

R1.01.100.001

Alamo Navajo

Source = OMB Ethnicity Codes

R1.01.100.002

Canoncito Navajo

Source = OMB Ethnicity Codes

R1.01.100.003

Ramah Navajo

Source = OMB Ethnicity Codes

R1.01.101

Nez Perce

Source = OMB Ethnicity Codes

R1.01.102

Nomalaki

Source = OMB Ethnicity Codes

R1.01.103

Northwest Tribes

Source = OMB Ethnicity Codes

R1.01.103.001

Alsea

Source = OMB Ethnicity Codes

R1.01.103.002

Celilo

Source = OMB Ethnicity Codes

R1.01.103.003

Columbia

Source = OMB Ethnicity Codes

R1.01.103.004

Kalapuya

Source = OMB Ethnicity Codes

R1.01.103.005

Molala

Source = OMB Ethnicity Codes

R1.01.103.006

Talakamish

Source = OMB Ethnicity Codes

R1.01.103.007

Tenino

Source = OMB Ethnicity Codes

R1.01.103.008

Tillamook

Source = OMB Ethnicity Codes

R1.01.103.009

Wenatchee

Source = OMB Ethnicity Codes

R1.01.103.010

Yahooskin

Source = OMB Ethnicity Codes

R1.01.104

Omaha

Source = OMB Ethnicity Codes

R1.01.105

Oregon Athabaskan

Source = OMB Ethnicity Codes

R1.01.106

Osage

Source = OMB Ethnicity Codes

R1.01.107

Otoe-Missouria

Source = OMB Ethnicity Codes

R1.01.108

Ottawa

Source = OMB Ethnicity Codes

R1.01.108.001

Burt Lake Ottawa

Source = OMB Ethnicity Codes

R1.01.108.002

Michigan Ottawa

Source = OMB Ethnicity Codes

R1.01.108.003

Oklahoma Ottawa

Source = OMB Ethnicity Codes

R1.01.109

Paiute

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 171 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.109.001

Bishop

Source = OMB Ethnicity Codes

R1.01.109.002

Bridgeport

Source = OMB Ethnicity Codes

R1.01.109.003

Burns Paiute

Source = OMB Ethnicity Codes

R1.01.109.004

Cedarville

Source = OMB Ethnicity Codes

R1.01.109.005

Fort Bidwell

Source = OMB Ethnicity Codes

R1.01.109.006

Fort Independence

Source = OMB Ethnicity Codes

R1.01.109.007

Kaibab

Source = OMB Ethnicity Codes

R1.01.109.008

Las Vegas

Source = OMB Ethnicity Codes

R1.01.109.009

Lone Pine

Source = OMB Ethnicity Codes

R1.01.109.010

Lovelock

Source = OMB Ethnicity Codes

R1.01.109.011

Malheur Paiute

Source = OMB Ethnicity Codes

R1.01.109.012

Moapa

Source = OMB Ethnicity Codes

R1.01.109.013

Northern Paiute

Source = OMB Ethnicity Codes

R1.01.109.014

Owens Valley

Source = OMB Ethnicity Codes

R1.01.109.015

Pyramid Lake

Source = OMB Ethnicity Codes

R1.01.109.016

San Juan Southern Paiute

Source = OMB Ethnicity Codes

R1.01.109.017

Southern Paiute

Source = OMB Ethnicity Codes

R1.01.109.018

Summit Lake

Source = OMB Ethnicity Codes

R1.01.109.019

Utu Utu Gwaitu Paiute

Source = OMB Ethnicity Codes

R1.01.109.020

Walker River

Source = OMB Ethnicity Codes

R1.01.109.021

Yerington Paiute

Source = OMB Ethnicity Codes

R1.01.110

Pamunkey

Source = OMB Ethnicity Codes

R1.01.111

Passamaquoddy

Source = OMB Ethnicity Codes

R1.01.111.001

Indian Township

Source = OMB Ethnicity Codes

R1.01.111.002

Pleasant Point Passanmaquoddy

Source = OMB Ethnicity Codes

R1.01.112

Pawnee

Source = OMB Ethnicity Codes

R1.01.112.001

Okalahoma Pawnee

Source = OMB Ethnicity Codes

R1.01.113

Penobscot

Source = OMB Ethnicity Codes

R1.01.114

Peoria

Source = OMB Ethnicity Codes

R1.01.114.001

Oklahoma Peoria

Source = OMB Ethnicity Codes

R1.01.115

Pequot

Source = OMB Ethnicity Codes

R1.01.115.001

Marshantucket Pequot

Source = OMB Ethnicity Codes

R1.01.116

Pima

Source = OMB Ethnicity Codes

R1.01.116.001

Gila River Pima-Maricopa

Source = OMB Ethnicity Codes

R1.01.116.002

Salt River Pima-Maricopa

Source = OMB Ethnicity Codes

R1.01.117

Piscataway

Source = OMB Ethnicity Codes

R1.01.118

Pit River

Source = OMB Ethnicity Codes

R1.01.119

Pomo

Source = OMB Ethnicity Codes

R1.01.119.001

Central Pomo

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 172 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.119.002

Dry Creek

Source = OMB Ethnicity Codes

R1.01.119.003

Eastern Pomo

Source = OMB Ethnicity Codes

R1.01.119.004

Kashia

Source = OMB Ethnicity Codes

R1.01.119.005

Northern Pomo

Source = OMB Ethnicity Codes

R1.01.119.006

Scotts Valley

Source = OMB Ethnicity Codes

R1.01.119.007

Stonyford

Source = OMB Ethnicity Codes

R1.01.119.008

Sulphur Bank

Source = OMB Ethnicity Codes

R1.01.120

Ponca

Source = OMB Ethnicity Codes

R1.01.120.001

Nebraska Ponca

Source = OMB Ethnicity Codes

R1.01.120.002

Oklahoma Ponca

Source = OMB Ethnicity Codes

R1.01.121

Potawatomi

Source = OMB Ethnicity Codes

R1.01.121.001

Citizen Band Potawatom

Source = OMB Ethnicity Codes

R1.01.121.002

Forest County

Source = OMB Ethnicity Codes

R1.01.121.003

Hannahville

Source = OMB Ethnicity Codes

R1.01.121.004

Huron Potawatomi

Source = OMB Ethnicity Codes

R1.01.121.005

Pokagon Potawatomi

Source = OMB Ethnicity Codes

R1.01.121.006

Prairie Band

Source = OMB Ethnicity Codes

R1.01.121.007

Wisconsin Potawatomi

Source = OMB Ethnicity Codes

R1.01.122

Powhatan

Source = OMB Ethnicity Codes

R1.01.123

Pueblo

Source = OMB Ethnicity Codes

R1.01.123.001

Acoma

Source = OMB Ethnicity Codes

R1.01.123.002

Arizona Tewa

Source = OMB Ethnicity Codes

R1.01.123.003

Cochiti

Source = OMB Ethnicity Codes

R1.01.123.004

Hopi

Source = OMB Ethnicity Codes

R1.01.123.005

Isleta

Source = OMB Ethnicity Codes

R1.01.123.006

Jemez

Source = OMB Ethnicity Codes

R1.01.123.007

Keres

Source = OMB Ethnicity Codes

R1.01.123.008

Laguna

Source = OMB Ethnicity Codes

R1.01.123.009

Nambe

Source = OMB Ethnicity Codes

R1.01.123.010

Picuris

Source = OMB Ethnicity Codes

R1.01.123.011

Piro

Source = OMB Ethnicity Codes

R1.01.123.012

Pojoaque

Source = OMB Ethnicity Codes

R1.01.123.013

San Felipe

Source = OMB Ethnicity Codes

R1.01.123.014

San Ildefonso

Source = OMB Ethnicity Codes

R1.01.123.015

San Juan Pueblo

Source = OMB Ethnicity Codes

R1.01.123.016

San Juan De

Source = OMB Ethnicity Codes

R1.01.123.017

San Juan

Source = OMB Ethnicity Codes

R1.01.123.018

Sandia

Source = OMB Ethnicity Codes

R1.01.123.019

Santa Ana

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 173 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.123.020

Santa Clara

Source = OMB Ethnicity Codes

R1.01.123.021

Santo Domingo

Source = OMB Ethnicity Codes

R1.01.123.022

Taos

Source = OMB Ethnicity Codes

R1.01.123.023

Tesuque

Source = OMB Ethnicity Codes

R1.01.123.024

Tewa

Source = OMB Ethnicity Codes

R1.01.123.025

Tigua

Source = OMB Ethnicity Codes

R1.01.123.026

Zia

Source = OMB Ethnicity Codes

R1.01.123.027

Zuni

Source = OMB Ethnicity Codes

R1.01.124

Puget Sound Salish

Source = OMB Ethnicity Codes

R1.01.124.001

Duwamish

Source = OMB Ethnicity Codes

R1.01.124.002

Kikiallus

Source = OMB Ethnicity Codes

R1.01.124.003

Lower Skagit

Source = OMB Ethnicity Codes

R1.01.124.004

Muckleshoot

Source = OMB Ethnicity Codes

R1.01.124.005

Nisqually

Source = OMB Ethnicity Codes

R1.01.124.006

Nooksack

Source = OMB Ethnicity Codes

R1.01.124.007

Port Madison

Source = OMB Ethnicity Codes

R1.01.124.008

Puyallup

Source = OMB Ethnicity Codes

R1.01.124.009

Samish

Source = OMB Ethnicity Codes

R1.01.124.010

Sauk-Suiattle

Source = OMB Ethnicity Codes

R1.01.124.011

Skokomish

Source = OMB Ethnicity Codes

R1.01.124.012

Skykomish

Source = OMB Ethnicity Codes

R1.01.124.013

Snohomish

Source = OMB Ethnicity Codes

R1.01.124.014

Snoqualmie

Source = OMB Ethnicity Codes

R1.01.124.015

Squaxin Island

Source = OMB Ethnicity Codes

R1.01.124.016

Steilacoom

Source = OMB Ethnicity Codes

R1.01.124.017

Stillaguamish

Source = OMB Ethnicity Codes

R1.01.124.018

Suquamish

Source = OMB Ethnicity Codes

R1.01.124.019

Swinomish

Source = OMB Ethnicity Codes

R1.01.124.020

Tulalip

Source = OMB Ethnicity Codes

R1.01.124.021

Upper Skagit

Source = OMB Ethnicity Codes

R1.01.125

Quapaw

Source = OMB Ethnicity Codes

R1.01.126

Quinault

Source = OMB Ethnicity Codes

R1.01.127

Rappahannock

Source = OMB Ethnicity Codes

R1.01.128

Reno-Sparks

Source = OMB Ethnicity Codes

R1.01.129

Round Valley

Source = OMB Ethnicity Codes

R1.01.130

Sac & Fox

Source = OMB Ethnicity Codes

R1.01.130.001

Iowa Sac & Fox

Source = OMB Ethnicity Codes

R1.01.130.002

Missouri Sac & Fox

Source = OMB Ethnicity Codes

R1.01.130.003

Oklahoma Sac & Fox

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 174 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.131

Salinan

Source = OMB Ethnicity Codes

R1.01.132

Salish

Source = OMB Ethnicity Codes

R1.01.133

Salish & Kootenai

Source = OMB Ethnicity Codes

R1.01.134

Schaghticoke

Source = OMB Ethnicity Codes

R1.01.135

Scott Valley

Source = OMB Ethnicity Codes

R1.01.136

Seminole

Source = OMB Ethnicity Codes

R1.01.136.001

Big Cypress

Source = OMB Ethnicity Codes

R1.01.136.002

Brighton

Source = OMB Ethnicity Codes

R1.01.136.003

Florida Seminole

Source = OMB Ethnicity Codes

R1.01.136.004

Hollywood Seminole

Source = OMB Ethnicity Codes

R1.01.136.005

Oklahoma Seminole

Source = OMB Ethnicity Codes

R1.01.137

Serrano

Source = OMB Ethnicity Codes

R1.01.137.001

San Manual

Source = OMB Ethnicity Codes

R1.01.138

Shasta

Source = OMB Ethnicity Codes

R1.01.139

Shawnee

Source = OMB Ethnicity Codes

R1.01.139.001

Absentee Shawnee

Source = OMB Ethnicity Codes

R1.01.139.002

Eastern Shawnee

Source = OMB Ethnicity Codes

R1.01.140

Shinnecock

Source = OMB Ethnicity Codes

R1.01.141

Shoalwater Bay

Source = OMB Ethnicity Codes

R1.01.142

Shoshone

Source = OMB Ethnicity Codes

R1.01.142.001

Battle Mountain

Source = OMB Ethnicity Codes

R1.01.142.002

Duckwater

Source = OMB Ethnicity Codes

R1.01.142.003

Elko

Source = OMB Ethnicity Codes

R1.01.142.004

Ely

Source = OMB Ethnicity Codes

R1.01.142.005

Goshute

Source = OMB Ethnicity Codes

R1.01.142.006

Panamint

Source = OMB Ethnicity Codes

R1.01.142.007

Ruby Valley

Source = OMB Ethnicity Codes

R1.01.142.008

Skull Valley

Source = OMB Ethnicity Codes

R1.01.142.009

South Fork Shoshone

Source = OMB Ethnicity Codes

R1.01.142.010

Te-Moak Western Shoshone

Source = OMB Ethnicity Codes

R1.01.142.011

Timbi-Sha Shoshone

Source = OMB Ethnicity Codes

R1.01.142.012

Washakie

Source = OMB Ethnicity Codes

R1.01.142.013

Wind River Shoshone

Source = OMB Ethnicity Codes

R1.01.142.014

Yomba

Source = OMB Ethnicity Codes

R1.01.143

Shoshone Paiute

Source = OMB Ethnicity Codes

R1.01.143.001

Duck Valley

Source = OMB Ethnicity Codes

R1.01.143.002

Fallon

Source = OMB Ethnicity Codes

R1.01.143.003

Fort McDermitt

Source = OMB Ethnicity Codes

R1.01.144

Siletz

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 175 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.145

Sioux

Source = OMB Ethnicity Codes

R1.01.145.001

Blackfoot Sioux

Source = OMB Ethnicity Codes

R1.01.145.002

Brule Sioux

Source = OMB Ethnicity Codes

R1.01.145.003

Cheyenne River Sioux

Source = OMB Ethnicity Codes

R1.01.145.004

Crow Creek Sioux

Source = OMB Ethnicity Codes

R1.01.145.005

Dakota Sioux

Source = OMB Ethnicity Codes

R1.01.145.006

Flandreau Sioux

Source = OMB Ethnicity Codes

R1.01.145.007

Fort Peck

Source = OMB Ethnicity Codes

R1.01.145.008

Lake Traverse Sioux

Source = OMB Ethnicity Codes

R1.01.145.009

Lower Brule Sioux

Source = OMB Ethnicity Codes

R1.01.145.010

Lower Sioux

Source = OMB Ethnicity Codes

R1.01.145.011

Mdewakanton Sioux

Source = OMB Ethnicity Codes

R1.01.145.012

Miniconjou

Source = OMB Ethnicity Codes

R1.01.145.013

Oglala Sioux

Source = OMB Ethnicity Codes

R1.01.145.014

Pine Ridge Sioux

Source = OMB Ethnicity Codes

R1.01.145.015

Pipestone Sioux

Source = OMB Ethnicity Codes

R1.01.145.016

Prairie Island Sioux

Source = OMB Ethnicity Codes

R1.01.145.017

Prior Lake Sioux

Source = OMB Ethnicity Codes

R1.01.145.018

Rosebud Sioux

Source = OMB Ethnicity Codes

R1.01.145.019

Sans Arc Sioux

Source = OMB Ethnicity Codes

R1.01.145.020

Santee Sioux

Source = OMB Ethnicity Codes

R1.01.145.021

Sisseton-Wahpeton

Source = OMB Ethnicity Codes

R1.01.145.022

Sisseton Sioux

Source = OMB Ethnicity Codes

R1.01.145.023

Spirit Lake Sioux

Source = OMB Ethnicity Codes

R1.01.145.024

Standing Rock Sioux

Source = OMB Ethnicity Codes

R1.01.145.025

Teton Sioux

Source = OMB Ethnicity Codes

R1.01.145.026

Two Kettle Sioux

Source = OMB Ethnicity Codes

R1.01.145.027

Upper Sioux

Source = OMB Ethnicity Codes

R1.01.145.028

Wahpekute Sioux

Source = OMB Ethnicity Codes

R1.01.145.029

Wahpeton Sioux

Source = OMB Ethnicity Codes

R1.01.145.030

Wazhaza Sioux

Source = OMB Ethnicity Codes

R1.01.145.031

Yankton Sioux

Source = OMB Ethnicity Codes

R1.01.145.032

Yanktonai Sioux

Source = OMB Ethnicity Codes

R1.01.146

Siuslaw

Source = OMB Ethnicity Codes

R1.01.147

Spokane

Source = OMB Ethnicity Codes

R1.01.148

Stewart

Source = OMB Ethnicity Codes

R1.01.149

Stockbridge

Source = OMB Ethnicity Codes

R1.01.150

Susanville

Source = OMB Ethnicity Codes

R1.01.151

Tohono O'Odham

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 176 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.151.001

Ak-Chin

Source = OMB Ethnicity Codes

R1.01.151.002

Gila Bend

Source = OMB Ethnicity Codes

R1.01.151.003

San Xavier

Source = OMB Ethnicity Codes

R1.01.151.004

Sells

Source = OMB Ethnicity Codes

R1.01.152

Tolowa

Source = OMB Ethnicity Codes

R1.01.153

Tonkawa

Source = OMB Ethnicity Codes

R1.01.154

Tygh

Source = OMB Ethnicity Codes

R1.01.155

Umatilla

Source = OMB Ethnicity Codes

R1.01.156

Umpqua

Source = OMB Ethnicity Codes

R1.01.156.001

Cow Creek Umpqua

Source = OMB Ethnicity Codes

R1.01.157

Ute

Source = OMB Ethnicity Codes

R1.01.157.001

Allen Canyon

Source = OMB Ethnicity Codes

R1.01.157.002

Uintah Ute

Source = OMB Ethnicity Codes

R1.01.157.003

Ute Mountain Ute

Source = OMB Ethnicity Codes

R1.01.158

Wailaki

Source = OMB Ethnicity Codes

R1.01.159

Walla-Walla

Source = OMB Ethnicity Codes

R1.01.160

Wampanoag

Source = OMB Ethnicity Codes

R1.01.160.001

Gay Head Wampanoag

Source = OMB Ethnicity Codes

R1.01.160.002

Mashpee Wampanoag

Source = OMB Ethnicity Codes

R1.01.161

Warm Springs

Source = OMB Ethnicity Codes

R1.01.162

Wascopum

Source = OMB Ethnicity Codes

R1.01.163

Washoe

Source = OMB Ethnicity Codes

R1.01.163.001

Alpine

Source = OMB Ethnicity Codes

R1.01.163.002

Carson

Source = OMB Ethnicity Codes

R1.01.163.003

Dresslerville

Source = OMB Ethnicity Codes

R1.01.164

Wichita

Source = OMB Ethnicity Codes

R1.01.165

Wind River

Source = OMB Ethnicity Codes

R1.01.166

Winnebago

Source = OMB Ethnicity Codes

R1.01.166.001

Ho-chunk

Source = OMB Ethnicity Codes

R1.01.166.002

Nebraska Winnebago

Source = OMB Ethnicity Codes

R1.01.167

Winnemucca

Source = OMB Ethnicity Codes

R1.01.168

Wintun

Source = OMB Ethnicity Codes

R1.01.169

Wiyot

Source = OMB Ethnicity Codes

R1.01.169.001

Table Bluff

Source = OMB Ethnicity Codes

R1.01.170

Yakama

Source = OMB Ethnicity Codes

R1.01.171

Yakama Cowlitz

Source = OMB Ethnicity Codes

R1.01.172

Yaqui

Source = OMB Ethnicity Codes

R1.01.172.001

Barrio Libre

Source = OMB Ethnicity Codes

R1.01.172.002

Pascua Yaqui

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 177 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.01.173

Yavapai Apache

Source = OMB Ethnicity Codes

R1.01.174

Yokuts

Source = OMB Ethnicity Codes

R1.01.174.001

Chuckchansi

Source = OMB Ethnicity Codes

R1.01.174.002

Tachi

Source = OMB Ethnicity Codes

R1.01.174.003

Tule River

Source = OMB Ethnicity Codes

R1.01.175

Yuchi

Source = OMB Ethnicity Codes

R1.01.176

Yuman

Source = OMB Ethnicity Codes

R1.01.176.001

Cocopah

Source = OMB Ethnicity Codes

R1.01.176.002

Havasupai

Source = OMB Ethnicity Codes

R1.01.176.003

Hualapai

Source = OMB Ethnicity Codes

R1.01.176.004

Maricopa

Source = OMB Ethnicity Codes

R1.01.176.005

Mohave

Source = OMB Ethnicity Codes

R1.01.176.006

Quechan

Source = OMB Ethnicity Codes

R1.01.176.007

Yavapai

Source = OMB Ethnicity Codes

R1.01.177

Yurok

Source = OMB Ethnicity Codes

R1.01.177.001

Coast Yurok

Source = OMB Ethnicity Codes

R1.02

Alaska Native

Source = OMB Ethnicity Codes

R1.02.001

Alaska Indian

Source = OMB Ethnicity Codes

R1.02.001.001

Alaskan Athabascan

Source = OMB Ethnicity Codes

R1.02.001.001.001 Ahtna

Source = OMB Ethnicity Codes

R1.02.001.001.002 Alatna

Source = OMB Ethnicity Codes

R1.02.001.001.003 Alexander

Source = OMB Ethnicity Codes

R1.02.001.001.004 Allakaket

Source = OMB Ethnicity Codes

R1.02.001.001.005 Alanvik

Source = OMB Ethnicity Codes

R1.02.001.001.006 Anvik

Source = OMB Ethnicity Codes

R1.02.001.001.007 Arctic

Source = OMB Ethnicity Codes

R1.02.001.001.008 Beaver

Source = OMB Ethnicity Codes

R1.02.001.001.009 Birch Creek

Source = OMB Ethnicity Codes

R1.02.001.001.010 Cantwell

Source = OMB Ethnicity Codes

R1.02.001.001.011 Chalkyitsik

Source = OMB Ethnicity Codes

R1.02.001.001.012 Chickaloon

Source = OMB Ethnicity Codes

R1.02.001.001.013 Chistochina

Source = OMB Ethnicity Codes

R1.02.001.001.014 Chitina

Source = OMB Ethnicity Codes

R1.02.001.001.015 Circle

Source = OMB Ethnicity Codes

R1.02.001.001.016 Cook Inlet

Source = OMB Ethnicity Codes

R1.02.001.001.017 Copper Center

Source = OMB Ethnicity Codes

R1.02.001.001.018 Copper River

Source = OMB Ethnicity Codes

R1.02.001.001.019 Dot Lake

Source = OMB Ethnicity Codes

R1.02.001.001.020 Doyon

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 178 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.001.001.021 Eagle

Source = OMB Ethnicity Codes

R1.02.001.001.022 Eklutna

Source = OMB Ethnicity Codes

R1.02.001.001.023 Evansville

Source = OMB Ethnicity Codes

R1.02.001.001.024 Fort Yukon

Source = OMB Ethnicity Codes

R1.02.001.001.025 Gakona

Source = OMB Ethnicity Codes

R1.02.001.001.026 Galena

Source = OMB Ethnicity Codes

R1.02.001.001.027 Grayling

Source = OMB Ethnicity Codes

R1.02.001.001.028 Gulkana

Source = OMB Ethnicity Codes

R1.02.001.001.029 Healy Lake

Source = OMB Ethnicity Codes

R1.02.001.001.030 Holy Cross

Source = OMB Ethnicity Codes

R1.02.001.001.031 Hughes

Source = OMB Ethnicity Codes

R1.02.001.001.032 Huslia

Source = OMB Ethnicity Codes

R1.02.001.001.033 Iliamna

Source = OMB Ethnicity Codes

R1.02.001.001.034 Kaltag

Source = OMB Ethnicity Codes

R1.02.001.001.035 Kluti Kaah

Source = OMB Ethnicity Codes

R1.02.001.001.036 Knik

Source = OMB Ethnicity Codes

R1.02.001.001.037 Koyukuk

Source = OMB Ethnicity Codes

R1.02.001.001.038 Lake Minchumina

Source = OMB Ethnicity Codes

R1.02.001.001.039 Lime

Source = OMB Ethnicity Codes

R1.02.001.001.040 McGrath

Source = OMB Ethnicity Codes

R1.02.001.001.041 Manley Hot Springs

Source = OMB Ethnicity Codes

R1.02.001.001.042 Mentasta Lake

Source = OMB Ethnicity Codes

R1.02.001.001.043 Minto

Source = OMB Ethnicity Codes

R1.02.001.001.044 Nenana

Source = OMB Ethnicity Codes

R1.02.001.001.045 Nikolai

Source = OMB Ethnicity Codes

R1.02.001.001.046 Ninilchik

Source = OMB Ethnicity Codes

R1.02.001.001.047 Nondalton

Source = OMB Ethnicity Codes

R1.02.001.001.048 Northway

Source = OMB Ethnicity Codes

R1.02.001.001.049 Nulato

Source = OMB Ethnicity Codes

R1.02.001.001.050 Pedro Bay

Source = OMB Ethnicity Codes

R1.02.001.001.051 Rampart

Source = OMB Ethnicity Codes

R1.02.001.001.052 Ruby

Source = OMB Ethnicity Codes

R1.02.001.001.053 Salamatof

Source = OMB Ethnicity Codes

R1.02.001.001.054 Seldovia

Source = OMB Ethnicity Codes

R1.02.001.001.055 Slana

Source = OMB Ethnicity Codes

R1.02.001.001.056 Shageluk

Source = OMB Ethnicity Codes

R1.02.001.001.057 Stevens

Source = OMB Ethnicity Codes

R1.02.001.001.058 Stony River

Source = OMB Ethnicity Codes

R1.02.001.001.059 Takotina

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 179 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.001.001.060 Tanacross

Source = OMB Ethnicity Codes

R1.02.001.001.061 Tanaina

Source = OMB Ethnicity Codes

R1.02.001.001.062 Tanana

Source = OMB Ethnicity Codes

R1.02.001.001.063 Tanana Chiefs

Source = OMB Ethnicity Codes

R1.02.001.001.064 Tazlina

Source = OMB Ethnicity Codes

R1.02.001.001.065 Telida

Source = OMB Ethnicity Codes

R1.02.001.001.066 Tetlin

Source = OMB Ethnicity Codes

R1.02.001.001.067 Tok

Source = OMB Ethnicity Codes

R1.02.001.001.068 Tyonek

Source = OMB Ethnicity Codes

R1.02.001.001.069 Venetie

Source = OMB Ethnicity Codes

R1.02.001.001.070 Wiseman

Source = OMB Ethnicity Codes

R1.02.001.002

Source = OMB Ethnicity Codes

Southeast Alaska

R1.02.001.002.001 Tlingit-Haida

Source = OMB Ethnicity Codes

R1.02.001.002.001 Angoon

Source = OMB Ethnicity Codes

R1.02.001.002.001 Central Council of Tlingit & Haida Tribes

Source = OMB Ethnicity Codes

R1.02.001.002.001 Chilkat

Source = OMB Ethnicity Codes

R1.02.001.002.001 Chilkoot

Source = OMB Ethnicity Codes

R1.02.001.002.001 Craig

Source = OMB Ethnicity Codes

R1.02.001.002.001 Douglas

Source = OMB Ethnicity Codes

R1.02.001.002.001 Haida

Source = OMB Ethnicity Codes

R1.02.001.002.001 Hoonah

Source = OMB Ethnicity Codes

R1.02.001.002.001 Hydaburg

Source = OMB Ethnicity Codes

R1.02.001.002.001 Ketchikan

Source = OMB Ethnicity Codes

R1.02.001.002.001 Tanakee Springs

Source = OMB Ethnicity Codes

R1.02.001.002.001 Sitka

Source = OMB Ethnicity Codes

R1.02.001.002.001 Saxman

Source = OMB Ethnicity Codes

R1.02.001.002.001 Petersburg

Source = OMB Ethnicity Codes

R1.02.001.002.001 Klawock

Source = OMB Ethnicity Codes

R1.02.001.002.001 Kenaitze

Source = OMB Ethnicity Codes

R1.02.001.002.001 Kasaan

Source = OMB Ethnicity Codes

R1.02.001.002.001 Kake

Source = OMB Ethnicity Codes

R1.02.001.002.001 Pelican

Source = OMB Ethnicity Codes

R1.02.001.002.001 Tlingit

Source = OMB Ethnicity Codes

R1.02.001.002.001 Wrangell

Source = OMB Ethnicity Codes

R1.02.001.002.001 Yakutat

Source = OMB Ethnicity Codes

R1.02.001.002.002 Tsimshian

Source = OMB Ethnicity Codes

R1.02.001.002.002 Metlakatla

Source = OMB Ethnicity Codes

R1.02.002

Eskimo

Source = OMB Ethnicity Codes

R1.02.002.001

Greenland Eskimo

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 180 of 411

NHME Variables and Values
Requirements
Num

Variable Name

R1.02.002.002

Inupiat Eskimo

Program

System

Optional Not Reported

Source = OMB Ethnicity Codes

R1.02.002.002.001 Ambler

Source = OMB Ethnicity Codes

R1.02.002.002.002 Anaktuvuk

Source = OMB Ethnicity Codes

R1.02.002.002.003 Anaktuvuk Pass

Source = OMB Ethnicity Codes

R1.02.002.002.004 Arctic Slope Inupiat

Source = OMB Ethnicity Codes

R1.02.002.002.005 Arctic Slope Corporation

Source = OMB Ethnicity Codes

R1.02.002.002.006 Atqasuk

Source = OMB Ethnicity Codes

R1.02.002.002.007 Barrow

Source = OMB Ethnicity Codes

R1.02.002.002.008 Bering Straits Inupiat

Source = OMB Ethnicity Codes

R1.02.002.002.009 Brevig Mission

Source = OMB Ethnicity Codes

R1.02.002.002.010 Buckland

Source = OMB Ethnicity Codes

R1.02.002.002.011 Chinik

Source = OMB Ethnicity Codes

R1.02.002.002.012 Council

Source = OMB Ethnicity Codes

R1.02.002.002.013 Deering

Source = OMB Ethnicity Codes

R1.02.002.002.014 Elim

Source = OMB Ethnicity Codes

R1.02.002.002.015 Glovin

Source = OMB Ethnicity Codes

R1.02.002.002.016 Inalik Dromede

Source = OMB Ethnicity Codes

R1.02.002.002.017 Inupiaq

Source = OMB Ethnicity Codes

R1.02.002.002.018 Kaktovik

Source = OMB Ethnicity Codes

R1.02.002.002.019 Kawerak

Source = OMB Ethnicity Codes

R1.02.002.002.020 Kiana

Source = OMB Ethnicity Codes

R1.02.002.002.021 Kivalina

Source = OMB Ethnicity Codes

R1.02.002.002.022 Kobuk

Source = OMB Ethnicity Codes

R1.02.002.002.023 Kotzebue

Source = OMB Ethnicity Codes

R1.02.002.002.024 Koyuk

Source = OMB Ethnicity Codes

R1.02.002.002.025 Kwiguk

Source = OMB Ethnicity Codes

R1.02.002.002.026 Mauneluk Imupiat

Source = OMB Ethnicity Codes

R1.02.002.002.027 Nana Inupiat

Source = OMB Ethnicity Codes

R1.02.002.002.028 Noatak

Source = OMB Ethnicity Codes

R1.02.002.002.029 Nome

Source = OMB Ethnicity Codes

R1.02.002.002.030 Noorvik

Source = OMB Ethnicity Codes

R1.02.002.002.031 Nuiqsut

Source = OMB Ethnicity Codes

R1.02.002.002.032 Point Hope

Source = OMB Ethnicity Codes

R1.02.002.002.033 Point Lay

Source = OMB Ethnicity Codes

R1.02.002.002.034 Selawik

Source = OMB Ethnicity Codes

R1.02.002.002.035 Shaktoolik

Source = OMB Ethnicity Codes

R1.02.002.002.036 Shishmaref

Source = OMB Ethnicity Codes

R1.02.002.002.037 Shungnak

Source = OMB Ethnicity Codes

R1.02.002.002.038 Solomon

Source = OMB Ethnicity Codes

Version Date: 14-Dec-09
Page 181 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.002.002.039 Teller

Source = OMB Ethnicity Codes

R1.02.002.002.040 Unalakleet

Source = OMB Ethnicity Codes

R1.02.002.002.041 Wainwright

Source = OMB Ethnicity Codes

R1.02.002.002.042 Wales

Source = OMB Ethnicity Codes

R1.02.002.002.043 White Mountain

Source = OMB Ethnicity Codes

R1.02.002.002.044 White Mountain Inupiat

Source = OMB Ethnicity Codes

R1.02.002.002.045 Mary's Igloo

Source = OMB Ethnicity Codes

R1.02.002.003

Source = OMB Ethnicity Codes

Siberian Eskimo

R1.02.002.003.001 Gambell

Source = OMB Ethnicity Codes

R1.02.002.003.002 Savoonga

Source = OMB Ethnicity Codes

R1.02.002.003.003 Siberian Yupik

Source = OMB Ethnicity Codes

R1.02.002.004

Source = OMB Ethnicity Codes

Yupik Eskimo

R1.02.002.004.001 Akiachak

Source = OMB Ethnicity Codes

R1.02.002.004.002 Akiak

Source = OMB Ethnicity Codes

R1.02.002.004.003 Alakanuk

Source = OMB Ethnicity Codes

R1.02.002.004.004 Aleknagik

Source = OMB Ethnicity Codes

R1.02.002.004.005 Andreafsky

Source = OMB Ethnicity Codes

R1.02.002.004.006 Aniak

Source = OMB Ethnicity Codes

R1.02.002.004.007 Atmautluak

Source = OMB Ethnicity Codes

R1.02.002.004.008 Bethel

Source = OMB Ethnicity Codes

R1.02.002.004.009 Bill Moore's Slough

Source = OMB Ethnicity Codes

R1.02.002.004.010 Bristol Bay Yupiak

Source = OMB Ethnicity Codes

R1.02.002.004.011 Calista Yupik

Source = OMB Ethnicity Codes

R1.02.002.004.012 Chefornak

Source = OMB Ethnicity Codes

R1.02.002.004.013 Chevak

Source = OMB Ethnicity Codes

R1.02.002.004.014 Chuathbaluk

Source = OMB Ethnicity Codes

R1.02.002.004.015 Clark's Point

Source = OMB Ethnicity Codes

R1.02.002.004.016 Crooked Creek

Source = OMB Ethnicity Codes

R1.02.002.004.017 Dillingham

Source = OMB Ethnicity Codes

R1.02.002.004.018 Eek

Source = OMB Ethnicity Codes

R1.02.002.004.019 Ekuk

Source = OMB Ethnicity Codes

R1.02.002.004.020 Ekwok

Source = OMB Ethnicity Codes

R1.02.002.004.021 Emmonak

Source = OMB Ethnicity Codes

R1.02.002.004.022 Goodnews Bay

Source = OMB Ethnicity Codes

R1.02.002.004.023 Hooper Bay

Source = OMB Ethnicity Codes

R1.02.002.004.024 Iqurmut (Russian Mission)

Source = OMB Ethnicity Codes

R1.02.002.004.025 Kalskag

Source = OMB Ethnicity Codes

R1.02.002.004.026 Kasigluk

Source = OMB Ethnicity Codes

R1.02.002.004.027 Kipnuk

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 182 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.002.004.028 Koliganek

Source = OMB Ethnicity Codes

R1.02.002.004.029 Kongiganar

Source = OMB Ethnicity Codes

R1.02.002.004.030 Kotlik

Source = OMB Ethnicity Codes

R1.02.002.004.031 Kwethluk

Source = OMB Ethnicity Codes

R1.02.002.004.032 Kwigillingok

Source = OMB Ethnicity Codes

R1.02.002.004.033 Levelock

Source = OMB Ethnicity Codes

R1.02.002.004.034 Lower Kalskag

Source = OMB Ethnicity Codes

R1.02.002.004.035 Manokotak

Source = OMB Ethnicity Codes

R1.02.002.004.036 Mashall

Source = OMB Ethnicity Codes

R1.02.002.004.037 Mekoryuk

Source = OMB Ethnicity Codes

R1.02.002.004.038 Mountain Village

Source = OMB Ethnicity Codes

R1.02.002.004.039 Naknek

Source = OMB Ethnicity Codes

R1.02.002.004.040 Napaumute

Source = OMB Ethnicity Codes

R1.02.002.004.041 Napakiak

Source = OMB Ethnicity Codes

R1.02.002.004.042 Napaskiak

Source = OMB Ethnicity Codes

R1.02.002.004.043 Newhalen

Source = OMB Ethnicity Codes

R1.02.002.004.044 New Stuyahok

Source = OMB Ethnicity Codes

R1.02.002.004.045 Newtok

Source = OMB Ethnicity Codes

R1.02.002.004.046 Nightmute

Source = OMB Ethnicity Codes

R1.02.002.004.047 Nunapitchukv

Source = OMB Ethnicity Codes

R1.02.002.004.048 Oscarville

Source = OMB Ethnicity Codes

R1.02.002.004.049 Pilot Station

Source = OMB Ethnicity Codes

R1.02.002.004.050 Pitkas Point

Source = OMB Ethnicity Codes

R1.02.002.004.051 Platinum

Source = OMB Ethnicity Codes

R1.02.002.004.052 Portage Creek

Source = OMB Ethnicity Codes

R1.02.002.004.053 Quinhagak

Source = OMB Ethnicity Codes

R1.02.002.004.054 Red Devil

Source = OMB Ethnicity Codes

R1.02.002.004.055 St. Michael

Source = OMB Ethnicity Codes

R1.02.002.004.056 Scammon Bay

Source = OMB Ethnicity Codes

R1.02.002.004.057 Sheldon's Point

Source = OMB Ethnicity Codes

R1.02.002.004.058 Sleetmute

Source = OMB Ethnicity Codes

R1.02.002.004.059 Stebbins

Source = OMB Ethnicity Codes

R1.02.002.004.060 Togiak

Source = OMB Ethnicity Codes

R1.02.002.004.061 Toksook

Source = OMB Ethnicity Codes

R1.02.002.004.062 Tulukskak

Source = OMB Ethnicity Codes

R1.02.002.004.063 Tuntutuliak

Source = OMB Ethnicity Codes

R1.02.002.004.064 Tununak

Source = OMB Ethnicity Codes

R1.02.002.004.065 Twin Hills

Source = OMB Ethnicity Codes

R1.02.002.004.066 Georgetown

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 183 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.002.004.067 St. Mary's

Source = OMB Ethnicity Codes

R1.02.002.004.068 Umkumiate

Source = OMB Ethnicity Codes

R1.02.003

Aleut

Source = OMB Ethnicity Codes

R1.02.003.001

Alutiiq Aleut

Source = OMB Ethnicity Codes

R1.02.003.001.001 Tatitlek

Source = OMB Ethnicity Codes

R1.02.003.001.002 Ugashik

Source = OMB Ethnicity Codes

R1.02.003.002

Source = OMB Ethnicity Codes

Bristol Bay Aleut

R1.02.003.002.001 Chignik

Source = OMB Ethnicity Codes

R1.02.003.002.002 Chignik Lake

Source = OMB Ethnicity Codes

R1.02.003.002.003 Egegik

Source = OMB Ethnicity Codes

R1.02.003.002.004 Igiugig

Source = OMB Ethnicity Codes

R1.02.003.002.005 Ivanof Bay

Source = OMB Ethnicity Codes

R1.02.003.002.006 King Salmon

Source = OMB Ethnicity Codes

R1.02.003.002.007 Kikhanok

Source = OMB Ethnicity Codes

R1.02.003.002.008 Perryville

Source = OMB Ethnicity Codes

R1.02.003.002.009 Pilot Point

Source = OMB Ethnicity Codes

R1.02.003.002.010 Port Heiden

Source = OMB Ethnicity Codes

R1.02.003.003

Source = OMB Ethnicity Codes

Chugach Aleut

R1.02.003.003.001 Chenega

Source = OMB Ethnicity Codes

R1.02.003.003.002 Chugach Corporation

Source = OMB Ethnicity Codes

R1.02.003.003.003 English Bay

Source = OMB Ethnicity Codes

R1.02.003.003.004 Port Graham

Source = OMB Ethnicity Codes

R1.02.003.004

Eyak

Source = OMB Ethnicity Codes

R1.02.003.005

Koniag Aleut

Source = OMB Ethnicity Codes

R1.02.003.005.001 Akhiok

Source = OMB Ethnicity Codes

R1.02.003.005.002 Agdaagux

Source = OMB Ethnicity Codes

R1.02.003.005.003 Karluk

Source = OMB Ethnicity Codes

R1.02.003.005.004 Kodiak

Source = OMB Ethnicity Codes

R1.02.003.005.005 Larsen Bay

Source = OMB Ethnicity Codes

R1.02.003.005.006 Old Harbor

Source = OMB Ethnicity Codes

R1.02.003.005.007 Ouzinkie

Source = OMB Ethnicity Codes

R1.02.003.005.008 Port Lions

Source = OMB Ethnicity Codes

R1.02.003.006

Sugpiaq

Source = OMB Ethnicity Codes

R1.02.003.007

Suqpigaq

Source = OMB Ethnicity Codes

R1.02.003.008

Unangan Aleut

Source = OMB Ethnicity Codes

R1.02.003.008.001 Akutan

Source = OMB Ethnicity Codes

R1.02.003.008.002 Aleut Corporation

Source = OMB Ethnicity Codes

R1.02.003.008.003 Aleutian

Source = OMB Ethnicity Codes

R1.02.003.008.004 Aleutian Islander

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 184 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R1.02.003.008.005 Atka

Source = OMB Ethnicity Codes

R1.02.003.008.006 Belkofski

Source = OMB Ethnicity Codes

R1.02.003.008.007 Chignik Lagoon

Source = OMB Ethnicity Codes

R1.02.003.008.008 King Cove

Source = OMB Ethnicity Codes

R1.02.003.008.009 False Pass

Source = OMB Ethnicity Codes

R1.02.003.008.010 Nelson Lagoon

Source = OMB Ethnicity Codes

R1.02.003.008.011 Nikolski

Source = OMB Ethnicity Codes

R1.02.003.008.012 Pauloff Harbor

Source = OMB Ethnicity Codes

R1.02.003.008.013 Qagan Toyagungin

Source = OMB Ethnicity Codes

R1.02.003.008.014 Qawalangin

Source = OMB Ethnicity Codes

R1.02.003.008.015 St. George

Source = OMB Ethnicity Codes

R1.02.003.008.016 St. Paul

Source = OMB Ethnicity Codes

R1.02.003.008.017 Sand Point

Source = OMB Ethnicity Codes

R1.02.003.008.018 South Naknek

Source = OMB Ethnicity Codes

R1.02.003.008.019 Unalaska

Source = OMB Ethnicity Codes

R1.02.003.008.020 Unga

Source = OMB Ethnicity Codes

R2.01

Asian Indian

Source = OMB Ethnicity Codes

R2.02

Bangladeshi

Source = OMB Ethnicity Codes

R2.03

Bhutanese

Source = OMB Ethnicity Codes

R2.04

Burmese

Source = OMB Ethnicity Codes

R2.05

Cambodian

Source = OMB Ethnicity Codes

R2.06

Chinese

Source = OMB Ethnicity Codes

R2.07

Taiwanese

Source = OMB Ethnicity Codes

R2.08

Filipino

Source = OMB Ethnicity Codes

R2.09

Hmong

Source = OMB Ethnicity Codes

R2.10

Indonesian

Source = OMB Ethnicity Codes

R2.11

Japanese

Source = OMB Ethnicity Codes

R2.12

Korean

Source = OMB Ethnicity Codes

R2.13

Laotian

Source = OMB Ethnicity Codes

R2.14

Malaysian

Source = OMB Ethnicity Codes

R2.15

Okinawan

Source = OMB Ethnicity Codes

R2.16

Pakistani

Source = OMB Ethnicity Codes

R2.17

Sri Lankan

Source = OMB Ethnicity Codes

R2.18

Thai

Source = OMB Ethnicity Codes

R2.19

Vietnamese

Source = OMB Ethnicity Codes

R2.20

Iwo Jiman

Source = OMB Ethnicity Codes

R2.21

Maldivian

Source = OMB Ethnicity Codes

R2.22

Nepalese

Source = OMB Ethnicity Codes

R2.23

Singaporean

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 185 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R2.24

Madagascar

Source = OMB Ethnicity Codes

R3.01

Black

Source = OMB Ethnicity Codes

R3.02

African American

Source = OMB Ethnicity Codes

R3.03

African

Source = OMB Ethnicity Codes

R3.03.001

Botswanan

Source = OMB Ethnicity Codes

R3.03.002

Ethiopian

Source = OMB Ethnicity Codes

R3.03.003

Liberian

Source = OMB Ethnicity Codes

R3.03.004

Namibian

Source = OMB Ethnicity Codes

R3.03.005

Nigerian

Source = OMB Ethnicity Codes

R3.03.006

Zairean

Source = OMB Ethnicity Codes

R3.04

Bahamian

Source = OMB Ethnicity Codes

R3.05

Barbadian

Source = OMB Ethnicity Codes

R3.06

Dominican

Source = OMB Ethnicity Codes

R3.07

Dominica Islander

Source = OMB Ethnicity Codes

R3.08

Haitian

Source = OMB Ethnicity Codes

R3.09

Jamaican

Source = OMB Ethnicity Codes

R3.10

Tobagoan

Source = OMB Ethnicity Codes

R3.11

Trinidadian

Source = OMB Ethnicity Codes

R3.12

West Indian

Source = OMB Ethnicity Codes

R4.01

Polynesian

Source = OMB Ethnicity Codes

R4.01.001

Native Hawaiian

Source = OMB Ethnicity Codes

R4.01.002

Samoan

Source = OMB Ethnicity Codes

R4.01.003

Tahitian

Source = OMB Ethnicity Codes

R4.01.004

Tongan

Source = OMB Ethnicity Codes

R4.01.005

Tokelauan

Source = OMB Ethnicity Codes

R4.02

Micronesian

Source = OMB Ethnicity Codes

R4.02.001

Guamanian or Chamorro

Source = OMB Ethnicity Codes

R4.02.002

Guamanian

Source = OMB Ethnicity Codes

R4.02.003

Chamorro

Source = OMB Ethnicity Codes

R4.02.004

Mariana Islander

Source = OMB Ethnicity Codes

R4.02.005

Marshallese

Source = OMB Ethnicity Codes

R4.02.006

Palauan

Source = OMB Ethnicity Codes

R4.02.007

Carolinian

Source = OMB Ethnicity Codes

R4.02.008

Kosraean

Source = OMB Ethnicity Codes

R4.02.009

Pohnpeian

Source = OMB Ethnicity Codes

R4.02.010

Saipanese

Source = OMB Ethnicity Codes

R4.02.011

Kiribati

Source = OMB Ethnicity Codes

R4.02.012

Chuukese

Source = OMB Ethnicity Codes

R4.02.013

Yapese

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 186 of 411

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

R4.03

Melanesian

Source = OMB Ethnicity Codes

R4.03.001

Fijian

Source = OMB Ethnicity Codes

R4.03.002

Papua New Guinean

Source = OMB Ethnicity Codes

R4.03.003

Solomon Islander

Source = OMB Ethnicity Codes

R4.03.004

New Hebrides

Source = OMB Ethnicity Codes

R4.04

Other Pacific Islander

Source = OMB Ethnicity Codes

R5.01

European

Source = OMB Ethnicity Codes

R5.01.001

Armenian

Source = OMB Ethnicity Codes

R5.01.002

English

Source = OMB Ethnicity Codes

R5.01.003

French

Source = OMB Ethnicity Codes

R5.01.004

German

Source = OMB Ethnicity Codes

R5.01.005

Irish

Source = OMB Ethnicity Codes

R5.01.006

Italian

Source = OMB Ethnicity Codes

R5.01.007

Polish

Source = OMB Ethnicity Codes

R5.01.008

Scottish

Source = OMB Ethnicity Codes

R5.02

Middle Eastern or North African

Source = OMB Ethnicity Codes

R5.02.001

Assyrian

Source = OMB Ethnicity Codes

R5.02.002

Egyptian

Source = OMB Ethnicity Codes

R5.02.003

Iranian

Source = OMB Ethnicity Codes

R5.02.004

Iraqi

Source = OMB Ethnicity Codes

R5.02.005

Labanese

Source = OMB Ethnicity Codes

R5.02.006

Palestinian

Source = OMB Ethnicity Codes

R5.02.007

Syrian

Source = OMB Ethnicity Codes

R5.02.008

Afghanistani

Source = OMB Ethnicity Codes

R5.02.009

Israeili

Source = OMB Ethnicity Codes

R5.03

Arab

Source = OMB Ethnicity Codes

Optional Not Reported

Version Date: 14-Dec-09
Page 187 of 411

NHME Variables and Values
Requirements
Num

Variable Name

G118

Program

System

Optional Not Reported

More Than One Race (system generated)
Definition: A system generated variable that is used to identify if a client has reported more than one race in variable G116:
Race. This variable appears only within the PEMS extracts.
Instructions: The system will generate the value for this variable based on information entered in G116: Race. If more than one
race is reported in that variable (G116: Race), then the system will populate G118: More Than One Race with a value
of “Yes”.

Code

Value Description

Value Definition

The client did not report more than one of the racial categories
specified in G116: Race.

Yes

The client reports more than one of the racial categories specified in
G116: Race.

Version Date: 14-Dec-09
Page 188 of 411

NHME Variables and Values
Requirements
Num

Variable Name

G119

Program

System

Optional Not Reported

Birth Country
Definition: The country in which the client was born.
Instructions: Indicate the client’s country of birth.

Code

Value Description

050

Baker Island

074

Swan Island

075

Pacific Trust Territories

100

Howland Island

150

Jarvis Island

200

Johnston Atoll

250

Kingman Reef

300

Midway Islands

334

Europa Island

350

Navassa Islands

400

Palmyra Atoll

450

Wake Island

763

St. Christopher

832

Spanish North Africa

Country Other

889

Tromelin Island

Don't Know

ABW

Aruba

AFG

Afghanistan

AGO

Angola

AIA

Anguilla

ALB

Albania

AND

Andorra

ANT

Netherlands Antilles

ARE

United Arab Emirates

ARG

Argentina

ARM

Armenia

ASM

American Samoa

ATA

Antarctica

ATG

Antigua and Barbuda

AUS

Australia

AUT

Austria

Value Definition

Version Date: 14-Dec-09
Page 189 of 411

NHME Variables and Values
Requirements
Num

Variable Name

AZE

Azerbaijan

BDI

Burundi

BEL

Belgium

BEN

Benin

BFA

Burkina Faso

BGD

Bangladesh

BGR

Bulgaria

BHR

Bahrain

BHS

Bahamas

BIH

Bosnia and Herzegovina

BLR

Belarus

BLZ

Belize

BMU

Bermuda

BOL

Bolivia

BRA

Brazil

BRB

Barbados

BRN

Brunei Darussalam

BTN

Bhutan

BVT

Bouvet Island

BWA

Botswana

CAF

Central African Republic

CAN

Canada

CHE

Switzerland

CHL

Chile

CHN

China

CIV

Cote d'Ivoire (Ivory Coast)

CMR

Cameroon

COD

Congo, the Democratic Republic of the (Zaire)

COG

Congo

COK

Cook Islands

COL

Colombia

COM

Comoros

CPV

Cape Verde

CRI

Costa Rica

CUB

Cuba

CYM

Cayman Islands

CYP

Cyprus

CZE

Czech Republic

DEU

Germany

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 190 of 411

NHME Variables and Values
Requirements
Num

Variable Name

DJI

Djibouti

DMA

Dominica

DNK

Denmark

DOM

Dominican Republic

DZA

Algeria

ECU

Ecuador

EGY

Egypt

ERI

Eritrea

ESH

Western Sahara

ESP

Spain

EST

Estonia

ETH

Ethiopia

FIN

Finland

FJI

Fiji

FLK

Falkland Islands (Malvinas)

FRA

France

FRO

Faroe Islands

FSM

Micronesia, Federated States of

GAB

Gabon

GBR

United Kingdom

GEO

Georgia

GHA

Ghana

GIB

Gibraltar

GIN

Guinea

GLP

Guadeloupe

GMB

Gambia

GNB

Guinea-Bissau

GNQ

Equatorial Guinea

GRC

Greece

GRD

Grenada

GRL

Greenland

GTM

Guatemala

GUF

French Guiana

GUM

Guam

GUY

Guyana

HKG

Hong Kong

HMD

Heard Island and McDonald Islands

HND

Honduras

HRV

Croatia

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 191 of 411

NHME Variables and Values
Requirements
Num

Variable Name

HTI

Haiti

HUN

Hungary

IDN

Indonesia

IND

India

IOT

British Indian Ocean Territory

IRL

Ireland

IRN

Iran, Islamic Republic of

IRQ

Iraq

ISL

Iceland

ISR

Israel

ITA

Italy

JAM

Jamaica

JOR

Jordan

JPN

Japan

KAZ

Kazakhstan

KEN

Kenya

KGZ

Kyrgyzstan

KHM

Cambodia

KIR

Kiribati

KNA

Saint Kitts and Nevis

KOR

Korea, Republic of (South)

KWT

Kuwait

LAO

Lao People's Democratic Republic

LBN

Lebanon

LBR

Liberia

LBY

Libyan Arab Jamahiriya

LCA

Saint Lucia

LIE

Liechtenstein

LKA

Sri Lanka

LSO

Lesotho

LTU

Lithuania

LUX

Luxembourg

LVA

Latvia

MAC

Macao

MAR

Morocco

MCO

Monaco

MDA

Moldova, Republic of

MDG

Madagascar

MDV

Maldives

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 192 of 411

NHME Variables and Values
Requirements
Num

Variable Name

MEX

Mexico

MHL

Marshall Islands

MKD

Macedonia, the Former Yugoslav Republic of

MLI

Mali

MLT

Malta

MMR

Myanmar (Burma)

MNG

Mongolia

MNP

Northern Mariana Islands

MOZ

Mozambique

MRT

Mauritania

MSR

Montserrat

MTQ

Martinique

MUS

Mauritius

MWI

Malawi

MYS

Malaysia

MYT

Mayotte

NAM

Namibia

NCL

New Caledonia

NER

Niger

NFK

Norfolk Island

NGA

Nigeria

NIC

Nicaragua

NIU

Niue

NLD

Netherlands

NOR

Norway

NPL

Nepal

NRU

Nauru

NZL

New Zealand

OMN

Oman

PAK

Pakistan

PAN

Panama

PCN

Pitcairn

PER

Peru

PHL

Phillippines

PLW

Palau

PNG

Papua New Guinea

POL

Poland

PRI

Puerto Rico

PRK

Korea, Democratic People's Republic of (North)

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 193 of 411

NHME Variables and Values
Requirements
Num

Variable Name

PRT

Portugal

PRY

Paraguay

PSE

Palestinian Territory, Occupied

PYF

French Polynesia

QAT

Quatar

REU

Reunion

ROU

Romania

RUS

Russian Federation

RWA

Rwanda

Saudi Arabia

SDN

Sudan

SEN

Senegal

SGP

Singapore

SHN

Saint Helena

SJM

Svalbard and Jan Mayen

SLB

Solomon Islands

SLE

Sierra Leone

SLV

El Salvador

SMR

San Marino

SOM

Somalia

SPM

Saint Pierre and Miquelon

STP

Sao Tome and Principe

SUR

Suriname

SVK

Slovakia

SVN

Slovenia

SWE

Sweden

SWZ

Swaziland

SYC

Seychelles

SYR

Syrian Arab Republic

TCA

Turks and Caicos Islands

TCD

Chad

TGO

Togo

THA

Thailand

TJK

Tajikistan

TKL

Tokelau

TKM

Turkmenistan

TLS

Timor Leste

TON

Tonga

TTO

Trinidad and Tobago

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 194 of 411

NHME Variables and Values
Requirements
Num

Variable Name

TUN

Tunisia

TUR

Turkey

TUV

Tuvalu

TWN

Taiwan, Province of China

TZA

Tanzania, United Republic of

UGA

Uganda

UKR

Ukraine

UMI

U.S. Minor Outlying Areas

URY

Uruguay

USA

United States of America

UZB

Uzbekistan

VAT

Holy See (Vatican City State)

VCT

Saint Vincent and the Grenadines

VEN

Venezuela

VGB

Virgin Islands, British

VIR

Virgin Islands, U.S.

VNM

Viet Nam

VUT

Vanuatu

WLF

Wallis and Futuna

WSM

Samoa

XX1

U.S. Misc Carribbean

XX2

U.S. Misc Pacific #1

YEM

Yemen

YUG

Yugoslavia

ZAF

South Africa

ZMB

Zambia

ZWE

Zimbabwe

Program

System

Optional Not Reported

Version Date: 14-Dec-09
Page 195 of 411

NHME Variables and Values
Requirements
Num

Variable Name

G120

Program

System

Optional Not Reported

State/Territory of Residence
Definition: The state, territory or district where the client was residing at the time of service delivery.
Instructions: Select the state, territory or district where the client lives at the time services are delivered. In some cases, the
state/territory/district where the client lives may not be the same as the state/territory/district where the client is
receiving HIV prevention services. For example, a person could reside in one state but drive to another state to
receive HIV counseling and testing out of fear of having their privacy or confidentiality exposed.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

Optional Not Reported

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

Other

Client does not currently reside in a US state, territory, or district.

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NHME Variables and Values
Requirements
Num

Variable Name

G121

Program

System

Optional Not Reported

English Speaking?
Definition: A confirmation of whether the client speaks English.
Instructions: Indicate whether the client speaks English.

Code

Value Description

Value Definition

The client does not speak English.

Yes

The client speaks English.

Don't know

The provider does not know whether or not the client speaks
English.

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NHME Variables and Values
Requirements
Num

Variable Name

G122

Program

System

Optional Not Reported

Primary Language
Definition: The language most often used by the client.
Instructions: Specify the primary language that is most often used by the client. If G121: English Speaking = "No", then the client’s
primary language cannot be English.

Code

Value Description

Value Definition

English

The language primarily or most often used by the client is English.

Spanish

The language primarily or most often used by the client is Spanish.

Arabic

The language primarily or most often used by the client is Arabic.

Cambodian

The language primarily or most often used by the client is Cambodian.

Cantonese

The language primarily or most often used by the client is Cantonese.

Creole/French

The language primarily or most often used by the client is
Creole/French.

Farsi

The language primarily or most often used by the client is Farsi.

Haika

The language primarily or most often used by the client is Haika.

Hindi

The language primarily or most often used by the client is Hindi.

Japanese

The language primarily or most often used by the client is Japanese.

Korean

The language primarily or most often used by the client is Korean.

Lao

The language primarily or most often used by the client is Lao.

Mandarin

The language primarily or most often used by the client is Mandarin.

Russian

The language primarily or most often used by the client is Russian.

Tagalog

The language primarily or most often used by the client is Tagalog.

Thai

The language primarily or most often used by the client is Thai.

Vietnamese

The language primarily or most often used by the client is
Vietnamese.

Other (specify)

If the language primarily or most often used by the client is a
language other than the languages specified in the categories above,
specify the language.

G122-1

Specify Primary Language
Definition: A specification of the client's primary language if 89-Other (specify) was selected in G122.

Instructions: Specify the primary language of the client if 89-Other (specify) was selected and none of the other value choices in
G122 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

G123

Program

System

Optional Not Reported

Assigned Sex at Birth
Definition: The biological sex assigned to the client at birth, (i.e., the sex noted on the client's birth certificate).
Instructions: Indicate whether the client reports being physically born a male or female (i.e., being born with male or female
genitalia). This variable is not required for HIV Testing or Partner Services.

Code

Value Description

Value Definition

Male

The sex that produces spermatozoa by which female ova are
fertilized.

Female

The sex that produces ova, can conceive and bear offspring/children.

Declined to answer

The client declines or is unwilling to report his or her assigned sex at
birth.

G124

Current Gender Identity
Definition: The client's current self-reported gender identity. This may include one's social status, self-identification, legal status,
and biology.
Instructions: Select the variable value that most closely describes the client's current, self-reported gender identity.

Code

Value Description

Value Definition

Male

A person who identifies as a male and whose behavioral, cultural, or
psychological traits are typically associated with the male sex.

Female

A person who identifies as a female and whose behavioral, cultural,
or psychological traits are typically associated with the female sex.

Transgender - MTF

Individuals whose physical or birth sex is male but whose gender
expression and/or gender identity is female. MTF = male to female

Transgender - FTM

Individuals whose physical or birth sex is female but whose gender
expression and/or gender identity is male. FTM = female to male

Transgender - Unspecified

Individuals whose physical or birth sex is male or female but whose
gender expression and/or gender identity differs from that which was
documented at birth.

Declined to answer

The individual declines to self report his or her current gender identity.

Additional (specify)

The individual reports a current gender other than those specified
above.

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NHME Variables and Values
Requirements
Num

Variable Name

G124a

Program

System

Optional Not Reported

Specify Current Gender Identity
Definition: The additional specification of Current Gender Identity if G124 = 89 "Additional (specify)".

Instructions: Specify the current gender identity if G124 = 89 "Additional (specify)".

G125

Physical Description
Definition: Distinguishing characteristics or physical description of the client that might help you later in identifying the client for
intervention follow-up, such as height, weight, eye color or other distinguishing characteristics.
Instructions: Indicate any distinguishing characteristics or physical description of the client that might help you later in identifying
the client for intervention follow-up, such as height, weight, eye color or other distinguishing characteristics. This
information will not be reported to CDC.

G126

Relationship Status
Definition: A description of the client's current relationship.
Instructions: Indicate the client’s current relationship status (e.g., single and never married, married divorced).

Code

Value Description

Value Definition

Single and never married

The state of never being part of a married couple.

Married or partnered

The state of being a part of a married couple; includes common-law
marriage.

Married, separated

The state of being legally married but to stop living together as
spouses.

Divorced

The legal dissolution of a marriage.

Widowed

The state of being single due to death of a spouse.

Not asked

The provider did not ask the client about his or her relationship status.

Declined to answer

The client declines or is unwilling to report his or her relationship
status.

Don't know

The client reports that he or she is unaware or unsure of his or her
relationship status.

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NHME Variables and Values
Requirements
Num

Variable Name

G127

Program

System

Optional Not Reported

Level of Education
Definition: The level of formal education last completed by the client.
Instructions: Indicate the highest level of education that the client has completed.

Code

Value Description

Value Definition

No schooling completed

The client has not received any formal schooling.

8th grade or less

The highest grade that the client completed was eighth grade or a
lower grade.

Some high school

The client completed some grades of high school but did not
graduate or receive a GED or equivalent.

High school graduate, GED or equivalent

The client graduated from high school or received a GED or
equivalent.

Some college

The client received an associate or technical degree or attended a
college or university but did not receive a bachelor's degree.

Bachelor's degree

The client received a degree that normally requires at least 4 but not
more than 5 years of full-time equivalent college-level work.

Not asked

The provider did not ask the client about his or her level of education.

Post graduate degree

The client received completed a Masters, Doctorate, and/or other
professional degrees.

Declined to answer

The client refuses or is unwilling to report his or her level of education.

Don't know

The client reports that he or she is unaware or unsure of his or her
level of education.

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NHME Variables and Values
Requirements
Num

Variable Name

G128

Program

System

Optional Not Reported

Address Type
Definition: A term used to describe or characterize the type of address where the client can be located (e.g., home or work).
Instructions: This information can be used by angencies to help locate clients for services or follow-up. Indicate whether the
locating address for the client is a work address, home address or other type of address. This information will not be
reported to CDC.

Code

Value Description

Value Definition

House/home

The address is for the location of a single person or single family
residential structure or unit where the client lives.

Apartment/dorm

The address is for the location of a residential structure or building
which contain multiple dwelling units.

Business/office

The address is for the location of a place of business where
professional or occupational duties are performed.

Postal address/mailing

The address is for the location of a post office box typically located on
the premises of a postal office where people can receive mail.

Nursing home

A facility that provides care to a person who is not able to remain
home alone due to physical health problems, mental health problems
or functional disabilities.

Correctional facility/jail

A penal or correctional facility, prison, jail detention center,
community-based rehabilitation center, or any similar institution
designed for the confinement or rehabilitation of criminal offenders.

Migrant camp

Temporary living quarters that house individuals who travel from
place to place to work.

Other (specify)

The individual reports an address type other than those specified
above.

G128-1

Specify Address Type
Definition: A specification of the type of address if 89-Other (specify) was selected in G128.

Instructions: Specify the type of address if 89-Other (specify) was selected and none of the other value choices in G128 apply.

G129

Client Street Address 1
Definition: The part of the client's locating address that indicates the street and street number.
Instructions: Indicate the part of the client’s address that includes the street and street number. This information will not be
reported to CDC.

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NHME Variables and Values
Requirements
Num
G130

Variable Name

Program

System

Optional Not Reported

Client Street Address 2
Definition: The part of the client's locating address that indicates the apartment or suite number, if applicable, or other
information needed to complete the specific location, excluding city, state, and zip code.
Instructions: Indicate the apartment number or suite number portion of the client’s address. For example if a client lives at “4134-C
Swann Street”. Enter “4134 Swann Street” in G129: Street Address 1 and enter “C” here in G130: Street Address 2.
This information will not be reported to CDC.

G131

Client - City
Definition: The city of the client's locating address.
Instructions: Indicate the city of the client’s locating address. This information will not be reported to CDC.

G132

Client - County
Definition: The county, parish, or municipality of the client's locating address.
Instructions: Select the name of the county where the client’s address is located. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

G133

Program

System

Optional Not Reported

Client - State
Definition: The state, territory or district of the client's locating address.
Instructions: Select the name of the state, territory or district of the client’s locating address. This information will not be reported
to CDC.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

G134

Program

System

Optional Not Reported

Client - Zip Code
Definition: The postal zip code for the client's locating address.
Instructions: Enter the postal zip code of the client’s locating address. This information will not be reported to CDC.

Code

G135

Value Description

Value Definition

#####-####

Only the 5 digit zip code is required for entry.

Client - Phone Number (Day)
Definition: The seven-digit phone number and area code where the client can be reached during the day.
Instructions: Enter the telephone number where the client can be reached during the day. This information will not be reported to
CDC.

G136

Client - Phone Number (Evening)
Definition: The seven-digit phone number and area code where the client can be reached during the evening.
Instructions: Enter the telephone number where the client can be reached during the evening. This information will not be reported
to CDC.

G137

Primary Occupation
Definition: The client's type of work or job title, if applicable.
Instructions: Enter the client’s primary type of work or job title. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

G138

Program

System

Optional Not Reported

Employer
Definition: The name of the company, organization or individual for whom the client works or by whom the client is employed.
Instructions: Enter the name of the company, organization, or entity where the client is employed. This information will not be
reported to CDC.

G139

Notes
Definition: A text field to record any additional information regarding the client. This could include additional information to help
locate the client.
Instructions: Enter any additional information about the referral if needed. This would include any information regarding the referral
that would be helpful in making additional referrals, following up on referrals or planning future services. This
information will not be reported to CDC.

Table: G2

Client Characteristics-Risk Profile

This table is required to be completed by all agencies when data are collected on individual clients. This
could be part of interventions delivered inividually or as CRCS, or delivered in groups as part of effective
behavioral interventions.
Num
G200

Variable Name

Program

Requirements

System

Optional Not Reported

Date Collected
Definition: The date client risk profile data are collected. For reporting to CDC, this should be the intake date or the date of the
first session before the intervention begins.
Instructions: Enter the date on which these risk profile data are collected. This should be the intake date or the date of the first
session before the intervention begins.

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NHME Variables and Values
Requirements
Num

Variable Name

G201

Program

System

Optional Not Reported

Incarcerated
Definition: In the past 12 months prior to data collection, the client is or has been imprisoned or confined to a jail or penitentiary
for at least 24 hours.
Instructions: Indicate if the client has been incarcerated in the past 12 months, (i.e., 12 months prior to the date specified in G200:
Date Collected).

Code

Value Description

Value Definition

The client has not been incarcerated in the past 12 months.

Yes

The client has been incarcerated in the past 12 months.

Not asked

The provider did not ask the client whether he or she had been
incarcerated in the past 12 months.

Declined to answer

The client declines or is unwilling to report if he or she has been
incarcerated in the past 12 months.

G202

Sex Worker
Definition: In the past 12 months prior to data collection, has the client has derived some or part of his or her income or received
other compensation (e.g., drugs, housing, etc.) from engaging in sexual intercourse. This would include prostitutes
(brothel workers, street workers, escorts, bar girls/in-house prostitutes, call girls/call boys), adult film actors/actresses,
and full body masseuses.
Instructions: Indicate whether the client has derived some or part of his or her income or compensation from engaging in sexual
intercourse (e.g., sex with paying clients) in the past 12 months (i.e., 12 months prior to the date specified in G200:
Date Collected). The intent of this variable is to assess the extent to which a client identifies themselves as a sex
worker.

Code

Value Description

Value Definition

The client has not engaged in sexual intercourse with paying clients.

Yes

The client has engaged in sexual intercourse with paying clients.

Not asked

The provider did not ask the client whether he or she had engaged in
sexual intercourse with paying clients.

Declined to answer

The client declines or is unwilling to report whether he or she
engaged in sexual intercourse with paying clients.

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NHME Variables and Values
Requirements
Num

Variable Name

G203

Program

System

Optional Not Reported

Housing Status
Definition: The type(s) of living arrangement(s) in which the client has resided (e.g., short-term facility, community residence,
house, apartment, homeless), in the past 12 months.
Instructions: Specify the type(s) of living arrangements that the client has had in the past 12 months (i.e., 12 months prior to the
date specified in G200: Date Collected). It is valid to check more than one housing option because the client may
have had more than one living arrangement during the past 12 months. If a client is living in housing on a month-tomonth or limited-time lease, record his or her housing status as “Permanent.” While these situations are, technically,
time limited, they do not represent ‘transient’ housing.

Code

Value Description

Value Definition

Permanent housing

Includes apartments, houses, foster homes, long-term residences,
and boarding homes, as long as they are not time limited.

Non-permanent housing

Includes homeless, as well as transient or transitional housing.

Institution

An establishment that provides living quarters and care for the
elderly, chronically ill or mentally/physically handicapped.

Correctional facility

Includes jail, prison, penitentiary, a or detention center.

Not asked

The provider did not ask the client about his or her housing status.

Declined to answer

The client declines or is unwilling to report his or her housing status.

Other

The client reports a housing status other than what is described in the
categories above.

Don't know

The client reports that he or she are unaware or unsure of his or her
housing status.

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NHME Variables and Values
Requirements
Num

Variable Name

G204

Program

System

Optional Not Reported

Previous HIV test
Definition: The client's self-report of having had at least one prior HIV test before these data were collected.
Instructions: Indicate if the client reports having at least one prior HIV test before these data were collected.

Code

Value Description

Value Definition

The client reports that he or she has never had an HIV test.

Yes

The client reports that he or she has had at least one previous HIV
test.

Not asked

The provider did not ask the client about having a prior HIV test.

Declined to answer

The client declines or is unwilling to report if he or she has had a
previous HIV test.

Don't know

The client reports that he or she is unaware if he or she has had a
previous HIV test.

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NHME Variables and Values
Requirements
Num

Variable Name

G205

Program

System

Optional Not Reported

Self Reported HIV Test Result
Definition: The client's self-reported test result from his/her most recent HIV test.
Instructions: If the client reports having had a previous HIV test (i.e. G204: Previous HIV Test = “Yes”), then indicate the client’s
self-reported HIV test result at the time that information is being collected from the client. If you have laboratoryconfirmed HIV test results for this client, you may also complete Table G3: Confirmed HIV Status. When asking about
the "Self-Reported Test Result" it is very important that the provider ask about the test result from the most recent HIV
test because this is the result that will reflect the client's current HIV serostatus. Ensure that the client understands
that he or she is being asked to report his or her test results and not what he or she believes their status is to be.

Code

Value Description

Value Definition

Positive

The client reports that his or her HIV serostatus is positive based on a
confirmatory test result.

Negative

The client reports that his or her HIV serostatus is negative.

Preliminary positive

The client reports that he or she received either a “Preliminary
positive” test result (i.e., the client had a reactive HIV rapid test but
did not receive the results of the associated conventional
confirmatory test).

Indeterminate

The client reports that he or she received an "Indeterminate" test
result (i.e., the client received results but those results did not
conclusively indicate whether he or she is HIV-positive or HIVnegative).

Not asked

The provider did not ask the client about his or her HIV serostatus.

Declined to answer

The client declines or is unwilling to report his or her HIV serostatus.

Don't know

The client reports that he or she is unaware of his or her HIV
serostatus.

G206

Date of Last HIV Negative Test (only if HIV-)
Definition: The self-reported date of the client’s most recent HIV negative test.
Instructions: If the client's self reported HIV serostatus is negative (G205: Self-Reported HIV Status = “Negative”), indicate the date
of the client's most recent HIV negative test.

G207

Date of First HIV Positive Test (only if HIV+)
Definition: The self-reported date of the client’s first positive HIV test.
Instructions: If the client’s self-reported HIV serostatus is positive (G205: Self-Reported HIV Test = “Positive”), indicate the date of
the client’s first HIV positive test.

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NHME Variables and Values
Requirements
Num

Variable Name

G208

Program

System

Optional Not Reported

In HIV Medical Care/Treatment (only if HIV+)
Definition: The client's self-report of currently receiving HIV medical care and treatment through antiretroviral therapy or
prophylactic treatment for opportunistic infections.
Instructions: If the client’s self-reported HIV serostatus is positive (G205: Self-Reported HIV Status = “Positive”), indicate if the
client is currently receiving medical care for HIV. HIV medical care means that a physician/medical doctor is
monitoring the client’s health status regardless of whether he or she is receiving treatment (e.g., antiretroviral or
prophylactic medication).

Code

Value Description

Value Definition

The client reports that he or she is not currently receiving medical
care or treatment for HIV infection or AIDS.

Yes

The client reports he or she is currently receiving medical care or
treatment for HIV infection or AIDS.

Not asked

The provider did not ask the client if he or she was currently receiving
medical care or treatment for HIV infection or AIDS.

Declined to answer

The client declines or is unwilling to report if he or she is currently
receiving medical care/treatment for HIV infection or AIDS.

Don't know

The client reports that he or she is unaware if he or she is receiving
medical care or treatment for HIV infection or AIDS.

G209

Pregnant (only if female)
Definition: The self-reported pregnancy status of the client.
Instructions: If the client is female (G123: Assigned Sex at Birth = “Female”), then indicate whether she is pregnant.

Code

Value Description

Value Definition

The client reports she is not pregnant.

Yes

The client reports she is pregnant.

Not asked

The provider did not ask the client if she was currently pregnant.

Declined to answer

The client declines or is unwilling to report if she is currently pregnant.

Don't know

The client reports that she is unaware if she is currently pregnant.

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NHME Variables and Values
Requirements
Num

Variable Name

G210

Program

System

Optional Not Reported

In Prenatal Care (only if pregnant)
Definition: The self-reported status of the pregnant client's receipt of regular health care during pregnancy.
Instructions: If the client is pregnant (G209: Pregnant = “Yes”), indicate whether she is receiving prenatal care.

Code

Value Description

Value Definition

The client reports she is not currently receiving prenatal care.

Yes

The client reports she is currently receiving prenatal care.

Not asked

The provider did not ask the client if she was currently receiving
prenatal care.

Declined to answer

The client declines or is unwilling to report if she is currently receiving
prenatal care.

Don't know

The client reports that she is unaware if she is currently receiving
prenatal care.

G210a

Local Recall Period
Definition: The fixed time period defined by the agency within which the client is asked to remember the frequency of engaging in
a specific behavior. A recall period is defined as the length of time into the past for which the client is asked to
remember or recall certain information.

Instructions: If your agency has decided on a recall period in addition to 12 months, enter the number of days of that recall period
here.

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NHME Variables and Values
Requirements
Num
G211

Variable Name

Program

System

Optional Not Reported

Client Risk Factors
Definition: A description of the risk factor(s) that placed the client at potential risk for HIV exposure and/or transmission within the
past 12 months of data collection. It is critical to accurately identify a client’s risk behaviors. Accurate identification of
risks can be used to determine if a program designed to target specific risk behaviors is effectively identifying
appropriate clients and ensures that clients receive appropriate services.

Instructions: Select all of the activities that the client has been involved in within the last 12 months that would place him or her at
risk of either being exposed to HIV or transmitting HIV. The sexual risk factors in this section ("Sex with transgender",
"Sex with female", and "Sex with male") apply only to anal and vaginal sex, and should include both unprotected and
protected sex. If the client reports "Sex with transgender", "Sex with female", and/or "Sex with male" then complete
G212 "Additional Client Risk Factors". “No risk identified” is selected when the client was asked about “Risk Factors,”
but reports none of the risk factors listed. “Declined” is selected when the client refuses or is unwilling to talk about all
of the “Risk Factors” listed. “Not asked” is checked when none of the “Risk Factors” were asked by the provider.
Code
Value Description
Value Definition
01

Injection drug use

The client has used illicit injection drugs/substances (including
narcotics, hormones, silicon, etc.). Illicit injection drugs/substances
are those for which a client does not have a prescription (or which the
client uses in a way other than is prescribed) or drugs/substances
that are not available over the counter (or which are used in a way
other than intended).

Sex with transgender

The client has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender.

Sex with female

The client has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The client has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The client reports that none of the listed risk factors may have placed
the client at potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The client has shared hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male (optional)

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner. This value is optionally
reported.

Oral sex with female (optional)

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner. This value is optionally
reported.

Not asked

The provider did not ask the client about his or her risk factors.

Declined to answer

The client declined or was unwilling to report his or her risk factors.

Other (specify)

The client reports risk factors other than what is described in the
categories above. These include risk factors such as being a
hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

G211-1

Program

System

Optional Not Reported

Specify Client Risk Factor
Definition: A specification of the risk identified in G211 if 89-Other (specify) was selected.

Instructions: Specify the risk identified in G211 if 89-Other (specify) was selected and none of the other value choices in G211
apply.

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NHME Variables and Values
Requirements
Num
G211a

Variable Name

Program

System

Optional Not Reported

Local Recall Client Risk Factors
Definition: A description of the risk factor(s) that placed the client at potential risk for HIV exposure and/or transmission within a
recall period other than the past 12 months or 90 days of data collection. It is crucial to accurately identify a client’s
risk behaviors. Accurate identification of risks can be used to determine if a program designed to target specific risk
behaviors is effectively identifying appropriate clients and ensures that clients receive appropriate services.

Instructions: Use this variable only if you named a Local Recall Period in G210a: Local Recall Period. These risk factors are the
same as those found in G211: Client Risk Factors. This time, select all of the activities the client has been involved in
during the locally specified recall period that would place the client at risk of either being exposed to or transmitting
HIV. The sexual risk factors in this section ("Sex with transgender", "Sex with female", and "Sex with male") apply only
to anal and vaginal sex, and should include both unprotected and protected sex. If the client reports "Sex with
transgender", "Sex with female", and/or "Sex with male" then complete G212a "Local Recall Additional Client Risk
Factors". “No risk identified” is selected when the client was asked about “Risk Factors,” but reports none of the risk
Code
Value Description
Value Definition
01

Injection drug use

Sex with transgender

The client has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender.

Sex with female

The client has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The client has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The client reports that none of the listed risk factors may have placed
the client at potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The client reports sharing hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Oral sex with female

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Not asked

The provider did not ask the client about his or her risk factors.

Declined to answer

The client declines or iss unwilling to report his or her risk factors.

Other (specify)

The client reports risk factors other than what is described in the
categories above. These include risk factors such as being a
hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

G211a-1

Program

System

Optional Not Reported

Specify Local Recall Client Risk Factor
Definition: A specification of the risk identified in G211a if 89-Other (specify) was selected.

Instructions: Specify the risk identified in G211a if 89-Other (specify) was selected and none of the other value choices in G211a
apply.

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NHME Variables and Values
Requirements
Num
G211b

Variable Name

Program

System

Optional Not Reported

90 Day Recall Client Risk Factors
Definition: A description of the risk factor(s) that placed the client at potential risk for HIV exposure and/or transmission within the
past 90 days of data collection. It is crucial to accurately identify a client’s risk behaviors. Accurate identification of
risks can be used to determine if a program designed to target specific risk behaviors is effectively identifying
appropriate clients and ensures that clients receive appropriate services.

Instructions: Select all of the activities that the client has been involved in within the last 90 days that would place him or her at risk
of either being exposed to HIV or transmitting HIV. The sexual risk factors in this section ("Sex with transgender",
"Sex with female", and "Sex with male") apply only to anal and vaginal sex, and should include both unprotected and
protected sex. If the client reports "Sex with transgender", "Sex with female", and/or "Sex with male" then complete
G212b "90 Day Recall Additional Client Risk Factors". “No risk identified” is selected when the client was asked about
“Risk Factors,” but reports none of the risk factors listed. “Declined” is selected when the client refuses or is unwilling
to talk about all of the “Risk Factors” listed. “Not asked” is checked when none of the “Risk Factors” was asked by the
Code
Value Description
Value Definition
01

Injection drug use

Sex with transgender

The client has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender.

Sex with female

The client has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The client has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The client reports that none of the listed risk factors may have placed
the client at potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The client has shared hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Oral sex with female

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Not asked

The provider did not ask the client about his or her risk factors.

Declined to answer

The client declined or was unwilling to report his or her risk factors.

Other (specify)

The client reports risk factors other than what is described in the
categories above. These include risk factors such as being a
hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

G211b-1

Program

System

Optional Not Reported

Specify 90 Day Recall Client Risk Factor
Definition: A specification of the risk identified in G211b if 89-Other (specify) was selected.

Instructions: Specify the risk identified in G211b if 89-Other (specify) was selected and none of the other value choices in G211b
apply.

G212

Additional Client Risk Factors
Definition: If the client's risk factors in the past 12 months involve anal or vaginal sexual activity, these are additional factors that
further describe the client's sexual risk for HIV exposure and/or transmission.

Instructions: Use this variable only if the client reported anal or vaginal sex with male, female, or transgender as one of the G211:
Client Risk Factors. For each of those client risk factors identified, indicate additional risk characteristics that describe
the client’s risk for either being exposed to HIV or transmitting HIV. If the client did not report having anal or vaginal
sex with a male, female, or transgender in G211:Client Risk Factors, then do not select any “Additional Client Risk
Factors”. If the client knows he or she has an “Additional Risk Factor” (e.g., sex "with a person who is an IDU") but he
or she does not remember the sex of the person (in this case the ID user), the provider should ask the client for his or
her best guess as to whether the partner(s) were male, female, or transgender. The value options for "Exchange
Code
Value Description
Value Definition
00

No additional risk information specified

The client does not report any risk or client does not report any of the
additional client risk factors noted below.

Exchange sex for drugs/money/or something they needed

The client participated in sex events in exchange for drugs or money
or something they needed.

While intoxicated and/or high on drugs

The client used alcohol and/or illicit drugs before and/or during sex.

With person who is an IDU

The client has had a sex with a person who he or she knows to be an
IDU.

With person who is HIV positive

The client has had a sex with a person who he or she knows was
HIV+.

With person of unknown HIV status

The client has had sex with a person whose HIV status is unknown to
either the client or to the partner.

With person who exchanges sex for drugs/money

The client has had a sex with a person who he or she knows
exchanges sex for drugs/money.

With person who is an MSM

The client is female and has had sex with a person who she knows
has male to male sex.

With anonymous partner

The client has had sex with a person whose identity was unknown to
the client. A person’s identity is a set of behavioral or personal
characteristics by which that person is known. This can include
information about a person’s name, address, and habits that allow
the client to identify the person.

With person who has hemophilia or transfusion/transplant recipient

The client has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Without using a condom

The client has had sex without using a condom.

Not asked

The provider did not ask the client about additional sexual risk factors.

Declined to answer

The client declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num
G212a

Variable Name

Program

System

Optional Not Reported

Local Recall Additional Client Risk Factors
Definition: If the client's risk factors involve anal or vaginal sexual activity, these are additional factors that further describe the
client's sexual risk for HIV exposure and/or transmission within the locally specified recall period.

Instructions: Use this variable only if you named a local recall period in G210a: Local Recall Period. These risk factors are the
same as those found in G212: Additional Client Risk Factors, only this time, you would indicate additional risk
characteristics that describe the client's risk for either being exposed to HIV or transmitting HIV during the locally
specified recall period. The client reported anal or vaginal sex with male, female, or transgender as one of the G211a:
Local Recall Client Risk Factors. For each of those client risk factors identified, indicate additional risk characteristics
that describe the client’s risk for either being exposed to HIV or transmitting HIV. If the client did not report having anal
or vaginal sex with a male, female, or transgender in the G211a: Local Recall Client Risk Factors, then do not select
Code
Value Description
Value Definition
00

No additional risk information specified

The client reports no additional risk or additional partner information
was not available.

Exchange sex for drugs/money/or something they needed

The client participated in sex events in exchange for drugs or money
or something they needed.

While intoxicated and/or high on drugs

The client used alcohol and/or illicit drugs before and/or during sex.

With person who is an IDU

The client has had a sex with a person who he or she knows to be an
IDU.

With person who is HIV positive

The client has had a sex with a person who he or she knows was
HIV+.

With person of unknown HIV status

The client has had sex with a person whose HIV status is unknown to
either the client or to the partner.

With person who exchanges sex for drugs/money

The client has had a sex with a person who he or she knows
exchanges sex for drugs/money.

With person who is an MSM

The client is female and has had sex with a person who she knows
has male to male sex.

With anonymous partner

With person who has hemophilia or transfusion/transplant recipient

The client has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Without using a condom

The client has had sex without using a condom.

Not asked

The provider did not ask the client about additional sexual risk factors.

Declined to answer

The client declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num
G212b

Variable Name

Program

System

Optional Not Reported

90 Day Recall Additional Client Risk Factors
Definition: If the client's risk factors in the past 90 days involve anal or vaginal sexual activity, these are additional factors that
further describe the client's sexual risk for HIV exposure and/or transmission.

Instructions: Use this variable only if the client reported anal or vaginal sex with male, female, or transgender as one of the G211b:
90 Day Recall Client Risk Factors. For each of those client risk factors identified, indicate additional risk
characteristics that describe the client’s risk for either being exposed to HIV or transmitting HIV. If the client did not
report having anal or vaginal sex with a male, female, or transgender in G211b: 90 Day Recall Client Risk Factors,
then do not select any “Additional Client Risk Factors”. If the client knows he or she has an “Additional Risk Factor”
(e.g., sex "with a person who is an IDU") but he or she does not remember the sex of the person (in this case the ID
user), the provider should ask the client for his or her best guess as to whether the partner(s) were male, female, or
Code
Value Description
Value Definition
00

No additional risk information specified

The client reports no additional risk or additional partner information
was not available.

Exchange sex for drugs/money/or something they needed

The client participated in sex events in exchange for drugs or money
or something they needed.

While intoxicated and/or high on drugs

The client used alcohol and/or illicit drugs before and/or during sex.

With person who is an IDU

The client has had a sex with a person who he or she knows to be an
IDU.

With person who is HIV positive

The client has had a sex with a person who he or she knows was
HIV+.

With person of unknown HIV status

The client has had sex with a person whose HIV status is unknown to
either the client or to the partner.

With person who exchanges sex for drugs/money

The client has had a sex with a person who he or she knows
exchanges sex for drugs/money.

With person who is an MSM

The client is female and has had sex with a person who she knows
has male to male sex.

With anonymous partner

With person who has hemophilia or transfusion/transplant recipient

The client has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Without using a condom

The client has had sex without using a condom.

Not asked

The provider did not ask the client about additional sexual risk factors.

Declined to answer

The client declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num

Variable Name

G213

Program

System

Optional Not Reported

Recent STD (Not HIV)
Definition: The client's self-reported or laboratory confirmed status of having been diagnosed with an STD (e.g. syphilis,
gonorrhea, or Chlamydia) in the past 12 months.
Instructions: Indicate if the client has been diagnosed with an STD (e.g. syphilis, gonorrhea, or Chlamydia) in the past 12 months.
This can be either a self-reported STD diagnosis or one confirmed through laboratory results.

Code

Value Description

Value Definition

The client reports that he or she has not been diagnosed with
syphilis, gonorrhea, or Chlamydia.

01.01

Yes - Self report

The client reports that he or she has been diagnosed with syphilis,
gonorrhea, or Chlamydia.

01.02

Yes - Laboratory confirmed

There is documentation from a licensed testing facility confirming that
the client has had syphilis, gonorrhea, or Chlamydia.

Not asked

The provider did not ask the client if he or she had been diagnosed
with syphilis, gonorrhea, or Chlamydia.

Declined to answer

The client declines or is unwilling to provide information on whether
or not he or she has been diagnosed with syphilis, gonorrhea, or
Chlamydia.

Don't know

The client reports that he or she is unaware of being diagnosed with
syphilis, gonorrhea, or Chlamydia.

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NHME Variables and Values
Requirements
Num

Variable Name

G214

Program

System

Optional Not Reported

Injection Drugs/Substances
Definition: The client's self-reported drugs/substances that they have injected in the past 12 months.
Instructions: If the client’s risk includes injection drug use (G211: Client Risk Factors = "Injection Drug Use"), indicate which drugs
or substances have been injected by the client in the past 12 months.

Code

Value Description

Heroin and cocaine together

Heroin alone

Cocaine alone

Crack

Amphetamines, speed, crystal, meth, ice

Other narcotic drugs

Hormones

Steroids

Silicone

Botox

Other medical substances

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

G214a

Program

System

Optional Not Reported

Local Recall Injection Drugs/Substances
Definition: The client's self-reported drugs/substances that they have injected in the locally specified recall period.

Instructions: If the client’s risk includes injection drug use (G211a: Local Recall Client Risk Factors = "Injection Drug Use"), indicate
which drugs or substances have been injected by the client in the locally specified recall period.

Code

Value Description

Heroin and cocaine together

Heroin alone

Cocaine alone

Crack

Amphetamines, speed, crystal, meth, ice

Other narcotic drugs

Hormones

Steroids

Silicone

Botox

Other medical substances

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

G214b

Program

System

Optional Not Reported

90 Day Recall Injection Drugs/Substances
Definition: The client's self-reported drugs/substances that they have injected in the past 90 days.

Instructions: If the client’s risk includes injection drug use (G211b: 90 Day Recall Client Risk Factors = "Injection Drug Use"),
indicate which drugs or substances have been injected by the client in the past 90 days.

Code

Value Description

Heroin and cocaine together

Heroin alone

Cocaine alone

Crack

Amphetamines, speed, crystal, meth, ice

Other narcotic drugs

Hormones

Steroids

Silicone

Botox

Other medical substances

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

G215

Program

System

Optional Not Reported

Internet Sex Partners
Definition: The client's self report of having had sex with someone in the past 12 months that they met initially on the Internet.
Instructions: Indicate whether the client has had sex within the past 12 months with someone who they met on the Internet.

Code

Value Description

Value Definition

The client reports that he or she did not initially meet a sex partner on
the Internet.

Yes

The client reports that he or she initially met a sex partner on the
Internet.

Not asked

The client was not asked about internet sex partners.

Declined to answer

The client declines or is unwilling to report if he or she initially met a
sex partner on the Internet.

Don't know

The client reports that he or she is unaware of initially meeting a sex
partner on the Internet.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: G3

Program

System

Client Characteristics-Confirmed HIV Status

This table is relevant when a client presents proof of a confirmed HIV test result to a provider, or when a
client receives a confirmed HIV test result at your agency. Confirmation of HIV status occurs in two
ways. A client can present test result documents from another agency, in which case the provider will
complete this table.
Num

Variable Name

G301

Optional Not Reported

Program

Requirements

System

Optional Not Reported

Confirmed HIV Test Result
Definition: The client's HIV serostatus confirmed either through documentation (e.g., lab results) from another agency, or from
HIV test results provided within an agency. This variable is only required for Partner Services.
Instructions: If you have documentation of the client's previous HIV test with confirmed test results, then use this variable to
indicate the client’s confirmed HIV serostatus. The confirmation could be through lab results from another agency or
from HIV test results provided within your agency. This variable is independent of G205: Self-reported HIV status and
is only required for Partner Services.

Code

Value Description

Value Definition

Positive/reactive

A test result that is reactive on an initial ELISA test, repeatedly
reactive on a second ELISA run on the same specimen, and
confirmed positive on a Western blot or other supplemental test
indicating that the client is infected with HIV.

NAAT - Positive

A test result that was previously negative or indeterminate but is
reactive based on a nucleic acid testing.

Negative

A test result that is non-reactive on an initial ELISA test indicating the
absence of HIV infection or ELISA was repeatedly reactive and a
confirmatory test (Western Blot or IFA) was negative.

Indeterminate

A test result that has not been precisely determined. A possible
result of a Western-blot, which might represent a recent HIV infection
or a false positive.

Invalid

The test result cannot be confirmed due to conditions related to errors
in the testing technology, specimen collection, or transport.

No result

No result was obtained even though the specimen was drawn (e.g.,
blood sample hemolyzed, blood tube broke, blood tube lost in transit,
unable to draw blood from veins).

G302

HIV Test Date
Definition: The date of the confirmatory HIV test.
Instructions: Indicate the date that the confirmatory HIV test was conducted.

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NHME Variables and Values
Requirements
Num

Variable Name

G303

Program

System

Optional Not Reported

Confirmed Documentation Source
Definition: The source of the confirmed HIV test result.
Instructions: Indicate the source of the documentation that confirms the client's HIV test result.

Code

Value Description

Value Definition

Within agency

A confirmatory HIV test result for the client was provided by your
agency, (e.g., the client was tested within your agency).

External test result - Agency provided

Documentation of a confirmatory HIV test result was provided by
another agency (e.g., the client received an HIV test from another
agency and the agency sent documentation of the confirmed test
result to your agency).

External test result - Client provided

Documentation of a confirmatory HIV test result conducted by
another agency was provided by the client (e.g., the client received
an HIV test from another agency and provided your agency with
documentation of the confirmed test result).

G304

Confirmation Date
Definition: The date the confirmed HIV test result was received by your agency (not the date the test was conducted).
Instructions: Indicate the date that the confirmed HIV test result was received by your agency.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: H

Program

System

Client Intervention Characteristics

This table is required to be completed for all interventions in which client level data are collected. This
includes HIV prevention interventions delivered individually to clients (e.g. HIV counseling and testing,
CRCS, PS) and some interventions delivered in groups or through outreach. These data are captured
for each provider/client interaction (including date of service provision, activities, and the site where the
interaction occurred).
Num

Variable Name

H01

Optional Not Reported

Program

Requirements

System

Optional Not Reported

Intervention ID
Definition: An identification number used to uniquely identify an intervention. This should corresond with the Intervention set up in
F02a.
Instructions: For users of the PEMS software, this number will be automatically generated when an intervention name is entered.

H01a

Intervention Name
Definition: The unique name of the intervention as defined by the agency.
Instructions: Select from a list of Intervention Names generated from variable F02a: Intervention Name. When using the PEMS
software, the list of interventions you entered in Table F will appear as a list that you can choose from for this variable.

H02

Intended Number of Sessions
Definition: The total number of sessions intended for this cycle of an intervention whose intended number of sessions can differ
depending on the needs of individual clients (e.g., CRCS). This variable is only entered at the first session.
Instructions: Use this variable in cases where F08: Number of Sessions = “Unknown.” Variable H02: Intended Number of
Sessions provides a means of recording the number of intended sessions for interventions that do no have a predetermined number of sessions and are instead determined at client service delivery based on the specific needs of
individual clients. For example, the intended number of sessions is entered at the beginning of a CRCS intervention
for each client (i.e. at the first session or soon thereafter) and is entered only once.

Code

Value Description

Value Definition

###

Number

The number of sessions in one complete cycle of the intervention.

999

Unknown

The number of sessions is unknown or will be determined based on
the needs of the client.

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NHME Variables and Values
Requirements
Num
H03

Variable Name

Program

System

Optional Not Reported

Cycle
Definition: The cycle number for a particular intervention with a designated program model about which data are being entered
for this client.
Instructions: Enter the number that represents the cycle for which the client is enrolled for a particular intervention. This variable is
relevant to all interventions for which a planned number of cycles was specified in variable F07: Planned Number of
Cycles. It is not applicable if the selection for F07: Planned Number of Cycles is "Ongoing."

H04a

Form ID
Definition: A code or identification number used to uniquely identify and connect data collected on a standardized form for a
given intervention. This is system and program required for HIV Testing and optional for other interventions.
Instructions: If you use a standardized form to collect data for the intervention specified in H01: Intervention Name/ID, enter the
Form ID. The Form ID is used to uniquely identify data collected on this form. This variable is most often used for
data collected on the CDC HIV Testing form or locally developed CT forms.

H04b

Case Number
Definition: A number to uniquely identify a PS case within an agency. This number is system-generated when establishing a PS
case or can be a locally-developed or assigned number that is key-entered by the provider (e.g., interview record
number).
Instructions: Select the applicable PS case number that has been assigned to this PS case within your agency. This number is
selected from a drop-down menu that has been populated with the case numbers established in Table PS1: Case.
This number will link the index client with his/her sex and/or needle sharing partners while maintaining the
confidentiality of both parties. This variable is only used for PS (i.e., F01: Intervention Type = “PS").

H05

Session Number
Definition: The session number within a particular intervention cycle about which data are being entered for this client.
Instructions: For interventions with more than one session, enter the session number within the intervention cycle for each client. If
you are implementing interventions that only have one session, this number will always be “1”. If you are recording
information about the 2nd session of a 3 session intervention, you would enter “2” here.

H06

Session Date
Definition: The calendar date (month, day, and year) on which the session was delivered to the client.
Instructions: Enter the month, day, and year during which this session was delivered to the client.

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NHME Variables and Values
Requirements
Num
H09

Variable Name

Program

System

Optional Not Reported

PEMS Worker ID
Definition: A system generated code used to distinguish between persons who are delivering services to clients by a combination
of non-identifying characteristics.
Instructions: Choose from a list of workers, established in Table P: Worker, the worker(s) who provided the prevention services
during this session. When using the PEMS software, you will be able to select from the list of Worker IDs generated
when Table P: Worker was completed. If you are entering a new worker you will be given the option to add the
worker(s) to Table P and enter the worker(s) here.

H09a

Local Worker ID
Definition: A locally developed identification system used to distinguish between persons who are delivering services to clients.
Instructions: If your agency has established a local worker ID for the worker(s) who provided the prevention services during this
session, enter that ID.

H10

Site Name/ID
Definition: The official name of the agency's site of HIV prevention service delivery where the session took place.
Instructions: Indicate the site where the session took place by selecting from a list of sites established in Table S: Site. If the
session took place at a site that you did not note when completing Table S: Site, you will be given the option to add
the site to Table S and enter the site here. If you are conducting a session of PS, then the Site Name should be that
of your primary agency. NOTE: Site Name only applies to PEMS application users.

H11

Duration of Session
Definition: The amount of time in minutes that the session lasted.
Instructions: Indicate the actual number of minutes that the session lasted.

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NHME Variables and Values
Requirements
Num

Variable Name

H13

Program

System

Optional Not Reported

Recruitment Source
Definition: The means by which the client became aware of and/or entered into the intervention. This would include how the
client learned about the intervention (e.g., informational flyer, outreach worker, partner referral) or was motivated to
take action in seeking services or enrollment into an intervention.
Instructions: Select the variable value that describes how the client became aware of or entered the intervention (e.g., through an
agency referral, walk-in, partner recommendation). This information only needs to be entered once per a given
client's enrollment into an intervention or program model. For PS, this variable is only used for the index client and
not for his or her partners, (unless the partner participates in an intervention independent of their involvement with the
index client).

Code

Value Description

Value Definition

Agency

The client became aware of and/or entered the intervention due to an
agency referral.

HC/PI

The client became aware of and/or entered the intervention due to
exposure to one or more of the following: Public Service
Announcement (PSAs), billboards, pamphlets, posters, hotlines,
newspapers, magazines, websites, presentations, and lectures. This
value is non-applicable for recruitment to PS.

Self

The client became aware of and/or entered the intervention due to
knowledge of potential exposure and without recognition of referral or
source of information. This value is non-applicable for PS if the client
is a partner.

Partner

The client became aware of and/or entered the intervention through
the recommendation/support of a sex/needle sharing partner, who is
not identified as an outreach peer. This value is non-applicable for
PS if the client is the index client.

Friend and/or family member

The client became aware of and/or entered the intervention through
the recommendation/support of friends or family members. This
value is not applicable for PS.

Other (specify)

A recruitment source cannot be identified by any of the other
categories.

Don't know

The client reports that he or she is unaware of how he or she became
aware of and/or initially entered the intervention.

H13-1

Specify Recruitment Source
Definition: A specification of how the client became aware of and/or entered into the intervention if 89-Other (specify) was
selected in H13.
Instructions: Specify how the client became aware of or entered the intervention if 89-Other (specify) was selected and none of the
other value choices in H13 apply.

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NHME Variables and Values
Requirements
Num
H14

Variable Name

Program

System

Optional Not Reported

Recruitment Source - Linkage Code
Definition: The referral code provided by the agency that referred the client.
Instructions: If client is referred from another agency and has a referral code, enter that code here.

H15

Recruitment Source - Network Agency Name
Definition: The name of the agency (other than your own) that referred the client to the intervention, if applicable. Variables H15H19 are only applicable if the recruitment source is an agency that is not your own.
Instructions: If H13: Recruitment Source = “Agency”, then select the name of the agency that made the referral of the client you are
describing. When using the PEMS software, you will be able to select from the list of agencies you listed in Table N:
Network Agency. If the referral was from a new agency or agency that was not previously entered in Table N, you will
be given the option to add the agency to Table N and enter the agency here.

H16

Recruitment Source - Linkage DUNS
Definition: The Data Universal Numbering System (DUNS) number of the network agency specified in H15: Network Agency
Name. The DUNS number is a unique nine-digit identification which uniquely identifies business entities. It is
provided by the commercial company Dun & Bradstreet.
Instructions: If H13: Recruitment Source = “Agency”, enter the recruitment source agency's DUNS number.

H17

Recruitment Source - Program/Intervention Name
Definition: The name of the program/intervention that the agency was providing when the client was referred to the current
intervention.
Instructions: If H13: Recruitment Source = “Agency”, provide the name of the agency's intervention/program that referred the client
to the current service. If client was referred from within your own agency, enter the name of the intervention/program
name from which they were referred.

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NHME Variables and Values
Requirements
Num

Variable Name

H18

Program

System

Optional Not Reported

Recruitment Source - Service/Intervention Type (only
1st session, and if agency referral)
Definition: If the client entered an intervention through an agency referral, this variable is used to specify the type of service or
intervention the referring agency provides. This variable is recorded at the first session only.
Instructions: If H13: Recruitment Source = “Agency”, indicate the type of service or intervention the agency was providing when the
client was referred to your agency. If you provided a program or intervention name for H17: Recruitment Source –
Program/ Intervention Name, the type of service that was being delivered when the client was referred to you should
correspond to this program/intervention.

Code

Value Description

Value Definition

Counseling and Testing

The client was referred to this intervention from a counseling and
testing intervention.

Health Communication/Public Information

The client was referred to this intervention from a Health
Communication/Public Information intervention.

Partner Services

The client was referred to this intervention from a Partner Services
(PS) intervention.

Comprehensive Risk Counseling Services

The client was referred to this intervention from a Comprehensive
Risk Counseling Services (CRCS) intervention.

Outreach

The client was referred to this intervention from an Outreach
intervention.

Health Education/Risk Reduction

The client was referred to this intervention from a Health
Education/Risk Reduction intervention.

Intake/screening

The client was referred to this intervention during an intake or a risk
screening process.

Other

The intervention type cannot be identified by the other intervention
types.

Don't know

The client reports that he or she is unaware of the type of
intervention that he or she was receiving at the time he or she was
provided with information or a referral to this intervention.

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NHME Variables and Values
Requirements
Num

Variable Name

H19

Program

System

Optional Not Reported

Recruitment Source - Site Type (if agency referral)
Definition: The setting that best describes from where the referral was given.
Instructions: If H13: Recruitment Source = “Agency”, indicate the site type that best describes the agency's site of service delivery
from which the referral was given. You may select a primary category (indicated by an asterisk *) for the site type;
however, only one site type may be selected.

Code

Value Description

Value Definition

F01

*Inpatient facility

A health facility where services are provided to patients that reside
within that facility while they are receiving those services.

F01.01

Inpatient - Hospital

A health facility that provides medical care to patients that reside
within that facility while they are receiving those services.

F01.50

Inpatient - Drug/alcohol treatment

A residential health facility that provides substance abuse treatment
and rehabilitation.

F01.88

Inpatient facility - Other

A health facility where services (other than those specified) are
provided to patients that reside within that facility while they are
receiving those services.

F01.99

Inpatient facility - Unknown

A health facility where services are provided to patients that reside
within that facility while they are receiving those services. The type of
service that this facility provides is unknown.

F02

*Outpatient facility

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services.

F02.03

Outpatient - Private medical practice

A non-residential health care facility that is privately owned and/or
operated.

F02.04

Outpatient - HIV specialty clinic

A non-residential health care facility that concentrates in the provision
of HIV treatment, care and prevention services.

F02.10

Outpatient - Prenatal/OBGYN clinic

A non-residential health care facility that provides obstetric,
gynecological and other pregnancy-related health services.

F02.12

Outpatient - TB clinic

A non-residential health care facility that specializes in the provision
of tuberculosis treatment, care and prevention services.

F02.19

Outpatient - Drug/alcohol treatment clinic

A non-residential health care facility that provides alcohol and
chemical dependency treatment services.

F02.20

Outpatient - Family planning

A non-residential health care facility that provides pregnancy testing,
birth control services, and other reproductive health services.

F02.30

Outpatient - Community mental health

F02.51

Outpatient - Community health clinic

A non-residential health care facility that provides primary and
preventative health care services to the members of a community in
which it is located.

F02.58

Outpatient - School/university clinic

A non-residential health clinic that is operated by and provides
services within a school or university setting.

F02.60

Outpatient - Health department/public health clinic

A non-residential health clinic that is supported by public funds.

F02.61

Outpatient - Health department/public health clinic - HIV

A non-residential health clinic that is supported by public funds and
provides HIV prevention, diagnosis and treatment services.

F02.62

Outpatient - Health department/public health clinic - STD

A non-residential health clinic that is supported by public funds and
provides STD prevention, diagnosis and treatment services.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

F02.88

Outpatient facility - Other

A health care facility where services (other than those specified) are
provided to patients that do not reside within that facility while they
are receiving services.

F02.99

Outpatient facility - Unknown

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services. The
type of service that this facility provides is unknown.

F03

*Emergency room

A section of a hospital or clinic staffed and equipped to provide
emergency care to persons requiring immediate medical treatment for
sudden illness or trauma.

F04.01

*Blood bank/plasma center

F04.05

*HIV counseling and testing site

A facility or non-facility based setting where HIV prevention
counseling and testing services are provided.

F06

*Community setting

A defined area, environment or context in which a group of people
live, work or congregate.

F06.01

Community setting - AIDS service organization - non-clinical

A health association, support agency, or other service actively
involved in the prevention and treatment of AIDS.

F06.02

Community setting - School/education facility

A building or place where individuals receive knowledge through
learning and instruction.

F06.03

Community setting - Church/mosque/synagogue/temple

A building where a group of people who adhere to a common faith
gather for prayer.

F06.04

Community setting - Shelter/transitional housing

F06.05

Community setting - Commercial

A business or commercial facility (e.g., beauty salon, grocery store,
shopping center) where HIV prevention services may also occur.

F06.06

Community setting - Residential

A primary residence that might include residential neighborhoods or
the common areas of apartment complexes or housing developments.

F06.07

Community setting - Bar/club/adult entertainment

A location that is typically open late at night and that provides
entertainment (e.g., singing, dancing) as well as food and drink.

F06.08

Community setting - Public area

An area, environment or context that is open to the community as a
whole such as a park or city street.

F06.09

Community setting - Workplace

A location where a worker normally performs his/her job tasks or the
businesses administrative offices. Use this site type for prevention
services delivered to a particular employer's employees.

F06.10

Community setting - Community center

A facility where the members of a community can gather for social or
cultural activities.

F06.88

Community setting - Other

A defined area, environment or context (other than those already
specified) in which a group of people live, work or congregate.

F07

*Correctional facility

F89

Other (specify)

The site type cannot be identified by the other site types. If chosen,
please specify the site type.

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NHME Variables and Values
Requirements
Num

H19-1

Variable Name

Program

System

Optional Not Reported

Specify Recruitment Source - Site Type
Definition: A specification of the setting where the referral was given if 89-Other (specify) was selected in H19.
Instructions: Specify the setting where the referral was given if 89-Other (specify) was selected and none of the other value choices
in H19 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

H20

Activity

Program

System

Optional Not Reported

Definition: The specific actions or components of an intervention in which the client participated or in which they received during
this particular session.
Instructions: Select all of the activities that occurred during this session. Describe what was actually delivered, regardless of what
you planned to deliver in Table F (F10: Activity). If you are providing multiple sessions for an intervention (H02:
Number of Sessions >1), then this variable will be completed for each session of the intervention. When using the
PEMS software, you will be able to select from the list of activities you listed in F10: Activity. You will also be able to
add new activities that are not already on that list. Examples of activities include doing HIV testing, providing
information about STDs, demonstrating condom use, or making referrals. Definitions for the major categories of
activity types include: 1) Information: The provision or communication of factual knowledge (written or oral) about HIV
Code
Value Description
Value Definition
01.00

Not collected

Agency currently does not collect or report data on session activities.

03.00

HIV Testing

A diagnostic, laboratory procedure to assess for the presence of HIV
antibodies.

04.00

Referral

05.00

Personalized risk assessment

06.00

Elicit partners

The process by which the provider assists the index client in
identifying partners and other sexual and drug-injecting networks at
high risk for transmission of HIV who might benefit from testing and/or
medical examination. These networks do not include sex partners of
the HIV-infected individual but are made up of individuals who share
social relationships involving sex or drug use.

07.00

Notification of exposure

The process of informing a HIV-positive client's sex and/or needle
sharing partners of their exposure to HIV. This activity is only
applicable if the intervention type is Partner Services (PS).

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual,
group, or couple on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual, group, or
couple on abstaining from sexual activity or postponing sexual
activity.

08.03

Information - Other sexually transmitted diseases

Any information, written or verbal, given to an individual, group, or
couple on STDs (other than HIV or viral hepatitis), how it is
transmitted, how to reduce risk for transmission or infection, or
treatment options.

08.04

Information - Viral hepatitis

Any information, written or verbal, given to an individual, group, or
couple on viral hepatitis, how it is transmitted, and/or how to reduce
risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

Any information, written or verbal, given to an individual, group, or
couple about where and how to access HIV-related CTR or STD
counseling and testing. This includes referral lists that only list CTR
and/or STD counseling and testing sites.

08.06

Information - Availability of partner notification and referral services

Any information, written or verbal, given to an individual, group, or
couple about where and how to access partner notification services.
The availability information provided is exclusive to PS. This includes
referral lists that only list PS sites.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual, group, or
couple living with HIV/AIDS specific to living with the disease.

08.08

Information - Availability of social services

Any information, written or verbal, given to an individual, group, or
couple about how and where to access social services. This could
include a referral list that only includes social services agencies or
providers.

08.09

Information - Availability of medical services

Any information, written or verbal, given to an individual, group, or
couple about how and where to access HIV medical services. This
could include a referral list that only includes HIV medical care
providers.

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual, group, or
couple on how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual, group, or
couple on how to reduce injection drug use risk for HIV transmission
or infection.

08.12

Information - IDU risk free behavior

Any information, written or verbal, given to an individual, group, or
couple on abstaining from injection drug use or only using new
needles and disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual, group, or
couple regarding appropriate use and disposal of condoms or other
barrier methods.

08.14

Information - Negotiation/communication

Any information, written or verbal, given to an individual, group, or
couple regarding communication of desire for safer practices and
negotiating safer practices with partners (sexual and needle sharing).

08.15

Information - Decision making

Any information, written or verbal, given to an individual, group, or
couple regarding the steps and techniques needed for reassessing,
planning and using judgment to avoid situations that may expose
them to HIV infection or transmission risk and/or decision to engage
in a risk behavior.

08.16

Information - Disclosure of HIV status

Any information, written or verbal, given to an individual, group, or
couple regarding disclosure of their HIV status, applicable laws,
accompanying ramifications, and options regarding non-disclosure.

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual, group, or
couple on how to communicate prevention messages and/or
demonstrate risk reduction skills with others.

08.18

Information - HIV Testing

Any information, written or verbal, given to an individual, group, or
couple regarding HIV testing including explanation of the testing
process and meaning of results, behavioral risks for infection, and
importance of knowing their status.

08.19

Information - Partner notification

Any information, written or verbal, given to an individual, group, or
couple regarding the notification of possible exposure to HIV and
accompanying ramifications, behaviors associated with possible
exposure, and consideration of alternatives or information on how to
notify partners regarding possible exposure.

08.20

Information - HIV medication therapy adherence

Any information, written or verbal, given to an individual, group, or
couple regarding HIV medication therapy, benefits and risk, medical
therapy alternatives, and importance of adhering to medication
therapy for HIV.

08.21

Information - Alcohol and drug use prevention

Any information, written or verbal, given to an individual, group, or
couple on the negative effects and consequences of alcohol and drug
use and its relationship to HIV transmission or infection risk behavior
including strategies to avoid or abstain from use.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.22

Information - Sexual health

Any information, written or verbal, given to an individual, group, or
couple on reproductive health, sexuality, sexual development and
similar topics.

08.23

Information - TB Testing

Any information, written or verbal, given to an individual, group, or
couple on TB, how it is transmitted, and/or how to reduce risk for
transmission or infection, or treatment options

08.88

Information - Other

Any information, written or verbal, given to an individual, group, or
couple that cannot be captured in any of the other information codes.

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

09.04

Demonstration - Decision making

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others.

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.88

Demonstration - Other

10.01

Practice - Condom/barrier use

Participant practice (using a teaching tool) of appropriate condom
and/or barrier use and disposal during the intervention session.

10.02

Practice - IDU risk reduction

Participant practice of safe needle use and disposal including the use
of bleach kits to clean works during the intervention session(s).

10.03

Practice - Negotiation/communication

Participant practice communication of desire for safer practices and
negotiation of safer practices with partners (sexual and needle
sharing) during the intervention session(s).

10.04

Practice - Decision making

10.05

Practice - Disclosure of HIV status

Participant practice of techniques to disclose seropositive status or
discuss issues relevant to disclosure.

10.06

Practice - Providing prevention services

Participant practice communication of prevention messages and/or
demonstration of risk reduction skills with others during intervention
session(s).

10.07

Practice - Partner notification

Participant practice of how to notify partners regarding possible
exposure to HIV or how to discuss issues relevant to partner
notification.

10.88

Practice - Other

Participant practice of a skill or technique that is not decision making,
IDU risk reduction, condom/barrier use, negotiation and
communication, disclosure, or providing prevention services.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.01

Discussion - Sexual risk reduction

11.02

Discussion - IDU risk reduction

11.03

Discussion - HIV Testing

11.04

Discussion - Other sexually transmitted diseases

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

11.08

Discussion - Abstinence/postpone sexual activity

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

11.13

Discussion - Availability of HIV/STD counseling and testing

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

11.18

Discussion - Negotiation/communication

11.19

Discussion - Decision making

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.23

Discussion - TB Testing

Facilitation of discussion with individuals or groups about TB, how it is
transmitted, and/or how to reduce risk for transmission or infection, or
treatment options.

11.24

Discussion - Stage Based Encounter

Facilitation of discussion with individuals or groups using Stage
Based Encounters.

11.88

Discussion - Other

12.01

Other testing - Pregnancy

Provision of testing to determine pregnancy.

12.02

Other testing - STD

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis.

12.03

Other testing - Viral hepatitis

Provision of testing to determine infection with Viral Hepatitis.

12.04

Other testing - TB

Provision of testing to determine infection with tuberculosis.

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.

13.07

Distribution - Referral lists

13.08

Distribution - Role model stories

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.88

Distribution - Other

14.01

Post-intervention follow up

14.02

Post-intervention booster session

An intervention session conducted with participant(s) of an
intervention after the last session to review and reinforce risk
reduction skills and information addressed by the intervention.

15.00

HIV testing history survey

The provision of the "HIV Testing History Survey." This value choice
is applicable only to those organizations who are funded by CDC to
administer the survey.

Other (specify)

Any HIV prevention activity not captured in other value choices.

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NHME Variables and Values
Requirements
Num

Variable Name

H20-1

Program

System

Optional Not Reported

Specify Activity
Definition: A specification of activities if 89-Other (specify) was selected in H20.
Instructions: Specify activities if 89-Other (specify) was selected and none of the other value choices in H20 apply.

H21

Incentive Provided
Definition: A type of reward that was presented to the client as compensation for the client's time and participation in the session,
(e.g., voucher for transportation, food, money, or other small reward).
Instructions: Indicate whether or not the client received an incentive of any type for participating in the session (e.g., voucher for
transportation, food, money, other small items, etc.).

Code

Value Description

Value Definition

An incentive was not provided to the client as compensation for the
client's time and participation in the session.

Yes

An incentive was provided to the client as compensation for the
client's time and participation in the session.

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NHME Variables and Values
Requirements
Num

Variable Name

H22

Program

System

Optional Not Reported

Unit of Delivery
Definition: The category or grouping of clients receiving prevention services per session.
Instructions: Indicate how many clients received the session at the same time. This variable describes whether this intervention
was delivered to just one person, to a small or large group, or to the broader community.

Code

Value Description

Value Definition

Individual

The intervention/session was provided to one person at a time.

Couple

The intervention/session was provided to two people that are in a sex
or drug-using relationship.

Small group

The intervention/session was provided to 2-12 people at the same
time and setting.

Large group

The intervention/session was provided to more than 12 people at the
same time and setting.

Community

The intervention/session was provided to a population as a whole,
rather than individuals or small/large groups, (i.e. community
mobilizations, social marketing campaigns, community-wide events,
health fairs, policy interventions, and structural interventions).

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NHME Variables and Values
Requirements
Num

Variable Name

H23

Program

System

Optional Not Reported

Delivery Method
Definition: The medium(s) or channel(s) through which the intervention session is delivered.
Instructions: Indicate how the intervention was delivered (e.g., in person, by using a video, over the internet, etc.) Select all that
apply.

Code

Value Description

Value Definition

01.00

In person

02.00

Internet

The use of email, chat rooms, or websites to deliver information to
clients electronically.

03.00

Printed materials

The use of pamphlets, direct mailing, magazines, newspapers,
posters, billboards, etc. If chosen, please specify the subcategory
(value codes 3.01-3.04) for printed material.

03.01

Printed materials - Magazines/newspapers

03.02

Printed materials - Pamphlets/brochures

A short, printed publication that is unbound or has a paper binding
written to inform on a specific topic or to address a public issue or
event. This can be multiple pages bound in a booklet form or single
page folded in panels. In the context of HIV prevention, it is typically
used to promote practices (such as safer sex), services (such as
counseling and testing), or information (such as HIV transmission
risk).

03.04

Printed materials - Posters/billboards

Posters:A single sheet sign posted or displayed used to advertise
simple messages or as an advertisement for goods and services.
This is typically used to promote practices (such as safer sex),
services (such as counseling and testing), or information (such as
HIV transmission risk), or products (condoms). Billboards: Large
signs or posters that are typically outdoors on which messages or
advertisements are placed with the intent to be viewed by the general
public. This is typically used to promote practices (such as safer sex),
services (such as counseling and testing) information (such as HIV
transmission risk), or products (condoms).

04.00

Radio

The use of radio broadcasts using public service announcements,
commercial air time, and the inclusion of messages in radio
programs, etc.

05.00

Telephone

The use of telephones or telephone "hot lines".

06.00

Television

The use of televised broadcasts using public service announcements,
commercial air time, etc.

07.00

Video

The use of pre-recorded visual and audio messages not delivered via
broadcast or cable TV (e.g., on a VHS tape or DVD).

Other (specify)

The use of methods or mediums to deliver the intervention other than
those that are listed in the other value choices (1.0-7.0). If chosen,
please specify the delivery method.

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NHME Variables and Values
Requirements
Num

H23-1

Variable Name

Program

System

Optional Not Reported

Specify Delivery Method
Definition: A specification of the type of delivery method if 89-Other (specify) was selected in H23.
Instructions: Specify the method of delivery if 89-Other (specify) was selected and none of the other value choices in H23 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: I

Program

System

Client Behavior Details

This table provides additional information for risk factors identified in Table G2. Agencies may choose
to use these variables if they need more detail about client risk or if an agency plans to collect follow-up
risk data to monitor behavior change.
Num

Variable Name

I01

Optional Not Reported

Program

Requirements

System

Optional Not Reported

Behavior Recall Period
Definition: The time period for which the client is asked to remember engaging in a specific behavior. This serves as the recall
period for the remaining variables.
Instructions: Indicate each recall period you intend to use in the collection of variables in Table I: Client Behavior Details for the
intervention specified in H01: Intervention Name/ID. For any intervention, according to your programmatic needs, you
may choose to collect client behavioral detail variables, using a 12 month recall period or additional recall periods, at
intake/first session, during the intervention, at the conclusion of the intervention, or at follow-up time periods. In the
PEMS software, client behavioral detail variables must be completed separately for each recall period.
Code

Value Description

Value Definition

Local recall period (specify)

The recall period used during the collection of Table I: Client
Behavior Details will be a locally-defined period of time other than 15,
30, 90 days or 12 months. The recall period chosen should be used
at each point of data collection (e.g., midpoint or post-intervention).

90 days

The recall period used during the collection of Table I: Client
Behavior Details will be 90 days. The recall period chosen can be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention follow-up).

12 months

The recall period used during the collection of Table I: Client
Behavior Details will be 12 months. The recall period chosen can be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention).

15 days

The recall period used during the collection of Table I: Client
Behavior Details will be 15 days. The recall period chosen can be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention).

-5

30 days

The recall period used during the collection of Table I: Client
Behavior Details will be 30 days. The recall period chosen can be
used at intake, the final session and any other point of data collection
for the intervention (e.g., midpoint or post-intervention).

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NHME Variables and Values
Requirements
Num

Variable Name

I02

Program

System

Optional Not Reported

Client Risk Factors
Definition: A description of the client’s risk factor(s) within the specified recall period that placed the client at potential risk for HIV
exposure and/or transmission.
Instructions: Select all of the activities that the client has been involved in within the recall period specified in I01: Behavioral Recall
Period that would place him or her at risk of either being exposed to HIV or transmitting HIV.

Code

Value Description

Value Definition

Injection drug use

Illicit use of injection drugs/substances (including narcotics,
hormones, silicone, etc.). Illicit injection drugs/substances are those
for which a client does not have a prescription (or which the client
uses in a way other than is prescribed) or drugs/substances that are
not available over the counter (or which are used in a way other than
intended).

Sex with transgender

The client has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender.

Sex with female

The client has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The client has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The client reports that none of the listed risk factors may have placed
the client at potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The client reports sharing hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Oral sex with female

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals of the sex partner.

Not asked

The provider did not ask the client about his or her risk factors.

Declined to answer

The client declines or is unwilling to report his or her risk factors.

Other (specify)

The client reports risk factors other than what is described in the
categories above. These include risk factors such as being a
hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

I02-1

Program

System

Optional Not Reported

Specify Client Risk Factors
Definition: A specification of the risk identified in I02 if 89-Other (specify) was selected.
Instructions: Specify the risk identified in I02 if 89-Other (specify) was selected and none of the other value choices apply.

I03

Number of Sex Partners
Definition: The number of partners with whom the client has had anal or vaginal sex in a specified behavioral recall period.
Instructions: If the client indicated that she or he has had sex with a male, female or transgender in variable I02: Client Risk
Factors, indicate the number of partners with whom the client has had anal or vaginal sex within the specified recall
period (I01: Behavioral Recall Period). The provider may have to use probes in helping the client with recall. If the
client is unable to remember the number of sex partners then he/she should make his/her best guess, otherwise the
provider should select “Don’t Know.” Select “Declined” if the client is unwilling to report this number.
Code

Value Description

Value Definition

Declined to answer

The client declines or is unwilling to report his or her number of sex
partners.

Don't know

The client reports that he or she is unaware of his or her number of
sex partners.

###

I04

Number of Sex Partners with Serodiscordant or HIV
Status Unknown
Definition: The number of sex partners in a specified behavioral recall period who were serodiscordant with the client (i.e., one
sex partner is HIV negative and the other sex partner is HIV positive) or whose HIV serostatus the client did not know.
Instructions: Of the number of sex partners identified in I03: Number of Sex Partners, indicate how many of those partners during
the recall period (I01: Behavioral Recall Period) were serodiscordant (i.e., partners who had an HIV serostatus
different from the client) or whose HIV serostatus was unknown to the client at the time they had sex. If a client has
had both serodiscordant and HIV status unknown partners, you will enter the total of BOTH types of partners.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of sex
partners with serodiscordant or unknown HIV status.

Don't know

The client reports that he or she is unaware of his or her number of
sex partners with serodiscordant or unknown HIV status.

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NHME Variables and Values
Requirements
Num

Variable Name

I05

Program

System

Optional Not Reported

Number of HIV Status Unknown Sex Partners that
were Anonymous
Definition: The number of sex partners whose HIV serostatus the client did not know and whose identity was also unknown to the
client.
Instructions: Of the number of sex partners identified in I04: Number of Sex Partners with serodiscordant or HIV status unknown,
indicate how many of those partners whose HIV status was unknown were also anonymous to the client during the
recall period.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of sex
partners with unknown HIV status that were anonymous.

Don't know

The client reports that he or she is unaware of his or her number of
sex partners with unknown HIV status that were anonymous.

I06

Total Number of Sex Events
Definition: The number of times that the client had anal or vaginal sex (protected and unprotected) in a specified behavioral recall
period.
Instructions: If the client indicated that she or he has had sex with a male, female or transgender in the specified recall period in
variable I02: Client Risk Factors, then indicate the total number of times the client has had anal or vaginal sex within
the recall period. The provider may have to use probes in helping the client with recall. If the client is unable to
remember the number of sex events then he/she should make his/her best guess, otherwise the provider should
select “Don’t Know.” Select “Declined” if the client is unwilling to report this number.
Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of sex
events.

Don't know

The client reports that he or she is unaware of his or her number of
sex events.

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NHME Variables and Values
Requirements
Num

Variable Name

I07

Program

System

Optional Not Reported

Number of Sex Events with Serodiscordant or HIV
Status Unknown Partners
Definition: The number of times the client had anal or vaginal sex (protected and unprotected) with a serodiscordant partner (i.e.,
one sex partner is HIV negative and the other sex partner is HIV positive), or partner whose serostatus was unknown
in a specified behavioral recall period.
Instructions: Indicate the number of times the client has had anal or vaginal sex (both protected and unprotected) within the recall
period with a person who had an HIV serostatus different from the client or whose HIV serostatus was unknown to the
client at the time they had sex.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of sex
events with a serodiscordant or unknown HIV status partner.

Don't know

The client reports that he or she is unaware of his or her number of
sex events with a serodiscordant or unknown HIV status partner.

I08

Number of Unprotected Sex Events
Definition: The number of times that the client had unprotected anal or vaginal sex with any partner in a specified behavioral
recall period.
Instructions: Indicate the total number of times the client had unprotected anal or vaginal sex within the recall period. The provider
may have to use probes in helping the client with recall. If the client is unable to remember the number of unprotected
sex events then he/she should make his/her best guess, otherwise the provider should select “Don’t Know.” Select
“Declined” if the client is unwilling to report this number.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events.

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NHME Variables and Values
Requirements
Num

Variable Name

I09

Program

System

Optional Not Reported

Number of Unprotected Sex Events with a
Serodiscordant or HIV Status Unknown Partner
(Total)
Definition: The total number of times the client had unprotected anal or vaginal sex with a serodiscordant partner or a partner
whose HIV serostatus was unknown.
Instructions: Of the number of sex events identified in I08: Number of Unprotected Sex Events, indicate how many were with
partners who were serodiscordant with the client (e.g., one sex partner is HIV negative and the other is HIV positive),
or whose HIV status was unknown in the specified behavioral recall period.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
partner.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
partner.

I10

Number of Unprotected Sex Events with a
Serodiscordant or HIV Status Unknown Partner
(Male)
Definition: The total number of times the client had unprotected anal or vaginal sex with a serodiscordant male partner (e.g., one
sex partner is HIV negative and the other sex partner is HIV positive), or a male partner whose HIV status was
unknown in a specified behavioral recall period.
Instructions: Of the number of sex events identified in I09: Number of Unprotected Sex Events with a serodiscordant or HIV status
unknown partner, indicate how many of them were with male partners who were serodiscordant with the client (e.g.,
one sex partner is HIV negative and the other sex partner is HIV positive), or whose HIV status was unknown in the
specified behavioral recall period. The client may have difficulty remembering the exact number of unprotected sex
events. The provider may have to provide assistance or use probes in helping the client with recall (e.g., bringing up
an earlier discussion the provider had with the client). If the client is still unable to remember the number of
unprotected sex events then he/she should be asked to make his/her best guess. If the client is unable to make a
Code
Value Description
Value Definition
####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
male partner.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
male partner.

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NHME Variables and Values
Requirements
Num

Variable Name

I11

Program

System

Optional Not Reported

Number of Unprotected Sex Events with a
Serodiscordant or HIV Status Unknown Partner
(Female)
Definition: The total number of times the client had unprotected anal or vaginal sex with a serodiscordant female partner (e.g.,
one sex partner is HIV negative and the other sex partner is HIV positive), or a female partner whose HIV status was
unknown in a specified behavioral recall period.
Instructions: Of the number of sex events identified in I09: Number of Unprotected Sex Events with a serodiscordant or HIV status
unknown partner, indicate how many of them were with female partners who were serodiscordant with the client (e.g.,
one sex partner is HIV negative and the other sex partner is HIV positive), or whose HIV status was unknown in the
specified behavioral recall period.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
female partner.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
female partner.

I12

Number of Unprotected Sex Events with a
Serodiscordant or HIV Status Unknown Partner
(Transgender)
Definition: The total number of times the client had unprotected anal or vaginal sex with a serodiscordant transgender partner
(e.g., one sex partner is HIV negative and the other sex partner is HIV positive), or a transgender partner whose HIV
status was unknown in a specified behavioral recall period.
Instructions: Of the number of sex events identified in I09: Number of Unprotected Sex Events with a serodiscordant or HIV status
unknown partner, indicate how many of them were with transgender partners who were serodiscordant with the client
(e.g., one sex partner is HIV negative and the other sex partner is HIV positive), or whose HIV status was unknown in
the specified behavioral recall period.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
transgender partner.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with a serodiscordant or HIV status unknown
transgender partner.

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NHME Variables and Values
Requirements
Num

Variable Name

I13

Program

System

Optional Not Reported

Number of Unprotected Sex Events with Injection
Drug User
Definition: The number of times that the client had unprotected sex with a partner who is an injection drug user in a specified
behavioral recall period.
Instructions: Indicate the number of times the client had unprotected anal or vaginal intercourse with an injection drug user during
the recall period (I01: Behavioral Recall Period). These may be the same partners referenced in I10-I12.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with an injection drug user.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with an injection drug user.

I14

Number of Unprotected Sex Events with Partner
Who Exchanged Sex for Drugs or Money
Definition: The number of times that the client had unprotected sex with a partner who is known to exchange sex for money or
drugs in a specified behavioral recall period.
Instructions: Indicate the number of times during the recall period (I01: Behavioral Recall Period) that the client had unprotected
anal or vaginal intercourse with a partner who exchanges sex for drugs or money.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
unprotected sex events with a partner who exchanged sex for drugs
or money.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events with a partner who exchanged sex for drugs
or money.

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NHME Variables and Values
Requirements
Num

Variable Name

I15

Program

System

Optional Not Reported

Number of Unprotected Sex Events while Intoxicated
and/or High on Non-injection Drugs
Definition: The number of times that the client had unprotected sex while intoxicated and/or high on drugs in a specified
behavioral recall period. The intent of this variable is not to identify risks due to injection practices but to capture the
effects of illicit drug use on an individual's judgment to decide to have protected or unprotected sex.
Instructions: Indicate the number of times during the recall period (I01: Behavioral Recall Period) that the client had unprotected
anal or vaginal intercourse while intoxicated and/or high on non-injection illicit drugs.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report the number of unprotected
sex events while intoxicated and/or high on non-injection drugs.

Don't know

The client reports that he or she is unaware of his or her number of
unprotected sex events while intoxicated and/or high on non-injection
drugs.

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NHME Variables and Values
Requirements
Num

Variable Name

I16

Program

System

Optional Not Reported

What Drugs?
Definition: If the client reports unprotected sex events while intoxicated and/or high on non-injection drugs indicate which of the
non-injection drugs were used before or during the sex events.
Instructions: If the client indicates that he or she did have sex while high on non-injection drugs (I15: Number of Unprotected Sex
Events while intoxicated and/or high on non-injection drugs > 0), indicate what drugs were used but not injected by the
client before or during unprotected anal or vaginal intercourse.

Code

Value Description

Amphetamine, meth, speed, crystal, crank, etc.

Crack

Cocaine (smoked, snorted)

Downers (Valium, Ativan, Xanax)

Pain killers (Oxycontin, Percocet)

Hallucinogens such as LSD

Ecstasy

Club drugs such as GHB, ketamine

Heroin (smoked, snorted)

Marijuana

Poppers (amyl nitrite)

Alcohol

Declined to answer

The client declines or is unwilling to report the types of non-injection
drugs used before or during a sex event.

Other (specify)

The client reports having unprotected sex while high on non-injection
drugs other than what is described in the categories above.

Don't know

The client reports that he or she is unaware of the types of noninjection drugs used before or during a sex event.

I16-1

Value Definition

Specify Other Drugs
Definition: A specification of other non-injection drugs that the client used before or during unprotected sex events if 89-Other
(specify) was selected in I16.
Instructions: Specify the drugs that were used but not injected by the client before or during unprotected sex if 89-Other (specify)
was selected and if none of the other value choices in I16 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

I17

Program

System

Optional Not Reported

Number of Needle Sharing Events
Definition: The number of times that the client shared hypodermic needles, syringes, or other injection equipment in a specified
behavioral recall period.
Instructions: If the client indicated that he or she has used injection drugs during the recall period in variable I02: Client Risk
Factors = "Injection Drug Use," indicate the number of times the client shared a hypodermic needle, syringe, or other
injection equipment during the recall period. The provider may have to use probes in helping the client with recall. If
the client is unable to remember the number of needle sharing events then he/she should make his/her best guess,
otherwise the provider should select “Don’t Know.” Select “Declined” if the client is unwilling to report this number.
Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
needle sharing events.

Don't know

The client reports that he or she is unaware of his or her number of
needle sharing events.

I18

Number of Needle Sharing Events with a
Serodiscordant or HIV Status Unknown Partner
Definition: The number of times that the client shared hypodermic needles, syringes, or other injection equipment with a
serodiscordant partner (i.e., one sex partner is HIV negative and the other sex partner is HIV positive), or partner
whose HIV status was unknown in a specified behavioral recall period.
Instructions: Of the number of times the client shared a hypodermic needle, syringe or other injection equipment during the recall
period (I17: Number of Needle Sharing Events), indicate the number of times hypodermic needles, syringes or other
injection equipment were shared with a partner whose HIV serostatus was different from the client or unknown to the
client.

Code

Value Description

Value Definition

####
77

Declined to answer

The client declines or is unwilling to report his or her number of
needle sharing events with a serodiscordant or HIV status unknown
partner.

Don't know

The client reports that he or she is unaware of his or her number of
needle sharing events with a serodiscordant or HIV status unknown
partner.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: LV

Program

System

Optional Not Reported

Local Variables

This table is OPTIONAL and for local agency use only. Variables are defined at the local level.
Requirements
Num
LV01

Variable Name

Program

System

Optional Not Reported

Local Variable 01
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV02

Local Variable 02
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV03

Local Variable 03
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV04

Local Variable 04
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num
LV05

Variable Name

Program

System

Optional Not Reported

Local Variable 05
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV06

Local Variable 06
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV07

Local Variable 07
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV08

Local Variable 08
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV09

Local Variable 09
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num
LV10

Variable Name

Program

System

Optional Not Reported

Local Variable 10
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV11

Local Variable 11
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV12

Local Variable 12
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV13

Local Variable 13
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV14

Local Variable 14
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num
LV15

Variable Name

Program

System

Optional Not Reported

Local Variable 15
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV16

Local Variable 16
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV17

Local Variable 17
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV18

Local Variable 18
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV19

Local Variable 19
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num
LV20

Variable Name

Program

System

Optional Not Reported

Local Variable 20
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV21

Local Variable 21
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV22

Local Variable 22
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV23

Local Variable 23
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV24

Local Variable 24
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num
LV25

Variable Name

Program

System

Optional Not Reported

Local Variable 25
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV26

Local Variable 26
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV27

Local Variable 27
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV28

Local Variable 28
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV29

Local Variable 29
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

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NHME Variables and Values
Requirements
Num

Variable Name

LV30

Program

System

Optional Not Reported

Local Variable 30
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV31

Local Variable 31
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

LV32

Local Variable 32
Definition: A local variable to be used for local agency purposes. Each agency may decide what values are stored in this
variable and how often this variable should be collected and entered.
Instructions: Data entered into this field may be alphabetic and/or numeric and may be up to 2000 characters.

Table: PCRS-1 Partner Services Case
This table provides details for a Partner Services (PS) case. A PS case will indirectly associate an HIV+
index case to his/her partners and the intervention through which services are provided.
Num

Variable Name

PCR101

Program

Requirements

System

Optional Not Reported

Case Number
Definition: A number to uniquely identify a PS case within an agency. This number is system-generated when establishing a PS
case in PEMS but can also be a locally-developed or assigned number that is key-entered by the provider (e.g.,
interview record number).

Instructions: Select the system-generated PS case number or enter the locally-defined case number (e.g., interview record
number).

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NHME Variables and Values
Requirements
Num

Variable Name

PCR102

Program

System

Optional Not Reported

Intervention ID
Definition: A unique Intervention ID that was generated by PEMS in Table F: Program/ Intervention Plan.

Instructions: This is a PEMS generated number.

PCR102a

Intervention Name

Definition: A unique Intervention Name that was entered by your agency in Table F: Program/Intervention Plan.
Instructions: Select from a list of Intervention Names generated from variable F02a: Intervention Name. When using the PEMS
software, the list of interventions you entered in Table F will appear as a list that you can choose from for this variable.

PCR103

Case Open Date
Definition: The calendar date on which the PS case was opened at this agency.

Instructions: Enter the date on which the PS case was opened at this agency.

PCR104

Case Close Date
Definition: The calendar date on which the PS case was closed at this agency.

Instructions: Enter the date on which the PS case was closed at this agency.

PCR105

Case Close Reason
Definition: A free-text field to indicate the reason(s) for closing the PS case.

Instructions: Enter the reason(s) for closing the PS case. For example, the partners were located, notified and referred for HIV
testing or the index client refused to provide locating information on partners.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR106

Program

System

Optional Not Reported

eHARS ID
Definition: A system-generated unique ID of the electronic HIV/AIDS Reporting System (eHARS) only generated at the time an
HIV case (or HIV-infected person) is first reported to the health department’s Surveillance Program.

Instructions: Enter the system-generated unique ID of the electronic HIV/AIDS Reporting System (eHARS) for the index client.

PCR107

HARS ID
Definition: The state-assigned identifier applied to each HIV case, newly reported to the health department’s Surveillance
Program. This variable is a combination of REP_ST and STATENO in the HIV/AIDS Reporting System (HARS).

Instructions: Enter the state-assigned identifier for the index client, applied to each HIV case, newly reported to the health
department’s Surveillance Program.

PCR108

Date of Report
Definition: The date on which an index client was newly reported to surveillance as being infected with HIV. Persons reported to
surveillance have not previously been reported to the same health department surveillance unit.

Instructions: Enter the date on which an index client was newly reported to surveillance as being infected with HIV. This would be
the date linked to the HARS or eHARS ID.

PCR109

Reported to Surveillance
Definition: An indication of whether or not the index client's HIV case was reported to surveillance.

Instructions: The date on which an index client was newly reported to surveillance as being infected with HIV. Persons reported to
surveillance have not previously been reported to the same health department surveillance unit. The report may occur
before or after PS has been completed with the client.

Code

Value Description

Value Definition

The index client's HIV case was not reported to the health
department's surveillance department.

Yes

The index client's HIV case was reported to the health department's
surveillance department.

Unknown

It is not known whether or not the index client's HIV case has been
reported to surveillance.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Table: PCRS-2 Partner Services Partner
This table provides details about partners for a PS case and will include partner identifying and locating
information as well as services received by the partner.
Num

Variable Name

PCR200

Program

Requirements

System

Optional Not Reported

Date Collected
Definition: The date on which information about the partner is initially collected. Information includes partner type, demographic
and risk behaviors of the partner.

Instructions: Indicate the initial date (mm/dd/yyyy) that information was provided about the partner.

PCR201

Case Number
Definition: A number to uniquely identify a PS case within an agency. This number is system-generated when establishing a PS
case in PEMS (Table PCR1: Case) but can also be a locally-developed or assigned number that is key-entered by the
provider (e.g., interview record number).

Instructions: Select the applicable PS case number that has been assigned to this PS case within your agency. In the PEMS
software this number is selected from a drop-down menu that has been populated with the case numbers your agency
has established in Table PS1: Case. This number will link the index client with his or her sex and/or needle sharing
partners while maintaining the confidentiality of both parties.

PCR202

Partner Unique Key
Definition: A system-generated code that is used to uniquely identify and distinguish between partners of an index case for PS
interventions within a particular agency. This variable is used to link partners to a specific PS case number (PCR101:
Case Number). Each Partner Unique Key is associated with a specific PS case number.

Instructions: The system will generate a unique, non-identifying code to represent each partner of an index case receiving PS
within a particular agency. This code is a randomly generated number and is not created by parts of other PEMS
variables. This variable is used to link partners to a specific PS case number (PCR101: Case Number).

PCR202a

Local PS ID

Definition: This variable is unique to each partner. Each local PS ID is associated with a specific PS case number (PCR101).
PCR202a is only program required if PCR202 is not used.
Instructions: If you have a local identification system for PS partners, enter the local ID here. For example, a partner ID from
STD*MIS could be entered here.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR203

Program

System

Optional Not Reported

Last Name
Definition: The partner's last name.

Instructions: Enter the partner's last name. This information will not be reported to CDC.

PCR204

First Name
Definition: The partner's first name.

Instructions: Enter the partner's formal first name. This information will not be reported to CDC.

PCR205

Middle Initial
Definition: The first letter of the partner's middle name.

Instructions: Enter the first letter of the partner's middle name. This information will not be reported to CDC.

PCR206

Nickname
Definition: An alternative name for the partner that is often descriptive and familiar to the partner.

Instructions: If the partner has a nickname that is used to identify the partner and distinguish that partner from other partners, enter
that name. The nickname can be a name used to assist in identifying the partner for post-intervention follow-up or
may just be the name the partner prefers (e.g., shorter version of the person's first name such as "Joe" for "Joseph").
This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR207

Program

System

Optional Not Reported

Partner Type
Definition: The partner's sex and needle-sharing relationship with the index client. This relationship could involve sexual relations
between the client and the partner, needle-sharing between the client and partner, both sex and needle-sharing, or the
index client and partner are either social contacts or associates.

Instructions: For each partner identified, indicate whether the partner and client are sex partners, needle-sharing partners, both sex
and needle-sharing partners, social contacts, or associates.

Code

Value Description

Value Definition

Sex partner

A person who engages in any type of sexual activity with the index
client.

Needle-sharing partner

A person who engages in any type of needle-sharing activity (e.g.,
shares needles to inject drug intravenously), with the index client.

Both sex and needle sharing partner

A person who engages in any type of sexual activity and needlesharing activity (e.g., shares needles to inject drug intravenously),
with the index client.

Social contact

A person who is named by an infected person (e.g., the original
patient or an infected partner).

Associate

A person who is named by an uninfected partner.

PCR208

Spouse
Definition: The partner is legally married (i.e., the husband or wife) to the index client.

Instructions: Indicate if the partner is the spouse of the index client.

Code

Value Description

Value Definition

The partner is not the index client's husband or wife.

Yes

The partner is the index client's husband or wife.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR209

Program

System

Optional Not Reported

Notification Plan
Definition: The method that will be used to inform the partner that he or she has been potentially exposed to HIV.

Instructions: Indicate the planned method agreed upon by the index client and PS provider for notifying this partner of his or her
potential exposure to HIV.

Code

Value Description

Value Definition

Provider notification

The PS provider, with the consent of the HIV-infected client, takes the
responsibility for informing the partner of his or her possible exposure
to HIV and referring them to HIV counseling, testing, and other
support services.

Client notification

The HIV-infected client informs his or her partners of their possible
exposure to HIV and refers them to HIV counseling, testing, and
other support services.

Dual notification

The HIV-infected client informs his or her partners of their possible
exposure to HIV and refers them to HIV counseling, testing, and
other support services in the presence of the PS provider.

Contract

The PS provider and HIV-infected client negotiate a time frame for
the client to inform his or her partners of their possible exposure to
HIV. If the client is unable to inform a partner within an agreed-upon
time, the provider has the permission to notify and refer partners to
HIV counseling, testing, and other support services.

Third-party notification

A notification strategy whereby the partner would be notified by a
professional other than the health department provider (e.g., a private
physician).

PCR210

Date of Birth - Month
Definition: The calendar month in which the partner was born.

Instructions: Enter the month in which the partner was born. This information will not be reported to CDC.

PCR211

Date of Birth - Day
Definition: The calendar day on which the partner was born.

Instructions: Enter the day on which the partner was born. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR212

Program

System

Optional Not Reported

Date of Birth - Year
Definition: The calendar year in which the partner was born.

Instructions: Enter the year in which the partner was born.

PCR213

Calculated Age
Definition: The partner's age at the time of data collection.

Instructions: Enter the partner's age at the time of data collection. This variable is system-generated if the date the partner's
information was collected (PCR200: Partner Information Date Collected) and the partner's year of birth (PCR212 :
Date of Birth - Year) were both entered.

PCR214

Ethnicity
Definition: The partner's self report of whether they are of Hispanic or Latino origin.

Instructions: Indicate whether the partner reported that he or she is Hispanic/Latino or not Hispanic/Latino.

Code

Value Description

Value Definition

Declined to answer

The partner declines or is unwilling to report his or her ethnicity.

Don't know

The partner reports that he or she is unaware of their ethnicity.

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central
American, or other Spanish culture or origin, regardless of race.

Not Hispanic or Latino

A person not identified by the definition of Hispanic or Latino.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR215

Program

System

Optional Not Reported

Race
Definition: A partner's self-reported classification or classification(s) of the biological heritage with which they most closely
identify. Standard OMB race codes are applied.

Instructions: Indicate the partner's self reported race using standard OMB race codes. Record all race categories that the partner
reports.

Code

Value Description

Value Definition

Declined to answer

The partner declines or is unwilling to report his or her race.

Don't know

The partner reports that he or she is unaware of their race.

American Indian or Alaska Native

A person having origins in any of the original peoples of North or
South America (including Central America), and who maintains tribal
affiliation or community attachment.

Asian

Black or African American

A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Pacific Islander

A person having origins in any of the original peoples of Hawaii,
Guam, Samoa, or other Pacific Islands.

White

A person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.

PCR215a

Assigned Sex at Birth

Definition: The biological sex assigned to the partner at birth, (i.e., the sex noted on the client's birth certificate).
Instructions: Indicate whether the partner reports being physically born a male or female (i.e., being born with male or female
genitalia).

Code

Value Description

Value Definition

Male

The sex that produces spermatozoa by which female ova are
fertilized.

Female

The sex that produces ova, can conceive and bear offspring/children.

Declined to answer

The partner declines or is unwilling to report his or her assigned sex
at birth.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR216

Program

System

Optional Not Reported

Current Gender Identity
Definition: The partner's current self-reported gender identity. This may include one's social status, self-identification, legal
status, and biology.

Instructions: Select the variable value that most closely describes the partner's current, self-reported sexual identity.

Code

Value Description

Value Definition

Male

A person who identifies as a male and whose behavioral, cultural, or
psychological traits are typically associated with the male sex.

Female

A person who identifies as a female and whose behavioral, cultural,
or psychological traits are typically associated with the female sex.

Transgender - MTF

Individuals whose physical or birth sex is male but whose gender
expression and/or gender identity is female. Note: MTF = male to
female.

Transgender - FTM

Individuals whose physical or birth sex is female but whose gender
expression and/or gender identity is male. Note: FTM = female to
male.

Transgender - Unspecified

Individuals whose physical or birth sex is different from their current
gender expression and/or gender identity. This value should only be
chosen if the client does not specify MTF or FTM, but does identify as
transgender.

Declined to answer

The individual declines to self report his or her current gender identity.

Additional (specify)

The individual reports a current gender other than those specified
above.

PCR216a

Specify Current Gender Identity

Definition: The additional specification of Current Gender Identity from PCR216--89 Additional (specify).
Instructions: Specify the current gender identity of the partner if PCR216 is 89 Additional (specify).

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NHME Variables and Values
Requirements
Num

Variable Name

PCR217

Program

System

Optional Not Reported

English Speaking?
Definition: A confirmation of whether the partner speaks English.

Instructions: Indicate whether the partner speaks English.

Code

Value Description

Value Definition

The client does not speak English.

Yes

The client speaks English.

Don't know

The provider does not know whether or not the client speaks English.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR218

Program

System

Optional Not Reported

Primary Language
Definition: The language most often used by the partner.

Instructions: Specify the primary language or language most often used by the partner. If PCR217: English Speaking = "No", then
the partner’s primary language can't be English.

Code

Value Description

Value Definition

English

The language primarily or most often used by the partner is English.

Spanish

The language primarily or most often used by the partner is Spanish.

Arabic

The language primarily or most often used by the partner is Arabic.

Cambodian

The language primarily or most often used by the partner is
Cambodian.

Cantonese

The language primarily or most often used by the partner is
Cantonese.

Creole/French

The language primarily or most often used by the partner is
Creole/French.

Farsi

The language primarily or most often used by the partner is Farsi.

Haika

The language primarily or most often used by the partner is Haika.

Hindi

The language primarily or most often used by the partner is Hindi.

Japanese

The language primarily or most often used by the partner is Japanese.

Korean

The language primarily or most often used by the partner is Korean.

Lao

The language primarily or most often used by the partner is Lao.

Mandarin

The language primarily or most often used by the partner is Mandarin.

Russian

The language primarily or most often used by the partner is Russian.

Tagalog

The language primarily or most often used by the partner is Tagalog.

Thai

The language primarily or most often used by the partner is Thai.

Vietnamese

The language primarily or most often used by the partner is
Vietnamese.

Other (specify)

If the language primarily or most often used by the partner is a
language other than the languages specified in the categories above,
specify the language.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR218-1

Program

System

Optional Not Reported

Specify Primary Language

Definition: A specification of the primary language spoken by the partner if 89-Other (specify) was selected in PCR218.
Instructions: Specify the primary language of the partner if 89-Other (specify) was selected and none of the other value choices in
PCR218 apply.

PCR219

Physical Description
Definition: Distinguishing characteristics or physical description of the partner that might help you later in identifying the partner
for intervention follow-up, such as height, weight, eye color or other distinguishing characteristics.

Instructions: Indicate any distinguishing characteristics or physical description of the partner that might help you later in identifying
the partner for intervention follow-up, such as height, weight, eye color or other distinguishing characteristics. This
information will not be reported to CDC.

PCR220

Address Type
Definition: Indicate whether the locating address for the partner is a work address, home address or other type of address.

Instructions: Indicate whether the locating address for the partner is a work address, home address or other type of address. This
information will not be reported to CDC.

PCR221

Street Address 1
Definition: The part of the partner's locating address that indicates the street and street number.

Instructions: Indicate the part of the partner’s locating address that includes the street and street number. This information will not
be reported to CDC.

PCR222

Street Address 2
Definition: The part of the partner's locating address that indicates apartment or suite number if applicable.

Instructions: Indicate the apartment number or suite number portion of the partner’s locating address. For example if a partner
lives at “4134-C Swann Street”. Enter “4134 Swann Street” in G129 and enter “C” here in G130. This information will
not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR223

Program

System

Optional Not Reported

City
Definition: The city for the partner's locating address.

Instructions: Indicate the city of the partner’s locating address. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR224

Program

System

Optional Not Reported

State
Definition: The state, territory or district of the partner's locating address.

Instructions: Select the state, territory or district of the partner's locating address. This information will not be reported to CDC.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

PCR225

Optional Not Reported

Zip Code
Definition: The postal zip code for the partner's locating address.

Instructions: Enter the postal zip code of the partner's locating address. This information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR226

Program

System

Optional Not Reported

Phone Number (Day)
Definition: The seven-digit phone number and area code where the partner can be reached during the day.

Instructions: Enter the telephone number where the partner can be reached during the day. This information will not be reported to
CDC.

PCR227

Phone Number (Evening)
Definition: The seven-digit phone number and area code where the partner can be reached during the evening.

Instructions: Enter the telephone number where the partner can be reached during the evening. This information will not be
reported to CDC.

PCR228

Primary Occupation
Definition: The partner's type of work or job title, if applicable.

Instructions: Enter the partner’s primary type of work or job title. This information will not be reported to CDC.

PCR229

Employer
Definition: The name of the company, organization or individual for whom the partner works or by whom the partner is employed.

Instructions: Enter the name of the company, organization, or entity where the partner is employed. This information will not be
reported to CDC.

PCR230

Session Date
Definition: The date the partner participated in the session.

Instructions: Indicate the date the partner participated in the session.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR231

Program

System

Optional Not Reported

Worker ID
Definition: A system generated code used to distinguish between persons who are delivering services to clients by a combination
of non-identifying characteristics.

Instructions: Choose from a list of workers, established in Table P: Worker, the worker(s) who provided the prevention services
during this session. When using the PEMS software, you will be able to select from the list of Worker IDs generated
when Table P: Worker was completed. If you are entering a new worker you will be given the option to add the
worker(s) to Table P and enter the worker(s) here.

PCR232

Local Worker ID
Definition: A locally developed identification system used to distinguish between persons who are delivering services to clients.

Instructions: If your agency has established a local worker ID for the worker(s) who provided the prevention services during this
session, enter that ID.

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NHME Variables and Values
Requirements
Num
PCR233

Variable Name

Program

System

Optional Not Reported

Activity
Definition: The specific actions or components of an intervention in which the partner participated or received during this
particular session.

Instructions: Select all of the activities that occurred during this session. Describe what was actually delivered, regardless of what
you planned to deliver in Table F (F10: Activities). When using the PEMS software, you will be able to select from the
list of activities you listed in F10: Activities. You will also be able to add new activities that are not already on that list.
Examples of activities include doing HIV testing, providing information about STDs, demonstrating condom use, or
making referrals. Definitions for the major categories of activity types include: 1) Information: The provision or
communication of factual knowledge (written or oral) about HIV prevention and other related topics for an individual or
a group; 2) Demonstration: The illustration or provision of an example of a skill or technique accompanied by
Code
Value Description
Value Definition
01.00

Not collected

Agency currently does not collect or report data on session activities.

04.00

Referral

05.00

Personalized risk assessment

07.00

Notification of exposure

The process of informing a HIV-positive client's sex and/or needle
sharing partners of their exposure to HIV. This activity is only
applicable if the intervention type is Partner Services (PS).

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual,
couple, or group on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual, couple, or
group on abstaining from sexual activity or postponing sexual activity.

08.03

Information - Other sexually transmitted diseases

Any information, written or verbal, given to an individual, couple, or
group on STDs (other than HIV or viral hepatitis), how it is
transmitted, how to reduce risk for transmission or infection, or
treatment options.

08.04

Information - Viral hepatitis

Any information, written or verbal, given to an individual, couple, or
group on viral hepatitis, how it is transmitted, and/or how to reduce
risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

Any information, written or verbal, given to an individual, couple, or
group about where and how to access HIV-related CTR or STD
counseling and testing. This includes referral lists that only list CTR
and/or STD counseling and testing sites.

08.06

Information - Availability of partner notification and referral services

Any information, written or verbal, given to an individual, couple, or
group about where and how to access partner notification services.
The availability information provided is exclusive to PS. This includes
referral lists that only list PS sites.

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual, couple, or
group living with HIV/AIDS specific to living with the disease.

08.08

Information - Availability of social services

Any information, written or verbal, given to an individual, couple, or
group about how and where to access social services. This could
include a referral list that only includes social services agencies or
providers.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.09

Information - Availability of medical services

Any information, written or verbal, given to an individual, couple, or
group about how and where to access HIV medical services. This
could include a referral list that only includes HIV medical care
providers.

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual, couple, or
group on how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual, couple, or
group on how to reduce injection drug use risk for HIV transmission
or infection.

08.12

Information - IDU risk free behavior

Any information, written or verbal, given to an individual, couple, or
group on abstaining from injection drug use or only using new
needles and disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual, couple, or
group regarding appropriate use and disposal of condoms or other
barrier methods.

08.14

Information - Negotiation/communication

Any information, written or verbal, given to an individual, couple, or
group regarding communication of desire for safer practices and
negotiating safer practices with partners (sexual and needle sharing).

08.15

Information - Decision making

Any information, written or verbal, given to an individual, couple, or
group regarding the steps and techniques needed for reassessing,
planning and using judgment to avoid situations that may expose
them to HIV infection or transmission risk and/or decision to engage
in a risk behavior.

08.16

Information - Disclosure of HIV status

Any information, written or verbal, given to an individual, couple, or
group regarding disclosure of their HIV status, applicable laws,
accompanying ramifications, and options regarding non-disclosure.

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual, couple, or
group on how to communicate prevention messages and/or
demonstrate risk reduction skills with others.

08.18

Information - HIV Testing

08.19

Information - Partner notification

Any information, written or verbal, given to an individual, couple, or
group regarding the notification of possible exposure to HIV and
accompanying ramifications, behaviors associated with possible
exposure, and consideration of alternatives or information on how to
notify partners regarding possible exposure.

08.20

Information - HIV medication therapy adherence

Any information, written or verbal, given to an individual, couple, or
group regarding HIV medication therapy, benefits and risk, medical
therapy alternatives, and importance of adhering to medication
therapy for HIV.

08.21

Information - Alcohol and drug use prevention

Any information, written or verbal, given to an individual, couple, or
group on the negative effects and consequences of alcohol and drug
use and its relationship to HIV transmission or infection risk behavior
including strategies to avoid or abstain from use.

08.22

Information - Sexual health

Any information, written or verbal, given to an individual, couple, or
group on reproductive health, sexuality, sexual development and
similar topics.

08.23

Information - TB Testing

Any information, written or verbal, given to an individual, couple, or
group on TB, how it is transmitted, and/or how to reduce risk for
transmission or infection, or treatment options

08.88

Information - Other

Any information, written or verbal, given to an individual, couple, or
group that cannot be captured in any of the other information codes.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

09.04

Demonstration - Decision making

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others.

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.88

Demonstration - Other

10.01

Practice - Condom/barrier use

Participant practice (using a teaching tool) of appropriate condom
and/or barrier use and disposal during the intervention session.

10.02

Practice - IDU risk reduction

Participant practice of safe needle use and disposal including the use
of bleach kits to clean works during the intervention session(s).

10.03

Practice - Negotiation/communication

Participant practice communication of desire for safer practices and
negotiation of safer practices with partners (sexual and needle
sharing) during the intervention session(s).

10.04

Practice - Decision making

10.05

Practice - Disclosure of HIV status

Participant practice of techniques to disclose seropositive status or
discuss issues relevant to disclosure.

10.06

Practice - Providing prevention services

Participant practice communication of prevention messages and/or
demonstration of risk reduction skills with others during intervention
session(s).

10.07

Practice - Partner notification

Participant practice of how to notify partners regarding possible
exposure to HIV or how to discuss issues relevant to partner
notification.

10.88

Practice - Other

Participant practice of a skill or technique that is not decision making,
IDU risk reduction, condom/barrier use, negotiation and
communication, disclosure, or providing prevention services.

11.01

Discussion - Sexual risk reduction

11.02

Discussion - IDU risk reduction

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.03

Discussion - HIV Testing

11.04

Discussion - Other sexually transmitted diseases

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

11.08

Discussion - Abstinence/postpone sexual activity

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

11.13

Discussion - Availability of HIV/STD counseling and testing

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.18

Discussion - Negotiation/communication

11.19

Discussion - Decision making

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.23

Discussion - TB Testing

Facilitation of discussion with individuals or groups about TB, how it is
transmitted, and/or how to reduce risk for transmission or infection, or
treatment options.

11.24

Discussion - Stage Based Encounter

Facilitation of discussion with individuals or groups using Stage
Based Encounters.

11.88

Discussion - Other

12.01

Other testing - Pregnancy

Provision of testing to determine pregnancy.

12.02

Other testing - STD

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis.

12.03

Other testing - Viral hepatitis

Provision of testing to determine infection with Viral Hepatitis.

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

13.07

Distribution - Referral lists

13.08

Distribution - Role model stories

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.88

Distribution - Other

14.01

Post-intervention follow up

14.02

Post-intervention booster session

An intervention session conducted with participant(s) of an
intervention after the last session to review and reinforce risk
reduction skills and information addressed by the intervention.

Other (specify)

Any HIV prevention activity not captured in other value choices.

PCR234

Site ID
Definition: The official name of the agency's site of HIV prevention service delivery where the session took place.

Instructions: Select the site name used to identify your primary agency. Please note that when conducting PS, the site name
identified as the site of service delivery should always be the site name of your primary agency even if the session
took place at a different location/site of HIV prevention service delivery. The site name of the primary agency is used
to protect the index client and/or partner's confidentiality.

PCR234a

Local Recall Period

Definition: The fixed time period defined by the agency within which the partner is asked to remember the frequency of engaging
in a specific behavior. A recall period is defined as the length of time into the past for which the partner is asked to
remember or recall certain information.
Instructions: If your agency has decided on a recall period in addition to 90 days, enter the number of days of that recall period
here.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR235

Program

System

Optional Not Reported

Partner Risk Factors
Definition: A description of the risk factor(s) within the last 12 months that placed the partner at potential risk for HIV exposure
and/or transmission.

Instructions: Select all of the activities that the partner has been involved in within the last 12 months that would place him or her at
risk of either being exposed to HIV or transmitting HIV. The sexual risk factors in this section apply only to anal and
vaginal sex, and should include both unprotected and protected sex. “No risk identified” is selected when the partner
was asked about “Risk Factors,” but reports none of the risk factors listed. “Declined to answer” is selected when the
partner refuses or is unwilling to talk about all of the “Risk Factors” listed. “Not asked” is checked when none of the
“Risk Factors” was asked by the provider.
Code

Value Description

Value Definition

Injection drug use

The partner has used illicit injection drugs/substances (including
narcotics, hormones, silicon, etc.). Illicit injection drugs/substances
are those for which a client does not have a prescription (or which the
client uses in a way other than is prescribed) or drugs/substances
that are not available over the counter (or which are used in a way
other than intended).

Sex with transgender

The partner has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender..

Sex with female

The partner has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The partner has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The partner reports no risk factors that may have placed the client at
potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The partner reports sharing hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male (optional)

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals the sex partner. This value is optionally
reported.

Oral sex with female (optional)

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals the sex partner. This value is optionally
reported.

Not asked

The provider did not ask the partner about his or her risk factors.

Declined to answer

The partner declines or is unwilling to report his or her risk factors.

Other (specify)

The partner reports risk factors other than what is described in the
categories described above. These include risk factors such as being
a hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR235-1

Program

System

Optional Not Reported

Specify Partner Risk Factor

Definition: A specification of the risk identified in PCR235 if 89--Other (specify) was selected.
Instructions: Specify the risk identified in PCR235 if 89-Other (specify) was selected and none of the other value choices in
PCR235 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR235a

Program

System

Optional Not Reported

Local Recall Partner Risk Factors

Definition: A description of the risk factor(s) that placed the partner at potential risk for HIV exposure and/or transmission within
the locally specified recall period.
Instructions: Use this variable only if you named a Local Recall Period in PCR234a: Local Recall Period. Select all of the activities
that the partner has been involved in within the locally specified recall period that would place him or her at risk of
either being exposed to HIV or transmitting HIV. The sexual risk factors in this section apply only to anal and vaginal
sex, and should include both unprotected and protected sex. “No risk identified” is selected when the partner was
asked about “Risk Factors,” but reports none of the risk factors listed. “Declined to answer” is selected when the
partner refuses or is unwilling to talk about all of the “Risk Factors” listed. “Not asked” is checked when none of the
“Risk Factors” was asked by the provider.
Code
Value Description
Value Definition
01

Injection drug use

Sex with transgender

The partner has had anal or vaginal intercourse (protected or
unprotected) with a person known to him or her to be a transgender..

Sex with female

The partner has had anal or vaginal intercourse (protected or
unprotected) with a female.

Sex with male

The partner has had anal or vaginal intercourse (protected or
unprotected) with a male.

No risk identified

The partner reports no risk factors that may have placed the client at
potential risk for HIV exposure and/or transmission.

Share injection drug equipment

The partner reports sharing hypodermic needles, syringes, or other
injection equipment. This should only be indicated if client reported
injection drug use.

Oral sex with male

The client has had protected or unprotected oral sex with a male
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals the sex partner.

Oral sex with female

The client has had protected or unprotected oral sex with a female
partner. Oral sex is sexual activity in which the mouth is used to
stimulate the genitals the sex partner.

Not asked

The provider did not ask the partner about his or her risk factors.

Declined to answer

The partner declines or is unwilling to report his or her risk factors.

Other (specify)

The partner reports risk factors other than what is described in the
categories described above. These include risk factors such as being
a hemophiliac or transfusion/transplant recipient.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR235a-1

Program

System

Optional Not Reported

Specify Local Recall Partner Risk Factors

Definition: A specification of the risk identified in PCR235a if 89--Other (specify) was selected.
Instructions: Specify the risk identified in PCR235a if 89-Other (specify) was selected and none of the other value choices apply.

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NHME Variables and Values
Requirements
Num
PCR236

Variable Name

Program

System

Optional Not Reported

Additional Partner Risk Factors
Definition: If the partner's risk factors involve sexual activity, these are additional factors that further describe the partner's sexual
risk for HIV exposure and/or transmission within the 12 month recall period.

Instructions: Use this variable only if the partner reported sex with male, female, or transgender as one of the PCR235: Partner
Risk Factors. For each of those partner risk factors identified, indicate additional risk characteristics that describe the
partner's risk for either being exposed to HIV or transmitting HIV. If the partner knows he/she has an “Additional Risk
Factor” (e.g., sex "with a person who is an IDU") but he/she does not remember the sex of the person (in this case the
ID user), the provider should ask the partner for his/her best guess as to whether his/her partner(s) were male,
female, or transgender. The first two “Additional risk factors” (e.g., "In exchange…" and "While intoxicated and/or high
on drugs") refer to the partner being interviewed. All other “Additional Risk Factors” refer to the sex partner(s) of the
Code
Value Description
Value Definition
00

No additional risk information specified

The partner reports no additional risk or does not report any of the
additional partner risk factors noted below.

Exchange sex for drugs/money/or something they needed

The partner participated in sex events in exchange for drugs or
money or something they needed.

While intoxicated and/or high on drugs

The partner used alcohol and/or illicit drugs before and/or during sex.

With person who is an IDU

The partner has had a sex with a person who he or she knows was
an IDU.

With person who is HIV positive

The partner has had a sex with a person who he or she knows was
HIV+.

With person of unknown HIV status

The partner has had a sex with a person whose HIV status is
unknown to the partner.

With person who exchanges sex for drugs/money

The partner has had a sex with a person who he or she knows
exchanges sex for drugs/money.

With person who is an MSM

The partner is female and has had sex with a person who she knows
has male to male sex.

With anonymous partner

The partner has had sex with a person whose identity was unknown
to the partner. A person’s identity is a set of behavioral or personal
characteristics by which that person is known. This can include
information about a person’s name, address, and habits that allow
the partner to identify the person.

With person who has hemophilia or transfusion/transplant recipient

The partner has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Without using a condom

The client has had sex without using a condom.

Not asked

The provider did not ask the partner about additional sexual risk
factors.

Declined to answer

The partner declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num

Variable Name

PCR236a

Program

System

Optional Not Reported

Local Recall Additional Partner Risk Factors

Definition: If the partner's risk factors involve sexual activity, these are additional factors that further describe the partner's sexual
risk for HIV exposure and/or transmission within the locally specified recall period.
Instructions: Use this variable only if the partner reported sex with male, female, or transgender as one of the PCR235a: Local
Recall Partner Risk Factors. These risk factors are the same as those found in PCR236:Additional Partner Risk
Factors, only this time, you would indicate additional risk characteristics that describe the client's risk for either being
exposed to HIV or transmitting HIV during the locally specified recall period. If the partner knows he/she has an
“Additional Risk Factor” (e.g., sex "with a person who is an IDU") during the locally defined recall period but he/she
does not remember the sex of the person (in this case the ID user), the provider should ask the partner for his/her
best guess as to whether his/her partner(s) were male, female, or transgender. The first two “Additional partner risk
Code
Value Description
Value Definition
00

No additional risk information specified

The partner reports no additional risk or additional information about
his or her partners was not available.

Exchange sex for drugs/money/or something they needed

The partner participated in sex events in exchange for drugs or
money or something they needed.

While intoxicated and/or high on drugs

The partner used alcohol and/or illicit drugs before and/or during sex.

With person who is an IDU

The partner has had a sex with a person who he or she knows was
an IDU.

With person who is HIV positive

The partner has had a sex with a person who he or she knows was
HIV+.

With person of unknown HIV status

The partner has had a sex with a person whose HIV status is
unknown to the partner.

With person who exchanges sex for drugs/money

The partner has had a sex with a person who he or she knows
exchanges sex for drugs/money.

With person who is a known MSM

The partner is female and has had sex with a person who she knows
has male to male sex.

With anonymous partner

With person who has hemophilia or transfusion/transplant recipient

The partner has had sex with a person who he or she knows has
hemophilia or is a transfusion/transplant recipient.

Without using a condom

The client has had sex without using a condom.

Not asked

The provider did not ask the partner about additional sexual risk
factors.

Declined to answer

The partner declines or is unwilling to report additional sexual risk
factors.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: X-1

Program

Variable Name

X101

Optional Not Reported

HIV Test

This table is completed for each HIV antibody test conducted for a client. This table includes variables
from the legacy CT form and for the revised HIV Test Form implemented January 1, 2008.
Intervention type = CT
Activity = HIV testing
Num

System

Program

Requirements

System

Optional Not Reported

Test Sequence Number
Definition: A number assigned to each test to indicate the order of tests within a testing intervention cycle where multiple tests
are performed.
Instructions: Indicate the sequence number within this testing intervention cycle that is assigned to this HIV test.

X102

Test ID number
Definition: A free form text field to enter the rapid test or laboratory identification number for this test. This field could also be
used to record the lot number of a rapid test.
Instructions: Indicate the rapid test identification number or a laboratory identifier for this test.

X103

Test Technology
Definition: A description of the type of test or test methods used to screen for HIV antibodies.
Instructions: Indicate the type of HIV test technology used for this test.

Code

Value Description

Value Definition

Conventional

A standard test used to detect antibodies to HIV, typically referred to
as an EIA or ELISA (Enzyme-linked immunosorbant assay).

Rapid

A test to detect antibodies to HIV that can be collected and processed
within a short interval of time (e.g., approximately 10-60 minutes).

Other

Additional testing technologies that are not considered conventional
or rapid such as oral mucosa or urine based tests.

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NHME Variables and Values
Requirements
Num

Variable Name

X104

Program

System

Optional Not Reported

HIV Test Election
Definition: An indication of whether the test is linked to a name or is anonymous.
Instructions: Indicate if the written test record is linked to the client's name.

Code

Value Description

Value Definition

Tested anonymously

The HIV test was not linked to the client's name.

Tested confidentially

The HIV test was confidential.

Test not offered

The HIV test was not offered to the client.

Declined testing

The client declined or is unwilling to take an HIV test.

X105

Sample Date
Definition: The calendar date (month, day, year) on which the specimen for the HIV test was collected.
Instructions: Indicate the month, day, and year that the specimen for the HIV test was collected.

X108

Confirmatory Test
Definition: An HIV test designed to confirm the results of a preliminary positive screening test.
Instructions: Indicate if the HIV test is a confirmatory test following a preliminary positive test.

Code

Value Description

Value Definition

The HIV test was an initial or preliminary test.

Yes

The HIV test was a confirmatory test following an initial test with a
preliminary positive/reactive test result.

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NHME Variables and Values
Requirements
Num

Variable Name

X109

Program

System

Optional Not Reported

Specimen Type
Definition: The type of biological material or sample used to test for HIV antibodies.
Instructions: Indicate the type of specimen (e.g., blood, oral, urine) used for this HIV test.

Code

Value Description

Value Definition

Blood - Finger stick

Whole blood, plasma, or serum drawn with a needle from a finger tip.

Blood - Venipuncture

Whole blood, plasma, or serum drawn with a needle from a vein,
usually in the forearm.

Blood - Spot

A drop of whole blood dried on blotting paper.

Oral mucosal transudate

A cell sample taken with a mouth swab from the soft tissue lining the
inside of the mouth and gums.

Urine

The liquid product filtered from the blood by the kidneys.

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NHME Variables and Values
Requirements
Num

Variable Name

X110

Test Result

Program

System

Optional Not Reported

Definition: The outcome of the current HIV test.
Instructions: Indicate the result of this HIV test.

Code

Value Description

Value Definition

Positive/reactive

NAAT - positive

A test result that was previously negative or indeterminate but is
reactive based on nucleic acid testing.

Negative

A test result that is non-reactive on an initial ELISA test indicating the
absence of HIV infection or an ELISA that was repeatedly reactive
and the confirmatory test (Western Blot or IFA) was negative.

Indeterminate

A test result that has not been precisely determined. A possible
result of a Western-blot, which might represent a recent HIV infection
or a false positive.

Invalid

A test result cannot be confirmed due to conditions related to errors in
the testing technology, specimen collection, or transport.

No result

No result was obtained even though the specimen was drawn (e.g.,
blood sample hemolyzed, blood tube broke, blood tube lost in transit,
unable to draw blood from veins).

X111

Result Provided
Definition: The act of informing the client of his or her HIV test result.
Instructions: Indicate whether the result of this HIV test was provided to the client.

Code

Value Description

Value Definition

The result of this HIV test was not provided to the client.

Yes

The result of this HIV test was provided to the client.

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NHME Variables and Values
Requirements
Num

Variable Name

X112

Program

System

Optional Not Reported

Date Provided
Definition: The calendar date (month, day, year) in which the client's HIV test result was provided to the client.
Instructions: Indicate the month, day, and year in which the client was provided the result of this HIV test.

X115

If Result Not Provided, Why
Definition: An explanation for why the HIV test result was not provided to the client.
Instructions: Select the reason why the HIV test result was not provided to the client.

Code

Value Description

Value Definition

Refused notification

The client refuses to accept notification of his or her HIV test result
from the provider.

Did not return/could not locate

The client did not return for his or her HIV test result or could not be
located to administer the test result.

Obtained results from another agency

The client received his or her HIV test results from another agency.

Other

The result of the HIV test was not provided to client for some other
reason not listed above.

X115a

Specify Reason Result Not Provided Other
Definition: A specification of reason result not provided in X115 if 89-Other (specify) was selected.
Instructions: Specify the reason HIV result was not provided in X115 if 89-Other(specify) was selected.

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NHME Variables and Values
Requirements
Num

Variable Name

X116

Program

System

Optional Not Reported

If Rapid Reactive, Did Client Provide Confirmatory
Sample
Definition: An indication of whether the client provided another sample for confirmatory testing of a reactive result from a positive
test.
Instructions: If the type of HIV test used for this test was a rapid test (X103: Test Technology = "Rapid") and the test result was
positive/reactive (X110: HIV Test Result = "Positive/Reactive"), indicate if the client provided a confirmatory sample.
This variable is used only if the HIV test was a rapid test and the HIV test result was positive/reactive.

Code

Value Description

Value Definition

Yes

Client provided a confirmatory sample based on a previous reactive
test.

2.01

Client declined confirmatory test

Client declined to provide a confirmatory sample based on a previous
reactive test.

2.02

Referred to another agency

Client was referred to another agency to provide a confirmatory
sample based on a previous reactive test.

2.03

Did not return/could not locate

Client did not return or could not be located to provide a confirmatory
sample based on a previous reactive test.

Other

Client did not provide confirmatory sample for some other reason not
listed above.

X117

Date Of Last Test - Month
Definition: The self-reported month of the client’s most recent HIV test.
Instructions: Indicate the month of the client's most recent HIV test.

X118

Date Of Last Test - Year
Definition: The self-reported year of the client’s most recent HIV test.
Instructions: Indicate the year of the client's most recent HIV test.

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NHME Variables and Values
Requirements
Num

Variable Name

X134

Program

System

Optional Not Reported

During The Visit, Was Risk Reduction Plan
Developed
Definition: A risk reduction plan was developed with the client to reduce the risk of HIV exposure and/or transmission.
Developing a risk reduction plan includes defining HIV risk-reduction priorities, strategies, and concrete steps for
making behavioral changes. The plan may also track psychosocial and medical services needed.
Instructions: Indicate whether a risk reduction plans was developed for the client during the HIV testing session.

Code

Value Description

Value Definition

A risk reduction plan was not developed with the client to reduce the
risk of HIV exposure and/or transmission.

Yes

A plan was developed with the client to reduce the risk of HIV
exposure and/or transmission.

X135

Worker ID
Definition: A system generated code used to distinguish between persons who are delivering services to clients by a combination
of non-identifying characteristics.
Instructions: Choose from a list of workers, established in Table P: Worker, the worker(s) who provided the prevention services
during this session. When using the PEMS software, you will be able to select from the list of Worker IDs generated
when Table P: Worker was completed. If you are entering a new worker you will be given the option to add the
worker(s) to Table P and enter the worker(s) here.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: X-2

Program

Variable Name

X202

Optional Not Reported

HIV Test History for HIV Incidence Modeling

This table collects HIV test history for incidence modeling. Only grantees that are directly funded
through surveillance are required to report on these data. These data are reported directly to
surveillance. Collect these data for each client accessing counseling and testing services.
Intervention type = CT
Activity = HIV Testing History Survey
Num

System

Program

Requirements

System

Optional Not Reported

Pre/Post Test Questionnaire
Definition: Indicate if this survey information is obtained through a pre-test or post-test questionnaire.
Instructions: Remember that a reactive (positive) result on a rapid HIV test is not confirmed. Therefore collecting this survey
information after a reactive rapid HIV test, but before that test is confirmed is considered collection at “Pre-test (HIV
status unknown).”

Code

Value Description

Value Definition

Pre-test (HIV test status unknown)

Typically indicates that testing history information was collected
before the HIV test was administered, usually at pre-test counseling.
This value should also be selected if the information was collected
after the test was administered, but before the result was known (for
example, the information was collected during the waiting period after
the test was administered but before the results were returned). It
would also be selected if the information were collected after a rapid
HIV test result is given but before the confirmatory result is known.

Post-test (HIV test status known)

Typically indicates that the testing history information was obtained at
the post-test counseling session after the test result was given to the
client, although the information may be collected at a later time when
the results are known to the client.

X203

Date of Survey
Definition: Indicate the date (month, day, year) of the survey.
Instructions: Enter the month, day, and year that the survey was administered.

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NHME Variables and Values
Requirements
Num

Variable Name

X204

Program

System

Optional Not Reported

Reason Why Tested…Reason for Current Test
Definition: The client’s reason for seeking an HIV test, either the current HIV test, or the first HIV test from which the client
received an HIV positive diagnosis, that is, the test that began the testing sequence that resulted in the client’s first
confirmed HIV positive result.
Instructions: Select all reasons that apply. If the client reports that the reason he/she is being tested is to confirm a reactive rapid
HIV test then the provider should inquire about, and record as the reason for testing, the reason that the client gives
for having sought the rapid HIV test because it was the rapid HIV test that started the testing process. If the client
reports that he/she is being tested because a blood center screen of a blood donation was positive, then "Because
there is some other reason…” should be selected and the provider should specify the reason.

Code

Value Description

Value Definition

Because you are concerned that you might have been exposed to
HIV in the past 6 months?

Asks whether the client was tested because he/she had a recent
experience or an experience in the 6 months before the client’s first
HIV-positive test (unsafe sex or injection drug use, accidental needle
stick, etc.) that he/she felt put him/her at risk for HIV infection. In this
case, a positive test result would be more likely to be an incident case.

Because you get tested routinely, and it was time for you to get tested Asks whether the client gets tested regularly (every 3 months, 6
again?
months, yearly, etc.). It is not asking whether the test is part of routine
medical care, which could mean that the client has an HIV antibody
test every time he/she sees the doctor, regardless of the interval.

Because you are just checking to make sure you are HIV negative?

Asks if the client has no particular reason other than to reassure
him/herself (for example, some people test when they start a new
relationship or have some other change in their life).

Because it was required by insurance, the military, a court order, or
for some other reason?

Asks if the test is not the client’s idea, but rather is a requirement of
some other entity.

Declined to answer

The client declines or is unwilling to report his or her reason for
current test.

Because there is some other reason you want to get tested? (specify) Allows the client to give another reason for testing that may not have
been asked (other reasons might include pregnancy or the test may
have been suggested as follow up for a blood donation).

Don’t know

The client does not know his or her reason for being tested.

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NHME Variables and Values
Requirements
Num

Variable Name

X205

Program

System

Optional Not Reported

Ever Positive HIV Test
Definition: Indicate if participant has ever had a positive HIV test result
Instructions: It is important to note that a reactive rapid HIV test that has not been confirmed is not counted as a previous positive
test. A positive result on a screening test for blood donations is also not considered a positive test result. Reactive
rapid HIV tests as well as positive screens must be confirmed before they are considered positive results.

Code

Value Description

Value Definition

The client has not had a prior test with an HIV-positive result.

Yes

The client has had a prior test with an HIV-positive result.

Declined to answer

The client declines or is unwilling to report if he or she has ever had a
positive HIV rest result.

Don't know

The client does not know if he or she has ever received a positive test
result.

X205a

Date First Positive Test Available
Definition: Indicate if the date of the first positive test is available.
Instructions: Indicate whether the date of the first positive HIV test is available

Code

Value Description

Value Definition

The client reports that the date of the first positive test is not available.

Yes

The client reports that the date of the first positive test is available.

Not asked

The client was not asked if the date of the first positive test is
available.

Declined to answer

The client declines or is unwilling to report if the date of the first
positive test is available.

Don't know

The client does not know if the date of first positive test is available.

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NHME Variables and Values
Requirements
Num

Variable Name

X206

Program

System

Optional Not Reported

Date of First Positive HIV Test
Definition: The date that the specimen (oral fluid, blood, urine) was collected for the client’s first positive HIV test, not the date
the result was received.
Instructions: If the client reports that he/she has had a confirmed rapid HIV test, the test date to be recorded is the date the
specimen was collected for the rapid HIV test, not the date of specimen collection for the confirmatory test.

X207

Anonymous test
Definition: The client was not required to provide a name at the time of the HIV test, and the client was given a number or other
unique identifier to receive his/her results.
Instructions: Indicate whether the client’s first positive HIV test was anonymous.

Code

Value Description

Value Definition

The client’s first ever positive test was not an anonymous test. He or
she was required to provide a name in order to be tested. He or she
may or may not have received a code or some other unique identifier
that could be used to receive test results.

Yes

The client’s first ever positive test was an anonymous test in which he
or she was not required to provide a name in order to be tested and
he or she received a code or some other unique identifier that was
used to receive test results.

Declined to answer

The client declines or is unwilling to report if his or her first positive
test was anonymous.

Don't know

The client does not know if his or her first positive test was
anonymous.

X208

What was the name of the place where you got your
first positive HIV test?
Definition: The name of the agency that provided the positive HIV test.
Instructions: Enter the name of the agency where the client received his/her first positive HIV test. If the client was tested on a
mobile van or through another form of outreach, the name of the place tested would refer to the agency that provided
the test, not to the physical location of the outreach setting.

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NHME Variables and Values
Requirements
Num

Variable Name

X209

Program

System

Optional Not Reported

State Where First Tested Positive
Definition: The state where the test was administered. That is, the state of the physical location where the client’s first positive
test was performed.
Instructions: Select the name of the state, territory or district where the client received his or her most recent positive HIV test.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

U.S. Minor Outlying Islands

Virgin Islands

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

X210

Program

System

Optional Not Reported

Site Type of First Positive
Definition: The setting that best describes where the first HIV positive test was performed.
Instructions: Select the site type from the list provided that best represents the setting and/or type of service offered at the site in
which the client received his or her first HIV positive test.

Code

Value Description

Value Definition

F01

Inpatient facility

A hospital or other health facility where services are provided to
patients that reside within that facility while they are receiving those
services.

F01.01

Inpatient - Hospital

A health facility that provides medical care to patients that reside
within that facility while they are receiving those services.

F01.50

Inpatient - Drug/alcohol treatment

A residential health facility that provides substance abuse treatment
and rehabilitation.

F01.88

Inpatient facility - Other

A health facility where services (other than those specified) are
provided to patients that reside within that facility while they are
receiving those services.

F01.99

Inpatient facility - Unknown

A health facility where services are provided to patients that reside
within that facility while they are receiving those services. The type of
service that this facility provides is unknown.

F02

Outpatient facility

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services.

F02.03

Outpatient - Private medical practice

A non-residential health care facility that is privately owned and/or
operated.

F02.04

Outpatient - HIV specialty clinic

A non-residential health care facility that concentrates in the provision
of HIV treatment, care and prevention services.

F02.10

Outpatient - Prenatal/OBGYN clinic

A non-residential health care facility that provides obstetric,
gynecological and other pregnancy-related health services.

F02.12

Outpatient - TB clinic

A non-residential health care facility that specializes in the provision
of tuberculosis treatment, care and prevention services.

F02.19

Outpatient - Drug/alcohol treatment clinic

A non-residential health care facility that provides alcohol and
chemical dependency treatment services.

F02.20

Outpatient - Family planning

A non-residential health care facility that provides pregnancy testing,
birth control services, and other reproductive health services.

F02.30

Outpatient - Community mental health

F02.51

Outpatient - Community health clinic

A non-residential health care facility that provides primary and
preventive health care services to the members of a community in
which it is located.

F02.58

Outpatient - School/university clinic

A non-residential health clinic that is operated by and provides
services within a school or university setting.

F02.60

Outpatient - Health department/public health clinic

A non-residential health clinic that is supported by public funds.

F02.61

Outpatient - Health department/public health clinic - HIV

A non-residential health clinic that is supported by public funds and
provides HIV prevention, diagnosis and treatment services.

F02.62

Outpatient - Health department/public health clinic - STD

A non-residential health clinic that is supported by public funds and
provides STD prevention, diagnosis and treatment services.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

F02.88

Outpatient facility - Other

A health care facility where services (other than those specified) are
provided to patients that do not reside within that facility while they
are receiving services.

F02.99

Outpatient facility - Unknown

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services. The
type of service that this facility provides is unknown.

F03

Emergency room

A section of a hospital or clinic staffed and equipped to provide
emergency care to persons requiring immediate medical treatment for
sudden illness or trauma.

F04.01

Blood bank/plasma center

F04.05

HIV counseling & testing site

A facility or non-facility based setting where HIV prevention
counseling and testing services are provided.

F06

Community setting

A defined area, environment or context in which a group of people
live, work or congregate.

F06.01

Community setting - AIDS service organization - non-clinical

A health association, support agency, or other service actively
involved in the prevention and treatment of AIDS.

F06.02

Community setting - School/education facility

A building or place where individuals receive knowledge through
learning and instruction.

F06.03

Community setting - Church/mosque/synagogue/temple

A building or place where a group of people who adhere to a
common faith gather for prayer.

F06.04

Community setting - Shelter/transitional housing

Shelters are facilities in which people can stay temporarily when they
would otherwise have to sleep on the street. Shelters also sometimes
provide other services (e.g., soup kitchen, job seeking skills training,
job training, support groups), or refer their clients to agencies that do.
Transitional housing is short to long-term housing (6 to 24 months)
available for individuals or families who are homeless.

F06.05

Community setting - Commercial

A business or commercial facility (e.g., beauty salon, grocery store,
shopping center) where HIV prevention services may also occur.

F06.06

Community setting - Residential

A primary residence that might include residential neighborhoods or
the common areas of apartment complexes or housing developments.

F06.07

Community setting - Bar/club/adult entertainment

F06.08

Community setting - Public area

An area, environment or context that is open to the community as a
whole such as a park or city street.

F06.09

Community setting - Workplace

A location where a worker normally performs his/her job tasks or the
businesses administrative offices. Use this site type for prevention
services delivered to a particular employer's employees.

F06.10

Community setting - Community center

A facility where the members of a community can gather for social or
cultural activities.

F06.12

Individual residence

An individual's home or place of residence. If Individual Residence is
chosen, no locating information (e.g., address) is collected.

F06.88

Community setting - Other

A defined area, environment or context (other than those already
specified) in which a group of people live, work or congregate.

F07

Correctional facility

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NHME Variables and Values
Requirements
Num

Variable Name

F89

X211

Other (specify)

Program

System

Optional Not Reported

The site type cannot be identified by the other site types. If chosen,
please specify the site type.

Reason Why Tested…Reason for First Positive Test
Definition: The client’s reason for seeking the first HIV test from which the client received an HIV positive diagnosis, that is, the
test that began the testing sequence that resulted in the client’s first confirmed HIV positive result.
Instructions: Select all reasons that apply. If the client reports that the reason he/she is being tested is to confirm a reactive rapid
HIV test then the provider should inquire about, and record as the reason for testing, the reason that the client gives
for having sought the rapid HIV test because it was the rapid HIV test that started the testing process. If the client
reports that he/she is being tested because a blood center screen of a blood donation was positive, then the “…some
other reason…” box should be marked and the provider should write in the reason in the appropriate box.

Code

Value Description

Value Definition

Because you are concerned that you might have been exposed to
HIV in the past 6 months?

Asks whether the client was tested because he/she had a recent
experience or an experience in the 6 months before test (unsafe sex
or injection drug use, accidental needle stick, etc.) that he/she felt put
him/her at risk for HIV infection. In this case, a positive test result
would be more likely to be an incident case.

Because you are just checking to make sure you are HIV negative?

Asks if the client had no particular reason other than to reassure
him/herself (for example, some people test when they start a new
relationship or have some other change in their life).

Because it was required by insurance, the military, a court order, or
for some other reason?

Asks if the test is not the client’s idea, but rather is a requirement of
some other entity.

Declined to answer

The client declines or is unwilling to report his or her reason for test.

Don’t know

The client does not know the reason why he or she was tested.

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NHME Variables and Values
Requirements
Num

Variable Name

X212

Program

System

Optional Not Reported

Has Client Ever Tested Negative
Definition: Asks whether the client has had a previous HIV test and received a HIV-negative test result. The test can either be a
standard HIV test or a rapid HIV test.
Instructions: Indicate whether the client has had a previous HIV test and received a negative HIV test result.

Code

Value Description

Value Definition

The client has not had a prior test with an HIV-negative result. Either
the current test is the client’s first HIV test, or the client’s only prior
result from an HIV test was positive.

Yes

The client has had a prior test with an HIV-negative result.

Declined to answer

The client declines or is unwilling to report if he or she received a
negative test result.

Don't know

The client does not know if he or she has ever received a negative
test result.

X212a

Date Last Negative Test Available
Definition: Indicate if the date of the last negative test is available.
Instructions: Indicate whether the date of the last HIV negative test is available.

Code

Value Description

Value Definition

The client reports that the date of the last negative test is not
available.

Yes

The client reports that the date of the last negative test is available.

Not asked

The client was not asked if the date of the last negative test is
available.

Declined to answer

The client declines or is unwilling to report if the date of the last
negative test is available.

Don't know

The client does not know if the date of last negative test is available.

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NHME Variables and Values
Requirements
Num
X213

Variable Name

Program

System

Optional Not Reported

Date of Last Negative Test
Definition: The date that the specimen (oral fluid, blood, urine) was collected for the client’s most recent negative HIV test, not
the date the result was received.
Instructions: If the client reports that he or she has had a negative rapid HIV test, the test date to be recorded in this question is the
date the specimen was collected for the rapid HIV test. Remember that a negative rapid HIV test completes the
testing sequence and it is not required to be confirmed.

X214

What Was the Name of the Place Where Client Had
Last Negative Test?
Definition: The name of the agency that provided the client’s most recent HIV negative test result.
Instructions: Enter the name of the agency where the client received his/her most recent negative HIV test. If the client were tested
on a mobile van or through another form of outreach, the name of the place tested would refer to that agency, not to
the physical location of the outreach setting.

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NHME Variables and Values
Requirements
Num

Variable Name

X215

Program

System

Optional Not Reported

State Where Last Tested Negative
Definition: The state where the test was administered. That is, the state of the physical location where the client’s most recent
negative test was performed.
Instructions: Select the name of the state, territory or district where the client received his or her most recent negative HIV test.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

U.S. Minor Outlying Islands

Virgin Islands

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

X216

Program

System

Optional Not Reported

Site Type of Last Negative
Definition: The setting that best describes where the most recent HIV negative test was performed.
Instructions: Select the site type from the list provided that best represents the setting and/or type of service offered at the site in
which the client received his or her last HIV negative test.

Code

Value Description

Value Definition

F01

Inpatient facility

A hospital or other health facility where services are provided to
patients that reside within that facility while they are receiving those
services.

F01.01

Inpatient - Hospital

A health facility that provides medical care to patients that reside
within that facility while they are receiving those services.

F01.50

Inpatient - Drug/alcohol treatment

A residential health facility that provides substance abuse treatment
and rehabilitation.

F01.88

Inpatient facility - Other

A health facility where services (other than those specified) are
provided to patients that reside within that facility while they are
receiving those services.

F01.99

Inpatient facility - Unknown

A health facility where services are provided to patients that reside
within that facility while they are receiving those services. The type of
service that this facility provides is unknown.

F02

Outpatient facility

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services.

F02.03

Outpatient - Private medical practice

A non-residential health care facility that is privately owned and/or
operated.

F02.04

Outpatient - HIV specialty clinic

A non-residential health care facility that concentrates in the provision
of HIV treatment, care and prevention services.

F02.10

Outpatient - Prenatal/OBGYN clinic

A non-residential health care facility that provides obstetric,
gynecological and other pregnancy-related health services.

F02.12

Outpatient - TB clinic

A non-residential health care facility that specializes in the provision
of tuberculosis treatment, care and prevention services.

F02.19

Outpatient - Drug/alcohol treatment clinic

A non-residential health care facility that provides alcohol and
chemical dependency treatment services.

F02.20

Outpatient - Family planning

A non-residential health care facility that provides pregnancy testing,
birth control services, and other reproductive health services.

F02.30

Outpatient - Community mental health

F02.51

Outpatient - Community health clinic

A non-residential health care facility that provides primary and
preventive health care services to the members of a community in
which it is located.

F02.58

Outpatient - School/university clinic

A non-residential health clinic that is operated by and provides
services within a school or university setting.

F02.60

Outpatient - Health department/public health clinic

A non-residential health clinic that is supported by public funds.

F02.61

Outpatient - Health department/public health clinic - HIV

A non-residential health clinic that is supported by public funds and
provides HIV prevention, diagnosis and treatment services.

F02.62

Outpatient - Health department/public health clinic - STD

A non-residential health clinic that is supported by public funds and
provides STD prevention, diagnosis and treatment services.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

F02.88

Outpatient facility - Other

A health care facility where services (other than those specified) are
provided to patients that do not reside within that facility while they
are receiving services.

F02.99

Outpatient facility - Unknown

A health care facility where services are provided to patients that do
not reside within that facility while they are receiving services. The
type of service that this facility provides is unknown.

F03

Emergency room

A section of a hospital or clinic staffed and equipped to provide
emergency care to persons requiring immediate medical treatment for
sudden illness or trauma.

F04.01

Blood bank/plasma center

F04.05

HIV counseling & testing site

A facility or non-facility based setting where HIV prevention
counseling and testing services are provided.

F06

Community setting

A defined area, environment or context in which a group of people
live, work or congregate.

F06.01

Community setting - AIDS service organization - non-clinical

A health association, support agency, or other service actively
involved in the prevention and treatment of AIDS.

F06.02

Community setting - School/education facility

A building or place where individuals receive knowledge through
learning and instruction.

F06.03

Community setting - Church/mosque/synagogue/temple

A building or place where a group of people who adhere to a
common faith gather for prayer.

F06.04

Community setting - Shelter/transitional housing

Shelters are facilities in which people can stay temporarily when they
would otherwise have to sleep on the street. Shelters also sometimes
provide other services (e.g., soup kitchen, job seeking skills training,
job training, support groups), or refer their clients to agencies that do.
Transitional housing is short to long-term housing (6 to 24 months)
available for individuals or families who are homeless.

F06.05

Community setting - Commercial

A business or commercial facility (e.g., beauty salon, grocery store,
shopping center) where HIV prevention services may also occur.

F06.06

Community setting - Residential

A primary residence that might include residential neighborhoods or
the common areas of apartment complexes or housing developments.

F06.07

Community setting - Bar/club/adult entertainment

F06.08

Community setting - Public area

An area, environment or context that is open to the community as a
whole such as a park or city street.

F06.09

Community setting - Workplace

A location where a worker normally performs his/her job tasks or the
businesses administrative offices. Use this site type for prevention
services delivered to a particular employer's employees.

F06.10

Community setting - Community center

A facility where the members of a community can gather for social or
cultural activities.

F06.12

Individual residence

An individual's home or place of residence. If Individual Residence is
chosen, no locating information (e.g., address) is collected.

F06.88

Community setting - Other

A defined area, environment or context (other than those already
specified) in which a group of people live, work or congregate.

F07

Correctional facility

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NHME Variables and Values
Requirements
Num

Variable Name

F89

X216-1

Other (specify)

Program

System

Optional Not Reported

The site type cannot be identified by the other site types. If chosen,
please specify the site type.

Specify Site Type of Last Negative
Definition: A specification of the setting where the most recent HIV negative test was performed if 89-Other (specify) was
selected in X216.

Instructions: Specify the setting where the most recent HIV negative test was performed if 89-Other (specify) was selected and
none of the other value choices in X216 apply.

X217

Number of Times Tested for HIV in Past 2 Years
Definition: The number of completed HIV tests the client had in the previous two years. If the client has a known HIV positive
result then the counselor documents the number of completed HIV tests the client had in the two years before the first
HIV positive test. The current test or the first positive test is included in this count.

Instructions: This question can be confusing because it requests that the counselor include the current or first positive test in the
count of HIV tests. Thus, if the current test is the client’s first ever test, then the number of tests in the past two years
is “1.” Likewise, if the client’s first test ever resulted in an HIV diagnosis, the number of tests in the two years prior to
the first positive test is “1.” A completed test includes an EIA and a Western Blot if the result to be given is positive,
and an EIA only if the result is negative. Additionally, HIV tests include only those that the client sought out, therefore
screens at blood donation centers are not counted. Thus, a rapid HIV test with a negative result would be counted in
this number, but a rapid HIV test with a reactive result would only be counted if it were also confirmed. Finally, a rapid
X218
Date First Time Tested Available
Definition: Indicate if the date of the first HIV test is available.
Instructions: Indicate whether the date of the first HIV test is available.

Code

Value Description

Value Definition

The client reports that the date of the first HIV test is not available.

Yes

The client reports that the date of the first HIV test is available.

Not asked

The client was not asked if the date of the first HIV test is available.

Declined to answer

The client declines or is unwilling to report if the date of the first HIV
test is available.

Don't know

The client does not know if the date of the first HIV test is available.

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NHME Variables and Values
Requirements
Num

Variable Name

X218a

Program

System

Optional Not Reported

First Time Ever Tested
Definition: The month and year of the very first time the client ever sought, and received an HIV test.
Instructions: Only a test that the client sought, and received, is documented here. For example, the provider would not write the
date of the first time the client donated blood because, while the donation center screens the blood for HIV, the client
did not seek out an HIV test. However, a court ordered test or one that was required for another purpose would be
documented because although the client might not have gone to the test willingly, the client’s intent was to be tested.

X219

Client Used/Currently Using ARV
Definition: The client's self-report of having taken any medications to treat or try to prevent HIV or hepatitis infection.
Instructions: Indicate whether the client self-reports having taken any medications to treat or try to prevent HIV or hepatitis infection.

Code

Value Description

Value Definition

The client has not taken antiretroviral medication in the previous 6
months.

Yes

The client has taken antiretroviral medication in the previous 6
months.

Declined to answer

The client declines or is unwilling to report if he or she has used or is
currently using ARV.

Don't know

The client does not know if he or she has used or is currently using
ARV.

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NHME Variables and Values
Requirements
Num

Variable Name

X220

Program

System

Optional Not Reported

If Yes, Specify Antiretroviral Medication
Definition: Which ones? [If not sure of time period, ask “Which medicines COULD you have taken in the past six months?”]
Instructions: Select all medications cited by the client. Prompts that might assist the client include a medication chart, and/or the
provider might ask about the color, size, or shape of the medication, or whether it was a liquid or had to be
refrigerated.

Code

Value Description

Videx (didanosine, ddl)

Hivid (zalcitabine, ddC)

Epivir (lamivudine, 3TC)

Zerit (stavudine, d4T)

Viramune (nevirapine, NVP)

Crixivan (indinavir, IDV)

Norvir (ritonavir, RTV)

Saquinavir (Fortavase, Invirase)

Rescriptor (delavirdine, DLV)

Fuzeon (enfuvirtide, T20)

Emtriva (emtricitabine, FTC)

Viread (tenofovir DF, TDF)

Trizivir (abacavir/lamivudine/zidovudine, ABC/3TC, AZT)

Videx EC (didanosine, ddl)

Reyataz (atazanavir, ATV)

Kaletra (lopinavir/ritonavir)

Viracept (nelfinavir, NFV)

Invirase (saquinavir, SQV)

Hepsera (adefovir)

Ziagen (abacavir, ABC)

Sustiva (efavirenz, EFV)

Agenerase (amprenavir)

Hydroxyurea

Combivir (lamivudine/zidovudine, 3TC/AZT)

Fortovase (saquinavir, SQV)

Retrovir (zidovudine, ZDV, AZT)

Truvada (tenofovir DF/emtricitabine, TDF/FTC)

Epzicom (abacavir/lamivudine, ABC/3TC)

Aptivus (tipranavir, TPV)

Lexiva (fosamprenavir, 908)

Atripla (efavirenz/emtricitabine/tenofovir DF)

Prezista (darunavir, DRV)

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

Other (specify)

Unspecified

X220-1

Program

System

Optional Not Reported

Other Antiretroviral Medication - Specify
Definition: A specification of other antiretroviral medication if 89-Other (specify) was selected in X220.

Instructions: Specify antiretroviral medication if 89-Other (specify) was selected and none of the other value choices in X220 apply.

X221

Date ARV Began
Definition: The date of when the client first started taking antiretroviral medication.
Instructions: Enter the date (month, day, year) of when the client first started taking antiretroviral medication.

X222

Currently on Medication
Definition: The client reports currently taking antiretroviral medication.
Instructions: Indicate whether the client reports currently taking antiretroviral medication.

Code

Value Description

Value Definition

The client is not currently taking antiretroviral medication.

Yes

The client is currently taking antiretroviral medication.

Refused

The client declines or is unwilling to report if he or she is currently
taking antiretroviral medication.

Don't know

The client reports that he or she is unaware if he or she is currently
taking antiretroviral medication.

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NHME Variables and Values
Requirements
Num

Variable Name

X223

Program

System

Optional Not Reported

Date of Last ARV Use
Definition: The date of the last day on which the client took antiretroviral medication.
Instructions: Enter the date (month, day, year) of the last day on which the client took antiretroviral medication. If the client
previously answered “Yes” to the question regarding whether he or she is currently taking HIV or ARV medication,
then the last day of HIV or ARV medication should be the date that the survey is being completed. If the client
answered “Yes” to the question regarding whether he or she has taken HIV or ARV medication in the last 6 months,
then the date of the last day of HIV or ARV medication should be a date within the past 6 months.

Attempt to Locate

Table: X-3

This table is to be completed for each index client or partner to be located. While this table is intended
to be for PS, it may be used optionally for any intervention.
Intervention type = PS
Num

Variable Name

X301

Program

Requirements

System

Optional Not Reported

Locate Method
Definition: The strategy used to search for and determine the location of the index client or the index client's partner.
Instructions: For each attempt made to locate the index client or index client's partner(s), indicate the method used.

Code

Value Description

Value Definition

Field

The PS provider made an attempt to locate the index client or partner
outside the office or clinic setting. This includes efforts made to
locate the index client or partner during routine outreach activities or
field visits.

Agency identified

The PS provider delivered PS services immediately following the
index client's or partner's receipt of another service provided in the
agency (e.g. immediately following receipt of CTR).

Telephone

The PS provider made an attempt to locate the index client or the
partner by telephone.

Internet

The PS provider made an attempt to locate the index client or partner
through use of the Internet (e.g., chat rooms).

Mail

The PS provider made an attempt to locate the index client or partner
through electronic or ground mail.

Other

The PS provider made an attempt to locate the index client or partner
through another method not described by the other options.

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NHME Variables and Values
Requirements
Num

Variable Name

X301-1

Program

System

Optional Not Reported

Specify Locate Method
Definition:

Instructions:

X302

Attempt to Locate Outcome
Definition: The result of a PS provider's attempt to locate the index client or the index client's partner(s).
Instructions: For each attempt made to locate the index client or the index client's partner, indicate the result of the attempt to
locate.

Code

Value Description

Value Definition

Unable to locate

The provider did not locate the index client or partner during this
attempt.

Located

The provider did locate the index client or partner during this attempt.

X303

Reason for Unsuccessful Attempt
Definition: The explanation for why the location attempt was not achieved.
Instructions: If the attempt to locate the index client or index client's partner was unsuccessful (X302: Attempt to Locate Outcome =
"Unable to Locate"), indicate why the client or partner was unable to be located.

Code

Value Description

Value Definition

Deceased

The index client or partner is no longer alive.

Out of jurisdiction

The index client or partner resides outside of the jurisdiction in which
the provider is authorized to provide services.

Domestic violence risk

The index client or partner was not located or notified of his or her
exposure to HIV because there was a documented concern about
domestic violence.

Other (specify)

The index client or partner was not located due to another reason not
listed.

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NHME Variables and Values
Requirements
Num

Variable Name

X303a

Program

System

Optional Not Reported

Specify Reason for Unsuccessful Attempt
Definition: A specification for why the client was not located if X303--89 Other (specify) is selected.
Instructions: Specify the reason why the client was unable to be located.

X304

Attempt Date
Definition: The date on which the attempt to locate the index client or index client's partner was made.
Instructions: Indicate the date the attempt to locate the index client or index client's partner was made.

X305

Worker ID
Definition: A system generated code used to distinguish between persons who are delivering services to clients by a combination
of non-identifying characteristics.
Instructions: Choose from a list of workers established in Table P: Worker, the worker who made the attempt to locate the index
client or index client's partner on the date specified in X304: Attempt Date. When using the PEMS software, you will
be able to select from the list of Worker IDs generated when Table P was completed. If the worker is new or not
previously entered into Table P, you will be given the option to add new workers to Table P and to enter the worker
here.

X306

Enrollment Status
Definition: The decision made by the index client or the index client's partner to enroll in PS.
Instructions: If X302: Attempt to Locate Outcome = "Locate", indicate if the index client or index client's partner accepted or
declined enrollment into PS.

Code

Value Description

Value Definition

Accepted

The index client or partner enrolled in PS.

Declined

The index client or partner chose not to enroll in PS.

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NHME Variables and Values
Requirements
Num

Variable Name

X307

Program

System

Optional Not Reported

Reason for Service Refusal
Definition: The reason why the index client or index client's partner refused PS services.
Instructions: If the index client or index client's partner refused PS services, (X306: Enrollment Status = "Refused"), enter
comments about why they refused PS services. This variable should be used at the local level to determine if the
person should be re-considered for enrollment into PS at a later time.

X308

Intervention Name
Definition: The name of the intervention in which the index client or partner was enrolled.
Instructions: Select the name of the intervention in which the client was enrolled. Select from a list of Intervention Names
generated from variable F02: Intervention Name/ID. When using the PEMS software, the list of interventions you
entered in Table F will appear as a list that you can choose from for this variable. The intervention selected is not
limited to PS interventions.

Table: X-5

Elicit partners

This table is to be completed for each enrolled PS index client to capture partner information (e.g. recall
period, number of partners).
Intervention type = PS
Num

Variable Name

X501

Program

Requirements

System

Optional Not Reported

Partner Information Provided
Definition: The index client provided information about his or her sex and/or needle sharing partners or social network contacts.
Instructions: Indicate if the index client provided names, descriptions, and/or locating information about their sex and/or needlesharing partners or social network contacts.

Code

Value Description

Value Definition

Yes

The index client provided locating information about his or her sex
and/or needle sharing partners or social network contacts.

No - Elicit again

The index client did not provide locating information about his or her
sex and/or needle sharing partners or social network contacts but
information may be available/provided in the future. The provider
should attempt to elicit locating information from the index client again.

No - Closed

The index client did not provide locating information about his or her
sex and/or needle sharing partners or social network contacts
because this information does not exist or is not available.

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NHME Variables and Values
Requirements
Num
X502

Variable Name

Program

System

Optional Not Reported

Time Period for Recall (in months)
Definition: The period of time as defined in months for which the client is asked to remember and report his or her number of sex
and/or needle sharing partners and social network contacts.
Instructions: Indicate the period of time as defined in months for which the client is asked to remember and report his or her
number of sex and/or needle sharing partners and social network contacts.

X503

Total Number of Partners Claimed
Definition: The total number of sex or needle-sharing partners reported by the client over a specified recall period. This would
include anonymous partners and partners for which there is sufficient information to locate and notify.
Instructions: Enter the total number of partners identified by the index client. This includes all anonymous, male, female, and
transgender partners. If the client provided a breakout of partners by gender, this number should equal the total of
X503a+X503b+X503c+X504. This number should not include the number of social network contacts (X505:Number of
Social Network Contacts).

X503a

Number of Male Partners Claimed
Definition: The number of male partners reported by the client over a specified recall period.
Instructions: Of the total number of partners reported in X503: Total Number of Partners, indicate the total number who were male.

X503b

Number of Female Partners Claimed
Definition: The number of female partners reported by the client over a specified recall period.
Instructions: Of the total number of partners reported in X503: Total Number of Partners, indicate the total number who were
female.

X503c

Number of Transgender Partners Claimed
Definition: The number of transgender partners reported by the client over a specified recall period.
Instructions: Of the total number of partners reported in X503: Total Number of Partners, indicate the total number who were
transgender.

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NHME Variables and Values
Requirements
Num

Variable Name

X504

Program

System

Optional Not Reported

Number of Anonymous Partners
Definition: The total number of partners whose identity was unknown to the client at the time of the sex and/or needle sharing
event.
Instructions: Of the total number of partners reported in X503: Total Number of Partners, indicate the total number whose identities
were unknown to the client.

X505

Number of Social Network Contacts
Definition: The number of persons that are not direct sex and/or needle-sharing partners of the index client but who are part of a
group of individuals who share social relationships involving sex or drug use.
Instructions: Indicate the number of persons not identified by the client as direct sex and/or needle sharing partners but who are
part of a group of individuals who share social relationships involving sex or drug use. This number should not be
included in X503: Total Number of Partners.

X506

Venue Elicitation
Definition: The client provided information about sex and/or needle sharing events that occurred at a particular location, event or
setting.
Instructions: Indicate whether the index client provided information about sex and/or needle sharing activity that occurred at a
particular location, event or setting.

Code

Value Description

Value Definition

The client did not provide information about a particular location,
event or setting at which sex and/or needle sharing events were
conducted.

Yes

The client did provide information about a particular location, event or
setting at which sex and/or needle sharing events were conducted.

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NHME Variables and Values
Requirements
Num

Variable Name

X507

Program

System

Optional Not Reported

Day of Week - Venue
Definition: The day of the week that the client engaged in sex or needle-sharing events at the venue.
Instructions: If the client provided information about sex and/or needle-sharing events conducted at a venue (X506: Venue
Elicitation = "Yes"), enter the day of the week the client was at the venue.

Code

Value Description

Value Definition

Sunday

The index client participated in a venue-based sex and/or needle
sharing event on a Sunday.

Monday

The index client participated in a venue-based sex and/or needle
sharing event on a Monday.

Tuesday

The index client participated in a venue-based sex and/or needle
sharing event on a Tuesday.

Wednesday

The index client participated in a venue-based sex and/or needle
sharing event on a Wednesday.

Thursday

The index client participated in a venue-based sex and/or needle
sharing event on a Thursday.

Friday

The index client participated in a venue-based sex and/or needle
sharing event on a Friday.

Saturday

The index client participated in a venue-based sex and/or needle
sharing event on a Saturday.

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NHME Variables and Values
Requirements
Num

Variable Name

X508

Program

System

Optional Not Reported

Time of Day - Venue
Definition: The time of day that the client engaged in sex or needle-sharing events at the venue.
Instructions: If the client provided information about sex and/or needle-sharing events conducted at a venue (X506: Venue
Elicitation = "Yes"), enter the time of day the client was at the venue.

Code

Value Description

6:01 AM - 9 AM

9:01 AM - 12 PM

12:01 PM - 3 PM

3:01 PM - 6 PM

6:01 PM - 9 PM

9:01 PM - 12 AM

12:01 AM - 3 AM

3:01 AM - 6 AM

Value Definition

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NHME Variables and Values
Requirements
Num

Variable Name

X509

Program

System

Optional Not Reported

Venue Type
Definition: The type of location, setting, or event where the client engaged in sex or needle-sharing events.
Instructions: If the client provided information about sex and/or needle-sharing events conducted at a venue (X506: Venue
Elicitation = "Yes"), indicate the type of the location, setting or event where the client engaged in sex or needlesharing events.

Code

Value Description

Value Definition

Internet

The Internet is the publicly available worldwide system of
interconnected computer networks that carry various information and
services, such as electronic mail, online chat and the interlinked web
pages and other documents of the World Wide Web.

Bar/club

Bars are establishments licensed to sell alcoholic beverages to be
consumed on the premises. Clubs are indoor establishments,
typically with a bar that also host musical entertainment/
performances or have a dance floor. These may also be referred to
as night clubs or dance clubs.

Cruising area

An area in which people walk or drive in pursuit of a partner for quick
often anonymous sex.

Adult bookstore

An establishment which sells printed materials, pictures, slides,
records, audiotapes, videotapes or motion picture film that depict
various sexual activities. They are generally not open to the public
generally excluding any minor by reason of age. Adult bookstores
are commonly used to refer to sex shops that sell or rent
pornographic videos, books, and magazines.

Bath house, sex club or sex resort

Bath houses are saunas or steam baths where men can go to have
sex with other men. Customers pay only for the use of the facilities;
sexual activity, if it occurs, is not provided as a service by staff of the
establishment, but is between customers, and no money is
exchanged. Sex Clubs are nightclubs where people can have sexual
intercourse with one another, either in private rooms or in public
areas; they may also have the facilities of an ordinary nightclub such
as a bar and a dance floor. Sex resorts are private
establishments/areas that typically have hotels or other forms of
lodging where people go for relaxation, recreation and sexual
entertainment.

Private sex party

A gathering in someone's home or private residence of a group of
people who all participate in sexual activity with each other.

Circuit party or rave

A circuit party is one of many large events, open to anyone but
popular primarily among gay men, that take place annually at various
popular travel destinations. Each circuit party is a large dance party,
extending through a night and into the following day, almost always
with a number of related events in the days surrounding the main
event. Circuit parties charge admission, with some being run for-profit
and others benefiting charities, generally those which benefit the
G/L/B community and/or people with HIV. Circuit parties resemble
underground rave parties in some respects, but differ in that circuit
parties are highly publicized and professionally produced, and tend to
attract people from a wider age range and a broader geographic area.

Other

A venue that cannot be described by the other venue types listed.

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NHME Variables and Values
Requirements
Num
X510

Variable Name

Program

System

Optional Not Reported

Venue Characteristics
Definition: A description of any distinctive qualities, factors, or features of the venue that may help to identify its location.
Instructions: If the client provided information about sex and/or needle-sharing events conducted at a venue (X506: Venue
Elicitation = "Yes"), record additional information to describe any distinctive qualities, factors or features of the venue
that may help to identify its location.

X511

Total Number of Named Partners
Definition: The total number of partners for which there is sufficient identifying and locating information.
Instructions: Indicate the total number of partners named for which there is sufficient information to identify and locate the partner.
The total number of named partners should be equal to X511a+X511b+X511c.

X511a

Total Number of Named Male Partners
Definition: The total number of male partners for which there is sufficient identifying and locating information.
Instructions: Indicate the total number of male partners for which there is sufficient identifying and locating information.

X511b

Total Number of Named Female Partners
Definition: The total number of female partners for which there is sufficient identifying and locating information.
Instructions: Indicate the total number of female partners for which there is sufficient identifying and locating information.

X511c

Total Number of Named Transgender Partners
Definition: The total number of transgender partners for which there is sufficient identifying and locating information.
Instructions: Indicate the total number of transgender partners for which there is sufficient identifying and locating information.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: X-6

Program

System

Notification of Exposure

This table is completed for each partner located to determine their knowledge of HIV exposure and HIV
status.
Intervention type = PS
Num

Variable Name

X600

Optional Not Reported

Program

Requirements

System

Optional Not Reported

Partner Notifiability
Definition: An indication of whether or not a named partner is determined to be eligible for notification of exposure. Partners that
are found to be previously positive, deceased, or for which there is a risk of domestic violence are not considered to
be notifiable.
Instructions: For each partner named, indicate whether or not he or she is able to be notified of his or her exposure to HIV.

Code

Value Description

Value Definition

No - Partner is deceased

The partner is no longer alive.

No - Partner is out of jurisdiction

The partner resides outside of the jurisdiction in which the provider is
authorized to provide services.

No - Partner has a risk of domestic violence

The provider has assessed that notifying the partner of his or her
exposure to HIV could pose a risk of domestic violence to the partner.

Yes - Partner is notifiable

The partner is able to be notified of his or her exposure to HIV.

Other

The partner was not notified due to another reason not listed.

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NHME Variables and Values
Requirements
Num

Variable Name

X601

Program

System

Optional Not Reported

Actual Notification Method
Definition: The actual method used to notify each identified partner that they have been exposed to HIV. This outcome may differ
from the notification plan (PCR209).
Instructions: Indicate the method used to notify each notifiable partner identified in X511: Total Number of Claimed Partners that
they have been exposed to HIV.

Code

Value Description

Value Definition

Client notification

The index client informed his or her partner of their possible exposure
to HIV and referred them to counseling, testing, and other support
services.

Partner notification

The PS provider informed the partner of his or her possible exposure
to HIV and referred them to counseling, testing, and other support
services.

Dual notification

The index client informed the partner of his or her serostatus in the
presence of the PS provider.

Refused notification

The index client's partner refused to be informed of his or her
possible exposure to HIV.

Third-party notification

A notification strategy whereby the partner was notified by a
professional other than the health department provider (e.g., a private
physician) of his or her possible exposure to HIV.

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NHME Variables and Values
Requirements
Num

Variable Name

X602

Program

System

Optional Not Reported

Previous HIV test
Definition: The partner's self-report of having had at least one prior HIV test before these data were collected.
Instructions: Indicate if the partner reports having a previous HIV test.

Code

Value Description

Value Definition

The index client's partner reports that he or she has never had an
HIV test.

Yes

The index client's partner reports that they have had a previous HIV
test.

Not asked

The provider did not ask the index client's partner about having a
prior HIV test.

Declined to answer

The index client's partner declines or is unwilling to report if he or she
has had a previous HIV test.

Don't know

The index client's partner reports that he or she is unaware if he or
she has had a previous HIV test.

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NHME Variables and Values
Requirements
Num

Variable Name

X603

Program

System

Optional Not Reported

Self-Reported HIV Test Result
Definition: The client's self-reported test result from his/her most recent HIV test prior to notification.
Instructions: If the partner reports having had a previous HIV test (i.e. X602: Previous HIV Test = “Yes”), then indicate the partner’s
self-reported HIV test result at the time of notification. When asking about the "Self-Reported Test Result" it is very
important that the provider ask about the test result from the most recent HIV test because this is the result that will
reflect the partner's current HIV serostatus. Ensure that the partner understands that he/she is being asked to report
his/her test results and not what he/she believes their status is.

Code

Value Description

Value Definition

Positive

The index client's partner reports that his or her HIV status is positive
based on a confirmatory test result.

Negative

The index client's partner reports that his or her HIV status is negative.

Preliminary positive

The index client's partner reports that he or she received a
“Preliminary positive” test result (i.e., the index client's partner had a
reactive HIV rapid test but did not receive the results of the
associated conventional confirmatory test).

Indeterminate

The client reports that he or she received an “Indeterminate” test
result (i.e., the client received results but those results did not
conclusively indicate whether he or she is HIV-positive or HIVnegative).

Not asked

The provider did not ask the client about his or her HIV status.

Declined to answer

The index client's partner declines or is unwilling to report his or her
HIV status.

Don't know

The index client's partner reports that he or she is unaware of his or
her HIV status.

X604

Date of Last HIV Test
Definition: The date of the partner's last HIV test.
Instructions: If the partner reports having a previous HIV test (X602: Previous HIV test = "Yes), indicate the date of the partner's
last HIV test.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: X-7

Program

System

Program

System

Optional Not Reported

Referral

This table is completed for all clients receiving a referral.
Requirements
Num

Variable Name

X701

Optional Not Reported

PEMS Referral Code
Definition: A PEMS generated unique code that is used by the agency to track client referrals to other agencies.
Instructions: Enter the PEMS system-generated referral code for the referral made for this client. It should be hand-keyed by the
provider. A referral code should be assigned to each referral service type made even if you are making an internal
referral (a referral to another service delivery site within your agency). If multiple referrals are made for a client, each
referral should be assigned a unique referral code. However, if a referral to a single service type (e.g., CTR) is made
to multiple network agencies, then only one referral code is used and assigned to track the referral made to each
agency.

X701a

Local Referral Code
Definition: A locally generated code used by the agency to track a specific client referral to another agency.
Instructions: If your agency uses a locally developed referral code other than the one assigned by PEMS (X701:PEMS Referral
Code), then enter that code. This code should be unique within an agency.

X702

Referral Date
Definition: The date on which the referral was made for the client.
Instructions: Indicate the date on which the referral was made. In the PEMS software this is a system-generated variable that is prepopulated based on the date of the session when the referral was made for the client (X702: Referral Date = H06
Session Month, Day, and Year).

X702a

Reason Client Not Referred to Medical Care
Definition: The reason why a referral to medical care on HIV-positive client was not made.
Instructions: Complete this variable if a client tests positive for HIV during a testing event but is not referred to medical care.

Code

Value Description

Value Definition

Client already in care

Client was not referred to HIV medical care because he or she is
already receiving care.

Client declined care

Client was offered a referral to HIV medical care but client declined.

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NHME Variables and Values
Requirements
Num

Variable Name

X703

Program

System

Optional Not Reported

Referral Service Type
Definition: The service to which the client was referred.
Instructions: Select the service to which client was referred (e.g., HIV Testing, substance abuse services, STD screening).

Code

Value Description

Value Definition

HIV Testing

A diagnostic, laboratory procedure to assess for the presence of HIV
antibodies.

HIV confirmatory test

An HIV test designed to confirm the results of a preliminary positive
screening test.

HIV prevention counseling

STD screening and treatment

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis and treatment if infected.

Viral hepatitis screening and treatment

Provision of testing to determine infection with viral hepatitis (A, B,
and C) and treatment if positive or vaccination if negative.

Tuberculosis testing

Testing for tuberculosis (TB), prophylactic TB treatment, and clinical
evaluation for active TB disease.

Syringe exchange services

Services that provide clean syringes in exchange for used syringes.

Reproductive health services

Health care services for female clients who are pregnant or of childbearing age.

Prenatal care

Health care services for female clients before and during pregnancy
to monitor the health of the pregnant mother and fetus.

HIV medical care/evaluation/treatment

Medical services that address HIV infection including evaluation of
immune system function and screening, treatment, and prevention of
opportunistic infection.

IDU risk reduction services

Services that promote practices that reduce the health risks of
injection drug use (i.e., using sterile needles, never sharing needles,
disinfecting needles, disposing of needles).

Substance abuse services

Services for the treatment and prevention of drug or alcohol use.

General medical care

Professional treatment for illness, injury or routine health care
services (non-HIV related).

Partner Services

Mental health services

Services to assist with mental illness, developmental disabilities or
difficulty coping with HIV diagnosis or HIV-related conditions.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Comprehensive Risk Counseling Services

Other prevention services

Service to address additional prevention service or treatment needs
such as health education, individual counseling, and community level
interventions (e.g., workshops, health fairs).

Other support services

Assistance with housing, food, employment, transportation, child
care, domestic violence, support groups and legal services.

Case Management

Other

Referral was made to another type of service not listed.

X703a

Internal Referral Site ID
Definition: The agency's site (as established in Table S: Site) where the client was referred for additional services by another
provider within that agency. The Site ID is a system generated code used to distinguish the sites of service delivery
within an agency.
Instructions: If you are referring a client to a service delivery site that is a part of your agency, indicate the site by selecting from a
list of sites established in Table S. If you are referring the client to a site that is new or not previously established in
Table S, you will be given the option to add it to Table S and then select the new site here.

X704

Network Agency Name(s)
Definition: The name of the agency to which the client is being referred.
Instructions: If you are referring a client to an agency that is listed as one of your Network Agencies, select the name of the agency
from the list of network agencies established in Table N. If you are referring the client to multiple agencies, select or
enter the name of each agency. If you are referring the client to an agency that is new or not previously established in
Table N, you will be given the option to first add it to Table N and then to select the network agency here.

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NHME Variables and Values
Requirements
Num

Variable Name

X705

Program

System

Optional Not Reported

Referral Follow-up Method
Definition: The method that will be used to verify that the client accessed the services to which he or she was referred.
Instructions: Indicate the method that will be used to determine whether the client accessed the service to which he or she was
referred.

Code

Value Description

Value Definition

None

There is no plan to verify that the client accessed this referral. If this
value is chosen, the reason for no referral follow-up should be
specified in X711: Referral notes.

Active referral

The referring provider will directly link the client to the service provider
or agency (e.g., the provider physically accompanies or transports the
client to the agency).

Passive referral - Agency verification

The referring provider will confirm the outcome of a referral through
information received by the receiving agency (e.g., the referring
provider contacts the agency or receives confirmation through a
referral "kick-back" card from the agency where the client was
referred).

Passive referral - Client verification

The referring provider will confirm the outcome of a referral through
information provided by the client, (e.g., client self-report).

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NHME Variables and Values
Requirements
Num

Variable Name

X706

Program

System

Optional Not Reported

Referral Outcome
Definition: The current status of the referral based on activities to verify that the service was accessed.
Instructions: Select the value that reflects the current status of this referral follow-up. The system will automatically mark the
referral outcome as “Lost to follow-up” if a referral has not been verified within 60 days of the referral date (X702:
Referral Date > 60 days).

Code

Value Description

Value Definition

Pending

The referring agency has not yet confirmed whether the client
accessed the service to which he or she was referred.

Confirmed - Accessed service

The referring agency has confirmed whether the client accessed the
service to which he or she was referred.

Confirmed - Did not access service

The referring agency has confirmed that the client had not accessed
the service to which he or she was referred.

Lost to follow-up

Within 60 days of the referral date (X702: Referral Date < 60 days),
access of the service to which the client was referred can't be
confirmed or denied. The system will automatically mark a referral as
“Lost to follow-up” if a referral has not been verified within 60 days of
the referral date.

No follow-up

The referral was not tracked to confirm whether the client accessed
the referred service.

X706a

Confirmed Internal Referral Site Name
Definition: The site within the agency where the client accessed the service to which they were referred. The Site ID is a system
generated code used to distinguish the sites of service delivery within an agency.
Instructions: If the client accessed the referred service at a site within your agency, indicate the site by selecting from a list of sites
previously selected in X703a: Internal Referral Site ID. If the client accessed the referral from a site that is not
previously selected in X703a, you will be given the option to select another Internal Site ID from Table S.

X707

Confirmed Network Agency Name
Definition: The name of the agency where the client accessed the service to which they were referred.
Instructions: If the client accessed the service to which they were referred from an agency listed as one of your Network Agencies,
indicate the name of the agency by selecting from a list of agencies previously selected in X705: Network Agency
Name. If the client accessed the referral from an agency that was not previously established in X704, you will be
given the option to select another Network Agency from Table N and enter it here.

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NHME Variables and Values
Requirements
Num
X708

Variable Name

Program

System

Optional Not Reported

Confirmed Network Agency EIN
Definition: The employer identification number (EIN) of the agency where the client accessed the service to which they were
referred. The EIN is a federal tax identification number that is used to identify a business entity.
Instructions: Enter the EIN number for the Network Agency specified in X707: Confirmed Network Agency Name, where the client
accessed the referred service.

X709

Confirmed Network Agency DUNS
Definition: The DUNS number of the agency where the client accessed the service to which they were referred. The Data
Universal Numbering System (DUNS) number is a nine-digit identification number which uniquely identifies business
entities. It is provided by the commercial company Dun & Bradstreet.
Instructions: Enter the DUNS number for the Network Agency specified in X707: Confirmed Network Agency Name where the client
accessed the referred service.

X710

Referral Close Date
Definition: The date when the outcome of the referral was confirmed or lost to follow-up.

Instructions: Within 60 days of the date entered in X702: Referral Date, indicate the date when you either confirmed that the client
did or did not access the referred service or when the client was “lost to follow-up” (X706: Referral Outcome). The
system will automatically calculate this variable if the referral has not been verified within 60 days of the referral date.
For example, if the referral has not been confirmed (X706: Referral Outcome = "Pending") within 60 days of the
referral date specified in X702: Referral Date, the system will mark the referral as "lost to follow-up" and automatically
close the referral by entering a referral close date (e.g., X710: Referral Close Date = 61st day). The field can still be
edited by user after 60 days.
X711
Notes
Definition: A text field to record any additional information regarding the referral.
Instructions: Enter any additional information about the referral if needed. This would include any information regarding the referral
that would be helpful in making additional referrals, following up on referrals or planning future services. This
information will not be reported to CDC.

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NHME Variables and Values
Requirements
Num

Variable Name

X712

Program

System

Optional Not Reported

HIV Test Performed
Definition: A client received an HIV test as a result of a referral from PS to CTR. This variable is required for PS referrals only.
Instructions: If the client was referred to CTR from PS, indicate if the client was tested for HIV. If X703: Referral Service Type =
"CTR" and X706: Referral Outcome = "Accessed service", indicate if the client received an HIV test.

Code

Value Description

Value Definition

The client did not receive an HIV test as a result of a referral from PS
to this agency/site for CTR.

Yes

The client received an HIV test as a result of a referral from PS to this
agency/site for CTR.

X713

HIV Test Result
Definition: The confirmed outcome of an HIV test conducted on the partner as a result of a referral to HIV testing through Partner
Services.This variable is required for PS only.
Instructions: If the client received an HIV test (X712: HIV Test Performed = "Yes"), as a result of referral from PS to CTR, indicate
the result of the HIV test.

Code

Value Description

Value Definition

Positive/reactive

Negative

Indeterminate

A test result that has not been precisely determined. A possible
result of a Western-blot, which might represent a recent HIV infection
or a false positive.

Invalid

A test result cannot be confirmed due to conditions related to errors in
the testing technology, specimen collection, or transport.

No result

No result was obtained even though the specimen was drawn (e.g.,
blood sample hemolyzed, blood tube broke, blood tube lost in transit,
unable to draw blood from veins).

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NHME Variables and Values
Requirements
Num

Variable Name

X714

Program

System

Optional Not Reported

Confirmatory Test
Definition: An HIV test designed to confirm the results of a preliminary positive screening test. This variable applies to PS only.
Instructions: Indicate if the HIV test (X712: HIV Test Performed) is a confirmatory test following a preliminary positive test.

Code

Value Description

Value Definition

The HIV test was an initial or preliminary test.

Yes

The HIV test was a confirmatory test following an initial test with a
preliminary positive/reactive test result.

X714a

HIV Test Results Provided
Definition: The act of informing the client of his or her HIV test result.
Instructions: Indicate whether or not the result of this HIV test was provided to the partner.

Code

Value Description

Value Definition

The result of this HIV test was not provided to the partner.

Yes

The result of this HIV test was provided to the partner.

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NHME Variables and Values
Requirements
Num

Variable Name

X715

Program

System

Optional Not Reported

HIV Test Verification
Definition: The process or method by which the result of an HIV test was determined. This variable applies to PS only.
Instructions: Indicate whether the HIV test result (H713: HIV Test Result) was verified by the provider or by client self report.

Code

Value Description

Value Definition

Verification by provider

The client's receipt of an HIV test was confirmed by the agency
where the test was performed.

Client self-report

The client's receipt of an HIV test was confirmed by the client who
received the HIV test.

X716

Date of Birth - Year
Definition: The self-reported year of birth of the referred client.
Instructions: If this referral is being made during an intervention in which you are collecting aggregate data using Table AG or HC,
then indicate the self-reported year of birth of the referred client.

X717

Ethnicity
Definition: The client's self report of whether they are of Hispanic or Latino origin.
Instructions: If this referral is being made during an intervention in which you are collecting aggregate data using Table AG or HC,
then select from a list of values to indicate the self-reported ethnicity of the referred client.

Code

Value Description

Value Definition

Declined to answer

The client declines or is unwilling to report his or her ethnicity.

Don't know

The client reports that he or she is unaware of their ethnicity.

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central
America, or other Spanish culture or origin, regardless of race.

Not Hispanic or Latino

A person not identified by the definition of Hispanic or Latino.

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NHME Variables and Values
Requirements
Num

Variable Name

X718

Program

System

Optional Not Reported

Race
Definition: A client's self-reported classification of the biological heritage with which they most closely identify. Standard OMB
race codes are applied.
Instructions: If this referral is being made during an intervention in which you are collecting aggregate data using Table AG or HC,
then select from a list of values to indicate the self-reported race of the referred client.

Code

Value Description

Value Definition

Declined

The client declines or is unwilling to report his or her race.

Don't know

The client reports that he or she is unaware of his or her race.

American Indian or Alaska Native

A person having origins in any of the original peoples of North or
South America (including Central America), and who maintains tribal
affiliation or community attachment.

Asian

Black or African American

A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Pacific Islander

A person having origins in any of the original peoples of Hawaii,
Guam, Samoa, or other Pacific Islands

White

A person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.

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NHME Variables and Values
Requirements
Num

Variable Name

X719

Program

System

Optional Not Reported

Current Gender Identity
Definition: The client's current self-reported gender identity. This may include one's social status, self-identification, legal status,
and biology.
Instructions: If this referral is being made during an intervention in which you are collecting aggregate data using Table AG or HC,
then select from a list of values to indicate the self-reported current gender identity of the referred client.

Code

Value Description

Value Definition

Male

Persons who identify as male and whose behavioral, cultural, or
psychological traits are typically associated with the male sex.

Female

Persons who identify as female and whose behavioral, cultural, or
psychological traits are typically associated with the female sex.

Transgender - MTF

Individuals whose physical or birth sex is male but whose gender
expression and/or gender identity is female. Note: MTF = male to
female.

Transgender - FTM

Individuals whose physical or birth sex is female but whose gender
expression and/or gender identity is male. Note: FTM = female to
male.

Declined to answer

The individual declines to self report his or her current gender identity.

Additional (specify)

The individual reports a current gender other than those specified
above.

X719a

Specify Current Gender Identity
Definition: The additional specification of Current Gender Identity from X719 = 89 "Additional (specify)".
Instructions: Specify the current gender identity if X719 = 89 "Additional (specify)".

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NHME Variables and Values
Requirements
Num

Variable Name

X720

Program

System

Optional Not Reported

Risk Category
Definition: A type of sex or drug using behavior that places an individual at risk for HIV infection or transmission.
Instructions: If this referral is being made during an intervention in which you are collecting aggregate data using Table AG or HC,
then select from a list of values to identify the risk category of the referred client based on his/her self-reported risk for
HIV infection or transmission.

Code

Value Description

Value Definition

Sexual contact involving transgender and unsafe injection drug
practices

Men and women who are at risk from both unprotected sexual
contact involving trangenders and unsafe injection drug practices
(e.g., sharing needles, using dirty needles).

Male to male sexual contact and unsafe injection drug practices

Men who are at risk from both unprotected male to male sexual
contact and unsafe injection drug practices (e.g., sharing needles,
using dirty needles).

Sexual contact involving transgender

Men and women who are at risk through unprotected sexual contact
involving trangenders.

Male to male sexual contact

Men who are at risk through unprotected sex with another male.

Unsafe drug injection practices

Men and women who are at risk through unsafe drug injection
practices (e.g., sharing needles, using dirty needles).

Heterosexual contact

Men and women who are at risk through unprotected heterosexual
sex with an HIV infected partner.

Other

Men and women who are at risk through some other behavior not
categorized above.

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NHME Variables and Values
Requirements
Num

Variable Name

X721

Program

System

Optional Not Reported

Self Reported HIV Test Result
Definition: The client's self-reported test result from his/her most recent HIV test.
Instructions: If this referral is being made during an intervention for which there is not a Table G1 (i.e. you are collecting aggregate
data using Table AG), then specify the self-reported HIV test result of the referred client. When asking about the "SelfReported Test Result" it is very important that the provider ask about the test result from the most recent HIV test
because this is the result that will reflect the client's current HIV serostatus. Ensure that the client understands that
he/she is being asked to report his/her test results and not what he/she believes their status is.

Code

Value Description

Value Definition

Positive

The client reports that his or her HIV status is positive.

Negative

The client reports that his or her HIV status is negative.

Preliminary positive

The client reports that he or she received a “Preliminary positive” test
result (i.e., the client had a reactive HIV rapid test but did not receive
the results of the associated conventional confirmatory test).

Indeterminate

Not asked

The provider did not ask the client about his or her HIV status.

Declined to answer

The client declines or is unwilling to report his or her HIV status.

Don't know

The client reports that he or she is unaware of his or her HIV status.

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NHME Variables and Values
Requirements
Num

Variable Name

X722

Program

System

Optional Not Reported

Reason Referral Not Accessed
Definition: The client's explanation for why the referral was not completed.
Instructions: Select the reason(s) why the service to which the client was referred was not accessed. You may also specify
reasons that are not listed by selecting "other" and providing an explanation.

Code

Value Description

Value Definition

No reason/just didn't try

The client reports that he or she did not attempt to access the referral
or did not provide a reason for why the referral was not accessed.

No time/too busy/put it off

The client reports that he or she did not access the referral because
he or she was too busy or did not have time to follow through on the
referral.

Did not like agency referred to

The client reported that he or she did not access the referral because
he or she did not like the agency to which he or she was referred.

Agency hours not good

The client reported that he/she did not access the referral because
the agency's hours of operation were inconvenient, problematic or not
feasible for the client to attend.

Never filled out forms

The client reports that he or she did not access the referral because
he or she did not complete the required enrollment/intake/ eligibility
forms at the agency to which he or she was referred.

Not enough information on availability of service or location

The client reports that he or she did not access the referral because
he or she did not have enough information on the service or the
location of the agency to which he or she was referred.

No transportation

The client reports that he or she did not access the referral because
he or she did have transportation to the agency/service to which he or
she was referred.

Tried, but not eligible

The client reports that he or she did not access the referral because
he or she was ineligible to receive services at the agency to which he
or she was referred.

Put on hold/complicated voicemail

The client reports that he or she did not access the referral because
he or she was put on hold or did not understand the voicemail
message at the agency to which he or she was referred.

Fear/anxiety

The client reported that he or she did not access the referral because
he or she had fear or anxiety about enrolling in the referred service or
in taking the next steps to contact the agency to which he or she was
referred.

Wait list/no appointment soon enough

The client reports that he or she did not access the referral because
the agency's waiting list was too long or the next available
appointment was too far in the future.

Services not at referred agency

The client reports that he or she did not access the referral because
the agency to which he or she was referred did not provide the
referred service.

Given incorrect information

The client reported that he or she did not access the referral because
he or she was given incorrect information about the service or the
agency to which he or she was referred (e.g., service is provided at a
different location/setting, the agency no longer exists, incorrect hours
of operation/contact information).

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

No phone/regular address

The client reports that he or she did not access the referral because
the agency providing the service does not have a phone or
permanent address (e.g., service is provided in various outreach
settings or in a mobile van).

Staff was rude/insensitive

The client reports that he or she did not access the referral because
the staff at the agency to which he or she was referred were rude,
insensitive or non-responsive to the client's needs.

Language barrier

The client reports that he or she did not access the referral because
the staff at the agency to which he or she was referred did not speak
the same language as the client.

Intake process too complicated

The client reports that he or she did not access the referral because
the intake or enrollment process used by the agency to which he or
she was referred was too difficult/complicated.

Too long a wait

The client reports that he or she did not access the referral because
he or she had to wait too long before receiving services.

Missed appointment

The client reports that he or she did not access the referral because
he or she missed his or her scheduled appointment.

Too much trouble/work

The client reports that he or she did not access the referral because it
was too much work or required to much effort (e.g., location was
remote/inconvenient, complex enrollment/eligibility process).

Confidentiality issues

The client reported that he or she did not access the referral because
he or she was afraid his or her confidentiality would not be protected.

Too ill to go

The client reports that he or she did not access the referral because
he or she was too sick/ill.

Felt well/did not need service

The client reported that he or she did not access the referral because
he or she felt he or she did not need the service.

Lack of trust in provider

The client reports that he or she did not access the referral because
he or she did not trust the provider to whom he or she was referred.

No health insurance

The client reports that he or she did not access the referral because
he or she did not have health insurance.

Too expensive

The client reports that he or she did not access the referral because
the cost to receive the service was too expensive.

Other (specify)

The client reports not accessing referral for some other reason not
listed above.

X722-1

Specify Reason Referral Not Accessed
Definition: A specification of the client's explanation for why the referral was not completed if 89-Other (specify) was selected in
X722.

Instructions: Specify the reason(s) why the service to which the client was referred was not accessed if 89-Other (specify) was
selected and none of the other value choices in X722 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

X723

Program

System

Optional Not Reported

Other Referral Facilitation Activities
Definition: Additional activities performed by the worker to assist the client in accessing the referral.
Instructions: Select the actions performed by the worker to facilitate referral access. This would include actions in addition to those
indicated in X705: Referral Follow Up, (e.g., active referral or a passive referral with client or agency verification). You
may also specify actions that are not listed by selecting "other (specify)" and provide an explanation.

Code

Value Description

Value Definition

Made an appointment for client

The worker made an appointment for the client at the agency/for the
service to which they were referred.

Sat w/client while telephoned agency

The worker provided support to the client by sitting with him or her
while he or she called the referred agency to make an appointment.

Provided general referral agency info

The worker provided information to the client about where to receive
various services/resources in the community.

Provided referral slip

The worker provided the client with a referral slip that listed
information about the referred agency, referred service or both.

Provided referral to specific agency/person

The worker provided the client with the name and/or contact
information of a specific provider at the agency where he or she was
referred.

Discussed service options w/client

The worker spoke with the client about various options and
alternatives for seeking additional services.

Arranged for social worker to assist

The worker arranged for a social worker or case manager to assist
the client in accessing the referral.

Provided transportation voucher

The worker provided the client with a voucher (e.g., ticket, coupon,
bus token), to assist with transportation to the service or agency to
which he or she was referred.

Help client complete forms

The worker assisted the client in completing the required enrollment,
intake or eligibility forms needed to access the referred service.

Provided agency location info/map

The worker provided the client with a map, chart or diagram to
illustrate the location of the service/agency where he or she was
referred.

Other (specify)

The worker facilitated some other referral activity other than the
activities listed.

X723-1

Specify Other Referral Facilitation Activities
Definition: A specification of the additional activities performed by the worker to assist the client in accessing the referral if 89Other (specify) was selected in X723.

Instructions: Specify the actions performed by the worker to facilitate referral access if 89-Other (specify) was selected and none of
the other value choices in X723 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: X-8

Program

Variable Name

X801

Optional Not Reported

Other STD, TB, and Viral Hepatitis Testing

This table is completed for other STD, TB, and hepatitis testing. It should be completed for each test,
other than HIV, given to the client.
Num

System

Program

Requirements
System

Optional Not Reported

Other Test Type
Definition: An indication of whether or not a test other than HIV was given and the type of testing conducted with the client on the
session date. A test was used to diagnose tuberculosis (TB), syphilis, gonorrhea, hepatitis B, hepatitis C, gonorrhea,
or chlamydia.
Instructions: Complete this variable for each test, other than an HIV test, that is given to the client at service delivery on the
specified session date.

Code

Value Description

Value Definition

Provision of testing to determine infection with tuberculosis.

Syphilis

Provision of testing to determine infection with syphilis at any stage of
disease.

Gonorrhea

Provision of testing to determine infection with Neisseria gonorrheae
or gonorrhea.

Chlamydia

Provision of testing to determine infection with chlamydia trachomatis
or chlamydia.

Hepatitis B

Provision of testing to determine infection with the Hepatitis B virus.

Hepatitis C

Provision of testing to determine infection with the Hepatitis C virus.

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NHME Variables and Values
Requirements
Num

Variable Name

X802

Program

System

Optional Not Reported

Other Test Type Result
Definition: The outcome of the test given to determine infection with tuberculosis, syphilis, gonorrhea, chlamydia, Hepatitis B, or
Hepatitis C.
Instructions: Indicate the confirmed outcome of testing provided to determine infection with tuberculosis, syphilis, gonorrhea,
chlamydia, Hepatitis B, or Hepatitis C.

Code

Value Description

Value Definition

Positive

The test result for other STD (syphilis, gonorrhea, chlamydia), TB, or
viral hepatitis (B or C) testing was confirmed positiive.

Negative

The test result for other STD (syphilis, gonorrhea, chlamydia), TB, or
viral hepatitis (B or C) testing was negative.

Test not offered

Other STD (syphilis, gonorrhea, chlamydia), TB, or viral hepatitis (B
or C) testing was not offered to the client.

Results unknown

The results of the STD (syphilis, gonorrhea, chlamydia), TB, or viral
hepatitis (B or C) test are unknown.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Aggregate Level
Table: AG

HE/RR and Outreach

This table is completed for each outreach and HE/RR event delivered in a specific site at a specified
time for which individual level data are not collected. Data are reported in aggregate. Data specific to
clients may be entered as count or percentage (AG8a-AG13c).
Num
AG00

Variable Name

Program

Requirements

System

Optional Not Reported

Intervention Name/ID
Definition: An Intervention Name/ID that was entered by your agency in Table F.
Instructions: Select from a list of Intervention Names generated from variable F02: Intervention Name/ID. When using the PEMS
software, the list of interventions you entered in Table F will appear as a list that you can choose from for this variable.

AG01

Session Number
Definition: The session number within a particular intervention cycle about which data for this session or event are being entered.
Instructions: Indicate the session or event number in this particular intervention cycle. For interventions with more than one
session/event, enter the session/event number within the intervention cycle. If you are implementing interventions that
have only one session/event, this number will always be “1”. If you are recording information about the 2nd
session/event of a 3 session/event intervention, you would enter “2” here.

AG02

Date of Session/Event
Definition: The calendar date on which the event or session was delivered to clients.
Instructions: Enter the date on which the event or session occurred.

AG03

Duration ofSession/Event
Definition: The amount of time (in minutes) the session or event lasted.
Instructions: Indicate the actual number of minutes that the session or event lasted.

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NHME Variables and Values
Requirements
Num
AG04

Variable Name

Program

System

Optional Not Reported

Number of Client Contacts
Definition: The total number of clients attending the HE/RR session or the total number of Outreach contacts made during the
session/event specified in AG01: Session/Event Number.
Instructions: Enter the total number of clients attending the HE/RR session or number of outreach contacts made during the event
specified in AG01: Session/Event Number.

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NHME Variables and Values
Requirements
Num

Variable Name

AG05a

Program

System

Optional Not Reported

Delivery Method
Definition: The medium(s) or channel(s) through which the intervention is delivered.

Instructions: Indicate how the intervention was delivered (e.g., in person, by using a video, over the internet, etc.).

Code

Value Description

Value Definition

01.00

In person

02.00

Internet

The use of email, chat rooms, or websites to deliver information to
clients electronically.

03.00

Printed materials

The use of pamphlets, direct mailing, magazines, newspapers,
posters, billboards, etc. If chosen, please specify the subcategory
(value codes 3.01-3.04) for printed material.

03.01

Printed materials - Magazines/newspapers

03.02

Printed materials - Pamphlets/brochures

03.04

Printed materials - Posters/billboards

Posters: A single sheet sign posted or displayed used to advertise
simple messages or as an advertisement for goods and services.
This is typically used to promote practices (such as safer sex),
services (such as counseling and testing) information (such as HIV
transmission risk), or products (condoms). Billboards: Large signs or
posters that are typically outdoors on which messages or
advertisements are placed with the intent to be viewed by the general
public. This is typically used to promote practices (such as safer sex),
services (such as counseling and testing), or information (such as
HIV transmission risk), or products (condoms).

04.00

Radio

The use of radio broadcasts using public service announcements,
commercial air time, and the inclusion of messages in radio
programs, etc.

05.00

Telephone

The use of telephones or telephone "hot lines".

06.00

Television

The use of televised broadcasts using public service announcements,
commercial air time, etc.

07.00

Video

The use of pre-recorded visual and audio messages not delivered via
broadcast or cable TV (e.g., on a VHS tape or DVD).

Other (specify)

The use of methods or mediums to deliver the intervention other than
those that are listed in the other value choices (1.0-7.0). If chosen,
please specify the delivery method.

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NHME Variables and Values
Requirements
Num

Variable Name

AG05a-1

Program

System

Optional Not Reported

Specify Delivery Method

Definition: A specification of the type of delivery method if 89-Other (specify) was selected in AG05a.
Instructions: Specify the method of delivery if 89-Other (specify) was selected and none of the other value choices in AG05a apply.

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NHME Variables and Values
Requirements
Num
AG05b

Variable Name

Program

System

Optional Not Reported

Activity
Definition: The specific actions or components of an intervention in which the clients participated in or received during this
particular session.

Instructions: Select all of the activities that occurred during this session or event. Describe what was actually delivered, regardless
of what you planned to deliver in Table F (F10: Activities). When using the PEMS software, you will be able to select
from the list of activities you listed in F10: Activities. You will also be able to add new activities that are not already on
that list. Examples of activities include doing HIV testing, providing information about STDs, demonstrating condom
use, or making referrals. Definitions for the major categories of activity types include: 1) Information: The provision or
communication of factual knowledge (written or oral) about HIV prevention and other related topics for an individual or
a group; 2) Demonstration: The illustration or provision of an example of a skill or technique accompanied by
Code
Value Description
Value Definition
01.00

Not collected

Agency currently does not collect or report data on session activities.

04.00

Referral

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual,
couple, or group on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual, couple, or
group on abstaining from sexual activity or postponing sexual activity.

08.03

Information - Other sexually transmitted diseases

08.04

Information - Viral hepatitis

Any information, written or verbal, given to an individual, couple, or
group on viral hepatitis, how it is transmitted, and/or how to reduce
risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

08.06

Information - Availability of partner notification and referral services

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual, couple, or
group living with HIV/AIDS specific to living with the disease.

08.08

Information - Availability of social services

08.09

Information - Availability of medical services

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual, couple, or
group on how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual, couple, or
group on how to reduce injection drug use risk for HIV transmission
or infection.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.12

Information - IDU risk free behavior

Any information, written or verbal, given to an individual, couple, or
group on abstaining from injection drug use or only using new
needles and disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual, couple, or
group regarding appropriate use and disposal of condoms or other
barrier methods.

08.14

Information - Negotiation/communication

08.15

Information - Decision making

08.16

Information - Disclosure of HIV status

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual, couple or
group on how to communicate prevention messages and/or
demonstrate risk reduction skills with others.

08.18

Information - HIV Testing

08.19

Information - Partner notification

08.20

Information - HIV medication therapy adherence

08.21

Information - Alcohol and drug use prevention

08.22

Information - Sexual health

Any information, written or verbal, given to an individual, couple, or
group on reproductive health, sexuality, sexual development and
similar topics.

08.23

Information - TB Testing

Any information, written or verbal, given to an individual, couple, or
group on TB, how it is transmitted, and/or how to reduce risk for
transmission or infection, or treatment options

08.88

Information - Other

Any information, written or verbal, given to an individual, couple, or
group that cannot be captured in any of the other information codes.

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

09.04

Demonstration - Decision making

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others.

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.88

Demonstration - Other

10.01

Practice - Condom/barrier use

Participant practice (using a teaching tool) of appropriate condom
and/or barrier use and disposal during the intervention session.

10.02

Practice - IDU risk reduction

Participant practice of safe needle use and disposal including the use
of bleach kits to clean works during the intervention session(s).

10.03

Practice - Negotiation/communication

Participant practice communication of desire for safer practices and
negotiation of safer practices with partners (sexual and needle
sharing) during the intervention session(s).

10.04

Practice - Decision making

10.05

Practice - Disclosure of HIV status

Participant practice of techniques to disclose seropositive status or
discuss issues relevant to disclosure.

10.06

Practice - Providing prevention services

Participant practice communication of prevention messages and/or
demonstration of risk reduction skills with others during intervention
session(s).

10.07

Practice - Partner notification

Participant practice of how to notify partners regarding possible
exposure to HIV or how to discuss issues relevant to partner
notification.

10.88

Practice - Other

Participant practice of a skill or technique that is not decision making,
IDU risk reduction, condom/barrier use, negotiation and
communication, disclosure, or providing prevention services.

11.01

Discussion - Sexual risk reduction

11.02

Discussion - IDU risk reduction

11.03

Discussion - HIV Testing

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.04

Discussion - Other sexually transmitted diseases

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

11.08

Discussion - Abstinence/postpone sexual activity

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

11.13

Discussion - Availability of HIV/STD counseling and testing

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

11.18

Discussion - Negotiation/communication

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.19

Discussion - Decision making

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.23

Discussion - TB Testing

Facilitation of discussion with individuals or groups about TB, how it is
transmitted, and/or how to reduce risk for transmission or infection, or
treatment options.

11.24

Discussion - Stage Based Encounter

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.88

Discussion - Other

12.01

Other testing - Pregnancy

Provision of testing to determine pregnancy.

12.02

Other testing - STD

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis.

12.03

Other testing - Viral hepatitis

Provision of testing to determine infection with Viral Hepatitis.

12.04

Other testing - TB

Provision of testing to determine infection with tuberculosis.

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.

13.07

Distribution - Referral lists

NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

13.08

Distribution - Role model stories

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.88

Distribution - Other

14.01

Post-intervention follow up

14.02

Post-intervention booster session

An intervention session conducted with participant(s) of an
intervention after the last session to review and reinforce risk
reduction skills and information addressed by the intervention.

Other (specify)

Any HIV prevention activity not captured in other value choices.

AG05c

Incentive Provided (only for HE/RR)
Definition: A type of reward that was presented to the client as compensation for the client's time and participation in the session,
(e.g., voucher for transportation, food, money, or other small reward).

Instructions: Indicate whether or not the client received an incentive of any type for participating in the session (e.g., voucher for
transportation, food, money, other small items, etc.). This variable is used for HE/RR interventions only.

AG06

Site Name/ID
Definition: The official name of the agency's site of HIV prevention service delivery where the session or event took place.
Instructions: Indicate the site where the session or event took place by selecting from a list of sites established in Table S: Site. If
the session or event took place at a site that you did not note when completing Table S: Site, you will be given the
option to add the site to Table S and then select the site name here.

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NHME Variables and Values
Requirements
Num

Variable Name

AG07

Program

System

Optional Not Reported

AG08a

Client Primary Risk - MSM
Definition: The estimated number of the total number of clients who had male-to-male sexual contact (MSM) as a primary risk for
HIV exposure or transmission.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who had male-to-male sexual contact (MSM) as a primary risk for HIV exposure or transmission.

AG08b

Client Primary Risk - IDU
Definition: The estimated number of the total number of clients who had injection drug use (IDU) as a primary risk for HIV
exposure or transmission.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who had injection drug use (IDU) as a primary risk for HIV exposure or transmission.

AG08c

Client Primary Risk - MSM/IDU
Definition: The estimated number of the total number of clients who had both male-to-male sexual contact (MSM) and injection
drug use (IDU) as a primary risk for HIV exposure or transmission.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who had both male-to-male sexual contact (MSM) and injection drug use (IDU) as a primary risk for HIV exposure or
transmission.

AG08d

Client Primary Risk - Sex Involving Transgender
Definition: The estimated number of the total number of clients who had sexual contact with transgenders as a primary risk for
HIV exposure or transmission.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the numbers of clients who had
sexual contact with transgenders as a primary risk for HIV exposure or transmission.

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NHME Variables and Values
Requirements
Num

Variable Name

AG08e

Program

System

Optional Not Reported

Client Primary Risk - Heterosexual Contact
Definition: The estimated number of the total number of clients who had male to female sexual contact as a primary risk for HIV
exposure or transmission.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who had male to female sexual contact as a primary risk for HIV exposure or transmission.

AG08f

Client Primary Risk - Other/Risk Not Identified
Definition: The estimated number of the total number of clients whose primary risk for HIV exposure or transmission was
unknown or who had a risk behavior other than what is listed in the categories above.
Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number whose
primary risk for HIV exposure or transmission was either not known or who had a risk behavior not identified in AG08a
through AG08e.

AG09a

Client Gender - Male
Definition: The estimated number of the total number of clients whose gender was male.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
whose gender was male.

AG09b

Client Gender - Female
Definition: The estimated number of the total number of clients whose gender was female.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
whose gender was female.

AG09c

Client Gender -Transgender MTF
Definition: The estimated number of the total number of clients whose gender was transgender - male to female (MTF).

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimate number of clients
whose gender was transgender - male to female (MTF).

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NHME Variables and Values
Requirements
Num

Variable Name

AG09d

Program

System

Optional Not Reported

Client Gender - Transgender FTM
Definition: The estimated number of the total number of clients whose gender was transgender - female to male (FTM).

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
whose gender was transgender - female to male (FTM).

AG09e

Client Gender – Transgender Unspecified
Definition: The estimated number of the total number of clients whose gender was transgender-unspecified. This variable should
be populated when Transgender status is not specified in AG09c ‘Client Gender – Transgender MTF’ or AG09d ‘Client
Gender – Transgender FTM’.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
whose gender was Transgender – unspecified. This variable should be populated when Transgender status is not
specified in AG09c ‘Client Gender – Transgender MTF’ or AG09d ‘Client Gender – Transgender FTM’.

AG10a

Client Ethnicity - Hispanic or Latino
Definition: The estimated number of the total number of clients who were Hispanic or Latino.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were Hispanic or Latino.

AG10b

Client Ethnicity - Not Hispanic or Latino
Definition: The estimated number of the total number of clients who were not Hispanic or Latino.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were not Hispanic or Latino.

AG11a

Client Race- American Indian or Alaska Native
Definition: The estimated number of the total number of clients who were American Indian or Alaska Native.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were American Indian or Alaska Native.

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NHME Variables and Values
Requirements
Num

Variable Name

AG11b

Program

System

Optional Not Reported

Client Race - Asian
Definition: The estimated number of the total number of clients who were Asian.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were Asian.

AG11c

Client Race - Black or African American
Definition: The estimated number of the total number of clients who were African-American.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were African-American.

AG11d

Client Race - Native Hawaiian or Other Pacific
Islander
Definition: The estimated number of the total number of clients who were Native Hawaiian or Other Pacific Islander.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were Native Hawaiian or Other Pacific Islander.

AG11e

Client Race - White
Definition: The estimated number of the total number of clients who were White.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were White.

AG11f

Client Race - Multiracial
Definition: The estimated number of the total number of clients who were multiracial.
Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were multiracial.

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NHME Variables and Values
Requirements
Num

Variable Name

AG12a

Program

System

Optional Not Reported

Client Age - Under 13 years
Definition: The estimated number of the total number of clients who were less than 13 years of age.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were less than 13 years of age.

AG12b

Client Age - 13-18 years
Definition: The estimated number of the total number of clients who were between 13-18 years of age.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were between 13-18 years of age.

AG12c

Client Age - 19-24 years
Definition: The estimated number of the total number of clients who were between 19-24 years of age.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were between 19-24 years of age.

AG12d

Client Age - 25-34 years
Definition: The estimated number of the total number of clients who were between 25-34 years of age.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were between 25-34 years of age.

AG12e

Client Age - 35-44 years
Definition: The estimated number of the total number of clients who were between 35-44 years of age.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were between 35-44 years of age.

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NHME Variables and Values
Requirements
Num

Variable Name

AG12f

Program

System

Optional Not Reported

Client Age - 45 years and over
Definition: The estimated number of the total number of clients who were 45 years of age and over.
Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were between 45 years of age or over.

AG13a

HIV Status - Positive
Definition: The estimated number of the total number of clients who were HIV positive.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were HIV positive.

AG13b

HIV Status - Negative
Definition: The estimated number of the total number of clients who were HIV negative.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
who were HIV negative.

AG13c

HIV Status - Unknown
Definition: The estimated number of the total number of clients whose HIV status was unknown.

Instructions: Of the total number of clients reported in AG04: Number of Client Contacts, indicate the estimated number of clients
whose HIV status was unknown.

AG14a

Materials Distributed - Male Condoms
Definition: The number of male condoms distributed to clients during this session or event.

Instructions: If you indicated that male condoms were distributed during this intervention (AG05b: Activities = "Distribution-Male
Condoms”), provide the estimated number of male condoms distributed to clients during this session or event.

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NHME Variables and Values
Requirements
Num

Variable Name

AG14b

Program

System

Optional Not Reported

Materials Distributed - Female Condoms
Definition: The number of female condoms distributed to clients during this session or event.

Instructions: If you indicated that female condoms were distributed during this intervention (AG05b: Activities = "DistributionFemale Condoms”), provide the estimated number of female condoms distributed to clients during this session or
event.

AG14c

Materials Distributed - Bleach or Safer injection Kits
Definition: The estimated number of bleach or safer injection kits distributed to clients during this session or event.

Instructions: If you indicated that bleach or safer injection kits were distributed during this intervention (AG05b: Activities =
“Distribution-Bleach or Safer Injection Kits”), provide the estimated number that were distributed to clients during this
session or event.

AG14d

Materials Distributed - Education Materials
Definition: The estimated number of educational brochures/pamphlets or other educational materials distributed to clients during
this session or event.

Instructions: If you indicated that educational materials were distributed during this intervention (AG05b: Activities = “DistributionEducation materials”), provide the estimated number of educational brochures, pamphlets, or other educational
materials distributed to clients during this session or event.

AG14e

Materials Distributed - Safe Sex Kits
Definition: The estimated number of safe sex kits distributed to clients during this session or event.

Instructions: If you indicated that safer sex kits were distributed during this intervention (AG05b: Activities = “Distribution-Safe Sex
Kits”), provide the estimated number distributed to clients during this session or event.

AG14f

Materials Distributed - Referral lists
Definition: The estimated number of referral lists distributed to clients during this session or event.
Instructions: If you indicated that referral lists were distributed during this intervention (AG05b: Activities = “Distribution-referral
lists”), provide the estimated number of referral lists distributed to clients during this session or event.

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NHME Variables and Values
Requirements
Num

Variable Name

AG14g

Program

System

Optional Not Reported

Materials Distributed - Role Model Stories
Definition: The estimated number of role model stories distributed to clients during this session or event.

Instructions: If you indicated that role model stories were distributed during this intervention (AG05b: Activities = 13.01-“Distributionrole model stories”), provide the estimated number of role model stories distributed to clients during this session or
event.

AG14h

Materials Distributed - Other (specify)
Definition: The estimated number of other HIV prevention materials distributed to clients during this session or event.

Instructions: If you indicated that other materials were distributed during this intervention (AG05b: Activities = "Distribution - other”),
provide the estimated number of other HIV prevention materials distributed to clients during this session or event and
specify the types of materials distributed.

AG14i

Materials Distributed - Dental Dams
Definition: The estimated number of dental dams distributed to clients during this session or event.
Instructions: If you indicated that dental dams were distributed during this intervention (AG05b: Activities = "Distribution - dental
dams"), provide the estimated number of dental dams distributed during this session or event.

AG15

Aggregate Data Collection Method
Definition: The method of aggregate client demographics data collection.
Instructions: Indicate the method of which the aggregate client demographics were collected and reported.

Code

Value Description

Value Definition

Service provider estimate

Service provider has estimated the demographics of the clients that
have attended the session.

Anonymous - client self-report

Session participants self reported demographics anonymously.

Other

The participant demographic estimates for the session was based on
some other information.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: HC

Program

System

Health Communication/Public Information

This table is completed for each Health Communication/Public Information (HC/PI) event delivered to a
group of individuals during a specified period of time (e.g. a single lecture or a series of PSIs) and for
each ongoing HC/PI intervention (e.g. hotline, website). Data are reported in aggregate.
Num
HC01

Optional Not Reported

Variable Name

Program

Requirements

System

Optional Not Reported

Intervention Name/ID
Definition: An Intervention Name/ID that was entered by your agency in your program planning data (Table F).
Instructions: Select from a list of Intervention Names generated from variable F02: Intervention Name/ID. When using the PEMS
software, the list of interventions you entered in Table F will appear as a list that you can choose from for this variable.

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NHME Variables and Values
Requirements
Num

Variable Name

HC02

Program

System

Optional Not Reported

HC Delivery Method
Definition: The medium(s) or channel(s) through which the intervention is delivered.
Instructions: Indicate how the intervention was delivered (e.g., in person, by using a video, over the internet, etc.) If an HC/PI
intervention has multiple delivery methods, this table is to be completed for each type of delivery method used.

Code

Value Description

Value Definition

01.00

In person

02.00

Internet

The use of email, chat rooms, or websites to deliver information to
clients electronically.

03.00

Printed materials

The use of pamphlets, direct mailing, magazines, newspapers,
posters, billboards, etc. If chosen, please specify the subcategory
(value codes 3.01-3.04) for printed material.

03.01

Printed materials - Magazines/newspapers

03.02

Printed materials - Pamphlets/brochures

03.04

Printed materials - Posters/billboards

Posters: A single sheet sign posted or displayed used to advertise
simple messages or as an advertisement for goods and services.
This is typically used to promote practices (such as safer sex),
services (such as counseling and testing), information (such as HIV
transmission risk), or products (condoms). Billboards: Large signs or
posters that are typically outdoors on which messages or
advertisements are placed with the intent to be viewed by the general
public. This is typically used to promote practices (such as safer sex),
services (such as counseling and testing) information (such as HIV
transmission risk), or products (condoms).

04.00

Radio

The use of radio broadcasts using public service announcements,
commercial air time, and the inclusion of messages in radio
programs, etc.

05.00

Telephone

The use of telephones or telephone "hot lines".

06.00

Television

The use of televised broadcasts using public service announcements,
commercial air time, etc.

07.00

Video

The use of pre-recorded visual and audio messages not delivered via
broadcast or cable TV (e.g., on a VHS tape or DVD).

Other (specify)

The use of methods or mediums to deliver the intervention other than
those that are listed in the other value choices (1.0-7.0). If chosen,
please specify the delivery method.

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NHME Variables and Values
Requirements
Num

Variable Name

HC02-1

Program

System

Optional Not Reported

Specify HC Delivery Method
Definition: A specification of the type of delivery method if 89-Other (specify) was selected in HC02.

Instructions: Specify the method of delivery if 89-Other (specify) was selected and none of the other value choices in HC02 apply.

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NHME Variables and Values
Requirements
Num
HC03

Variable Name

Program

System

Optional Not Reported

HC Activity
Definition: The specific actions or components of an intervention in which the clients participated in or received during this
particular event.

Instructions: Select all of the activities that occurred during this event. Describe what was actually delivered, regardless of what
you planned to deliver in Table F (F10: Activities). When using the PEMS software, you will be able to select from the
list of activities you listed in Table F (F10: Activities). You will also be able to add new activities that are not already
on that list. Examples of activities include doing HIV testing, providing information about STDs, demonstrating
condom use, or making referrals. Definitions for the major categories of activity types include: 1) Information: The
provision or communication of factual knowledge (written or oral) about HIV prevention and other related topics for an
individual or a group; 2) Demonstration: The illustration or provision of an example of a skill or technique
Code
Value Description
Value Definition
01.00

Not collected

Agency currently does not collect or report data on session activities.

04.00

Referral

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual or a
group on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual or a group on
abstaining from sexual activity or postponing sexual activity.

08.03

Information - Other sexually transmitted diseases

08.04

Information - Viral hepatitis

Any information on viral hepatitis, how it is transmitted, and/or how to
reduce risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

08.06

Information - Availability of partner notification and referral services

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual or a group
living with HIV/AIDS specific to living with the disease.

08.08

Information - Availability of social services

08.09

Information - Availability of medical services

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual or a group on
how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual or a group on
how to reduce injection drug use risk for HIV transmission or infection.

08.12

Information - IDU risk free behavior

Any information, written or verbal given to an individual or a group on
abstaining from injection drug use or only using new needles and
disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual or a group
regarding appropriate use and disposal of condoms or other barrier
methods.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.14

Information - Negotiation/communication

Any information, written or verbal, given to an individual or a group
regarding communication of desire for safer practices and negotiating
safer practices with partners (sexual and needle sharing).

08.15

Information - Decision making

08.16

Information - Disclosure of HIV status

Any information, written or verbal, given to an individual or a group
regarding disclosure of their HIV status, applicable laws,
accompanying ramifications, and options regarding non-disclosure.

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual or a group on
how to communicate prevention messages and/or demonstrate risk
reduction skills with others.

08.18

Information - HIV Testing

08.19

Information - Partner notification

08.20

Information - HIV medication therapy adherence

08.21

Information - Alcohol and drug use prevention

08.22

Information - Sexual health

Any information, written or verbal, given to an individual or a group on
reproductive health, sexuality, sexual development and similar topics.

08.23

Information - TB Testing

Any information, written or verbal, given to an individual, couple, or
group on TB, how it is transmitted, and/or how to reduce risk for
transmission or infection, or treatment options

08.66

Information - Other

Any information, written or verbal, given to an individual or group that
cannot be captured in any of the other information codes.

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

09.04

Demonstration - Decision making

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.66

Demonstration - Other

11.01

Discussion - Sexual risk reduction

11.02

Discussion - IDU risk reduction

11.03

Discussion - HIV Testing

11.04

Discussion - Other sexually transmitted diseases

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

11.08

Discussion - Abstinence/postpone sexual activity

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.13

Discussion - Availability of HIV/STD counseling and testing

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

11.18

Discussion - Negotiation/communication

Facilitation of discussion with individuals or groups on communication
of desire for safer practices and negotiating safer practices with
partners (sexual and needle sharing), including discussion of
accompanying ramifications, examination of attitudes and feelings,
and decision making regarding communicating and negotiating safer
practices.

11.19

Discussion - Decision making

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.23

Discussion - TB Testing

Facilitation of discussion with individuals or groups about TB, how it is
transmitted, and/or how to reduce risk for transmission or infection, or
treatment options.

11.24

Discussion - Stage Based Encounter

Facilitation of discussion with individuals or groups using Stage
Based Encounters.

11.66

Discussion - Other

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.

13.07

Distribution - Referral lists

Provision of lists of specific organizations that provide a specific set of
HIV prevention, care, or support services with contact information.
The agencies listed are known by the provider to be reliable sources
for those services based on provider knowledge and experience.
Lists may be disseminated by handing them out, placing them in a
location accessed by the consumer, or e-mailed to consumers.

13.08

Distribution - Role model stories

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.66

Distribution - Other

Provision of materials or supplies to consumers with the intent to
decrease their risk for HIV transmission or infection and/or to improve
health outcomes. Distribution may include dissemination in person,
by placing materials in locations to be accessed by consumers, sent
to consumers electronically or by land mail. Does not include
condoms, safer sex kits, bleach kits, lubricants, education materials,
referral lists, or role model stories.

Other (specify)

Any HIV prevention activity not captured in other value choices.

HC03-1

Specify HC Activity
Definition: A specification of activitiesreceived during the event if 89-Other (specify) was selected in HC03.

Instructions: Specify activities if 89-Other (specify) was selected and none of the other value choices in HC03 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

HC04

Program

System

Optional Not Reported

Key Message
Definition: The primary message(s) contained in the event.
Instructions: Indicate the primary message(s) contained in the event. This is a free field text.

HC05

Event Start Date
Definition: The calendar date on which the event began.
Instructions: Indicate the date on which the intervention began.

HC06

Event End Date
Definition: The calendar date on which the event ended.
Instructions: Indicate the date on which the event ended.

HC06a

Data Reported as of Date
Definition: The date on which the data collected and entered for this event was last updated.

Instructions: Indicate the date on which the data collected and entered for this event was last updated. Data for interventions that
are "ongoing" can be entered and updated at any point in the life of the HC/PI intervention.

HC07

Total Number of Airings
Definition: The number of times the key message for the event aired via radio or television during the event period.
Instructions: If the delivery method used for this event was either radio or television (HC02: HC/PI Delivery Method = "Radio" or
"Television"), indicate the number of times that the message aired during the event period defined in HC05 and HC06
(Event Start and End Date).

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NHME Variables and Values
Requirements
Num

Variable Name

HC07a

Program

System

Optional Not Reported

Total Number of Airings - Radio
Definition: If the delivery method used for this event was either radio or television (HC02: HC/PI Delivery Method = "Radio" ),
indicate the number of times that the message aired during the event period defined in HC05 and HC06 (Event Start
and End Date).

Instructions: The number of times the key message for the event aired via radio during the event period.

HC07b

Total Number of Airings - Television
Definition: The number of times the key message for the event aired via television during the event period.

Instructions: If the delivery method used for this event was either radio or television (HC02: HC/PI Delivery Method = "Television"),
indicate the number of times that the message aired during the event period defined in HC05 and HC06 (Event Start
and End Date).

HC08

Estimated Total Exposures
Definition: The estimated number of persons exposed to the radio broadcast, televised event or to the printed materials
distributed during the event period.
Instructions: If the delivery method used for this event was either radio, television or printed materials (HC02: HC/PI Delivery
Method = "Radio" or "Television" or "Video"), indicate the estimated number of people who were exposed to the
message during the event period defined in HC05 and HC06 (Event Start and End Date).

HC09

Number of Materials Distributed
Definition: The number of print materials (e.g., educational materials or role model stories) distributed during the event period.
Instructions: If one of the activities performed during the event was the distribution of educational materials or role model stories
(HC03: Activity = "Distribution-Educational Materials" or "Distribution-Role Model Stories), indicate the number of print
materials distributed during the event period defined in HC05 and HC06 (Event Start and End Date).

HC10

Total Number of Web Hits
Definition: The number of web hits during the event period.
Instructions: If the delivery method used for this event was an Internet web site (HC02: HC/PI Delivery Method = "Internet"),
indicate the total number of web hits to this web site during the event period defined in HC05 and HC06 (Event Start
and End Date).

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NHME Variables and Values
Requirements
Num
HC11

Variable Name

Program

System

Optional Not Reported

Total Number of Attendees
Definition: The number of individuals attending the event.
Instructions: If the delivery method used for this event was in person (HC02: HC/PI Delivery Method = “In person”), indicate the
number of individuals attending this event. This variable is typically used if the event is a presentation, lecture, health
fair, social event, circuit party or similar activity.

HC12

Number of Callers
Definition: The number of callers who received HIV prevention information from a hotline.
Instructions: If the delivery method used for this event was a telephone or hotline (HC02: HC/PI Delivery Method = "Telephone"),
indicate the number of callers who received HIV prevention information from the telephone or hotline.

HC13

Number of Callers Referred
Definition: The number of callers defined in variable HC12: Number of Callers who were referred to other services through the
hotline.
Instructions: Of the number of callers defined in HC12: Number of Callers, indicate the number who were referred to other services
through the hotline.

HC14

Distribution - Male Condoms
Definition: The number of male condoms that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of male condoms (HC03: Activity = "DistributionMale condoms"), indicate the number of male condoms that were distributed during this event.

HC15

Distribution - Female Condoms
Definition: The number of female condoms that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of female condoms (HC03: Activity =
"Distribution-Female condoms"), indicate the number of female condoms that were distributed during this event.

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NHME Variables and Values
Requirements
Num
HC16

Variable Name

Program

System

Optional Not Reported

Distribution - Lubricants
Definition: The number of lubricants that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of lubricants, (HC03: Activity = "DistributionLubricants"), indicate the number of lubricants that were distributed during this event.

HC17

Distribution - Bleach or Safer Injection Kits
Definition: The number of bleach or safer injection kits that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of bleach or safer injection kits (HC03: Activity =
"Distribution-Safer injection/bleach kits"), indicate the number of safer injection or bleach kits that were distributed
during this event.

HC18

Distribution - Referral Lists
Definition: The number of referral lists that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of referral lists (HC03: Activity = "DistributionReferral lists"), indicate the number of referral lists that were distributed during this event.

HC19

Distribution - Safe Sex Kits
Definition: The number of safe sex kits that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of safe sex kits (HC03: Activity = "DistributionSafe sex kits"), indicate the number of safe sex kits that were distributed during this event.

HC20

Distribution - Other
Definition: The number of other items that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of other materials (HC03: Activity =
"Distribution - other (specify)"), indicate the number of other items that were distributed during this event.

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NHME Variables and Values
Requirements
Num
HC21

Variable Name

Program

System

Optional Not Reported

Site Name/ID
Definition: The offical name of the agency's site of HIV prevention service delivery where the session or event took place.
Instructions: Indicate the site where the session or event took place by selecting from a list of sites established in Table S: Site. If
the session or event took place at a site that you did not note when completing Table S: Site, you will be given the
option to add the site to Table S and then select the site name here.

HC22

HC23

Distribution - Role Model Stories
Definition: The number of role model stories that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of role model stories (HC03: Activity =
"Distribution - Role model stories"), indicate the number of role model stories that were distributed during this event.

HC24

Distribution - Dental dams
Definition: The number of dental dams that were distributed during the event.
Instructions: If one of the activities performed during the event was the distribution of dental dams (HC03: Activity = "Distribution Dental dams"), indicate the number of dental dams that were distributed during this event.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Community Planning Level

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NHME Variables and Values
Requirements
Num

Variable Name

Table: CP-A

Program

System

Program

System

Optional Not Reported

Jurisdiction

This table is completed by directly funded state and city health departments.
Requirements
Num

Variable Name

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

CP-A01

Program

System

Optional Not Reported

Name of HIV Prevention CPG
Definition: The state, city or territorial jurisdiction that an HIV Prevention Community Planning Group represents.

Instructions: Select the name of the state, city or territorial jurisdiction that your Community Planning Group represents.

Code

Value Description

Value Definition

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico
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NHME Variables and Values
Requirements
Num

Variable Name

Program

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

System

American Samoa

Federated States of Micronesia

Guam

Marshall Islands

Northern Mariana Islands

Palau

Puerto Rico

Virgin Islands of the U.S.

San Francisco, CA

San Francisco Health Department

Los Angeles, CA

Los Angeles Health Department

New York City, NY

New York City Health Department

Houston, TX

Houston Health Department

Chicago, IL

Chicago Health Department

Philadelphia, PA

City of Philadelphia Health Department

Optional Not Reported

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NHME Variables and Values
Requirements
Num

Variable Name

CP-A02

Program

System

Optional Not Reported

Community Plan Year
Definition: The annual period within the Comprehensive HIV Prevention Community Plan that guides how the HIV prevention
program indicated in the program name field will be implemented in the jurisdiction.

Instructions: Indicate the Community Planning Year (e.g., 2005, 2006) in which the priority populations and interventions for HIV
prevention programs implemented in the jurisdiction will be proposed. If the jurisdiction's Comprehensive HIV
Prevention Community Plan is a multi-year plan (e.g., 2004-2008), indicate the annual period within the plan in which
priority populations and interventions for HIV prevention programs implemented in the jurisdiction will be proposed.

Table: CP-B

Priority Population

This table is completed by directly funded state and city health departments for each priority population
identified by the CPG.
Num

Variable Name

CP-B01

Program

Requirements

System

Optional Not Reported

Priority Population
Definition: The specific name for the priority population as given by the Community Planning Group.

Instructions: Enter the name for the priority population as given by the Community Planning Group.

CP-B02

Rank
Definition: The relative priority of this population in relationship to the other priority populations identified by the Community
Planning Group. In PEMS, HIV-positive populations should be ranked as the number one priority population.

Instructions: Enter the number (i.e., 1-99) that represents the relative priority of the population specified in CP-B01: Priority
Population in relationship to the other priority populations identified by the Community Planning Group. In PEMS, HIV
positive populations should be ranked as the number one priority population.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-B03

Program

System

Optional Not Reported

CP- Age
Definition: The age category that describes the priority population.

Instructions: Select the age category that describes the priority population specified in CP-B01: Priority Population.

Code

Value Description

Value Definition

Not age focused

The priority population is not characterized by one or more of the age
categories.

<13 years

The age category of the priority population is less than 13 years of
age.

13-18 years

The age category of the priority population is between 13 years and
18 years of age.

19-24 years

The age category of the priority population is between 19 and 24
years of age.

25-34 years

The age category of the priority population is between 25 and 34
years of age.

35-44 years

The age category of the priority population is between 35 and 44
years of age.

45+ years

The age category of the priority population is 45 years of age and
higher.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-B04

Program

System

Optional Not Reported

CP - Gender
Definition: The gender category that describes the priority population.

Instructions: Select the gender category that describes the priority population specified in CP-B01: Priority Population.

Code

Value Description

Value Definition

Not gender focused

The priority population is not characterized by one or more of the
gender categories.

Male

The behavioral, cultural, or psychological traits typically associated
with the male sex.

Female

The behavioral, cultural, or psychological traits typically associated
with the female sex.

Transgender

Individuals whose physical or birth sex is male or female but whose
gender expression and/or gender identity is the opposite of their birth
sex.

CP-B05

CP - Ethnicity
Definition: The ethnic category that describes the priority population.

Instructions: Select the ethnic category that describes the priority population specified in CP-B01: Priority Population.

Code

Value Description

Value Definition

No ethnic focus

The priority population is not characterized by an ethnic category.

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central
American, or other Spanish culture or origin, regardless of race.

Not Hispanic or Latino

A person not identified by the definition of Hispanic or Latino.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-B06

Program

System

Optional Not Reported

CP - Race
Definition: The racial category that describes the priority population.

Instructions: Select the racial category that describes the priority population.

Code

Value Description

Value Definition

Not race focused

The priority population is not characterized by one or more of the
racial categories.

American Indian or Alaska Native

A person having origins in any of the original peoples of North or
South America (including Central America), and who maintains tribal
affiliation or community attachment.

Asian

Black or African American

A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Pacific Islander

A person having origins in any of the original peoples of Hawaii,
Guam, Samoa, or other Pacific Islands.

White

A person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.

CP-B07

HIV Status
Definition: The predominant HIV serostatus of the priority population.

Instructions: Indicate the predominant HIV serostatus of the priority population specified in CP-B01: Priority Population.

Code

Value Description

Value Definition

Positive

The priority population consists of people who are already HIVinfected.

Positive and their partners

The priority population consists of people who are already HIVinfected and their sex and/or needle sharing partners.

Negative/unknown

The priority population consists of people who are not currently
infected or whose serostatus is unknown.

Mixed

The priority population consists of people who are already HIVinfected and who are negative or whose serostatus is unknown.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-B08

Program

System

Optional Not Reported

Geo Location
Definition: The primary geographic areas in which the priority population resides and will be reached with HIV prevention
activities.

Instructions: Indicate the primary geographic area(s) in which the priority population resides and will be reached with HIV
prevention activities.

Code

Value Description

Value Definition

Urban, metropolitan

An area with a total population of at least 100,000, (large city,
densely populated such as New York, Los Angeles, Houston).

Urban, non metropolitan

An area with a population of at least 2,500, (small to mid-size city).

Suburban

A residential area around or outlying a city.

Rural

An area with a population of less that 2,500 located outside of a
larger urban area.

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Requirements
Num

Variable Name

CP-B09

Program

System

Optional Not Reported

Transmission Risk
Definition: A type of sex or drug using behavior that places the priority population at potential risk for HIV infection or
transmission.

Instructions: Select the primary risk factor that places the priority population specified in CP-B01: Priority Population at potential
risk for HIV infection or transmission.

Code

Value Description

Value Definition

Not risk focused

The priority population is not characterized by a primary risk factor.

Sexual contact with transgender and unsafe injection drug practices

Men and women who are at risk from both unprotected sexual
contact with trangenders and unsafe injection drug practices (e.g.,
sharing needles, using dirty needles).

Male to male sexual contact and unsafe injection drug practices

Men who are at risk from both unprotected male to male sexual
contact and unsafe injection drug practices (e.g., sharing needles,
using dirty needles).

Sexual contact with transgender

Men and women who are at risk through unprotected sexual contact
with transgenders.

Male to male sexual contact

Men who are at risk through unprotected sex with another male.

Unsafe drug injection practices

Men and women who are at risk through unsafe drug injection
practices (e.g., sharing needles, using dirty needles) including
narcotics, hormones, silicone, etc.

Heterosexual contact

Men and women who are at risk through unprotected heterosexual
sex with an HIV infected partner.

Other (specify)

Men and women who are at risk for HIV infection or transmission
because of hemophilia, a blood transfusion, perinatal exposure or
whose risk is unknown or not identified.

CP-B09-1

Specify Transmission Risk

Definition: A specification of the behavior that places the priority population at potential risk for HIV infection or transmission if 89Other (specify) was selected in CP-B09.
Instructions: Specify the primary risk factor that places the priority population at risk for HIV transmission if 89-Other (specify) was
selected and none of the other value choices in CP-B09 apply.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-B10

Program

System

Optional Not Reported

Priority Population Size
Definition: The estimated total number of persons in the priority population within the jurisdiction.

Instructions: Provide an estimate of the total number of persons in the priority population (CP-B01: Priority Population) who are
present within the jurisdiction.

CP-B11

Priority Population Size that is Reachable
Definition: An estimate of the proportion of the total size of the priority population who might feasibly be reached by HIV
prevention interventions/activities within the jurisdiction.

Instructions: Provide an estimate (number) of the total number of persons described in CP-B10: Priority Population Size who might
feasibly be reached by HIV prevention interventions/activities within the jurisdiction. This number is typically a fraction
of the total number reported in CP-B10: Priority Population Size.

CP-B12

HIV/AIDS Prevalence
Definition: A description of the level of HIV/AIDS disease among persons in the priority population.

Instructions: Describe the HIV or AIDS prevalence rates among persons in the priority population specified in CP-B01: Priority
Population.

CP-B13

Prevalence of Risky Behavior
Definition: An estimate of the frequency of occurrence or amount of HIV risk behaviors in the priority population.

Instructions: Describe the prevalence of HIV risk behaviors in the priority population specified in CP-B01: Priority Population. HIV
risk behaviors would include any behaviors that place individuals in the priority population at risk for HIV exposure or
transmission (e.g., male-to-male sex, injection drug use).

CP-B14

Description of Community’s input on priority
population
Definition: A description of the Community Planning Group’s feedback on the perceived HIV prevention needs of the priority
population (e.g., access to services, cultural/language barriers, special health care needs).

Instructions: Describe the Community Planning Group's input on the perceived HIV prevention needs of the priority population
specified in CP-B01: Priority Population. This might include special health care needs, access to services or
cultural/language barriers.

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NHME Variables and Values
Requirements
Num

Variable Name

Table: CP-C

Program

Variable Name

CP-C01

Optional Not Reported

Prevention Activity/Intervention

This table is completed by directly funded state and city health departments for each prevention
intervention proposed for each priority population.
Num

System

Program

Requirements
System

Optional Not Reported

Name of the Prevention Activity/Intervention
Definition: The name of the HIV prevention intervention or supporting activity that was given by the Community Planning Group.

Instructions: Enter the name of the HIV prevention intervention or supporting activity that was given by the Community Planning
Group.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C02

Program

System

Optional Not Reported

Prevention Activity/Intervention Type
Definition: A taxonomy of HIV prevention interventions/activities that differentiate broad categories of prevention services.

Instructions: Select the HIV prevention intervention or supporting activity proposed for the priority population specified in CP-B01:
Priority Population.

Code

Value Description

Value Definition

Counseling and Testing

A process through which an individual receives information about HIV
transmission and prevention, information about HIV tests and the
meaning of tests results, HIV prevention counseling to reduce their
risk for transmitting or acquiring HIV, and is provided testing to detect
the presence of HIV antibodies.

Health Communication/Public Information

Partner Services

Comprehensive Risk Counseling Services

Outreach

Health Education/Risk Reduction

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

Capacity building

One or more activities that contribute to an increase in the quantity,
quality, and efficiency of program services and the infrastructure and
organizational systems that support these program services. These
activities strengthen the core competencies of an organization and
contribute to its ability to develop and implement an effective HIV
prevention intervention and sustain the infrastructure and resource
base necessary to support and maintain the intervention.

Needs assessment

A process for obtaining and analyzing information to determine the
current status and service needs of a defined population or
geographic area.

Other

An HIV prevention intervention/activity that is not listed as one of the
categories above but may include structural interventions, network
interventions, and policy interventions.

CP-C03

Scale and Significance
Definition: An estimate of the number of members of the priority population that would need to be reached by the HIV prevention
intervention/activity in order to have a measurable and positive impact on the HIV/AIDS epidemic.

Instructions: Provide an estimate of the numbers of people in the priority population who would need to be reached by the HIV
prevention intervention specified in CP-C01: Name of the Prevention Intervention/Activity in order to have a
measurable and positive impact on the HIV/AIDS epidemic in the priority population specified in CP-B01: Priority
Population. If the Comprehensive HIV Prevention Community Plan in the jurisdiction is a multi-year plan, this number
should relate to the number of people to be reached during the course of that multi-year period.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C04

Program

System

Optional Not Reported

Evidence Base
Definition: A program model that has been proven effective through research studies that have shown positive behavioral and/or
health outcomes.

Instructions: Select the name of the program model that the recommended HIV prevention intervention specified in CP-C01: Name
of the Prevention Activity/Intervention will replicate.

Code

Value Description

Value Definition

1.01

Community PROMISE

A community-level STD/HIV prevention intervention that relies on the
outreach work of peer advocates from the target community to deliver
role model stories to members of the target population.

1.02

Healthy Relationships

1.03

Holistic Health Recovery

A 12-session, manual-guided, group level program to reduce harm,
promote health, and improve quality of life for HIV-positive injection
drug users.

1.04

Many Men, Many Voices

A six- or seven-session, group level STD/HIV prevention intervention
for gay and bisexual men of color.

1.05

Mpowerment

A community-level HIV prevention intervention for young men who
have sex with men. The intervention is run by a core group of 12-20
young gay/bi-sexual men from the community and paid staff.

1.06

Popular Opinion Leader

1.07

RAPP

1.08

Safety Counts

A cognitive-behavioral intervention to reduce HIV risks among active
drug users and specifically target active crack cocaine and injection
drug users who are at very high risk for HIV/STD infection.

1.09

SISTA

A social skills training intervention aimed at reducing HIV sexual risk
behavior among African-American women at highest risk.

1.1

Street Smart

An intensive HIV/AIDS and STD prevention program for youth whose
behaviors place them at very high risk of becoming infected.

1.11

Together Learning Choices

An intervention for young people, (ages 13-29) living with HIV. It is
delivered in small groups using cognitive-behavioral strategies to
change behavior.

1.12

VOICES/VOCES

A single-session, video-based HIV/STD prevention workshop
designed to encourage condom use and improve condom negotiation
skills among heterosexual African American and Latino men and
women.

1.13

WiLLOW

A four-session intervention for HIV positive, heterosexual women.

1.14

SiHLE

A four-session intervention designed to lower teen's risk for STDs
and teen pregnancy.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

1.15

CLEAR

A three module intervention that is delivered in one-on-one sessions
to young people living with HIV.

1.16

OPTIONS

A clinician-initiated HIV risk reduction intervention for HIV positive
persons in clinical care using motivational interviewing techniques.

1.17

Focus on Youth with imPact

1.18

MIP

A holistic behavioral intervention for reducing high-risk behaviors for
infection and transmission of HIV among intravenous drug users
(IDUs).

1.19

D-UP

An adaptation of Popular Opinion Leader (POL) intervention for
African-American MSM.

1.20

Sister to Sister

1.21

Project START

A multi-session, community re-entry intervention to lower rates of
sexual risk behavior among young men who are released from prison

1.22

Connect

A 5-session HIV/STD prevention intervention delivered to
heterosexual couples or women alone that emphasizes the
importance of communication, negotiating safer sex, and problemsolving skills.

1.23

SHIELD

Self - Health in Eliminating Life-Threatening Disease - A small-group,
interactive intervention that relies on peer networks to reduce drug
and sex risk

1.24

Nia

A video-based motivational skills-building small-group intervention
targeting inner-city heterosexually active, African American men.

2.01

Partnership for Health

A brief counseling program for individual men and women living with
HIV/AIDS delivered by medical providers in HIV outpatient clinics.

2.02

Project RESPECT

A client-focused, HIV prevention counseling intervention that seeks to
reduce high-risk sexual behaviors and prevent new sexually
transmitted infections among heterosexual clients in STD clinics.

2.03

NIMH Multisite HIV Prevention Trial Group (1998): Project LIGHT
(Living in Good Health Together)

A small group intervention for persons receiving services at STD
clinics or health care clinics with the goals of decreasing unprotected
sexual intercourse and increasing condom use.

3.01

Cohen (1991): Condom Skills Education

A single, 30-minute group condom skills education session for people
waiting in STD clinics.

3.02

Des Jarlais (1992): AIDS/Drug Injection Prevention

A small group intervention to prevent the transition from sniffing
heroin to injecting heroin.

3.03

El-Bassel (1992): Skills Building

A small group intervention to reduce sexual risk behavior and HIV
transmission for women methadone patients.

3.04

McCusker (1992): Informational and Enhanced AIDS Education

A small group informational and enhanced education intervention on
drug- and sex-related HIV risk behaviors for drug abusers.

3.05

Cohen (1992): Group Discussion Condom Promotion

A group video and discussion session about condom use for people
waiting in STD clinics.

3.06

Hobfoll (1994): Reducing AIDS Risk Activities

A small group intervention to enhance AIDS knowledge, attitudes,
and skills and, as a result, to influence behavior change for inner-city
clinics for low-income women.

3.07

Kelly (1994): Cognitive-Behavioral Skills Training Group

A small group intervention concerning high-risk behaviors for highrisk women in urban clinics.
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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

3.08

Wenger (1991): HIV Education, Testing, and Counseling

An education, testing, and one-on-one counseling intervention to
reduce high-risk sexual behavior among heterosexuals undergoing
HIV Antibody testing.

3.09

Kelly (1989): Behavioral Self-management and Assertion Skills
(Project ARIES)

A 12-session, small group intervention for a gay men to reduce the
frequency of high-risk sexual practices and increase behavioral skills
for refusing sexual coercions.

3.1

Jemmott (1992): Be Proud! Be Responsible

A small gourp intervention in which skills building is utilized to
increase knowledge of AIDS and sexually transmitted diseases to
reduce positive attitudes and intentions toward risky sexual behaviors
among African-American male adolescents.

3.11

Rotheram-Borus (1998): 3-Session and 7-Session Small groups

A brief HIV intervention for adolescents and young adults.

3.12

Magura (1994): Intensive AIDS Education in Jail

A small group intervention to reduce HIV drug- and sex-related risk
behaviors for male adolescent drug users in jail.

3.13

Sellers (1994): HIV Prevention for Latino Youth

A community intervention delivered to high-risk Latino youth designed
to increase awareness of HIV and reduce the risk of infection by
increasing condom use by promotion and distribution of condoms.

3.14

Orr (1996): Brief Behavioral Intervention

Behavioral intervention to increase condom use among high risk
female adolescents.

3.15

Eldridge (1997): Behavioral Skills Training

A HIV risk reduction intervention for women entering inpatient
substance abuse treatment centers.

3.16

Get Real About AIDS, 1992

A classroom intervention to postpone the initiation of sexual
intercourse and to reduce the number of high school students
engaging in unsafe sex and drug-using behaviors.

3.17

Stanton (1996): Focus on Kids

A peer network decision-making intervention to increase condom use
among sexually active low-income African-American youths.

3.18

Kirby (1991): Reducing the Risk

A classroom intervention presented through a 10th grade
comprehensive health curriculum to postpone initiation of sexual
intercourse and, among those sexually experienced, to reduce
unprotected sex.

3.19

Get Real About AIDS, 1993

Classroom intervention to postpone the initiation of sexual intercourse
and to reduce the number of students engaging in unsafe sex and
drug-using behaviors.

3.2

St. Lawrence (1995): Becoming a Responsible Teen (BART)

A 8-session small group intervention to reduce African-American
adolescents' risk for HIV infection.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C05

Program

System

Optional Not Reported

CDC Recommended Guidelines
Definition: An official CDC-endorsed document that describes the policies, procedures and strategies for implementing specific
HIV prevention activities of CTR, PS and CRCS.

Instructions: If an Evidence Based model cannot be considered the basis for a program model, then select the CDC
Recommended Guideline that will be used in implementing the recommended HIV prevention intervention specified in
CP-C01: Name of the Prevention Activity/Intervention.

Code

Value Description

Value Definition

1.00

Counseling, Testing, and Referral

Revised Guidelines for HIV Counseling, Testing and Referral, 2001

2.00

Comprehensive Risk Counseling Services

HIV Prevention Case Management Guidance, 1997 or Resource
Manual and Implementation Guidance for Prevention Case
Management, Draft; 2004

4.00

Partner Services

HIV Partner Services Guidance, 1998

CP-C06

Other Basis for Intervention
Definition: The scientific, theoretical or operational rationale that serves as the foundation for the development of an intervention,
other than what is listed as an Evidence Based model or a CDC Recommended Guideline.

Instructions: If an Evidence Base model or a CDC Recommended Guideline cannot be considered as the basis for a program
model, indicate the scientific, theoretical or operational basis for the HIV prevention intervention specified in CP-C01:
Name of the Prevention Activity/Intervention. If applicable, specify the published article or study upon which the
recommended HIV prevention intervention is based.

Code

Value Description

Value Definition

6.00

Study (specify)

The published article or study upon which this program is modeled.

Other (specify)

The source or basis (scientific, theoretical or operational) upon which
the program is modeled, if it is not an evidence-based model or CDC
Guideline noted in CP-C04: Evidence Based or CP-C05: CDC
Recommended Guideline and if there is not a specific study or
published article supporting it.

CP-C06-1

Specify Other Basis for Intervention

Definition: A specification of the rationale for the development of the intervention if 89-Other (specify) was selected in CP-C06.
Instructions: Specify the rationale for the development of the intervention if 89-Other (specify) was selected and the other value
choice in CP-C06 does not apply.

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C07

Program

System

Optional Not Reported

CP Activity
Definition: The specific actions or components that are proposed to occur during the implementation of the HIV prevention
intervention/activity.

Instructions: If the basis for the HIV prevention intervention specified in CP-C01: Name of the Prevention Activity/Intervention is CPC06: Other Basis for Intervention, indicate the activities that are intended to take place during the HIV prevention
intervention specified in CP-C01: Name of the Prevention Activity/Intervention. Examples of activities include doing
HIV testing, providing information about STDs, demonstrating condom use, or making referrals. Select "Not collected"
if no activities are defined for this intervention. This variable is not reported to CDC if CP-C04: Evidence Base or CPC05: CDC Recommended Guideline is selected as the basis for the intervention.
Code

Value Description

Value Definition

01.00

Not collected

Agency currently does not collect or report data on session activities.

03.00

HIV Test

A diagnostic, laboratory procedure to assess for the presence of HIV
antibodies.

04.00

Referral

05.00

Personalized risk assessment

The process of identifying, acknowledging and discussing a client's
personal risks for acquiring or transmitting HIV.

06.00

Elicit partners

07.00

Notification of exposure

The process of informing a HIV-positive client's sex and/or needle
sharing partners of their exposure to HIV. This activity is only
applicable if the intervention type is Partner Services (PS).

08.00

Information sessions

The provision or communication of factual knowledge (written or oral)
about HIV prevention and other related topics for an individual or a
group.

08.01

Information - HIV/AIDS transmission

Any general information, written or verbal, given to an individual,
group, or couple on HIV/AIDS and how it is transmitted.

08.02

Information - Abstinence/postpone sexual activity

Any information, written or verbal, given to an individual, group, or
couple on abstaining from sexual activity or postponing sexual
activity.

08.03

Information - Other sexually transmitted diseases

08.04

Information - Viral hepatitis

Any information, written or verbal, given to an individual, group, or
couple on viral hepatitis, how it is transmitted, and/or how to reduce
risk for transmission or infection, or treatment options.

08.05

Information - Availability of HIV/STD counseling and testing

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.06

Information - Availability of partner notification and referral services

08.07

Information - Living with HIV/AIDS

Any information, written or verbal, given to an individual, group, or
couple living with HIV/AIDS specific to living with the disease.

08.08

Information - Availability of social services

08.09

Information - Availability of medical services

08.10

Information - Sexual risk reduction

Any information, written or verbal, given to an individual, group, or
couple on how to reduce sexual risk for HIV transmission or infection.

08.11

Information - IDU risk reduction

Any information, written or verbal, given to an individual, group, or
couple on how to reduce injection drug use risk for HIV transmission
or infection.

08.12

Information - IDU risk free behavior

Any information, written or verbal, given to an individual, group, or
couple on abstaining from injection drug use or only using new
needles and disposing of them appropriately.

08.13

Information - Condom/barrier use

Any information, written or verbal, given to an individual, group, or
couple regarding appropriate use and disposal of condoms or other
barrier methods.

08.14

Information - Negotiation/communication

08.15

Information - Decision making

08.16

Information - Disclosure of HIV status

08.17

Information - Providing prevention services

Any information, written or verbal, given to an individual, group, or
couple on how to communicate prevention messages and/or
demonstrate risk reduction skills with others.

08.18

Information - HIV Testing

08.19

Information - Partner notification

08.20

Information - HIV medication therapy adherence

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

08.21

Information - Alcohol and drug use prevention

08.22

Information - Sexual health

Any information, written or verbal, given to an individual, group, or
couple on reproductive health, sexuality, sexual development and
similar topics.

08.88

Information - Other

Any information, written or verbal, given to an individual, group, or
couple that cannot be captured in any of the other information codes.

09.00

Demonstration sessions

A demonstration shows individuals how to use a skill or technique to
decrease vulnerability to HIV transmission or infection or an example
of it being done accompanied by instruction. Demonstration can be
done with the demonstrator physically present or through a recording
(e.g., a video clip).

09.01

Demonstration - Condom/barrier use

Provider or participant demonstration (using a teaching tool) of
appropriate use and disposal of condoms or other barrier methods.

09.02

Demonstration - IDU risk reduction

Provider or participant demonstration of how to safely dispose of
syringes or how to use bleach kits to clean works.

09.03

Demonstration - Negotiation/communication

Provider or participant demonstration of how to communicate desire
for safer practices and how to negotiate safer practices with partners
(sexual and needle sharing).

09.04

Demonstration - Decision making

09.05

Demonstration - Disclosure of HIV status

Provider or participant demonstration of techniques to disclose
seropositive status or discuss issues relevant to disclosure.

09.06

Demonstration - Providing prevention services

Provider or participant demonstration of how to communicate
prevention messages or demonstrate risk reduction skills with others.

09.07

Demonstration - Partner notification

Provider or participant demonstration of how to notify partners
regarding possible exposure to HIV or how to discuss issues relevant
to partner notification.

09.88

Demonstration - Other

10.00

Practice sessions

An opportunity to rehearse or use skills or techniques designed to
decrease vulnerability to HIV transmission or infection. Practice must
occur in the presence of the provider or during an intervention
session.

10.01

Practice - Condom/barrier use

Participant practice (using a teaching tool) of appropriate condom
and/or barrier use and disposal during the intervention session.

10.02

Practice - IDU risk reduction

Participant practice of safe needle use and disposal including the use
of bleach kits to clean works during the intervention session(s).

10.03

Practice - Negotiation/communication

Participant practice communication of desire for safer practices and
negotiation of safer practices with partners (sexual and needle
sharing) during the intervention session(s).

10.04

Practice - Decision making

10.05

Practice - Disclosure of HIV status

Participant practice of techniques to disclose seropositive status or
discuss issues relevant to disclosure.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

10.06

Practice - Providing prevention services

Participant practice communication of prevention messages and/or
demonstration of risk reduction skills with others during intervention
session(s).

10.07

Practice - Partner notification

Participant practice of how to notify partners regarding possible
exposure to HIV or how to discuss issues relevant to partner
notification.

10.88

Practice - Other

Participant practice of a skill or technique that is not decision making,
IDU risk reduction, condom/barrier use, negotiation and
communication, disclosure, or providing prevention services.

11.00

Counseling

A process where a person or group can receive assistance in sorting
out issues and reaching decisions appropriate to their life
circumstances. The process involves thorough exploration of a
problem and its ramifications; examination of attitudes and feelings;
consideration of alternative solutions; and decision-making.

11.01

Discussion - Sexual risk reduction

11.02

Discussion - IDU risk reduction

11.03

Discussion - HIV Testing

11.04

Discussion - Other sexually transmitted diseases

11.05

Discussion - Disclosure of HIV status

Facilitation of discussion with individuals or groups regarding
techniques to disclose seropositive status or discuss issues relevant
to disclosure.

11.06

Discussion - Partner notification

Facilitation of discussion with individuals or groups regarding how to
notify partners regarding possible exposure to HIV or how to discuss
issues relevant to partner notification.

11.07

Discussion - HIV medication therapy adherence

11.08

Discussion - Abstinence/postpone sexual activity

11.09

Discussion - IDU risk free behavior

Facilitation of discussion with individuals or groups on abstaining from
injection drug use or only using new needles and disposing
appropriately.

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

11.10

Discussion - HIV/AIDS transmission

Facilitation of discussion with individuals or groups on HIV/AIDS and
how HIV is transmitted.

11.11

Discussion - Viral hepatitis

Facilitation of discussion with individuals or groups on viral hepatitis,
how it is transmitted, and/or how to reduce risk for transmission or
infection, or treatment options.

11.12

Discussion - Living with HIV/AIDS

Facilitation of discussion with individuals or groups on living with
HIV/AIDS and ramifications of living with HIV/AIDS, examination of
attitudes and feelings about living with the disease.

11.13

Discussion - Availability of HIV/STD counseling and testing

11.14

Discussion - Availability of partner notification and referral services

Facilitation of discussion with individuals or groups on where and how
to access partner notification services.

11.15

Discussion - Availability of social services

Facilitation of discussion with individuals or groups on how and where
to access social services.

11.16

Discussion - Availability of medical services

Facilitation of discussion with individuals or groups on how and where
to access HIV medical care. Discussion may include options
regarding available services.

11.17

Discussion - Condom/barrier use

11.18

Discussion - Negotiation/communication

11.19

Discussion - Decision making

11.20

Discussion - Providing prevention services

Facilitation of discussion with individuals or groups on communicating
prevention message and/or demonstrating risk reduction skills with
others.

11.21

Discussion - Alcohol and drug use prevention

11.22

Discussion - Sexual health

Facilitation of discussion with individuals or groups on reproductive
health, sexuality, sexual development, and similar topics.

11.24

Discussion - Stage Based Encounter

Facilitation of discussion with individuals or groups using Stage
Based Encounters.

11.88

Discussion - Other

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

12.00

Other testing

Non-HIV related diagnostic procedures to screen for other disease
conditions such as STD, viral hepatitis, or pregnancy.

12.01

Other testing - Pregnancy

Provision of testing to determine pregnancy.

12.02

Other testing - STD

Provision of testing to determine infection with a sexually transmitted
disease other than HIV or Viral Hepatitis.

12.03

Other testing - Viral hepatitis

Provision of testing to determine infection with Viral Hepatitis.

13.00

Materials distribution

The act of dispersing or disseminating free materials or supplies to
consumers to help them decrease their risk for HIV transmission or
infection and/or to improve health outcomes. Distribution may include
dissemination in person, by placing materials in locations to be
accessed by consumers, or by sending materials to consumers
electronically or by land mail.

13.01

Distribution - Male condoms

Provision of male condoms by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.02

Distribution - Female condoms

Provision of female condoms by handing them out or placing them in
a location to be accessed by consumers at no cost to the consumer.

13.03

Distribution - Safe sex kits

Provision of packages that minimally contain a condom (male or
female), lubricant, and instruction for proper use. May include other
materials at no cost to the consumer.

13.04

Distribution - Safer injection/bleach kits

13.05

Distribution - Lubricants

Provision of water based lubricants at no cost to the consumer as
part of HIV prevention activities.

13.06

Distribution - Education materials

Provision of printed materials designed to be learning or teaching
aids by handing them out, placing in a location to be accessed by
consumers, or electronic dissemination at no cost to the consumer.

13.07

Distribution - Referral lists

13.08

Distribution - Role model stories

13.09

Distribution - Dental Dams

Provision of dental dams by handing them out or placing them in a
location to be accessed by consumers at no cost to the consumer.

13.88

Distribution - Other

14.01

Post-intervention follow up

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NHME Variables and Values
Requirements
Num

Variable Name

Program

System

Optional Not Reported

14.02

Post-intervention booster session

An intervention session conducted with participant(s) of an
intervention after the last session to review and reinforce risk
reduction skills and information addressed by the intervention.

15.00

HIV testing history survey

The provision of the "HIV Testing History Survey." This value choice
is applicable only to those organizations who are funded by CDC to
administer the survey.

Other (specify)

Any HIV prevention activity not captured in other value choices.

CP-C07-1

Specify CP Activity

Definition: A specification of the type of activity if 89-Other (specify) was selected in CP-C07.
Instructions: Specify activities if 89-Other (specify) was selected and none of the other value choices in CP-C07 apply.

CP-C08

Frequency
Definition: The intended number of times that members of the priority population will take part in the prevention
intervention/activity (i.e., one session or multiple sessions).

Instructions: If the basis for the HIV prevention intervention specified in CP-B01: Name of the Prevention Activity/Intervention is CPC06: Other Basis for Intervention, indicate if this is an intervention clients will participate in once (e.g., one-time event
or one session intervention), or more than once (e.g., more than one/recurring event or multiple session intervention).
This variable is not reported to CDC if CP-C04: Evidence Base or CP-C05: CDC Recommended Guideline is selected
as the basis for the intervention.
Code

Value Description

Value Definition

One-time event

An intervention in which a client will take part only once (e.g., one
event or one session).

Recurring event

An intervention in which a client will take part more than once (e.g.,
more than one event or multiple sessions).

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C09

Program

System

Optional Not Reported

Unit of Delivery
Definition: The category or grouping of clients to be seen per session for this prevention intervention/activity.

Instructions: If the basis for the HIV prevention intervention specified in CP-B01: Name of the Prevention Activity/Intervention is CPC06: Other Basis for Intervention, indicate the number of clients intended to be served during each session of the
intervention. This variable is not reported to CDC if CP-C04: Evidence Base or CP-C05: CDC Recommended
Guideline is selected as the basis for the intervention.

Code

Value Description

Value Definition

Individual

The provision of service to one person at a time.

Couple

The provision of service to two people that are in a sex or drug-using
relationship.

Small group

Intervention provided to 2-12 people at the same time and setting.

Large group

Intervention provided to more than 12 people at the same time and
setting.

Community

CP-C10

Duration
Definition: The length of time that clients will be exposed to the intervention during each session of this prevention
intervention/activity.

Instructions: If the basis for the HIV prevention intervention specified in CP-B01: Name of the Prevention Activity/Intervention is CPC06: Other Basis for Intervention, indicate whether the session is intended to be relatively brief (<30 minutes) or a
longer session (>30 minutes). This variable is not reported to CDC if CP-C04: Evidence Base or CP-C05: CDC
Recommended Guideline is selected as the basis for the intervention.

Code

Value Description

Value Definition

Brief (< 30 minutes)

The estimated duration of each session/event of the intervention will
be less than 30 minutes.

Extended (> 30 minutes)

The estimated duration of each session/event of the intervention will
be more than 30 minutes.

N/A

The estimated duration of each session/event of the intervention is
unknown or non-applicable (e.g., HC/PI).

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NHME Variables and Values
Requirements
Num

Variable Name

CP-C11

Program

System

Optional Not Reported

Rationale for Other Supporting Activities
Definition: The reason or justification that best reflects the Community Planning Group's decision to propose one of the HIV
prevention supporting activities (e.g., capacity building, needs assessment), for the priority population.

Instructions: If the type of HIV prevention intervention or supporting activity selected in CP-C02: Prevention Activity/Intervention
Type = "Capacity Building" or "Needs Assessment" or "Other", indicate the reason(s) why the supporting activity is
recommended for the priority population specified in CP-B01: Priority Population.

Code

Value Description

Value Definition

More information is needed about apparent at-risk population(s)

The HIV prevention intervention/activity is proposed because more
information about the HIV prevention service needs of the priority
population is needed.

Organizations need assistance in developing organizational
infrastructure (e.g., board development, accounting, grant-writing)

The HIV prevention intervention/activity is proposed because
organizations are in need of training and assistance in developing
organizational infrastructure (e.g., board development, accounting,
grant-writing).

Organizations need assistance in developing capacity for intervention The HIV prevention intervention/activity is proposed because
planning and implementation
organizations are in need of training and assistance in developing
their capacity for intervention planning and implementation.

Organizations need assistance in developing capacity for evaluation, The HIV prevention intervention/activity is proposed because
data collection and management, and reporting
organizations are in need of training and assistance in developing
their capacity for evaluation, data collection and management, and
reporting.

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File Type	application/pdf
File Title	Variables at a Glance
Author	kit9
File Modified	2009-12-30
File Created	2009-12-30