Form 0920-0573 Final Att 3d_MHS data elements (2)

Attachment 3 (d)
National HIV Surveillance System (NHSS) OMB No. 0920-0573

Supplemental Surveillance Activity 2:
Molecular HIV Surveillance (MHS)
Formerly known as Variant, Atypical, and Resistant HIV Surveillance (VARHS)
Data Elements

Form Approved
OMB No. 0920-0573
Expiration Date XX/XX/20XX
National HIV Surveillance
System (NHSS)
Molecular HIV Surveillance (MHS)
Formerly known as Variant, Atypical, and Resistant HIV Surveillance (VARHS)
Data Elements
Public reporting burden of this collection of information
is estimated to average 5 minutes per response including
the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a persons is not
required to respond to a collection of information unless
it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions
for reducing this burden to CDC/ATSDR Information
Collection Review Office, 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; Attn: PRA (0920-0573)

Name
PrimaryIDType

Type
Text

Length
50

Valid Value
Text

Primary ID Type

PrimaryID

Text

14

Text

Primary ID

1

AlternateIDType

Text

50

PEMS_ClientID

AlternateID Type

2

AlternateID

2

Eligibility of Case for Transmitted Drug
Resistance

2

SpecimenTracking ID

1

AlternateID

Text

50

PEMS_FormID
PCN
HARS_CityNo
Code-base Stateno
Other Local ID
Text

INELIGTDR

Text

1

0 = Eligible (default)
1 = Confirmatory tests nonreactive or negative

Label

Required
Variable
Code*
†
1
†
†

†
†

2 = Diagnosed before
specified time period

SPECIMENID

Text

50

3 = ARV drugs
4 = Other
Text

Name

Type

Length

Valid Value

Label
14 character field, left zero filled
positions 1-4 = area number
positions 5-8 = site number
positions 9-10 = last 2 digits of year of
draw date

Required
Variable
Code*

positions 11-14 = consecutive
numbers for each
participant enrolled, zero filled on left
The last four digits need to be in
ascending order
for a given year, but not necessarily
consecutive.
ACCESNUM
DRAWDTTM

Text
Text
Text

15
50
100

Text
YYYYMMDDHHMM

Laboratory Accession Number
Date and Time of Draw Date
Logical Observation Identifiers Names
and Codes

2
1
1

Text

3000

Text

Nucleic Acid Sequence

1

LOINC

NucSeq

* Required Variable Codes: 1=required for sequence reporting; 2=optional.
† Variables were not included in the technical guidance because they are variables used to link VARHS data
to eHARS or are associated with surveillance processes.