App 3 Clinical&Dem Variables

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Assessment of a Comprehensive HIV Clinic-based Intervention to Improve Patients' Health and Reduce Transmission Risk

App 3 Clinical&Dem Variables

OMB: 0920-1002

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Appendix 3: List of clinical and demographic variables from clinic electronic databases



The following clinical data elements available in the clinic’s archived databases will be electronically transmitted to CDC (from date of OMB approval until the end of the project period, October, 2016):


  • All viral load (VL) laboratory results and dates of VL lab tests


  • All CD4 cell count results and dates


  • Attendance for HIV primary care, dates, and dispositions (cancelled, kept, no-show)


The following demographic variables in the clinics’ archived databases will also be transmitted to CDC.


  • Month and year of birth


  • Biological sex at birth


  • Ethnicity

Hispanic or Latino

Not Hispanic or Latino

  • Race (indicating all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White



  • HIV risk exposure category

MSM

MSM plus IDU

IDU

Heterosexual

Other

  • Month and year first tested HIV positive


  • Type of insurance

Private

Medicare

Medicaid

Ryan White

Other (e.g., local charity programs)

None

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