Transmittal of Surveilance Variables

Cooperative Re-Engagement Controlled Trial (CoRECT)

Att 3_ElectrSurveillance variables

Transmittal of Surveilance Variables

OMB: 0920-1133

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OMB No. 0920-New

Expiration Date: XX/XX/XXXX









Cooperative Re-Engagement Controlled Trial (CoRECT)



Attachment #3

Electronic CoRECT clinic data variables

















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Attachment 3: Electronic surveillance variables


Data element #

Data element


Variables collected from surveillance data or assigned by health department


Collected at enrollment:

1

Unique patient study ID (not clinic ID)

2

State no (eHARS)

3

Month and year of birth

4

Biological sex of patient

5

Ethnicity of patient (OMB categories)

6

Race (OMB categories)

7

HIV exposure risk category

8

Date first tested HIV-positive

9

Lowest known CD4

10

Earliest known CD4 date

11

Trial classification (intervention vs. SOC)


Collected at each visit:

12

Unique patient study ID

13

eHARS ID

14

Date of laboratory test (CD4 count or viral load)

15

CD4 count

16

Type of HIV-1 viral load assay

17

HIV-1 viral load result

18

Out of range indicator for viral load



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNeblett Fanfair, Robyn C. (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-23

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