Attachment B. National HIV Prevention Program Monitoring and Evaluations (NHM&E) (OMB 0920-0696, Exp. 2/2018)
New Variables (N=74)
Variable |
Variable Name |
Variable Definition |
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S03 |
Service Delivery Site Name |
The official name of the agency's HIV prevention site of service delivery. |
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G205a |
Previous HIV Test Result |
The client's result from his/her most recent HIV test confirmed through record review or surveillance. |
G224 |
At risk for HIV infection |
An indication of whether the client/patient is at risk for HIV infection based on an agency's local risk assessment tool. |
G400 |
Sex with a male |
The client/patient self-reported having sex with a male in the past 5 years. |
G401 |
Sex with a female |
The client/patient self-reported having sex with a female in the past 5 years. |
G402 |
Injection drug use |
The client/patient self-reported having injected drugs that were not prescribed to him/her by a medical care provider in the past 5 years. |
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H04c |
eHARS State Number |
A unique state number assigned to each patient throughout the course of HIV infection assigned by the separately funded state/jurisdiction in which they are reported. |
H04d |
eHARS City/County Number |
A unique city/county number assigned to each patient throughout the course of HIV infection assigned by the separately funded city in which they are reported. |
H800 |
Ever heard of PrEP |
The client/patient's awareness of HIV Pre-exposure prophylaxis (PrEP), the medication taken daily to reduce the risk for acquiring HIV infection. |
H802 |
PrEP use last 12 months |
Has the client/patient used PrEP anytime in the last 12 months? |
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PCR104a |
Care Status at Case Close Date |
This is an indication of whether or not the client was in medical care at the time of the case close date. |
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X104a |
HIV Test Election |
An indication of whether the test is linked to a name or is anonymous. |
X124 |
Basis of Final Determination |
Refers to the basis for determining the outcome of the current HIV test. |
X125 |
HIV Test Result - Final Determination |
The outcome of the current HIV test. |
X126 |
Preliminary Positive point-of-care rapid test |
An indication that the client/patient had a preliminary positive point-of-care rapid test result prior to the current laboratory-based HIV test. |
X126a |
Specimen Collection Date of Preliminary Positive point-of-care rapid test |
If the laboratory-based test was preceded by a preliminary positive point-of-care rapid test, this variable refers to the date the point-of-care rapid test was conducted. |
X127 |
Tests for co-infections |
The client/patient was tested for syphilis, gonorrhea, chlamydial infection, or Hepatitis C in conjunction with this HIV test. |
X127a |
Syphilis Test |
An indication of whether the client/patient was tested for syphilis in conjunction with this HIV test. |
X127b |
Gonorrhea |
An indication of whether the client/patient was tested for gonorrhea in conjunction with this HIV test. |
X127c |
Chlamydial infection |
An indication of whether the client/patient was tested for chlamydial infection in conjunction with this HIV test. |
X127d |
Hepatitis C |
An indication of whether the client/patient was tested for Hepatitis C in conjunction with this HIV test. |
X128a |
Result of Syphilis Test |
The outcome of the current syphilis test done in conjunction with this HIV test. |
X128b |
Result of Gonorrhea Test |
The outcome of the current gonorrhea test done in conjunction with this HIV test. |
X128c |
Chlamydial infection test result |
The outcome of the current test for chlamydial infection done in conjunction with this HIV test. |
X128d |
Hepatitis C test result |
The outcome of the current test for Hepatitis C done in conjunction with this HIV test. |
X138 |
New or Previous HIV-positive Diagnosis |
The indication of if the client/patient's HIV infection is a new diagnosis or if their infection was previously diagnosed. |
X150 |
Has the client/patient ever had a positive HIV test |
The purpose of this variable is to ascertain whether a positive HIV test occurred earlier than the current HIV diagnosis date. |
X150a |
Date of first positive HIV test |
The calendar date (month, day, year) of the earliest known positive HIV test. |
X151 |
Has the client/patient ever had a negative HIV test |
The purpose of this variable is to ascertain whether a positive HIV test occurred earlier than the current HIV diagnosis date. |
X151a |
Date of last negative HIV test |
The last date (month, day, year) when the client/patient was considered not to be HIV infected. |
X224 |
HIV Stage |
The stage of the HIV infection of the client. |
X706c |
HIV Medical Care Linkage |
The current status of the client's HIV medical care after HIV diagnosis, current HIV test, or report to Partner Services. |
X706d |
Date of 1st HIV Medical Appointment |
Date a client attended his/her HIV medical care appointment after HIV diagnosis, current HIV test, or report to Partner Services. |
X712a |
Coinfection Screen |
A client received a syphilis test in conjunction with an HIV test during PS activities. |
X712b |
Coinfection Screen Result |
The outcome of the current syphilis test in conjunction with an HIV test while enrolled in partner services. |
X725b |
Care Status at Time of the PS Interview |
If a client was interviewed for Partner Services, this is an indication of whether or not he/she was in medical care at the time of the Partner Services interview. |
X731 |
Currently taking daily PrEP medicine |
An indication if the client is currently on Pre-exposure prophylaxis (PrEP) medicine. |
X731a |
Partner Referred to PrEP Provider |
An indication if a partner was referred to a provider for Pre-exposure prophylaxis (PrEP). |
X740 |
Seen a Medical Care Provider in past 6 months for HIV treatment |
If the client/patient's HIV infection is a previous diagnosis or it is unknown if the diagnosis is a new or previous diagnosis, indicate if the client/patient has seen a medical care provider in the past six months for HIV treatment. |
X741 |
Attend HIV medical care appointment |
Indicate if the client/patient attended a medical care appointment after this positive HIV test. |
X741a |
Appointment Date |
The calendar month, day, and year on which a client attended his/her HIV medical care appointment after this positive test. |
X742 |
Individualized behavioral risk-reduction counseling |
Refers to an HIV prevention service directly aimed at reducing risk for transmitting or acquiring HIV infection. |
X743 |
Information provided for partner services |
This is an indication of if the client/patient's contact information was provided to the health department for partner services. |
X744 |
Interviewed for partner services |
This is an indication of if the client/patient was interviewed for partner services by a health department specialist or a person trained by the health department to conduct partner services interviews. |
X744a |
Date of partner services interview |
The calendar month, day, and year on which the client/patient was interviewed for partner services. |
X745 |
Screened for perinatal HIV service coordination needs |
An indication of if the
client/patient was screened for perinatal HIV service coordination
needs. |
X746 |
Perinatal HIV service coordination needs identified |
An indication of if perinatal HIV service coordination needs were identified for the client/patient. |
X747 |
Referred for HIV perinatal service coordination |
An indication of whether the client/patient was referred for HIV perinatal service coordination. |
X748 |
Screened for PrEP eligibility |
Refers to whether an assessment was conducted to determine if he or she meets the appropriate criteria for using pre-exposure prophylaxis (PrEP). |
X749 |
Eligible for PrEP referral |
An indication of whether the client/patient met the appropriate criteria for receiving a referral for using PrEP. |
X750 |
Referred to a PrEP Provider |
An indication of whether the client/patient was given a referral to a PrEP provider. |
X751 |
Assistance with linkage to a PrEP provider |
An indication of whether the client/patient was provided navigation or linkage services to assist with linkage to a PrEP provider. |
X752a |
Navigation services for linkage to HIV medical care - screened for need |
An indication of whether the client/patient was screened for the need of navigation for linkage to HIV medical care. |
X752b |
Navigation services for linkage to HIV medical care - need identified |
An indication of whether the client/patient was identified as needing navigation services for linkage to HIV medical care. |
X752c |
Provided or referred for navigation services for linkage to HIV medical care |
An indication of whether the client/patient was provided or referred to navigation services for linkage to HIV medical care. |
X752e |
Linkage services to HIV medical care – screened for need |
An indication of whether the client/patient was screened for the need of linkage services to HIV medical care. |
X752f |
Linkage services to HIV medical care – need identified |
An indication of whether the client/patient was identified as needing linkage services to HIV medical care. |
X752g |
Linkage services to HIV medical care – provided or referred for service |
An indication of whether the client/patient was provided or referred for linkage services to HIV medical care. |
X753a |
Health benefits navigation and enrollment - screened for need |
An indication of whether client/patients are assessed for health benefits navigation and enrollment needs. |
X753b |
Health benefits navigation and enrollment - need identified |
An indication of whether the client/patient was identified as needing health benefits navigation and enrollment services. |
X753c |
Provided or referred to health benefits navigation and enrollment services |
An indication of whether the client/patient was provided or referred to services for health benefits navigation and enrollment. |
X754a |
Client screened for medication adherence support need |
An indication of whether an assessment was done to determine if the client/patient needed medication adherence support services. |
X754b |
Medication adherence support need identified |
An indication of whether the client/patient was identified as needing medication adherence support services. |
X754c |
Provided or referred to medication adherence support service |
An indication of whether the client/patient was provided or referred to medication adherence support services. |
X755a |
Client screened for evidence-based risk reduction intervention need |
An indication of whether the client/patient was assessed for evidence-based risk reduction intervention needs. |
X755b |
Need identified for evidence-based risk reduction intervention service |
An indication of whether the client/patient was identified as needing evidence-based risk reduction intervention services. |
X755c |
Provided or referred to evidence-based risk reduction intervention service |
An indication of whether the client/patient was provided or referred to evidence-based risk reduction intervention services. |
X756a |
Client screened for behavioral health services need |
An indication of whether
the client/patient was assessed for behavioral health services
need. |
X756b |
Need identified for behavioral health services |
An indication of whether
the client/patient was identified as needing behavioral health
services. |
X756c |
Provided or referred to behavioral health services |
An indication of whether
the client/patient was provided or referred to behavioral health
services. |
X758a |
Client screened for social services need |
An indication of whether
the client/patient was assessed for social services
needs. |
X758b |
Need identified for social services |
An indication of whether
the client/patient was identified as needing social
services. |
X758c |
Provided or referred to social services |
An indication of whether
the client/patient was provided or referred to social
services. |
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CBOTEST005 |
Date client attended first medical care appointment (PS17-1704 only) |
The calendar month, day, and year that the client attended his/her first medical care appointment. |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Heitgerd, Janet (CDC/OID/NCHHSTP) |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |