Download:
pdf |
pdfForm Approved
OMB No. 0920-0573
Expiration Date: XX/XX/XXXX
National HIV Surveillance System (NHSS)
Attachment 3c.
Data Elements for the National HIV Surveillance System (NHSS)
Form Approved
OMB No. 0920-0573
Expiration Date XX/XX/20XX
Data Elements for the National HIV Surveillance System (NHSS)
Data Elements for Adult and Pediatric HIV Confidential Case Reports
Public reporting burden of this collection of information is estimated to average 20 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 Reports
Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)
Data Elements for HIV Incidence Surveillance
Public reporting burden of this collection of information is estimated to average 10 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 Reports
Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)
Data Elements for Molecular HIV Surveillance
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 Reports Clearance Officer; 1600 Clifton Road NE,
MS D-74, Atlanta, Georgia 30333; Attn: PRA (0920-0573)
3-2
v3.0.0.0 December 21, 2015
The data elements listed below include data elements for adult/adolescent case reports (ACRF), pediatric case reports (PCRF), and supplemental data collected in some areas
for HIV incidence surveillance (HIS), Molecular HIV Surveillance (MHS) and perinatal HIV exposure reporting (PHER). Data are stored in tables in the enhanced HIV Reporting
System (eHARS). Information in the table below reflects eHARS v4.7.1. The column “Transfer to CDC” indicates whether or not the data collected in a variable are transmitted
to CDC. The column “Required/Optional” indicates whether a variable is: (1) a program requirement for collection (Required); some variables are required only for HIS or MHS
and those have additional notation; (2) optional for program collection (Optional) , which may include variables that are CDC recommended for collection but collection is
optional; (3) generated by the eHARS system from entered values of other variables and is optional to collect (Optional-System); (4) generated by the eHARS system (System);
(5) retired from collection in eHARS (Retired); (6) retained from the previous case surveillance system and is not collected in eHARS (Legacy HARS); or (7) retained from the
previous incidence surveillance system and is not collected in eHARS (Legacy Incidence). Additional information for users can be found in the eHARS 4.7.1 Technical Reference
Guide.
TABLE NAME
VARIABLES
ADDRESS
address_seq
address_type_cd
address_dt
census_block_group
census_congressional_d
istrict
census_group
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
A table that maintains information on a person's addresses and locations.
Used by the system as a sequence
identifier for a person's addresses.
A code indicating the type of address, such BAD - Bad address
as RES (residential) or RSA (residence at
COR - Correctional facility
AIDS diagnosis).
CUR - Current
FOS - Foster home
HML - Homeless
POS - Postal
RAD - Residence at death
RBI - Residence at birth
RES - Residential
SHL - Shelter
TMP - Temporary
The most recent date for which this
address is active.
An optional field indicating the census
block group for the person's address.
An optional field indicating the
congressional district for the person's
address.
An optional field indicating the census
group for the person's address.
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
YES
All
Required if RSH or RSA
YES
All
Required if RSH or RSA
NO
All
Optional
NO
All
Optional
NO
All
Optional
TABLE NAME
VARIABLES
census_msa
census_tract
city_fips
city_name
country_cd
country_usd
county_fips
county_name
doc_belongs_to
document_uid
phone
state_cd
street_address1
street_address2
zip_cd
3-4
DESCRIPTION
An optional field indicating the census
metropolitan statistical area (MSA) for the
person's address.
An optional field indicating the census
tract for the person's address.
The city FIPS code for a person's address.
(5 digits)
The textual city name for the person's
address from the FIPS table. If there is no
match to the FIPS table, the text is stored
as entered by the user and preceded by an
asterisk.
The ISO country code for a person's
address.
The FIPS U.S. dependency country code
for the person's address.
The FIPS county code for a person's
address.
The county name for the person's address
from the FIPS table. If there is no match to
the FIPS table, the text is stored as
entered by the user and preceded by an
asterisk.
Indicates who the address data belong to:
PERSON, MOTHER, or CHILD.
A unique identifier for a document.
The value indicating a person's telephone
number.
The state postal code for a person's
address.
Primary description of a person’s street
address, such as number and street name.
Secondary description of a person’s street
address, such as apartment, building, or
unit and number.
The zip code associated with a person's
address.
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
NO
All
Optional
NO
All
Optional
FIPS_CITY (table) - 99999
YES
All
Required if RSH or RSA
FIPS_CITY (table), ZIP_CITY
(table)
YES
All
Required if RSH or RSA
COUNTRY_CODE (table)
YES
All
Required if RSH or RSA
COUNTRY_CODE (table)
YES
All
Required if RSH or RSA
FIPS_COUNTY (table) - 999
YES
All
Required if RSH or RSA
FIPS_COUNTY (table),
ZIP_CITY (table)
YES
All
Required if RSH or RSA
PERSON, MOTHER, CHILD
YES
BC
System
9999999999
YES
NO
All
All
System
Required if RSH or RSA
STATE_CODES
YES
All
Required if RSH or RSA
NO
All
Required if RSH or RSA
NO
All
Required if RSH or RSA
NO
All
Required if RSH or RSA
ZIP_CITY (table) - 99999
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
BIRTH_HISTORY
A table that maintains information pertaining to the child's birth or the mother's prenatal care, labor, and delivery. This information is
collected in the Birth History section of Pediatric Case Report Forms (PCRF) and Birth Certificate (BC) documents.
birth_defects
From PCRF, indicates the presence of birth
defects.
YES_NO_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
birth_defects_cd
From PCRF and BC, birth defect codes.
01 - Anencephaly
02 Meningomyelocele/Spina
bifida
03 - Cyanotic congenital
heart disease
04 - Congenital
diaphragmatic hernia
05 - Omphalocele
06 - Gastroschisis
07 - Limb reduction defect
(excluding congenital
amputation and dwarfing
syndromes)
08 - Cleft lip with or
without cleft palate
09 - Cleft palate alone
10 - Down syndrome
11 - Suspected
chromosomal disorder
12 - Down syndrome
(karyotype confirmed)
13 - Suspected
chromosomal disorder
(karyotype confirmed)
14 - Down syndrome
(karyotype pending)
15 - Suspected
chromosomal disorder
(karyotype pending)
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
16 - Hypospadias
17 - None of the anomalies
listed above
birth_place
birth_type
From BC, place of birth, such as home or
hospital
From PCRF and BC, the type of birth, such
as single or twin.
birth_wt
From PCRF and BC, the child's birth weight
in grams.
breastfed
From PCRF and BC: Was this child
breastfed?
From PCRF and BC, the method of
delivery, such as vaginal or Cesarean.
delivery_method
document_uid
first_pnc_visit_dt
infant_transfer
last_live_birth_dt
last_normal_menses_dt
last_pnc_visit_dt
maternal_birth_country
_cd
A unique identifier for the PCRF or BC.
From BC, the date of the mother's first
prenatal care visit.
From BC: Was the infant transferred to
another facility?
From BC, the date of the mother's last live
birth.
From BC, the date of the mother's last
menses.
From BC, the date of the mother's last
prenatal care visit.
From PCRF, the mother's country of birth.
BIRTH_PLACE
YES
BC
Optional
1 - Single
2 - Twin
3 - >2
9 - Unknown
NULL, MIN = 28, MAX =
9070
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
YES_NO_UNK
YES
BC
Optional
DELIVERY, DELIVERY_BC
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
YYYYMMDD
YES
YES
All
BC
System
Optional
YES_NO
YES
BC
Optional
YYYYMMDD
YES
BC
Optional
YYYYMMDD
YES
BC
Optional
YYYYMMDD
YES
BC
Optional
COUNTRY_CODE (table)
YES
PCRF,
LEGACY_PEDIATRIC
Optional
maternal_birth_country
_usd
From PCRF, the mother's country of birth
if U.S. dependency.
COUNTRY_CODE (table)
YES
PCRF,
LEGACY_PEDIATRIC
Optional
maternal_dob
From PCRF, the mother's date of birth.
YYYYMMDD
YES
PCRF,
LEGACY_PEDIATRIC
Optional
3-6
v3.0.0.0 December 21, 2015
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
maternal_sndx
From PCRF, the mother's last name
Soundex.
YES
PCRF,
LEGACY_PEDIATRIC
Optional
maternal_stateno
From PCRF, the mother's STATENO
identifier.
YES
PCRF,
LEGACY_PEDIATRIC
Optional
month_preg_pnc
From PCRF, the month of pregnancy that
mother's prenatal care began.
01 - 12, 99(unknown),
00(none)
YES
PCRF,
LEGACY_PEDIATRIC
Optional
neonatal_status
From PCRF, the child's neonatal status.
YES
PCRF,
LEGACY_PEDIATRIC
Optional
neonatal_status_weeks
From PCRF and BC, the gestational age of
the child at delivery.
1 - Full Term
2 - Premature
9 - Unknown
01 - 98, 99(unknown),
00(none)
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
num_pnc_visits
From PCRF and BC, the number of
prenatal care visits.
01-98, 99(unknown),
00(none)
YES
PCRF,
LEGACY_PEDIATRIC,
BC
Optional
num_prev_live_births
From BC, the number of previous live
births.
From PCRF: Did the mother receive other
anti-retroviral drugs during
labor/delivery?
From PCRF, the other anti-retroviral drugs
the mother received during labor/delivery.
00-99
YES
BC
Optional
YES_NO_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
DRUG
YES
PCRF,
LEGACY_PEDIATRIC
Optional
other_art_preg
From PCRF: Did the mother receive other
anti-retroviral drugs during pregnancy?
YES_NO_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
other_art_preg_cd
From PCRF, the other anti-retroviral drugs
the mother received during pregnancy.
DRUG
YES
PCRF,
LEGACY_PEDIATRIC
Optional
zido_labor
From PCRF: Did the mother receive AZT
during labor?
YES_NO_REF_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
zido_preg
From PCRF: Did the mother receive AZT
during pregnancy?
YES_NO_REF_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
other_art_labor
other_art_labor_cd
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
zido_prior_preg
From PCRF: Did the mother receive AZT
prior to this pregnancy?
YES_NO_UNK
YES
PCRF,
LEGACY_PEDIATRIC
Optional
zido_week
From PCRF, the week AZT therapy started.
00-99
YES
Optional
CALC_OBSERVATION
A table that maintains information on a person's calculated observations.
PCRF,
LEGACY_PEDIATRIC
calc_obs_uid
A unique identifier for a calculated
observation.
YES
All
calc_obs_value
The calculated observation's value.
YES
All
document_uid
CALC_OBSERVATION_C
ODE
1
A unique identifier for a document.
YES
A table that maintains information calc_obs_value and associated descriptions.
All
Refer to
CALC_OBSERVATION_C
ODE table for
requirements for each
variable
Refer to
CALC_OBSERVATION_C
ODE table for valid data
element values for each
variable
System
HARS Legacy - AIDS category
YES
All
System
2
HARS Legacy - HIV category
YES
All
System
3
HARS Legacy - Date the first disease was
YES
All
System
3-8
v3.0.0.0 December 21, 2015
CALC_OBSERVATION_CODE
(table)
1 - Definitive (pre-85) case
2 - Definitive (1985) case
3 - Definitive (1987) case
4 - Presumptive (1987) case
5 - Definitive (1993) case
6 - Presumptive (1993) case
7 - Immunologic (1993)
case
8 - Undetermined case
9 - Non-case
1 - HIV Definitive
2 - HIV Presumptive
3 - HIV Indeterminate
4 - HIV Negative Definitive
5 - HIV Negative
Presumptive
8 - Pending Confirmation
9 - HIV Unknown
YES_NO
TABLE NAME
VARIABLES
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
DESCRIPTION
diagnosed based on the 1993 expanded
AIDS case definition
HARS Legacy - Date the first disease was
diagnosed based on the pre-1993
expanded AIDS case definition
HARS Legacy - Date of the first condition
classifying as AIDS based on the current
AIDS case definition
HARS Legacy - Date of the first condition
classifying as AIDS based on the applicable
AIDS case definition
HARS Legacy - Date of last negative HIV
test result
HARS Legacy - Date a case was reported as
HIV positive
HARS Legacy - Date a case was reported as
AIDS category level 1
HARS Legacy - Date a case was reported as
AIDS category level 2
HARS Legacy - Date a case was reported as
AIDS category level 3
HARS Legacy - Date a case was reported as
AIDS category level 4
HARS Legacy - Date a case was reported as
AIDS category level 5
HARS Legacy - Date a case was reported as
AIDS category level 6
HARS Legacy - Date a case was reported as
AIDS category level 7
HARS Legacy - Date a case was reported as
not infected with HIV
HARS Legacy - Date a case was reported as
perinatal exposure
HARS Legacy - Date the death of a case
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
TABLE NAME
VARIABLES
19
3-10
DESCRIPTION
was reported
HARS Legacy - Mode of transmission
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
01 - Male sexual contact
with other male (MSM)
02 - Injection drug use
(nonprescription) (IDU)
03 - Male sexual contact
with other male and
injection drug use (MSM &
IDU)
04 - Adult received clotting
factor for
hemophilia/coagulation
disorder
05 - Heterosexual contact
06 - Adult received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
08 - Adult with other
confirmed risk
09 - Adult with risk not
reported/other
11 - Child received clotting
factor for
hemophilia/coagulation
disorder
12 - Mother with, or at risk
for, HIV infection
13 - Child received
transfusion of blood/blood
components or transplant
of organ/tissue
14 - Child with other risk
18 - Child with other
confirmed risk
19 - Child with risk not
reported/other
Transfer
to CDC
YES
Document Source
All
Required/Optional
System
TABLE NAME
VARIABLES
20
DESCRIPTION
HARS Legacy - Class
Valid data element values
(lookup type, reference
table, or actual values)
A1 - Asymptomatic, CD4
count > 500 or percent >
29%
A2 - Asymptomatic, CD4
count 200-499 or percent
14-28%
A3 - Asymptomatic, CD4
count < 200 or percent <
14%
A9 - Asymptomatic,
unknown CD4
B1 - Symptomatic, CD4
count > 500 or percent >
29%
B2 - Symptomatic, CD4
count 200-499 or percent
14-28%
B3 - Symptomatic, CD4
count < 200 or percent <
14%
B9 - Symptomatic,
unknown CD4
C1 - AIDS, CD4 count > 500
or percent > 29%
C2 - AIDS, CD4 count 200499 or percent 14-28%
C3 - AIDS, CD4 count < 200
or percent < 14%
C9 - AIDS, unknown CD4
Unknown clinical category,
X1 - CD4 count > 500 or
percent > 29%
X2 - Unknown clinical
category, CD4 count 200499 or percent 14-28%
Transfer
to CDC
YES
Document Source
All
Required/Optional
System
TABLE NAME
VARIABLES
21
DESCRIPTION
100
HARS Legacy - Date of first positive HIV
test result or doctor diagnosis of HIV
HARS Legacy - CD4 count < 400
HARS Legacy - First positive HIV-1 EIA test
result date
HARS Legacy - Last negative HIV-1 EIA test
result date
HARS Legacy - Most recent HIV-1 EIA test
result value
HARS Legacy - Most recent HIV-1 EIA test
result date
HARS Legacy - Overall HIV-1 EIA test result
value
HARS Legacy - Overall HIV-1 EIA test result
date
HARS Legacy - First positive HIV-1/2
combined test result date
HARS Legacy - Last negative HIV-1/2
combined test result date
HARS Legacy - Most recent HIV-1/2
combined test result value
HARS Legacy - Most recent HIV-1/2
combined test result date
HARS Legacy - Overall HIV-1/2 combined
test result value
HARS Legacy - Overall HIV-1/2 combined
test result date
HARS Legacy - First positive Western
Blot/IFA test result date
HARS Legacy - Last negative Western
Blot/IFA test result date
HARS Legacy - Most recent Western
3-12
v3.0.0.0 December 21, 2015
78
85
86
87
89
90
91
92
93
94
95
96
97
98
99
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
X3 - Unknown clinical
category, CD4 count < 200
or percent < 14%
X9 - Unknown clinical
category, unknown CD4
YYYYMMDD
YES
All
System
YES_NO
YYYYMMDD
YES
YES
All
All
System
System
YYYYMMDD
YES
All
System
POS=Positive
NEG=Negative
YES
All
System
YES
All
System
POS=Positive
NEG=Negative
YYYYMMDD
YES
All
System
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
POS=Positive
NEG=Negative
YYYYMMDD
YES
All
System
YES
All
System
POS=Positive
NEG=Negative
YYYYMMDD
YES
All
System
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
TABLE NAME
VARIABLES
101
102
103
104
105
106
107
108
109
110
111
112
113
114
DESCRIPTION
Blot/IFA test result value
HARS Legacy - Most recent Western
Blot/IFA test result date
HARS Legacy - Overall Western Blot/IFA
test result value
HARS Legacy - Overall Western Blot/IFA
test result date
HARS Legacy - First positive Other HIV
Antibody test result date
HARS Legacy - Last negative Other HIV
Antibody test result date
HARS Legacy - Most recent Other HIV
Antibody test result value
HARS Legacy - Most recent Other HIV
Antibody test result date
HARS Legacy - Overall Other HIV Antibody
test result value
HARS Legacy - Overall Other HIV Antibody
test result date
HARS Legacy - First positive
Detection/Antigen/Viral load test result
date
HARS Legacy - Last negative
Detection/Antigen/Viral load test result
date
HARS Legacy - Most recent
Detection/Antigen/Viral load test result
value
HARS Legacy - Most recent
Detection/Antigen/Viral load test result
date
HARS Legacy - Overall
Detection/Antigen/Viral load test result
value
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
TABLE NAME
VARIABLES
115
116
117
118
119
120
121
122
123
124
125
216
3-14
DESCRIPTION
HARS Legacy - Overall
Detection/Antigen/Viral load test result
date
HARS Legacy - Most recent CD4 count
value
HARS Legacy - Most recent CD4 percent
value
HARS Legacy - Most recent CD4 test result
date
HARS Legacy - Lowest count from all CD4
test result values
HARS Legacy - Lowest CD4 count test
result date
HARS Legacy - Lowest percent from all
CD4 test result values
HARS Legacy - Lowest CD4 percent test
result date
HARS Legacy - First CD4 count < 200 value
HARS Legacy - First CD4 percent < 14 value
HARS Legacy - First CD4 count < 200 or
percent < 14 date
HARS Legacy - Expanded mode of
transmission
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
YYYYMMDD
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
YES
All
System
YES
All
System
YES
All
System
YES
All
System
YES
All
System
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
YES
YES
All
All
All
System
System
System
YES
All
System
YYYYMMDD
YYYYMMDD
01 - Male sexual contact
with other male (MSM)
02 - Injection drug use
(nonprescription) (IDU)
03 - Male sexual contact
with other male and
injection drug use (MSM &
IDU)
04 - Adult received clotting
factor for
hemophilia/coagulation
disorder
05 - Heterosexual contact
with injection drug user
06 - Heterosexual contact
with bisexual man
07 - Heterosexual contact
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
with person with
hemophilia
08 - Born in an NIR country
Heterosexual contact with
person born in an NIR
country
09 - Heterosexual contact
with HIV-infected
transfusion recipient
11 - Heterosexual contact
with HIV-infected person
12 - Heterosexual contact
with person at risk for HIV
infection
13 - Adult received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
14 - Adult with risk not
reported/other
15 - Child received clotting
factor for
hemophilia/coagulation
disorder
16 - Mother injection drug
use (nonprescription) (IDU)
17 - Mother had sex with
male injection drug user
18 - Mother had sex with
bisexual man
19 - Mother had sex with
person with hemophilia
20 - Mother born in an NIR
country
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
217
Old race
218
Race
3-16
Valid data element values
(lookup type, reference
table, or actual values)
21 - Mother had sex with
person born in an NIR
country
22 - Mother had sex with
HIV-infected transfusion
recipient
23 - Mother had sex with
HIV-infected man
24 - Mother received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
25 - Mother has HIV
infection
26 - Child received
transfusion of blood/blood
components or transplant
of organ/tissue
27 - Child with risk not
reported/other
28 - Child with other risk
88 - Child with other
confirmed risk
1 - White, not Hispanic
2 - Black, not Hispanic
3 - Hispanic
4 - Asian/Pacific Islander
5 - American Indian/Alaska
Native
9 - Unknown
1 - Hispanic, All races
2 - Not Hispanic, American
Indian/Alaska Native
3 - Not Hispanic, Asian
4 - Not Hispanic, Black
5 - Not Hispanic, Native
Hawaiian/Pacific Islander
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
YES
All
System
TABLE NAME
VARIABLES
219
220
221
DESCRIPTION
Earliest date the first document was
entered into the system
Earliest date the first document was
received at the health department
Transmission category
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
6 - Not Hispanic, White
7 - Not Hispanic, Legacy
Asian/Pacific Islander
8 - Not Hispanic, Multi-race
9 - Unknown
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
01 - Male sexual contact
with other male (MSM)
02 - Injection drug use
(nonprescription) (IDU)
03 - Male sexual contact
with other male and
injection drug use
(MSM+IDU)
04 - Adult received clotting
factor for
hemophilia/coagulation
disorder
05 - Heterosexual contact
06 - Adult received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
07 - Perinatal exposure
with HIV infection first
diagnosed at age 13 years
or older
08 - Adult with other
confirmed risk
09 - Adult with No
Identified Risk (NIR)
YES
All
System
TABLE NAME
VARIABLES
222
3-18
DESCRIPTION
Expanded transmission category
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
10 - Adult with No
Reported Risk (NRR)
11 - Child received clotting
factor for
hemophilia/coagulation
disorder
12 - Perinatal exposure
13 - Child received
transfusion of blood/blood
components or transplant
of organ/tissue
18 - Child with other
confirmed risk
19 - Child with No Identified
Risk (NIR)
20 - Child with No Reported
Risk (NRR)
00 - Risk factors selected
with no age at diagnosis
01 - Male sexual contact
with other male (MSM)
02 - Injection drug use
(nonprescription) (IDU)
03 - Male sexual contact
with other male and
injection drug use (MSM &
IDU)
04 - Adult received clotting
factor for
hemophilia/coagulation
disorder
05 - Heterosexual contact
with IDU
06 - Heterosexual contact
with male who had sexual
contact with other male
07 - Heterosexual contact
with person with
Transfer
to CDC
YES
Document Source
All
Required/Optional
System
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
hemophilia
10 - Heterosexual contact
with blood
transfusion/transplant
recipient with documented
HIV infection
11 - Heterosexual contact
with person with AIDS or
documented HIV infection,
risk not specified
13 - Adult received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
14 - Adult with
undetermined transmission
category
15 - Child received clotting
factor for
hemophilia/coagulation
disorder
16 - Perinatal exposure,
mother had injection drug
use
17 - Perinatal exposure,
mother had heterosexual
contact with IDU
18 - Perinatal exposure,
mother had heterosexual
contact with bisexual male
19 - Perinatal exposure,
mother had heterosexual
contact with person with
hemophilia
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
223
3-20
DESCRIPTION
Exposure category
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
22 - Perinatal exposure,
mother had heterosexual
contact with blood
transfusion/transplant
recipient with documented
HIV infection
23 - Perinatal exposure,
mother had heterosexual
contact with male with
AIDS or documented HIV
infection, risk not specified
24 - Perinatal exposure,
mother received
transfusion of blood/blood
components, transplant of
organ/tissue, or artificial
insemination
25 - Perinatal exposure,
mother with documented
HIV infection
26 - Child received
transfusion of blood/blood
components or transplant
of organ/tissue
27 - Child with
undetermined transmission
category
28 - Child with other
confirmed risk
88 - Adult with other
confirmed risk
99 - Risk factors selected
with no age at diagnosis
01 - MSM only
02 - IDU only
03 - Heterosexual contact
only
04 - MSM & IDU
Transfer
to CDC
YES
Document Source
All
Required/Optional
System
TABLE NAME
VARIABLES
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
DESCRIPTION
Date of first positive HIV test result or
doctor diagnosis of HIV
Type of first evidence of HIV infection
(positive HIV test result or doctor
diagnosis of HIV)
First CD4 or viral load test result date after
HIV diagnosis
Type of first test after HIV diagnosis (CD4
or viral load)
Most recent test result date
Most recent test type
Most recent test result value
First positive HIV screening test result date
Most recent HIV screening test result
value
Most recent HIV screening test result date
Last negative before first positive HIV
screening test result date
Overall HIV screening test result value
Overall HIV screening test result date
First positive HIV antibody confirmatory
test result date
Most recent HIV antibody confirmatory
Valid data element values
(lookup type, reference
table, or actual values)
05 - IDU & Heterosexual
contact
06 - MSM & Heterosexual
contact
07 - MSM & IDU &
Heterosexual contact
08 - Perinatal exposure
09 - Other
10 - No Identified Risk (NIR)
11 - No Reported Risk (NRR)
YYYYMMDD
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
1 - Lab test
2 - Physician diagnosis
YES
All
System
YYYYMMDD
YES
All
System
1 - CD4
2 - Viral load
YYYYMMDD
1 - CD4
2 - Viral load
LAB_RESULT_VALUE
YYYYMMDD
POS_NEG_IND
YES
All
System
YES
YES
All
All
System
System
YES
YES
YES
All
All
All
System
System
System
YYYYMMDD
YYYYMMDD
YES
YES
All
All
System
System
POS_NEG_IND
YYYYMMDD
YYYYMMDD
YES
YES
YES
All
All
All
System
System
System
POS_NEG_IND
YES
All
System
TABLE NAME
VARIABLES
DESCRIPTION
262
test result value
Most recent HIV antibody confirmatory
test result date
Last negative confirmatory before first
positive HIV antibody confirmatory test
collection date
Overall HIV antibody confirmatory test
result value
Overall HIV antibody confirmatory test
result date
First detectable viral load test result date
First detectable viral load test result value
(copies/ml)
Most recent viral load test result value
(copies/ml)
Most recent viral load test result date
Most recent undetectable viral load test
result date
First CD4 count test result < 200 value
First CD4 count test result < 200 date
First CD4 percent test result < 14 value
First CD4 percent test result < 14 date
The earliest date on which the
immunologic criteria for stage 3 were met
First CD4 count test result < 350 value
First CD4 count test result < 350 date
Most recent CD4 count test result value
Most recent CD4 count test result date
Most recent CD4 percent test result value
Most recent CD4 percent test result date
Most recent CD4 test result (count or
percent) date
First CD4 test result value after HIV
diagnosis
First CD4 test result date after HIV
diagnosis
Lowest CD4 count test result value
3-22
v3.0.0.0 December 21, 2015
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
POS_NEG_IND
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
YES
All
All
System
System
YES
All
System
YES
YES
All
All
System
System
YES
YES
YES
YES
YES
All
All
All
All
All
System
System
System
System
System
YES
YES
YES
YES
YES
YES
YES
All
All
All
All
All
All
All
System
System
System
System
System
System
System
YES
All
System
YES
All
System
YES
All
System
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
TABLE NAME
VARIABLES
263
264
265
266
DESCRIPTION
270
271
272
Lowest CD4 count test result date
Lowest CD4 percent test result value
Lowest CD4 percent test result date
First positive Qualitative RNA/DNA test
result date
Most recent Qualitative RNA/DNA test
result value
Most recent Qualitative RNA/DNA test
result date
Most recent negative Qualitative
RNA/DNA Test Result date
First positive HIV antigen test result date
First positive HIV culture test result date
HIV case definition category
273
AIDS case definition category
274
275
276
277
278
279
Age at HIV diagnosis (years)
Age at HIV diagnosis (months)
Age at AIDS diagnosis (years)
Age at AIDS diagnosis (months)
Age at HIV disease diagnosis (years)
Age at HIV disease diagnosis (months)
267
268
269
Valid data element values
(lookup type, reference
table, or actual values)
YYYYMMDD
Transfer
to CDC
Document Source
Required/Optional
YES
YES
YES
YES
All
All
All
All
System
System
System
System
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YYYYMMDD
1 - HIV positive, definitive
2 - HIV positive,
presumptive
3 - HIV indeterminate
4 - HIV negative, definitive
5 - HIV negative,
presumptive
8 - Pending confirmation
9 - Unknown
7 - AIDS case defined by
immunologic (CD4 count or
percent) criteria
9 - Not an AIDS case
A - AIDS case defined by
clinical disease (OI) criteria
1-99
1-99
1-99
1-99
1-99
1-99
YES
YES
YES
All
All
All
System
System
System
YES
All
System
YES
YES
YES
YES
YES
YES
All
All
All
All
All
All
System
System
System
System
System
System
YYYYMMDD
YYYYMMDD
TABLE NAME
VARIABLES
280
DESCRIPTION
285
286
Date of the first condition classifying as
AIDS based on the applicable AIDS case
definition
Date of the earliest condition classifying
the case as stage 3 infection based on the
most recent surveillance case definition
for stage 3 HIV infection
The earliest date on which the clinical
disease criterion (opportunistic illness [OI]
diagnosis) for stage 3 HIV infection was
met
Date the first disease was diagnosed
based on the pre-1993 expanded AIDS
case definition
HIV disease diagnosis date
Class
3-24
v3.0.0.0 December 21, 2015
281
282
283
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
YES
All
System
YYYYMMDD
A1-Asymptomatic, CD4
count > 500 or percent >
29%
A2-Asymptomatic, CD4
count 200-499 or percent
14-28%
A3-Asymptomatic, CD4
count < 200 or percent <
14%
A9-Asymptomatic,
unknown CD4
B1-Symptomatic, CD4
count > 500 or percent >
29%
B2-Symptomatic, CD4
count 200-499 or percent
14-28%
B3-Symptomatic, CD4
count < 200 or percent <
14%
B9-Symptomatic, unknown
CD4
C1-AIDS, CD4 count > 500
YES
YES
All
All
System
System
TABLE NAME
VARIABLES
DESCRIPTION
287
Diagnostic status
288
289
Date reported as HIV positive
Date reported as not infected with HIV
(seroreverters)
Date reported as perinatal exposure
Date reported as AIDS (non-immunologic)
Date reported as AIDS (immunologic)
Date reported as AIDS (earliest)
Date reported as HIV disease
Disease progression category (report date)
Disease progression category (diagnosis
date)
290
291
292
293
294
295
296
Valid data element values
(lookup type, reference
table, or actual values)
or percent > 29%
C2-AIDS, CD4 count 200499 or percent 14-28%
C3-AIDS, CD4 count < 200
or percent < 14%
C9-AIDS, unknown CD4
X1-Unknown clinical
category, CD4 count > 500
or percent > 29%
X2-Unknown clinical
category, CD4 count 200499 or percent 14-28%
X3-Unknown clinical
category, CD4 count < 200
or percent < 14%
X9-Unknown clinical
category, unknown CD4
1 - Adult HIV
2 - Adult AIDS
3 - Perinatal HIV exposure
4 - Pediatric HIV
5 - Pediatric AIDS
6 - Pediatric seroreverter
9 - Unknown
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
YES
YES
All
All
System
System
YES
YES
YES
YES
YES
YES
YES
All
All
All
All
All
All
All
System
System
System
System
System
System
System
TABLE NAME
VARIABLES
297
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
System
cdate1
cdate2
document_uid
DEATH
Meets CDC case definition for HIV (not
YES_NO
YES
All
AIDS)
Meets CDC case definition for AIDS
YES_NO
YES
All
Meets CDC case definition for HIV disease
YES_NO
YES
All
Meets CDC eligibility for HIV (not AIDS)
YES_NO
YES
All
Meets CDC eligibility for AIDS
YES_NO
YES
All
Meets CDC eligibility for HIV disease
YES_NO
YES
All
Age at death (years)
1-99
YES
All
Age at death (months)
1-99
YES
All
Date death reported
YYYYMMDD
YES
All
Type of first CD4 test after HIV diagnosis
RESULT_UNITS_CD4
YES
All
(count or percent)
Meets CDC case definition for HIV
YES_NO
YES
All
perinatal exposure or pediatric
seroreverter
Meets CDC eligibility for HIV perinatal
YES_NO
YES
All
exposure or pediatric seroreverter
A table that maintains information on a person's consent for STARHS (HIV incidence surveillance).
Note: All variables in this tables were not collected since 2005, but are stored in eHARS.
Did the person consent to participate in
YES_NO_UNK
YES
TTH
STARHS when approached the first time?
Did the person consent to participate in
YES_NO_UNK
YES
TTH
STARHS when approached the second
time?
The type of visit when the person was
01 - Pre-test
YES
TTH
approached for STARHS consent the first
02 - Post-test
time.
03 - Other Follow-up
The type of visit when the person was
01 - Pre-test
YES
TTH
approached for STARHS consent the
02 - Post-test
second time.
03 - Other Follow-up
Date of first approach for consent.
YES
TTH
Date of second approach for consent.
YES
TTH
A unique identifier for a document.
YES
TTH
A table that maintains information on a person's death.
autopsy
Was an autopsy performed?
Optional
298
299
300
301
302
303
304
305
306
307
308
CONSENT_QUESTIONN
AIRE
cconsent1
cconsent2
cconsentvisit1
cconsentvisit2
3-26
v3.0.0.0 December 21, 2015
YES_NO_UNK
YES
LEGACY_NDI,
DEATH_DOC
System
System
System
System
System
System
System
System
System
System
System
Retired
Retired
Retired
Retired
Retired
Retired
System
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
city_fips
The FIPS code for the city where the
person died.
FIPS_CITY (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
city_name
The name of the city where the person
died.
FIPS_CITY (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
country_cd
The ISO code for the country where the
person died.
COUNTRY_CODE (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
country_usd
The U.S. Dependency code where the
person died.
COUNTRY_CODE (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
county_fips
The FIPS code for the county where the
person died.
FIPS_COUNTY (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
county_name
The name of the county where the person
died.
FIPS_COUNTY (table)
YES
LEGACY_NDI,
DEATH_DOC
Optional
document_uid
A unique identifier for the Death
Document.
YES
ACRF, PCRF,
DEATH_DOC,
LEGACY_NDI,
LEGACY_ADULT,
LEGACY_PEDIATRIC
System
dod
The person's date of death.
YES
ACRF, PCRF,
DEATH_DOC,
LEGACY_NDI,
LEGACY_ADULT,
LEGACY_PEDIATRIC
Required if person’s
vital status = Dead
place
The type of place where the person died,
such as a residence or hospital.
YES
ACRF, PCRF,
DEATH_DOC,
LEGACY_NDI,
LEGACY_ADULT,
LEGACY_PEDIATRIC
Optional
1 - Hospital, inpatient
2 - Hospital, outpatient or
emergency room
3 - Hospital, dead on arrival
4 - Nursing home or
hospice
5 - Residence
6 - Jail/Adult detention
center
7 - Juvenile detention
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
center
8 - Group/Assisted living
home
9 - Homeless shelter
10 - Homeless, on the
street
11 - Hospital, institution
(HARS)
888 - Other
999 - Unknown
STATE_CODES
state_cd
The postal code for the state where the
person died.
DEATH_DX
descr
A table that maintains information on a person's causes of death.
A phrase or statement describing the
cause of death.
document_uid
A unique identifier for the Death
Document.
icd_cd
The ICD code assigned.
icd_cd_type
line
line_number
nature_of_injury
position
3-28
Transfer
to CDC
Document Source
Required/Optional
YES
ACRF, PCRF,
DEATH_DOC,
LEGACY_NDI,
LEGACY_ADULT,
LEGACY_PEDIATRIC
Required if person’s
vital status = Dead
YES
LEGACY_NDI,
DEATH_DOC
Optional
YES
LEGACY_NDI,
DEATH_DOC
Optional
ICD9, ICD10
YES
LEGACY_NDI,
DEATH_DOC
Optional
The type of ICD code assigned, either ICD
9 (represented by 9) or ICD 10
(represented by 10).
A system generated number for NCHS
electronic data, the line number on the
tape.
A number indicating the sequence of
death causes (00 is first).
9 - ICD-9
10 - ICD-10
YES
LEGACY_NDI,
DEATH_DOC
Optional
1-9
YES
LEGACY_NDI,
DEATH_DOC
Optional
1-6
YES
LEGACY_NDI,
DEATH_DOC
Optional
For NCHS electronic data, the nature of
injury flag (1 represents nature of injury
codes and 0 represents all other cause
codes).
Corresponds to the position of the cause
of death on each line of the death
0,1
YES
LEGACY_NDI,
DEATH_DOC
Optional
YES
LEGACY_NDI,
DEATH_DOC
Optional
v3.0.0.0 December 21, 2015
TABLE NAME
VARIABLES
DOCUMENT
author
author_phone
complete_dt
document_number
document_source_cd
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
certificate (1 if the cause is the first one
listed, 2 if the cause is the second one
listed, and so forth).
A table that maintains information about a document (such as a case report form).
The person who completed the original
form.
The phone number of the person who
completed the original form.
Date the form or document was
completed or populated with information.
For example, when the chart abstraction
was completed.
A field indicating the number of the
document. For example, the certificate
number associated with a birth certificate.
The source code of the document, such as
A01 for Inpatient Record or A02 for
Outpatient Record.
NO
All
Optional
7 or 10 digits
NO
All
Optional
YYYYMMDD
YES
All
Required
NO
All
Optional
YES
All
Required
A01-Inpatient Record
A01.01-Acute Care Facility
A01.01.01-Infection Control
Practitioner
A01.01.02-OBGYN records
A01.01.02.01-Prenatal Care
records
A01.01.02.02-Labor and
Delivery records
A01.01.03-Pediatric records
A01.01.04-Birth records
A01.01.05-All other records
A01.02-Veteran's
Administration
A01.02.01-Infection Control
Practitioner
A01.02.02-All other records
A01.03-Military Hospital
A01.03.01-Infection Control
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Practitioner
A01.03.02-OBGYN Records
A01.03.02.01-Prenatal Care
records
A01.03.02.02-Labor and
Delivery records
A01.03.03-Pediatric
Records
A01.03.04-All Other
Records
A01.04-Long term care
facility
A01.04.01-Nursing home
A01.04.02-Rehabilitation
center
A01.04.03-Drug treatment
program
A01.05-Hospice
A02-Outpatient Record
A02.01-HMO
A02.01.01-Hospitalassociated outpatient clinic
A02.01.02-Non-Hospital
associated outpatient clinic
A02.02-VA OP Clinic
A02.03-Private Physician
A02.03.01-Hospitalassociated outpatient clinic
A02.03.02-Non-Hospital
associated outpatient clinic
A02.04-Adult HIV Clinic
A02.04.01-Hospitalassociated outpatient clinic
A02.04.02-Non-Hospital
associated outpatient clinic
A02.05-Infectious Disease
Clinic
A02.05.01-Hospital-
3-30
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
associated outpatient clinic
A02.05.02-Non-Hospital
associated outpatient clinic
A02.06-County Health
Dept. Clinic
A02.07-Maternal HIV Clinic
A02.07.01-Hospitalassociated outpatient clinic
A02.07.02-Non-Hospital
associated outpatient clinic
A02.08-Prenatal Clinic or
Records
A02.08.01-Hospitalassociated outpatient clinic
A02.08.02-Non-Hospital
associated outpatient clinic
A02.09-Pediatric HIV Clinic
A02.09.01-Hospitalassociated outpatient clinic
A02.09.02-Non-Hospital
associated outpatient clinic
A02.10-Obstetrics and
Gynecology
A02.10.01-Hospitalassociated outpatient clinic
A02.10.02-Non-Hospital
associated outpatient clinic
A02.11-Pediatric Clinic
A02.11.01-Hospitalassociated outpatient clinic
A02.11.02-Non-Hospital
associated outpatient clinic
A02.12-TB Clinic
A02.12.01-Hospitalassociated outpatient clinic
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
A02.12.02-Non-Hospital
associated outpatient clinic
A02.13-HRSA-funded clinic
A02.14-Indian Health
Service clinic
A02.14.01-Hospitalassociated outpatient clinic
A02.14.02-Non-Hospital
associated outpatient clinic
A02.15-Early Intervention
Nurse
A02.15.01-Hospitalassociated outpatient clinic
A02.15.02-Non-Hospital
associated outpatient clinic
A02.16-Visiting Nurse
Service
A02.16.01-Hospitalassociated outpatient clinic
A02.16.02-Non-Hospital
associated outpatient clinic
A02.17-Hemophilia
Treatment Center
A02.17.01-Hospitalassociated outpatient clinic
A02.17.02-Non-Hospital
associated outpatient clinic
A02.18-Hospice
A02.18.01-Hospitalassociated outpatient clinic
A02.18.02-Non-Hospital
associated outpatient clinic
A02.19-Drug Treatment
Center
A02.19.01-Hospitalassociated outpatient clinic
A02.19.02-Non-Hospital
associated outpatient clinic
3-32
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
A02.20-Rehabilitation
Center
A02.20.01-Hospitalassociated outpatient clinic
A02.20.02-Non-Hospital
associated outpatient clinic
A02.25-Other Clinic
A02.25.01-Hospitalassociated outpatient clinic
A02.25.02-Non-Hospital
associated outpatient clinic
A03-Emergency Room
A04-Screening, Diagnosis
and Referral Agencies
A04.01-Blood Bank
A04.02-Drug Treatment
Clinic or Program
A04.03-Family Planning
Clinic
A04.04-HIV Case
Management Agency
A04.05-HIV Counseling and
Testing site
A04.06-Immigration
A04.07-Insurance report
A04.08-Job Corps
A04.09-Military
A04.10-Partner Counseling
and Referral Services
A04.11-STD Clinic
A04.12-Public health notes
A05-Laboratories
A05.01-Hospital laboratory
A05.02-State Laboratory
A05.03-Private Laboratory
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
A05.03.01-Reference
laboratory
A05.03.02-Other
Laboratory
A06-Other Databases of
information
A06.01-AIDS Drug
Assistance Program (ADAP)
A06.02-ASD Database
A06.03-Birth Certificate
A06.04-Birth Defects
Registry
A06.05-Other Cancer
Registry
A06.06-Database provided
by coroner
A06.07-Death Certificate
A06.08-EHRAP Database
A06.09-EPS Database
A06.10-HARS Database
A06.11-Health department
records
A06.12-Hepatitis Registry
A06.13-Hospital billing
summary or discharge
database
A06.14-HRSA HIV CARE
Database
A06.15-Immunization
registry
A06.16-Medicaid Records
A06.17-National Death
Index (NDI) Search
A06.18-Out of State Report
A06.19-Prison, Jail or other
Correctional Facility
A06.20-PSD Database
A06.21-State Disease
3-34
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Registry
A06.22-SHAS Database
A06.23-SHDC Database
A06.24-STD Registry
A06.25-Tuberculosis
Registry
A06.27-Vital Statistics
(state/local)
A06.28-HARS NDI
A06.29-Routine Interstate
Duplicate Resolution (RIDR)
report
A06.30-Social Security
Death Master File (SSDMF)
or Social Security Death
Index (SSDI)
A06.31-Legacy TTH Pretest
A06.32-Legacy TTH Posttest
A06.33-Legacy Consent
A06.34-Medical Monitoring
Project (MMP)
A06.34.01-MMP Medical
Record Abstraction
A06.34.02-MMP Patient
Interview
A06.35-Fetal-Infant
Mortality Review (FIMR)
A06.35.01-FIMR Medical
Record Abstraction
A06.35.02-FIMR Patient
Interview
A06.50-Other Database or
Report
A07-Other Facility Records
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
document_type_cd
A code indicating the type of document,
such as 001 for Adult Case Report Form or
005 for Birth Certificate.
document_uid
ehars_uid
A unique identifier for a document.
A unique identifier for a case or person.
3-36
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
A07.01-Prison, jail, or other
correctional facility
A07.02-Coroner not
associated with inpatient
facility
A10-Other source
A10.01-COPHI Investigation
A10.02-Patient interview
UNK-Unknown
No source defined
000-document.personView
001document.adultCaseReport
Doc
002document.pediatricReportD
oc
003document.harsAdultDoc
004-document.lab
005document.birthCertificateD
oc
006document.deathCertificate
Doc
009document.harsPediatricDoc
010-Supplemental Risk
Form
011-document.harsNdiDoc
012-document.tthDoc
013-document.consent
015-document.starhs
Transfer
to CDC
Document Source
Required/Optional
YES
All
System
YES
YES
All
All
System
System
TABLE NAME
VARIABLES
enter_by
enter_dt
facility_uid
initdocuid
initinvest
modify_dt
notes
provider_uid
pv_categ
pv_hcateg
receive_dt
rep_hlth_dept_cd
DESCRIPTION
The user ID of the person who entered the
information into eHARS, auto-populated
by the application.
The system date when the document was
entered into eHARS.
For case report forms and incidence
documents, indicates the facility
completing the form.
If this document contains follow up
information, this field captures the
document UID of the report that initiated
the investigation.
Did this document initiate a follow-up
investigation?
The date the document was last modified.
Notes or comments regarding the
document.
For case report forms and incidence
documents, indicates the provider
completing the form.
The Person View AIDS category at the time
the document was entered into eHARS.
(Note: This field was retired from usage
as of version 4.0)
The Person View HIV category at the time
the document was entered into the
system. (Note: This field was retired
from usage as of version 4.0)
The date the document was received at
the health department.
The health department reporting this
information to the site. The code consists
of the state abbreviation and either the
three digit FIPS county code (state + fips
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
NO
All
Optional
YYYYMMDD
YES
All
System
FACILITY_CODE (table)
YES
ACRF, PCRF, TTH
Optional - System
YES
All
Required if follow-up
document
YES_NO_UNK
YES
All
Optional
YYYYMMDD
YES
NO
All
All
Optional
Optional
PROVIDER_CODE (table)
NO
ACRF, PCRF, TTH
Optional - System
YES
All
System
YES
All
System
YYYYMMDD
YES
All
Optional
two character state
abbreviation + three digit
FIPS county code or five
digit FIPS place code
YES
All
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
county code), or the five digit FIPS place
code (state + fips place code).
rep_hlth_dept_name
rpt_medium
ship_flag
site_cd
status_flag
surv_method
FACILITY_CODE
city_fips
city_name
country_cd
country_usd
county_fips
3-38
The name of the reporting health
department.
An indication of the medium used to
transport the information to the site, such
as paper form, faxed or diskette, mailed.
YES
All
Required
1 - Paper form, field visit
2 - Paper form, mailed
3 - Paper form, faxed
4 - Telephone
5 - Electronic transfer,
Internet
6 - Diskette, mailed
0-9999
YES
All
Optional
YES
All
System
SITE_CODE
YES
All
System
DOCUMENT_STATUS (nonYES
pv documents),
PERSON_VIEW_STATUS (pv
documents)
A field indicating whether the report was
A - Active
YES
obtained via active or passive surveillance. F - Follow-up
P - Passive
R - Reabstraction
U - Unknown
A table that maintains information for selecting and identifying healthcare facilities.
All
System
All
Required
City FIPS code for the facility's address.
City name associated with the facility's
address.
ISO country code for the facility's address.
U.S. dependency code for the facility's
address, if applicable.
County FIPS code for the facility's address.
A value indicating if the document/Person
View needs to be transferred to state
health department (satellite installations)
or to CDC.
A unique identifier representing the
reporting site or location where eHARS is
installed.
A value indicating the status of the
document or Person View.
v3.0.0.0 December 21, 2015
FIPS_CITY (table)
FIPS_CITY (table)
YES
YES
N/A
N/A
Optional
Optional
COUNTRY_CODE (table)
COUNTRY_CODE (table)
YES
YES
N/A
N/A
Optional
Optional
FIPS_COUNTY (table)
YES
N/A
Optional
TABLE NAME
VARIABLES
county_name
email
facility_type_cd
DESCRIPTION
County name associated with the facility's
address.
The email address of the facility.
A code indicating the type of healthcare
facility.
Valid data element values
(lookup type, reference
table, or actual values)
FIPS_COUNTY (table)
F.OTH-Facility/Other
F.UNK-Facility/Unknown
F01-Inpatient Facility
F01.01-Inpatient
Facility/Hospital
F01.04-Inpatient
Facility/Long Term Care
F01.50-Inpatient
Facility/Drug Treatment
F01.OTH-Inpatient
Facility/Other
F01.UNK -Inpatient
Facility/Unknown
F02-Outpatient Facility
F02.01-Outpatient
Facility/HMO Clinic
F02.03-Outpatient
Facility/Private Physician's
Office
F02.04-Outpatient
Facility/Adult HIV Clinic
F02.05-Outpatient
Facility/Infectious Disease
Clinic
F02.09-Outpatient
Facility/Pediatric HIV
Specialty Clinic
F02.10-Outpatient
Facility/Obstetrics and
Gynecology Clinic
F02.11-Outpatient
Facility/Pediatric Clinic
Transfer
to CDC
Document Source
Required/Optional
YES
N/A
Optional
NO
YES
N/A
N/A
Optional
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
F02.12-Outpatient
Facility/TB Clinic
F02.16-Outpatient
Facility/Home Health
Agency
F02.17-Outpatient
Facility/Hemophilia
Treatment Center
F02.18-Outpatient
Facility/Hospice
F02.19-Outpatient
Facility/Drug Treatment
Center
F02.25-Outpatient
Facility/Other Clinic
F02.50-Outpatient
Facility/ACTG Site
F02.51-Outpatient
Facility/Community Health
Center
F02.52-Outpatient
Facility/Employee Health
Clinic
F02.53-Outpatient
Facility/Health
Department/Public Health
Clinic
F02.54-Outpatient
Facility/Mobile Clinic
F02.55-Outpatient
Facility/Non-mobile Street
Outreach
F02.56-Outpatient
Facility/PACTG Site
F02.57-Outpatient
Facility/Primary Care Clinic,
Not Specified
F02.58-Outpatient
3-40
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
Facility/School or University
Clinic
F02.OTH-Outpatient
Facility/Other
F02.UNK -Outpatient
Facility/Unknown
F03-Emergency Room
F04-Screening, Diagnostic,
Referral Agency (S,D,R)
F04.01-(S,D,R) Blood Bank
or Plasma Center
F04.02-(S,D,R) Drug
Treatment Center
F04.03-(S,D,R) Family
Planning Clinic
F04.04-(S,D,R) HIV Case
Management Agency
F04.05-(S,D,R) HIV
Counseling and Testing Site
F04.07-(S,D,R) Insurance
Screening
F04.11-(S,D,R) STD Clinic
F04.OTH-(S,D,R) Other
F04.UNK -(S,D,R) Unknown
F05-Laboratory
F07-Other Specific Facility
F07.01-Other Specific
Facility/Correctional Facility
F07.02-Other Specific
Facility/Coroner or Medical
Examiner
facility_uid
fax
funding_cd
A unique identifier for a healthcare
facility.
The fax number of the facility.
A code that indicates the type of HRSA
FUNDING_CD
YES
N/A
System
NO
YES
N/A
N/A
Optional
Optional
TABLE NAME
VARIABLES
funding_flag
name1
name2
phone
setting_cd
ship_flag
state_cd
street_address1
street_address2
zip_cd
FACILITY_EVENT
DESCRIPTION
funding a facility receives.
Does the facility receive HRSA funding?
Primary name of the facility.
Secondary or alternative name of the
facility.
Phone number of the facility.
A code identifying the setting of the
facility, such as Federal, VA.
YES_NO
1-Public, unspecified
2-Federal, VA
3-Federal, IHS
4-Federal, military
5-Federal, corrections
6-Federal,
other/unspecified
7-State
8-County/Parish
9-City/Town/Township
10-Private
999-Unknown
0 = Do not ship, 1 = Ship to
CDC
Transfer
to CDC
Document Source
Required/Optional
YES
YES
YES
N/A
N/A
N/A
Optional
Optional
Optional
NO
YES
N/A
N/A
Optional
Optional
A field used by the application to
NO
N/A
Optional
determine if the information for this
facility needs to be transferred to CDC.
State postal code of the facility's address.
STATE_CODES
YES
N/A
Optional
Facility’s primary street address.
NO
N/A
Optional
Facility’s secondary street address.
NO
N/A
Optional
Zip code for the facility's address.
ZIP_CITY (table)
YES
N/A
Optional
A table that maintains information pertaining to a person's events that involve a facility, such as facility at birth or facility at HIV
diagnosis.
doc_belongs_to
Indicates if the facility event data (such as
facility at HIV dx or facility at birth) belong
to PERSON or CHILDn.
document_uid
A unique identifier for a document.
3-42
Valid data element values
(lookup type, reference
table, or actual values)
v3.0.0.0 December 21, 2015
PERSON, MOTHER, CHILD
YES
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
Optional
YES
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
System
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
event_cd
A code that indicates the type of event
that occurred.
facility_uid
The unique identifier of the facility
associated with this event.
provider_uid
The unique identifier of the provider
associated with this event.
ID
doc_belongs_to
A table that maintains information on a person's identifiers.
Indicates who the identifier belongs to:
PERSON, MOTHER, CHILDn
PERSON, MOTHER, or CHILDn.
document_uid
id_cd
A unique identifier for a document.
Code that indicates the type of identifier
assigned to a person.
id_seq
Sequence identifier for a person's
identification codes. A person can have
multiple identification code types
(id_cd_type) on the Person View
document only.
The value of the person's identifier.
id_value
Transfer
to CDC
Document Source
Required/Optional
01 - Facility of HIV diagnosis
02 - Facility of AIDS
diagnosis
03 - Facility of perinatal
exposure
05 - Hospital of birth
07 - Facility where child was
transferred within 24 hours
of delivery
FACILITY_CODE (table)
YES
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
Optional
YES
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
Optional - System
PROVIDER_CODE (table)
NO
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
Optional - System
YES
System
ID_CODE
YES
YES
ACRF,
LEGACY_ADULT,
PCRF,
LEGACY_PEDIATRIC,
BC
All
All
1-99999999
YES
All
System
Refer to ID_CODE table
for requirements for
each variable
System
YES
All
Refer to ID_CODE table
TABLE NAME
VARIABLES
ID_CODE
001
003
004
005
006
007
008
009
010
011
012
013
015
016
017
019
020
021
022
023
024
025
026
027
028
029
030
031
3-44
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
for valid data element
values for each variable
A table that contains all distinct ID.id_cd values and associated descriptions, including any locally-defined ID types.
*Required for the stateno associated with the state of report and the cityno associated with the applicable city of report.
FL STATENO
YES
All
Optional*
HRSA URN
NO
All
Optional
Medicaid Number
NO
All
Optional
GA STATENO
YES
All
Optional*
PA STATENO
YES
All
Optional*
Ryan White Number
NO
All
Optional
AIDS Drug Assistance Program (ADAP)
NO
All
Optional
Number
STD*MIS Number
YES
All
Optional
Prison Number
NO
All
Optional
RVCT (TB) Number
YES
All
Optional
Social Security Number (SSN)
NO
All
Optional
Social Security Number Alias
NO
All
Optional
CA Non-named Code (reported)
NO
All
Optional
CA Non-named Code (verified)
NO
All
Optional
CT Coded Identifier (reported)
NO
All
Optional
DC Unique Id (reported)
NO
All
Optional
DC Unique Id (verified)
NO
All
Optional
DE Coded Identifier (reported)
NO
All
Optional
DE Coded Identifier (verified)
NO
All
Optional
HI Unnamed Test Code (reported)
NO
All
Optional
HI Unnamed Test code (verified)
NO
All
Optional
IL Patient Code Number (reported)
NO
All
Optional
IL Patient Code Number (verified)
NO
All
Optional
Philadelphia, PA Unique Code (reported)
NO
All
Optional
Philadelphia, PA Unique Code (verified)
NO
All
Optional
MA Coded Identifier (reported)
NO
All
Optional
MA Coded Identifier (verified)
NO
All
Optional
MD Unique Identifier (reported)
NO
All
Optional
v3.0.0.0 December 21, 2015
TABLE NAME
VARIABLES
032
033
034
035
036
037
038
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
059
067
069
070
071
072
073
DESCRIPTION
MD Unique Identifier (verified)
ME Coded Identifier (reported)
ME Coded Identifier (verified)
MT Coded Identifier (reported)
MT Coded Identifier (verified)
OR Coded Identifier (reported)
OR Coded Identifier (verified)
RI Coded Identifier (reported)
RI Coded Identifier (verified)
VT Non-named Code (reported)
VT Non-named Code (verified)
WA Non-named Coded Id (reported)
WA Non-named Coded Id (verified)
PATNO (HARS)
HIVNO (HARS)
Medical Record Number (MEDRECNO)
TX STATENO
Houston, TX CITYNO
LA STATENO
WA STATENO
MI STATENO
AL STATENO
NJ STATENO
Counseling and Testing
WA Non-named Code (generated)
DC Unique Id (generated)
DE Coded Identifier (generated)
HI Unnamed Test Code (generated)
IL Patient Code Number (generated)
Philadelphia, PA Unique Code (generated)
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
YES
YES
NO
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
Document Source
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
Required/Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional
Optional
Optional
Optional
Optional
Optional
Optional
TABLE NAME
VARIABLES
074
075
076
077
078
079
080
081
082
083
084
086
090
092
094
096
098
100
102
104
106
108
112
114
132
133
134
135
136
137
138
3-46
DESCRIPTION
MA Coded Identifier (generated)
MD Unique Identifier (generated)
ME Coded Identifier (generated)
MT Coded Identifier (generated)
OR Coded Identifier (generated)
PR Coded Identifier (retired)
VT Non-named Code (generated)
CA Non-named Code (generated)
CT Coded Identifier (generated)
RI Coded Identifier (generated)
WA Non-named Code Alias (reported)
CA Non-named Code Alias (reported)
DC Unique Id Alias (reported)
DE Coded Identifier Alias (reported)
HI Unnamed Test Code Alias (reported)
IL Patient Code Number Alias (reported)
Philadelphia, PA Unique Code Alias
(reported)
MA Coded Identifier Alias (reported)
MD Unique Identifier Alias (reported)
ME Coded Identifier Alias (reported)
MT Coded Identifier Alias (reported)
OR Coded Identifier Alias (reported)
RI Coded Identifier Alias (reported)
VT Non-named Code Alias (reported)
UCSF Patient Identifier
Reporting Health Department Number
(generic cityno)
AK STATENO
AZ STATENO
AR STATENO
CA STATENO
CO STATENO
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
NO
NO
NO
NO
NO
NO
NO
NO
YES
All
All
All
All
All
All
All
All
All
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
YES
YES
YES
YES
YES
All
All
All
All
All
Optional*
Optional*
Optional*
Optional*
Optional*
TABLE NAME
VARIABLES
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
DESCRIPTION
CT STATENO
DE STATENO
HI STATENO
ID STATENO
IL STATENO
IN STATENO
IA STATENO
KS STATENO
KY STATENO
ME STATENO
MD STATENO
MA STATENO
MN STATENO
MS STATENO
MO STATENO
MT STATENO
NE STATENO
UT STATENO
VT STATENO
VA STATENO
WV STATENO
WI STATENO
WY STATENO
NV STATENO
NH STATENO
NM STATENO
NY STATENO
NC STATENO
ND STATENO
OH STATENO
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Document Source
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
Required/Optional
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
195
196
197
198
199
LAB
OK STATENO
YES
OR STATENO
YES
RI STATENO
YES
SC STATENO
YES
SD STATENO
YES
TN STATENO
YES
New York, NY CITYNO
YES
American Samoa STATENO
YES
Mariana Islands STATENO
YES
DC STATENO
YES
Guam STATENO
YES
Puerto Rico STATENO
YES
Virgin Islands STATENO
YES
San Francisco, CA CITYNO
YES
Los Angeles, CA CITYNO
YES
Chicago, IL CITYNO
YES
Philadelphia, PA CITYNO
YES
PATNO (ASD)
YES
INS Number
NO
KY Unique Code Alias (Retired)
NO
Tracking ID
NO
Generic ID
NO
PEMS Client Unique Key
NO
PEMS Local Client Key
NO
PEMS Form ID
NO
Palau STATENO
YES
Marshall Islands STATENO
YES
MMP PARID
YES
FIMR ID
YES
Federated States of Micronesia STATENO
YES
A table that maintains information on a person's diagnostic tests and STARHS results.
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
All
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional*
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional
Optional*
accession_number
An identifier assigned by the lab to a
specimen when received; acts as a
LAB_DOC
Optional
3-48
v3.0.0.0 December 21, 2015
NO
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
tracking mechanism for the specimen.
case_cd
For application use, a code associating a
diagnostic test with the HIV/AIDS case
definition algorithm.
LAB_TEST_CODE (table)
YES
clia_uid
The CLIA provider number of the
laboratory that performed the test.
Notes or comments regarding a lab test
entered by a user. These values are
transferred to CDC.
A unique identifier for a document.
CLIA_CODE (table)
The unique identifier of the facility that
ordered the test.
Sequence identifier for a person's
laboratory results.
FACILITY_CODE (table)
lab_test_cd
The eHARS defined codes to identify lab
tests
LAB_TEST_CODE (table)
YES
lab_test_type
The type of lab test.
YES
manufacturer
The manufacturer of the test (applicable
to viral load tests only)
RAPID_TEST_TYPE
(As of version 4.0 the
values below have been
retired from usage.)
TYPE_OF_KIT
TYPE_OF_KIT_STARHS
TYPE_OF_KIT_VL
01-Bayer Diagnostics
02-Organon Teknika
comments
document_uid
facility_uid
lab_seq
System
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
LAB_DOC
YES
LAB_DOC
Optional
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
LAB_DOC
System
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
System
ACRF, PCRF,
LAB_DOC,
Optional
YES
YES
YES
Optional
Optional - System
Required
Required if the test is
rapid
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
03-Roche Molecular
Systems Inc.
04-Abbott Laboratories
05-ABBOTT Molecular Inc.
06-Alere
07-Avioq Inc.
08-BioLife Plasma Services
09-bioLytical Laboratories
Inc.
10-Bio-Rad Laboratories
11-Celera Diagnostics
12-Chembio Diagnostic
Systems Inc.
13-Gen-Probe Inc.
14-Home Access Health
Corp.
15-Maxim Biomedical Inc.
16-MedMira Laboratories
Inc.
17-National Genetics
Institute
18-OraSure Technologies
19-Ortho-Clinical
Diagnostics Inc.
21-Sanochemia
Pharmazeutika AG
22-Siemens Healthcare
Diagnostics Inc.
23-Trinity Biotech
24-Becton Dickinson
25-Beckman Coulter
26-Cytognos
27-Guava Technologies
28-Partec
29-Invitrogen/Dynal
biotech
30-PointCare technologies
31-Sysmex
3-50
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
LEGACY_ADULT,
LEGACY_PEDIATRIC
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
32-i+MED Laboratories Co.
Ltd.
33-Visible Genetics
34-Applied Biosystems
35-Virco
36-bioMerieux, Inc
37-Siemens Medical
Solutions Diagnostics
38-Chiron Corporation
40-Streck
88-Other
99-Unknown
PROVIDER_CODE (table)
NO
provider_uid
The unique identifier of the provider who
ordered the test.
receive_dt
The date the lab that performed the test
received the specimen from either a
healthcare provider or another laboratory.
YYYYMMDD
YES
result
The result value including the optical
density for STARHS.
LAB_RESULT_VALUE (but
depends upon the test)
YES
result_interpretation
An interpretation of the lab result. For
viral load tests, values include: within
range =, below range (limit) <, above
range (limit) >. For STARHS tests the
STARHS_RESULT values as found in
LOOKUP_CODE table.
YES
result_range_lower
The lower boundary reference range or
detection limit for viral load.
RESULT_INTERPRETATION For viral load tests
STARHS_RESULT - For
STARHS tests
Old HARS value "I"
(indeterminate) [viewable
only]
0-999.999,999
YES
Document Source
Required/Optional
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
Optional-System
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
Optional
Optional
Required when entering
a lab test
For HIS: required for
valid STARHS result
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
result_range_upper
The upper boundary reference range or
detection limit for viral load.
0-999.999,999
YES
result_rpt_dt
The date the test result was reported or
processed at the lab.
YYYYMMDD
YES
result_units
The reported units.
RESULT_UNITS_CD4,
RESULT_UNITS
YES
sample_dt
The date the specimen was collected.
YYYYMMDD
YES
sample_id
A unique identifier used to distinguish
samples; may be specimen number or ID.
The type of specimen collected.
specimen
BLD - Blood
OTH - Other
SAL - Saliva
UNK - Unknown
URN - Urine
1 - Quantity not sufficient
2 - Specimen never
received at public lab
3 - Specimen broke in
transit
4 - Other
5 - Not sufficient antibodies
Optional
NO
YES
LAB_DOC
Optional
YES
LAB_DOC
Optional
YES
LAB_DOC
If lab_test_cd=EC-023,
EC-024, EC-025, EC-026,
or EC-027 then this
variable is REQUIRED for
HIS
ACRF, PCRF, LAB_DOC
System
The reason the STARHS specimen was not
sent for testing.
starhs_sample_id
If this is a confirmatory test aliquoted for
STARHS, the STARHS specimen ID.
LAB_GENOTYPE
document_uid
A table that contains the gene sequence from a person's genotype diagnostic test.
A unique identifier for a document.
YES
v3.0.0.0 December 21, 2015
Required/Optional
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
LAB_DOC
sreason
3-52
Document Source
Optional
Required when entering
a CD4 test
Required when entering
a lab test
Optional
TABLE NAME
VARIABLES
genotype_sequence
lab_seq
OBSERVATION
document_uid
obs_uid
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
YES
ACRF, PCRF, LAB_DOC
Required if MHS
YES
ACRF, PCRF, LAB_DOC
System
YES
All
System
YES
All
YES
All
Refer to
OBSERVATION_CODE
table for requirements
for each variable
Refer to
OBSERVATION_CODE
table for valid data
element values for each
variable
YES
YES
YES
All
All
All
Optional
Legacy HARS
Legacy HARS
YES
All
Legacy HARS
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Required if laboratory
test not documented
YYYYMMDD
YES
All
Required if laboratory
test not documented
and physician diagnosis
The genotype sequence result from a
GENE_VALIDATION
genotype diagnostic test.
Sequence identifier for a person's
laboratory results.
A table that maintains information on a person’s observations.
An internal unique identifier for a
document. For person-based local fields,
the ehars_uid is stored in this field. For
document-based local fields, the
document_uid is stored in this field.
An internal unique identifier for an
OBSERVATION_CODE
observation.
(table)
obs_value
The value for the observed object.
OBSERVATION_CODE
A table that contains all distinct obs_value and associated descriptions.
1
2
3
Report status
HARS Legacy - Laboratory name
HARS Legacy - Other facility type at HIV
diagnosis (specify)
HARS Legacy - Has patient received a
physical exam for this condition?
HARS Legacy - Other facility type at
perinatal exposure (specify)
If HIV laboratory tests were not
documented, is HIV diagnosis documented
by a physician?
Date patient was confirmed by a physician
as HIV infected
4
5
6
7
YES_NO_UNK
Required/Optional
TABLE NAME
VARIABLES
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
3-54
DESCRIPTION
Entered age at HIV diagnosis (years)
Entered age at AIDS diagnosis (years)
Clinical record reviewed
Date patient was diagnosed as
asymptomatic
Date patient was diagnosed as
symptomatic
HARS Legacy - Other facility type at AIDS
diagnosis (specify)
Has patient been informed of his/her HIV
infection?
By whom patient's partners will be
notified and counseled about their HIV
exposure
Is patient receiving or has patient been
referred for medical services?
Is patient receiving or has patient been
referred for substance abuse treatment
services?
HARS Legacy - Follow up date
HARS Legacy - Follow up status of patient
HARS Legacy - Laboratory ID number
HARS Legacy - Did patient have
heterosexual relations with a person born
outside of the U.S.?
HARS Legacy - Country of person with
whom patient had heterosexual relations
Patient is receiving or has been referred
for OB-GYN services
Is patient currently pregnant?
Has patient delivered live-born infant?
HARS Legacy - Has child's mother had sex
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YES_NO
YYYYMMDD
YES
YES
YES
YES
All
All
All
All
Optional
Optional
Optional
Optional
YYYYMMDD
YES
All
Optional
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Optional
PATIENT_NOTIFIER
YES
All
Optional
YES_NO_UNK
YES
All
Optional
YES_NO_NA_UNK
YES
All
Optional
YES
YES
All
All
Legacy HARS
Legacy HARS
YES_NO_UNK
YES
YES
All
All
Legacy HARS
Legacy HARS
See HARS country codes
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Optional
YES_NO_UNK
YES_NO_UNK
YES_NO_UNK
YES
YES
YES
All
All
All
Required
Optional
Legacy HARS
1=Active follow-up
2=Moved from state
3=Provider out of state
4=Lost to follow-up
9=Unknown
TABLE NAME
VARIABLES
27
28
29
31
32
33
34
35
39
40
41
42
43
44
45
46
DESCRIPTION
with a man born outside of the U.S.?
HARS Legacy - Is patient receiving HIV
prophylactic therapy?
HARS Legacy - Has patient been referred
for treatment?
HARS Legacy - Country of man with whom
child's mother had sex
HARS Legacy - Method of partner
notification
HARS Legacy - Source of AIDS report
HARS Legacy - Source of HIV report
HARS Legacy - Source of AIDS report
(specify)
HARS Legacy - Source of HIV report
(specify)
Date of last medical evaluation
Date of initial evaluation for HIV infection
Was reason for initial HIV evaluation due
to clinical signs/symptoms?
Date of mother's first HIV positive test
Was mother counseled about HIV testing
during this pregnancy, labor, or delivery?
eHARS Retired –– If HIV tests were not
positive or were not done, does this
patient have an immunodeficiency that
would disqualify him/her from AIDS case
definition?
Is patient confirmed by a physician as not
HIV infected?
Date patient confirmed by physician as
not HIV infected
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YES_NO_UNK
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
See HARS country codes
YES
All
Legacy HARS
1=Patient referred
2=Health department
referred
8=Other provider
LEGACY_SOURCE
LEGACY_SOURCE
YES
All
Legacy HARS
YES
YES
YES
All
All
All
Legacy HARS
Legacy HARS
Legacy HARS
YES
All
Legacy HARS
YYYYMMDD
YYYYMMDD
YES_NO_UNK
YES
YES
YES
All
All
All
Optional
Optional
Optional
YES_NO_UNK
YES_NO_UNK
YES
YES
All
All
Optional
Optional
YES_NO_UNK
YES
All
Optional
YES_NO_UNK
YES
All
Optional
YYYYMMDD
YES
All
Optional
TABLE NAME
VARIABLES
DESCRIPTION
47
48
Is child's birth history available?
Entered diagnostic status at report
58
HARS Legacy - Mother's type of
coagulation disorder
74
HARS Legacy - Was mother diagnosed with
HIV/AIDS?
HARS Legacy - Was mother diagnosed with
HIV/AIDS prior to child's birth?
Has child received neonatal zidovudine?
Date neonatal zidovudine started
Has child received other neonatal antiretroviral therapy?
Date other neonatal anti-retroviral
therapy started
Type of other neonatal anti-retroviral
therapy (specify)
Has patient received anti-retroviral
therapy?
Date child's anti-retroviral therapy started
Has patient received PCP prophylaxis?
Date PCP prophylaxis started
Is patient enrolled in government/other
clinical trial?
Is patient enrolled at clinic?
HARS Legacy - Primary source of
reimbursement for medical treatment
75
76
77
78
79
80
81
82
83
84
86
87
88
3-56
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YES_NO_UNK
1 - Adult HIV
2 - Adult AIDS
3 - Perinatal HIV exposure
4 - Pediatric HIV
5 - Pediatric AIDS
6 - Pediatric seroreverter
9 - Unknown
1=Hemophilia A
2=Hemophilia B
8=Other disorder
YES_NO_UNK
YES
YES
All
All
Optional
Optional
YES
All
Legacy HARS
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
YES_NO_UNK
YES_NO_UNK
YES_NO_UNK
YES
YES
YES
All
All
All
Optional
Optional
Optional
YYYYMMDD
YES
All
Optional
DRUG
YES
All
Optional
YES_NO_UNK
YES
All
Optional
YES_NO_UNK
YYYYMMDD
PATIENT_ENROLLED_TRIAL
YES
YES
YES
YES
All
All
All
All
Optional
Optional
Optional
Optional
YES
YES
All
All
Optional
Legacy HARS
PATIENT_ENROLLED_CLINIC
1=Medicaid
2=Private coverage
3=No coverage
4=Other public fund
7=Government program
9=Unknown
TABLE NAME
VARIABLES
DESCRIPTION
89
Child's primary caretaker
90
HARS Legacy - For pediatric presumptive
AIDS before 10/94, was lymphocyte count
low (< 1000 ul)?
HARS Legacy - For pediatric presumptive
AIDS before 10/94, was CD4/CD8 ratio low
(< 1000 ul)?
HARS Legacy - For pediatric presumptive
AIDS before 10/94, total serum
immunoglobulins category
91
92
93
94
95
96
99
100
HARS Legacy - For pediatric presumptive
AIDS before 10/94, highest total serum
immunoglobulins value (mg/dl)
HARS Legacy - For pediatric presumptive
AIDS before 10/94, date of highest total
serum immunoglobulins
HARS Legacy - Was mother known to be
uninfected after child's birth?
HARS Legacy - Scheduled follow-up: TB
update
HARS Legacy - Scheduled follow-up:
heterosexual case update
HARS Legacy - Father's birth place
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
1 - Biological parent(s)
2 - Other relative
3 - Foster/Adoptive parent,
relative
4 - Foster/Adoptive parent,
unrelated
7 - Social service agency
8 - Other (please specify in
comments)
9 - Unknown
YES_NO_UNK
YES
All
Optional
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
1=<1500 mg/dl
2=1500-2500
3=>2500 mg/dl
9=Unknown
YES
All
Legacy HARS
YES
All
Legacy HARS
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
range: 0-9, A-Z
YES
All
Legacy HARS
range: 0-9, A-Z
YES
All
Legacy HARS
1=US
7=US possession
8=Other
YES
All
Legacy HARS
TABLE NAME
VARIABLES
101
102
114
115
116
DESCRIPTION
HARS Legacy - Father's country of birth
HARS Legacy - Father's U.S. dependency of
birth
Entered age at HIV diagnosis (months)
Entered age at AIDS diagnosis (months)
HARS Legacy - Clinical status assessed
within one month of initial report
118
HARS Legacy - NDI match category
128
HARS Legacy - Scheduled follow-up:
immunologic case update
HARS Legacy - Physician name
HARS Legacy - Patient name
HARS Legacy - Comments from ARS
HARS Legacy - Was this child referred?
138
139
179
180
181
182
183
184
186
187
189
3-58
HARS Legacy - Comment line 1
HARS Legacy - Comment line 2
HARS Legacy - Comment line 3
HARS Legacy - Comment line 4
HARS Legacy - Date initial AIDS form
completed
HARS Legacy - State GSA geographic code
of current residence
HARS Legacy - Form (Adult of Pediatric)
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
9=Unknown
See HARS country codes
See HARS US dependency
codes
Transfer
to CDC
Document Source
Required/Optional
YES
YES
All
All
Legacy HARS
Legacy HARS
YES
YES
YES
All
All
All
Optional
Optional
Legacy HARS
YES
All
Legacy HARS
YES
All
Legacy HARS
YES
YES
YES
YES
All
All
All
All
Legacy HARS
Legacy HARS
Legacy HARS
Legacy HARS
YYYYMMDD
YES
YES
YES
YES
YES
All
All
All
All
All
Legacy HARS
Legacy HARS
Legacy HARS
Legacy HARS
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
A=Adult
P=Pediatric
YES
All
Legacy HARS
1=Asymptomatic
2=Symptomatic for
HIV/AIDS
1=Death not previously
known
2=Death previously known;
certificate identified by NDI
3=Death and certificate
previously identified
range: 0-9, A-Z
1=Yes, by health dept.
2=Yes, by health
care/provider
3=No, family refused
4=No
9=Unknown
TABLE NAME
VARIABLES
190
192
194
196
197
198
199
200
202
204
205
206
207
208
DESCRIPTION
HARS Legacy - Date initial HIV form
completed
HARS Legacy - Date of HIV diagnosis
reported at facility
HARS Legacy - Date of AIDS diagnosis
reported at facility
HARS Legacy - State GSA geographic code
of residence at HIV diagnosis
HARS Legacy - State GSA geographic code
of facility at HIV diagnosis
HARS Legacy - Has child received IVIG
therapy?
HARS Legacy - Mother received blood
products
HARS Legacy - Date of perinatal HIV
exposure reported at facility
HARS Legacy - State GSA geographic code
of facility at perinatal HIV exposure
HARS Legacy - State GSA geographic code
of residence at AIDS diagnosis
HARS Legacy - Record shipment to CDC
indicator
HARS Legacy - State GSA geographic code
of facility at AIDS diagnosis
HARS Legacy - State GSA geographic code
of reporting state
HARS Legacy - Record status
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
YYYYMMDD
YES
All
Legacy HARS
YYYYMMDD
YES
All
Legacy HARS
YYYYMMDD
YES
All
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
YES_NO_UNK
YES
All
Legacy HARS
YYYYMMDD
YES
All
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
N=No
Y, 2, ….=Yes
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
YES
All
Legacy HARS
(FIPS_CITY.state_fips)
YES
All
Legacy HARS
A - Active record
B - Deleted record
E - Fields in error
F - Deleted with fields in
error
R – Required fields missing
S – Deleted with reqd fields
missing
YES
All
Legacy HARS
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
V - Pending verification
W - Deleted before verified
X – Reuse record in
Database
Z – ID number change
210
211
212
220
221
3-60
HARS Legacy - Physician phone
HARS Legacy - Reporting state
HARS Legacy - Mother receive any other
anti-retroviral medication during
pregnancy (specify)
Primary source of reimbursement for
medical treatment at time of AIDS
diagnosis
Primary source of reimbursement for
medical treatment at time of HIV
diagnosis
v3.0.0.0 December 21, 2015
(FIPS_CITY.state_cd)
01 - CHAMPUS/TRICARE
02 - CHIP
03 - Medicaid
04 - Medicaid, pending
05 - Medicare
06 - Other public funding
07 - Private insurance,
HMO
08 - Private insurance, PPO
09 - Private insurance,
unspecified
10 - Self insured
11 - State funded, COBRA
12 - State funded, other
13 - State funded,
unspecified
14 - VA
18 - No health insurance
88 - Other
99 - Unknown
01 - CHAMPUS/TRICARE
02 - CHIP
03 - Medicaid
04 - Medicaid, pending
05 - Medicare
06 - Other public funding
07 - Private insurance,
HMO
YES
YES
YES
All
All
All
Legacy HARS
Legacy HARS
Legacy HARS
YES
All
Optional
YES
All
Optional
TABLE NAME
VARIABLES
222
223
OI
document_uid
dx
dx_dt
oi_cd
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
08 - Private insurance, PPO
09 - Private insurance,
unspecified
10 - Self insured
11 - State funded, COBRA
12 - State funded, other
13 - State funded,
unspecified
14 - VA
18 - No health insurance
88 - Other
99 - Unknown
YES_NO_UNK
Transfer
to CDC
Document Source
Did the documented laboratory test
YES
All
results meet approved alternate HIV
testing algorithm criteria?
Specimen collection date of earliest
YYYYMMDD
YES
All
positive test for the approved alternative
HIV testing algorithm
A table that maintains information on a person's opportunistic infections (diseases indicative of AIDS).
A unique identifier for a document.
YES
All
A code indicating if the diagnosis was
DEF_PRE
YES
ACRF, PCRF,
presumptive or definitive.
LEGACY_ADULT,
LEGACY_PEDIATRIC
The date the AIDS defining condition was
YYYYMMDD
YES
ACRF, PCRF,
diagnosed.
LEGACY_ADULT,
LEGACY_PEDIATRIC
A code indicating a person's AIDS defining AD01 - Bacterial infection,
YES
ACRF, PCRF,
conditions.
multiple or recurrent
LEGACY_ADULT,
(including Salmonella
LEGACY_PEDIATRIC
septicemia)
AD02 - Candidiasis, bronchi,
trachea, or lungs
AD03 - Candidiasis,
esophageal
AD04 - Carcinoma, invasive
Required/Optional
Required if laboratory
tests meet approved
alternative algorithm
Required if laboratory
tests meet approved
alternative algorithm
System
Optional
Optional
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
cervical
AD05 - Coccidioidomycosis,
disseminated or
extrapulmonary
AD06 - Cryptococcosis,
extrapulmonary
AD07 - Cryptosporidiosis,
chronic intestinal (>1 mo.
duration)
AD08 - Cytomegalovirus
disease (other than in liver,
spleen, or nodes)
AD09 - Cytomegalovirus
retinitis (with loss of vision)
AD10 - HIV encephalopathy
AD11 - Herpes simplex:
chronic ulcer(s) (>1 mo.
duration) or bronchitis,
pneumonitis, or esophagitis
AD12 - Histoplasmosis,
disseminated or
extrapulmonary
AD13 - Isosporiasis, chronic
intestinal (> 1 mo. duration)
AD14 - Kaposi's sarcoma
AD15 - Lymphoid interstitial
pneumonia and/or
pulmonary lymphoid
AD16 - Lymphoma, Burkitts
(or equivalent term)
AD17 - Lymphoma,
immunoblastic (or
equivalent term)
AD18 - Lymphoma, primary
in brain
AD19 - Mycobacterium
avium complex or M.
kansasii, disseminated or
3-62
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
extrapulmonary
AD20 - M. tuberculosis,
pulmonary
AD21 - M. tuberculosis,
disseminated or
extrapulmonary
AD22 - Mycobacterium, of
other species or
unidentified species,
disseminated or
extrapulmonary
AD23 - Pneumocystis carinii
pneumonia
AD24 - Pneumonia,
recurrent, in 12 mo. period
AD25 - Progressive
multifocal
leukoencephalopathy
AD26 - Salmonella
septicemia, recurrent
AD27 - Toxoplasmosis of
brain, onset at >1 mo. of
age
AD28 - Wasting syndrome
due to HIV
0-99,999,999
oi_seq
Sequence identifier for a person's AIDS
defining conditions.
PERSON
A table that maintains demographic information about a person.
birth_country_cd
A code indicating the country of birth.
COUNTRY_CODE (table)
Transfer
to CDC
Document Source
Required/Optional
YES
ACRF, PCRF,
LEGACY_ADULT,
LEGACY_PEDIATRIC
System
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
birth_country_usd
A code indicating the specific U.S.
dependency of birth.
COUNTRY_CODE (table)
YES
birth_sex
The person's biological sex at birth, as
noted on the birth certificate.
current_gender
The person's current gender or
psychosocial construct that most people
use to classify a person as male, female,
both, or neither. When eHARS is first
installed and configured, the state
determines whether or not this field is
displayed.
current_sex
Physiological anatomy and biology that
determines if someone is male, female, or
intersexed. At installation, the state
determines whether or not this field is
displayed.
The first known date of birth.
The second known or alias date of birth.
F - Female
M - Male
U - Unknown
F - Female
FM - Transgender-Female
to Male
U - Unknown
M - Male
MF - Transgender-Male to
Female
AD - Additional Gender
Identity
F - Female
I - Intersexed
M - Male
dob
dob_alias
doc_belongs_to
Indicates if the demographics data belong
to PERSON, MOTHER, FATHER, or CHILDn.
document_uid
education
A unique identifier for a document.
The level of education (optional field).
3-64
v3.0.0.0 December 21, 2015
Document Source
Required/Optional
Optional
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
TTH
All
YES
All except BC
Optional
YES
All except BC
Retired
YYYYMMDD
YYYYMMDD
YES
YES
Required
Optional
PERSON, MOTHER, FATHER,
CHILDn
YES
All
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, TTH
All
All except BC
1 - 8th grade or less
2 - Some high school
3 - High school graduate,
GED or equivalent
4 - Some college
YES
NO
Required
System
System
Optional
TABLE NAME
VARIABLES
ethnicity1
ethnicity2
hars_race
hars_xrace
hcw
hcw_occup
marital_status
DESCRIPTION
Indicates if the person is of Hispanic or
Latino origin. A person of Cuban, Mexican,
Puerto Rican, South or Central American,
or other Spanish culture or origin,
regardless of race.
Indicates if the person is of Hispanic or
Latino origin. A person of Cuban, Mexican,
Puerto Rican, South or Central American,
or other Spanish culture or origin,
regardless of race.
For legacy HARS data, a read-only field
indicating the person's race code entered
in HARS previous to v6.0 (prior to
implementation of Revisions to the
Standards for the Classification of Federal
Data on Race and Ethnicity
[http://www.whitehouse.gov/omb/fedreg
/ombdir15.html]).
HARS expanded race.
Is this person a healthcare worker?
(optional field)
Occupation, if healthcare worker (optional
field).
The person's marital status.
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
5 - College degree
6 - Post-graduate work
7 - Some school, level
unknown
9 - Unknown
ETHNICITY
YES
All
Required
ETHNICITY
YES
All
Optional
1-White, not Hispanic
2-Black, not Hispanic
3-Hispanic
4-Asian/Pacific Islander
5-American Indian/Alaska
Native
9-Unknown
YES
LEGACY_ADULT,
LEGACY_PEDIATRIC
Legacy HARS
HARS_XRACE
YES
LEGACY_ADULT,
LEGACY_PEDIATRIC
Legacy HARS
YES_NO_UNK
YES
ACRF
Optional
OCCUPATION
YES
ACRF
Optional
A - Married and separated
D - Divorced
M - Married
N - Not otherwise specified
O - Other
NO
All
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
S - Single and never married
U - Unknown
W - Widowed
RACE
RACE
RACE
RACE
RACE
1 - Alive
2 - Dead
9 - Unknown
Transfer
to CDC
race1
race2
race3
race4
race5
vital_status
Indicates the person’s race.
Indicates the person’s race.
Indicates the person’s race.
Indicates the person’s race.
Indicates the person’s race.
Indicates vital status at time form was
completed—alive, dead, or unknown.
PERSON_NAME
doc_belongs_to
document_uid
A table that maintains information on a person’s names and Soundex codes.
Indicates if the name belongs to PERSON,
PERSON, MOTHER, CHILDn
YES
MOTHER, or CHILDn.
A unique identifier for a document.
YES
first_name
The person's first name.
first_name_sndx
Required/Optional
All
All
All
All
All
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Required
Required
Required
Required
Required
Required
All
System
All
System
NO
All
Optional
NO
All
System
NO
All
Required
YES
All
System
middle_name
The person's first name in a Soundex
format.
The person's last name. For hyphenated or
last names containing two words, the
standard is as follows: Smith Jones.
The person's last name in a Soundex
format.
The person's middle name.
NO
All
Optional
name_prefix
The person's name prefix.
NO
All
Optional
name_suffix
The person's name suffix.
NO
All
Optional
name_use_cd
A code indicating the type of name being
used, such as Maiden or Birth. The default
value is Legal.
YES
All
Optional
last_name
last_name_sndx
3-66
v3.0.0.0 December 21, 2015
NAME_USE
YES
YES
YES
YES
YES
YES
Document Source
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
person_name_seq
Sequence identifiers for a person's name.
removal_ind
A field used by the application to
YES_NO
NO
determine if the name removal utility has
been applied to this row.
A table that maintains information on a mother or child's prescribed antiretroviral.
A unique identifier for an eHARS
[site code] + [number] + [-]
YES
document.
+ [check digit]
Sequence identifier for each antiretroviral -2^31 (-2,147,483,648) to
YES
drug entered
2^31-1 (2,147,483,647)
Unique identifier for each PHER form
PHER_QUESTION (table)
YES
question.
Identifier for antiretroviral drug
DRUG
YES
Text entered to identify an antiretroviral
YES
drug not available as a data entry
selection
Indicates if a particular antiretroviral drug
YES_NO
YES
was refused
The date when a particular antiretroviral
YYYYMMDD
YES
drug was received
The time when a particular antiretroviral
HH:MM:SS
YES
drug was received
PHER_ANTIRETROVIRAL
document_uid
pher_arv_seq
pher_question_uid
drug_cd
other_specify
drug_refused
receive_dt
receive_tm
type_of_administration
drug_start_dt
drug_start_gestational_
age
art_completed
drug_stopped
How a particular antiretroviral drug was
administered during the mother’s labor
and delivery
The starting date for a particular
antiretroviral drug
Gestational age when a particular
antiretroviral drug was started
Indicates if antiretroviral therapy was
completed
Indicates a particular antiretroviral drug
was stopped
0-999,999,999
Transfer
to CDC
YES
Document Source
All
Required/Optional
System
System
PCRF
System
PCRF
System
PCRF
System
PCRF
PCRF
Required
Required
PCRF
Required
PCRF
Required
PCRF
Required
ORAL_IV_ND
YES
PCRF
Required
YYYYMMDD
YES
PCRF
Required
(01-42) (99=unk) (00=None)
YES
PCRF
Required
YES_NO_ND_UNK
YES
PCRF
Required
YES_NO_ND
YES
PCRF
Required
TABLE NAME
VARIABLES
drug_stop_dt
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
drug_stop_cd_1
The date a particular antiretroviral drug
was stopped
Indicates starting time for a particular
antiretroviral drug
Reason(s) for stopping antiretroviral drug
drug_stop_cd_2
Reason(s) for stopping antiretroviral drug
S01-Adverse events
(toxicity, lack of tolerance)
S02-ART completed
S03-Drug resistance
detected
S04-Poor adherance
S05-Inadequate
effectiveness
S06-Strategic treatment
interruption (planned drug
holiday)
S07-Drug interactions
S08-Mother's choice
S09-Pregnancy
S10-Child determined not
to be HIV infected
S11-Improving
effectiveness
S12-Improving convenience
S13-Reason not indicated;
unknown
S14-Mother couldn't afford
drugs
S15-Other reason
STOP_CODES
drug_stop_cd_3
Reason(s) for stopping antiretroviral drug
STOP_CODES
YES
PCRF
Required
drug_stop_cd_4
Reason(s) for stopping antiretroviral drug
STOP_CODES
YES
PCRF
Required
YES
PCRF
System
YES
PCRF
Refer to
PHER_QUESTION table
drug_start_tm
YYYYMMDD
YES
PCRF
Required
HH:MM:SS
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Required
PHER_OBSERVATION
document_uid
pher_obs_uid
3-68
An internal unique identifier for an eHARS
document.
Unique identifier for a PHER observation
v3.0.0.0 December 21, 2015
PHER_OBSERVATION_CODE
(table)
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
PCRF
YES
YES
YES
PCRF
PCRF
PCRF
NO
PCRF
Optional
Table documentation under
development
YES
PCRF
Optional
Table documentation under
development
Table documentation under
development
Table documentation under
development
YES
PCRF
Optional
YES
PCRF
Required
YES
PCRF
Optional
Table documentation under
development
YES
PCRF
Optional
Table documentation under
development
Table documentation under
development
Table documentation under
YES
PCRF
Optional
YES
PCRF
Optional
YES
PCRF
Optional
pher_dt
pher_tm
other_specify
Date entered in a PHER observation
Time entered in a PHER observation
Unlisted records abstracted, substances,
cesarean delivery responses
Additional text entered as comments or
clinical information on the PHER tab of the
PCRF
YYYYMMDD
HH:MM:SS
If information on the mother is not
available, was the child adopted, or in
foster care?
Records abstracted.
Q02
Q03
Q06
Weeks' gestation at first prenatal care
visit.
Was the mother screened for any of the
following during pregnancy? (Check test
performed before birth, but closest to
date of delivery or admission to labor and
delivery.)
Diagnosis (for the mother) of the following
conditions during this pregnancy or at the
time of labor and delivery.
Mother's reproductive history.
Q07
Complete the chart for all siblings.
Q08
Was substance use during pregnancy
Q04
Q05
Required/Optional
YES
Response entered in a PHER observation
PHER_QUESTION
Q01
Document Source
for requirements for
each variable
Refer to
PHER_QUESTION table
for valid data element
values for each variable
Required
Required
Required
pher_obs_value
comments
Transfer
to CDC
TABLE NAME
VARIABLES
Q08a
Q08b
Q09
Q09a
Q10
Q10a
Q11
DESCRIPTION
noted in the medical or social work
records?
If yes, indicate which substances were
used during pregnancy. (Check all that
apply.)
If substances used, were any injected?
Was a toxicology screen done on the
mother (either during pregnancy or at the
time of delivery)?
If yes, check all that apply.
Was a toxicology screen done on the
infant at birth?
If yes, check all that apply.
Q16a
Was the mother's HIV serostatus noted in
her prenatal care medical records?
Were antiretroviral drugs prescribed for
the mother during this pregnancy?
If no antiretroviral drug was prescribed
during pregnancy, check reason.
Was mother's HIV serostatus noted in her
labor and delivery records?
Did mother receive antiretroviral drugs
during labor and delivery?
If no antiretroviral drug was received
during labor and delivery, check reason.
Was mother referred for HIV care after
delivery?
If yes, indicate first CD4 result or first viral
load after discharge from hospital (up to 6
months after discharge).
CD4 result
Q16b
Viral load
Q12
Q12a
Q13
Q14
Q14a
Q15
Q16
3-70
v3.0.0.0 December 21, 2015
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
development
Table documentation under
development
YES
PCRF
Optional
Table documentation under
development
Table documentation under
development
YES
PCRF
Optional
YES
PCRF
Optional
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
YES
PCRF
Optional
YES
PCRF
Optional
YES
PCRF
Optional
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Optional
YES
PCRF
Required
Table documentation under
development
Table documentation under
development
YES
PCRF
Required
YES
PCRF
Required
TABLE NAME
VARIABLES
DESCRIPTION
Q17
Birth information.
Q18
If Cesarean delivery, mark all the following
indications that apply.
Was mother's HIV serostatus noted on the
child's birth record?
Were antiretroviral drugs prescribed for
the child?
If no antiretroviral drug, indicate reason.
Q19
Q20
Q20a
Q21
PHER_SIBLING
document_uid
pher_sib_seq
doc_belongs_to
sibling_dob
hiv_serostatus
sibling_stateno
sibling_cityno
PRETEST_QUESTIONNAI
RE
document_uid
qhrtnw
ucts
Valid data element values
(lookup type, reference
table, or actual values)
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Table documentation under
development
Please include comments or clinical
information you consider relevant to the
overall understanding of child's HIV
exposure or infection status. State the
date and source of information.
Table that contains infant sibling information.
Transfer
to CDC
Document Source
Required/Optional
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Optional
YES
PCRF
Required
YES
PCRF
Required
YES
PCRF
Optional
Unique identifier for an eHARS document.
YES
PCRF
Identifies sequence of siblings added to
-2^31 (-2,147,483,648) to
YES
PCRF
form
2^31-1 (2,147,483,647)
Indicates these data belong to an infant’s
SIBLnn
YES
PCRF
sibling
Date of birth of an infant’s sibling
YYYYMMDD
YES
PCRF
Indicates HIV infection status of an
HIV_SEROSTATUS
YES
PCRF
infant’s sibling
STATENO of an infant’s sibling
YES
PCRF
CITYNO of an infant’s sibling
YES
PCRF
A table that maintains information on a person's pretest questionnaire for HIV incidence surveillance.
System
System
A unique identifier for the person’s
Pretest Questionnaire.
Are you now taking any ARVs?
Main source of testing and treatment
history information.
YES_NO
UCTS
System
Optional
Optional
Optional
Optional
YES
TTH
System
YES
YES
TTH
TTH
Optional
Required for HIS and
MHS
TABLE NAME
VARIABLES
ufposa
DESCRIPTION
uhrta1
When you first tested positive for HIV, was
the HIV test an anonymous test?
Date of first positive HIV test
Name of facility where first tested positive
for HIV
State where first tested positive for HIV
Type of facility where first tested positive
for HIV
When was the first time you ever got
tested for HIV?
Ever taken any antiretroviral medications
(ARVs)?
Name(s) of ARV medications taken
uhrtbd
Dates ARVs taken: Date first began
ufposd
ufps_site
ufps_state
ufpstyp
uftstd
uhrt
uhrted
Date of last negative HIV test
ulstngs
Type of facility where last tested negative
for HIV
Name of facility where last tested negative
for HIV
State where last tested negative for HIV
Ever had a negative HIV test?
Number of negative HIV tests within 24
months before first positive test
Ever had a positive HIV test result?
For persons who had a previous positive
test (Legacy Pre-test form only): In the
two years before your first positive test,
how many times did you get tested for
HIV?
Have you been tested for HIV before
today?
ulstngs_state
ungtst
unumtsts
upastp
upnumtsts
uptests
3-72
v3.0.0.0 December 21, 2015
Transfer
to CDC
Document Source
Required/Optional
YES_NO_REF
YES
TTH
Optional
SITE_CD
YES
NO
TTH
TTH
Required for HIS
Optional
STATE_CODES_PR
FACILITY_TYPE
YES
YES
TTH
TTH
Optional
Optional
YES
TTH
Optional
YES_NO
YES
TTH
DRUG
YES
TTH
YES
TTH
YES
TTH
YES
TTH
Required for HIS and
MHS
Required for HIS and
MHS
Required for HIS and
MHS
Required for HIS and
MHS
Required for HIS
FACILITY_TYPE
YES
TTH
Optional
SITE_CD
NO
TTH
Optional
STATE_CODES_PR
YES_NO_REF_UNK
0-99
YES
YES
YES
TTH
TTH
TTH
Optional
Required for HIS
Required for HIS
YES_NO_REF
0-99
YES
YES
TTH
TTH
Required for HIS
Legacy Incidence
YES_NO_REF
YES
TTH
Optional
Date of last ARV use
ulstnd
ulstngs_site
Valid data element values
(lookup type, reference
table, or actual values)
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
uqintd
Date patient reported information
YES
TTH
ur3_5sp
Reason for getting today’s HIV test: If
other reason, describe
YES
TTH
Required for HIS and
MHS
Optional
ur4e_5sp
Reason for getting the first positive HIV
test: If other reason, describe
YES
TTH
Optional
ureas3_1
Reason for getting today’s HIV test: Think
you might have been exposed to HIV in
the 6 months before the test
Reason for getting today’s HIV test: Get
tested on a regular basis and it is time to
get tested again
Reason for getting today’s HIV test: Just
checking to make sure you are HIV
negative
Reason for getting today’s HIV test:
Required by insurance, military, court, or
other agency
Reason for getting today’s HIV test: Other
reason you want to get tested
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
Reason for getting the first positive HIV
test: Thought you might have been
exposed to HIV in the past 6 months
before the test
Reason for getting the first positive HIV
test: Got tested on a regular basis and it
was time to get tested again
Reason for getting the first positive HIV
test: Just checking to make sure you were
HIV negative
HIV test required
Reason for getting the first positive HIV
test: Other reason you wanted to get
tested
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
YES_NO
YES
TTH
Optional
YES_NO
YES_NO
YES
YES
TTH
TTH
Optional
Optional
ureas3_2
ureas3_3
ureas3_4
ureas3_5
urs4e_1
urs4e_2
urs4e_3
urs4e_4
urs4e_5
TABLE NAME
VARIABLES
PROVIDER_CODE
first_name
last_name
middle_name
name_prefix
name_suffix
phone
provider_uid
ship_flag
specialty_cd
RIDR
comments
document_uid
duplicate_status
ehars_uid
last_verify_dt
state_cd
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
A table that maintains information on healthcare providers.
The first name of the healthcare provider.
NO
The last name of the healthcare provider.
NO
The middle name of the healthcare
NO
provider.
The name prefix of the healthcare
NO
provider.
The name suffix of the healthcare
NO
provider.
The phone number of the healthcare
7 or 10 digits
NO
provider.
A unique identifier for a healthcare
NO
provider.
A field used by the application to
NO
determine if the information needs to be
transferred to CDC
A code indicating the type of specialty for
SPECIALTY_CD
NO
this health care provider.
A table that maintains information pertaining to a case's duplicate status review.
Notes or comments pertaining to the
NO
duplicate status information entered for
this person.
A unique identifier of the current
YES
document.
The status of the duplicate review, such as 1 - Same as
YES
Pending or Same As.
2 - Different than
3 - Pending
A unique identifier for the existing case.
YES
The date when the status of the duplicate
YYYYMMDD
YES
review was last verified.
The two character postal code of the state STATE_CODES_PR
YES
of the possible duplicate case.
Document Source
N/A
N/A
N/A
Optional
Optional
Optional
N/A
Optional
N/A
Optional
N/A
Optional
N/A
System
N/A
System
N/A
Optional
ACRF, PCRF
Optional
ACRF, PCRF
System
ACRF, PCRF
Required if case
identified as potential
duplicate
System
Optional
ACRF, PCRF
ACRF, PCRF
ACRF, PCRF
stateno
The stateno identifier of the possible
duplicate case.
YES
ACRF, PCRF
verify_by
The person who reviewed the duplicate
YES
ACRF, PCRF
3-74
v3.0.0.0 December 21, 2015
Required/Optional
Required if case
identified as potential
duplicate
Required if case
identified as potential
duplicate
Optional
TABLE NAME
VARIABLES
RISK
cophi_status
detail
display
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
status entry.
A table that maintains information on a person's risk factors.
Code that indicates the COPHI
1 - Open, under
investigation status, if applicable.
investigation
2 - Closed, confirmed
COPHI
3 - Closed, investigated, not
confirmed
4 - Closed, not a COPHI
5 – Will not be investigated,
not confirmed
9 - Unknown
This field captures detailed information
For R04, R30, R33, R32 =>
about risk factor—the type of clotting
CLOTTING_FACTOR
factor the person had or the occupation, if For R13 => OCCUPATION
occupational exposure.
For R80, R81 => 1 = user
Note: RISK.detail also stores NIR type
entered [if date
information (1 = user entered [if date
investigation was
investigation was completed is entered], 2 completed is entered], 2 =
= system assigned)
system assigned
A field used by the application for display
A(adult), P(pediatric),
purposes.
H(hemophilia)
document_uid
A unique identifier for a document.
resolution_dt
The date the COPHI investigation was
resolved.
Transfer
to CDC
Required/Optional
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Optional
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Optional
NO
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
System
YES
YYYYMMDD
Document Source
YES
System
Optional
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
Document Source
Required/Optional
BC
risk_cd
Code indicating a risk factor (such as R03
indicating IDU).
RISK_CD (table)
YES
risk_seq
Sequence identifier for a person's modes
of exposure.
0-99,999,999
YES
risk_value
Code indicating the risk factor value (YYes, N-No, U-Unknown, or 2-CDC
confirmed) or the mother's infection
status (1–9).
trans_first_dt
RISK_CD
If patient received transfusion of
YYYYMMDD
YES
blood/blood components, the first date
the patient received transfusion. Note: For
user entered NIR (No Identified Risk), the
date entered is stored in this field.
If patient received transfusion of
YYYYMMDD
YES
blood/blood components, the last date
the patient received transfusion. Note:
When the system identifies NIR, the
system date is stored in this field.
A table that contains all distinct RISK.risk_cd values and associated descriptions.
R01
Sex with male
YES_NO_UNK_CDC
YES
R02
Sex with female
YES_NO_UNK_CDC
YES
trans_last_dt
3-76
v3.0.0.0 December 21, 2015
YES
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Refer to RISK_CD table
for requirements for
each variable
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
Required
System
Refer to RISK_CD table
for valid data element
values for each variable
Required
Required
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
R03
Injected non-prescription drugs
YES_NO_UNK_CDC
YES
R04
Received clotting factor for
hemophilia/coagulation disorder
YES_NO_UNK_CDC
YES
R05
Heterosexual contact with
intravenous/injection drug user
YES_NO_UNK_CDC
YES
R06
Heterosexual contact with bisexual male
YES_NO_UNK_CDC
YES
R07
Heterosexual contact with person with
hemophilia/coagulation disorder
YES_NO_UNK_CDC
YES
R08
Heterosexual contact with transfusion
recipient with documented HIV infection
YES_NO_UNK_CDC
YES
R09
Heterosexual contact with transplant
recipient with documented HIV infection
YES_NO_UNK_CDC
YES
Document Source
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
Required/Optional
Required
Required
Required
Required
Required
Required
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
R10
Heterosexual contact with person with
AIDS or documented HIV infection, risk
not specified
YES_NO_UNK_CDC
YES
R11
Received transfusion of blood/blood
components (other than clotting factor)
YES_NO_UNK_CDC
YES
R12
Received transplant of tissue/organs or
artificial insemination
YES_NO_UNK_CDC
YES
R13
Worked in a health care or clinical
laboratory setting
YES_NO_UNK_CDC
YES
R14
Sexual contact with male
YES_NO_UNK_CDC
YES
R15
Sexual contact with female
YES_NO_UNK_CDC
YES
R16
Child's biological mother's infection status
For R16 only =>
M_INFECTION_STATUS
YES
3-78
v3.0.0.0 December 21, 2015
Document Source
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Required/Optional
Required
Required
Required
Required
Required
Required
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
R17
Perinatally acquired HIV infection
YES_NO_UNK_CDC
YES
R18
Injected non-prescription drugs
YES_NO_UNK_CDC
YES
R19
Heterosexual contact with
intravenous/injection drug user
YES_NO_UNK_CDC
YES
R20
Heterosexual contact with bisexual male
YES_NO_UNK_CDC
YES
R21
Heterosexual contact with male with
hemophilia/coagulation disorder
YES_NO_UNK_CDC
YES
R22
Heterosexual contact with transfusion
recipient with documented HIV infection
YES_NO_UNK_CDC
YES
R23
Heterosexual contact with transplant
recipient with documented HIV infection
YES_NO_UNK_CDC
YES
Document Source
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Required/Optional
Required
Required
Required
Required
Required
Required
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
R24
Heterosexual contact with male with AIDS
or documented HIV infection, risk not
specified
YES_NO_UNK_CDC
YES
R25
Received transfusion of blood/blood
components (other than clotting factor)
YES_NO_UNK_CDC
YES
R26
Received transplant or tissue/organs or
artificial insemination
YES_NO_UNK_CDC
YES
R27
Injected non-prescription drugs
YES_NO_UNK_CDC
YES
R30
Received clotting factor for
hemophilia/coagulation disorder (LEGACY)
YES_NO_UNK_CDC
YES
R32
Received clotting factor for
hemophilia/coagulation disorder (LEGACY)
YES_NO_UNK_CDC
YES
R33
Received clotting factor for
hemophilia/coagulation disorder
YES_NO_UNK_CDC
YES
R34
Received transfusion of blood/blood
components (other than clotting factor)
YES_NO_UNK_CDC
YES
3-80
v3.0.0.0 December 21, 2015
Document Source
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
Required/Optional
Required
Required
Required
Required
Required
Required
Required
Required
TABLE NAME
VARIABLES
DESCRIPTION
Valid data element values
(lookup type, reference
table, or actual values)
Transfer
to CDC
R35
Received transplant of tissue/organs
YES_NO_UNK_CDC
YES
R40
Other documented risk
YES_NO_UNK_CDC
YES
Document Source
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
Required/Optional
Required
Required
| File Type | application/pdf |
| File Title | Column Definitions |
| Author | CDC User |
| File Modified | 2015-12-21 |
| File Created | 2015-12-21 |