Guidance: NHSS Data Elements

National HIV Surveillance System (NHSS)

Attachment 3(c)
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 HIV l 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
person 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 Pediatric HIV Case Reports
Public reporting burden of this collection of information is estimated to average 35 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
person 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 Investigation Reporting and Evaluation
Public reporting burden of this collection of information is estimated to average 1 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
person 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)

The data elements listed below include data elements for adult/adolescent case reports (ACRF), pediatric case reports (PCRF), HIV incidence surveillance information (no
longer collected), laboratory test data, investigation reporting and evaluation information and supplemental data collected from other document types such as birth
certificates (BC), and death certificates (DEATH_DOC). Data are stored in tables in the enhanced HIV Reporting System (eHARS). Information in the table below reflects
information in the version of eHARS currently in place, v4.12, along with proposed changes to be implemented in eHARS v4.13 in 2023. 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); (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
3-2

May 2022

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 4.12 Technical Reference Guide for
variables in the current version of eHARS; additional information about proposed changes to be implemented in eHARS v4.13 can be found in the Summary of Proposed
Changes document.
TABLE NAME
VARIABLES

ADDRESS
address_dt
address_seq
address_type_cd

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

A table that maintains information on a person's addresses and locations.
The most recent date for which this
YYYYMMDD
YES
address is active.
Used by the system as a sequence
YES
identifier for a person's addresses.
A code indicating the type of address,
BAD - Bad address
YES
such as RES (residential) or RSA
COR - Correctional facility
(residence at AIDS diagnosis).
CUR - Current
FOS - Foster home
HML - Homeless
POS - Postal
RAD - Residence at death
RBI - Residence at birth
RES - Residential
RHE - Residence at
perinatal exposure
RSR - Residence at pediatric
seroreversion
RSA - Residence at
diagnosis of stage 3 HIV
infection (AIDS)
RSH - Residence at
diagnosis of HIV infection
SHL - Shelter
TMP – Temporary
MIL – Military
OTH - Other

Document Source

Required/Optional

ACRF, PCRF

Required

All

System

All

Required

TABLE NAME
VARIABLES

DESCRIPTION

address_original_type_cd

Additional field for address type
information when the address_type_cd
captures an address event type.

census_block_group

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.
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
May 2022

census_congressional_dist
rict
census_group
census_msa
census_tract
city_fips
city_name

country_cd
country_usd
county_fips
county_name

3-4

Valid data element values
(lookup type, reference
table, or actual values)
BAD - Bad address
COR - Correctional facility
FOS - Foster home
HML - Homeless
POS - Postal
RES - Residential
SHL - Shelter
TMP - Temporary
MIL - Military
OTH - Other

Transfer
to CDC

Document Source

Required/Optional

YES

All

Required

NO

ACRF, PCRF

Optional

NO

ACRF, PCRF

Optional

NO

ACRF, PCRF

Optional

NO

ACRF, PCRF

Optional

NO

ACRF, PCRF

Optional

FIPS_CITY (table) - 99999

YES

All

Required

FIPS_CITY (table), ZIP_CITY
(table)

YES

All

Required

COUNTRY_CODE (table)

YES

All

Required

COUNTRY_CODE (table)

YES

All

Required

FIPS_COUNTY (table) - 999

YES

All

Required

FIPS_COUNTY (table),
ZIP_CITY (table)

YES

All

Required

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

stored as entered by the user and
preceded by an asterisk.
doc_belongs_to
document_uid
geographic_level

phone
state_cd
street_address1
street_address2
zip_cd
ARV_PROPHYLAXIS
document_uid

drug_seq
obs_uid

Indicates who the address data belong
to: PERSON, MOTHER, or CHILD.
A unique identifier for a document.
Geographic level to which the address
was geocoded.

PERSON, MOTHER, CHILD

YES

All

System

YES
YES

All
All

System
Required

The value indicating a person's
NO
telephone number.
The state postal code for a person's
STATE_CODES
YES
address.
Primary description of a person’s street
NO
address, such as number and street
name.
Secondary description of a person’s
NO
street address, such as apartment,
building, or unit and number.
The zip code associated with a person's
ZIP_CITY (table) - 99999
NO
address.
Maintains information on a person's antiretroviral drug and prophylaxis use.

All

Required

All

Required

All

Required

All

Required

All

Required

Identifies the document associated with
each record stored on the table;
document_uid is a unique value
generated by eHARS to identify a
document.
Used by the system as a sequence
identifier for each antiretroviral drug
added to a document.
An internal identifier for an observation.

YES

ACRF, PCRF

System

YES

ACRF, PCRF

System

YES

ACRF, PCRF

System

1=Street match
2=Zip code match
3=City and state match
4=No match
9999999999

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

drug_cd

Identifier for an antiretroviral drug.

DRUG

YES

ACRF, PCRF

Optional

drug_rsn

Reason the person took the
antiretroviral drug.

DRUG_RSN_CD

YES

ACRF, PCRF

Required

other_drug_rsn

Text entered to specify the reason the
persons took the antiretroviral drug
when a selection value is not available
or appropriate.
The date the person began taking the
antiretroviral drug.

YES

ACRF, PCRF

Required, if
drug_rsn=”OTH”

YYYYMMDD

YES

ACRF, PCRF

Required

YYYYMMDD

YES

ACRF, PCRF

Required

YES

ACRF, PCRF

Optional

YES

PCRF,
LEGACY_PEDIATRIC

System

drug_start_dt
drug_last_use_dt

The date the person last used the
antiretroviral drug.

other_drug_specify

Unlisted antiretroviral drug name.

BIRTH_DELIVERY

A table to capture final outcome of previous pregnancies of birthing person.

document_uid

A unique identifier for a document.

delivery_seq

Sequence number. Implement sequence
number to way RISK and ADDRESS to
handle all codes on PV.

0-999999

YES

PCRF,
LEGACY_PEDIATRIC

System

csection_rsn_cd

A code to determine why the delivery
was a C-section.

CESAREAN

YES

PCRF,
LEGACY_PEDIATRIC

Optional

other_csection_rsnl

User entered detail regarding delivery.

YES

PCRF,
LEGACY_PEDIATRIC

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.

congenital_disorders

From PCRF, indicates the presence of
birth defects.

3-6

May 2022

YES_NO_UNK

YES

PCRF,
LEGACY_PEDIATRIC

Optional

TABLE NAME
VARIABLES

DESCRIPTION

congential_disorders_cd

From PCRF and BC, birth defect codes.

Birth_history_avail

Birth history available

Valid data element values
(lookup type, reference
table, or actual values)
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)
16 - Hypospadias
17 - None of the anomalies
listed above
YES_NO_UNK

Transfer
to CDC

Document Source

Required/Optional

YES

PCRF,
LEGACY_PEDIATRIC,
BC

Optional

YES

PCRF,
LEGACY_PEDIATRIC

Optional

TABLE NAME
VARIABLES

DESCRIPTION

birth_place

From BC, place of birth, such as home or
hospital

birth_type

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
delivery_dt
delivery_method

delivery_time
document_uid
infant_transfer
neonatal_status

Document Source

Required/Optional

YES

BC

Optional

YES

PCRF,
LEGACY_PEDIATRIC,
BC

Optional

YES

PCRF,
LEGACY_PEDIATRIC,
BC

Optional

From PCRF and BC: Was this child
breastfed?
Date when birthing person delivered
infant(s).
From PCRF and BC, the method of
delivery, such as vaginal or Cesarean.

YES_NO_UNK

YES

BC

Optional

YYYYMMDD

YES

PCRF,
LEGACY_PEDIATRIC
PCRF,
LEGACY_PEDIATRIC,
BC

Optional

Military time when birthing person
delivered infant(s).
A unique identifier for the PCRF or BC.
From BC: Was the infant transferred to
another facility?
From PCRF, the child's neonatal status.

HH:MM:SS

YES

Optional

YES_NO

YES
YES

PCRF,
LEGACY_PEDIATRIC
All
BC
PCRF,
LEGACY_PEDIATRIC,
BC
PCRF,
LEGACY_PEDIATRIC,
BC

Optional

PCRF,
LEGACY_PEDIATRIC
PCRF,
LEGACY_PEDIATRIC

Optional

From PCRF and BC, the gestational age
of the child at delivery.

rupture_dt

Date when membrane rupture
occurred.
Military time when membrane rupture
occurred.

3-8

Transfer
to CDC

1 - Hospital
2 - Freestanding birthing
center
3 - Home birth,
Clinic/Doctor’s office
9 - Unknown
1 - Single
2 - Twin
3 - >2
9 - Unknown
NULL, MIN = 28, MAX =
9070

neonatal_status_weeks

rupture_time

Valid data element values
(lookup type, reference
table, or actual values)

May 2022

DELIVERY, DELIVERY_BC

YES

1 - Full Term
2 - Premature
9 - Unknown
01 - 98, 99(unknown),
00(none)

YES

YYYYMMDD

YES

HH:MM:SS

YES

YES

Optional

System
Optional

Optional

Optional

TABLE NAME
VARIABLES

BIRTHING_PERSON_HIST
ORY
document_uid
first_onc_visit_dt

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

A table that maintains information pertaining to the birthing person's prenatal care, labor, and delivery. This information is collected
in the Birthing Person History section of Pediatric Case Report Forms (PCRF) documents.
A unique identifier for a document.
YES
PCRF,
System
LEGACY_PEDIATRIC
From BC, the date of birthing person’s
YYYYMMDD
YES
BC
Optional
first prenatal care visit

last_pnc_visit_dt

From BC, the date of the birthing
person’s last prenatal care visit

YYYYMMDD

YES

BC

Optional

last_normal_menses_dt

From BC, the date of the birthing
person’s last prenatal care visit.

YYYYMMDD

YES

BC

Optional

month_preg_pnc

From PCRF, the month of pregnancy
that birthing personr's prenatal care
began.

01 - 10, 99(unknown),
00(none)
1-9 are stored with leading
zero.

YES

PCRF,
LEGACY_PEDIATRIC

Optional

num_pnc_visits

From PCRF and BC, the number of
prenatal care visits.

01-98, 99(unknown),
00(none)
1-9 are stored with leading
zero.

YES

PCRF,
LEGACY_PEDIATRIC

Optional

preg_before

Has the birthing person been pregnant
before.

YES_NO_UNK

YES

PCRF,
LEGACY_PEDIATRIC

Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

num_prev_preg

Total number of previous pregnancies

1-30

YES

PCRF,
LEGACY_PEDIATRIC

Optional

num_prev_live_births

Number of previous live births

1-30

YES

BC

Optional

bp_cd4_test

Test result (with a specimen collection
date withing 6 weeks on or before
delivery)

YES_NO_UNK

YES

PCRF,
LEGACY_PEDIATRIC

Optional

Bp_first_post_dt

Date of birthing person’s first HIV
positive test result

YYYMMDD

YES

Optional

bp_vl_test

Test result (with a specimen collection
YES_NO_UNK
YES
date withing 6 weeks on or before
delivery)
A table that maintains information on a person's calculated observations.

ACRF, PCRF, LEGACY
ACRF, LEGACY PCRF,
DEATH, LAB
PCRF,
LEGACY_PEDIATRIC

YES

All

YES

All

CALC_OBSERVATION
calc_obs_uid

A unique identifier for a calculated
observation.

calc_obs_value

The calculated observation's value.

document_uid
CALC_OBSERVATION_CO
DE
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

All

System

3-10

May 2022

CALC_OBSERVATION_CODE
(table)

Optional

1 - Definitive (pre-85) case
2 - Definitive (1985) case
3 - Definitive (1987) case
4 - Presumptive (1987) case

YES

TABLE NAME
VARIABLES

DESCRIPTION

2

HARS Legacy - HIV category

3

HARS Legacy - Date the first disease was
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

4
5
6
7
8
9
10

Valid data element values
(lookup type, reference
table, or actual values)
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

Transfer
to CDC

Document Source

Required/Optional

YES

All

System

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

11
12
13
14
15
16
17
18
19

3-12

DESCRIPTION

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
was reported
HARS Legacy - Mode of transmission

May 2022

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

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

YES

All

System

TABLE NAME
VARIABLES

20

DESCRIPTION

HARS Legacy - Class

Valid data element values
(lookup type, reference
table, or actual values)
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
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%

Transfer
to CDC

YES

Document Source

All

Required/Optional

System

TABLE NAME
VARIABLES

21
78
85
86
87
89
90
91
92

3-14

DESCRIPTION

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
May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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%
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

TABLE NAME
VARIABLES

93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109

DESCRIPTION

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
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

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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

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

TABLE NAME
VARIABLES

110
111
112
113
114
115
116
117
118
119
120
121
122
123
124

3-16

DESCRIPTION

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
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
May 2022

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

POS_NEG_IND

YES

All

System

YYYYMMDD

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YES

All

System

YYYYMMDD

YYYYMMDD

YYYYMMDD

TABLE NAME
VARIABLES

125
216

DESCRIPTION

HARS Legacy - First CD4 count < 200 or
percent < 14 date
HARS Legacy - Expanded mode of
transmission

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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
with injection drug user
06 - Heterosexual contact
with bisexual man
07 - Heterosexual contact
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

YES

All

System

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
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
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

3-18

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

217

Old race

218

Race

219

Earliest date the first document was
entered into the system
Earliest date the first document was
received at the health department
Transmission category

220
221

Valid data element values
(lookup type, reference
table, or actual values)
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
6 - Not Hispanic, White
7 - Not Hispanic, Legacy
Asian/Pacific Islander
8 - Not Hispanic, Multi-race
9 - Unknown
YYYYMMDD

Transfer
to CDC

Document Source

Required/Optional

YES

All

System

YES

All

System

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

YES

All

System

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
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)
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)

3-20

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

222

DESCRIPTION

Expanded transmission category

Valid data element values
(lookup type, reference
table, or actual values)
99 - Risk factors selected
with no age at diagnosis
01-Adult male sexual
contact with male (MSM)
02-Adult injection drug use
(IDU)
03-Adult MSM & IDU
04-Adult received clotting
factor
05-Adult heterosexual
contact with IDU
06-Adult heterosexual
contact with bisexual male
07-Adult heterosexual
contact with person with
hemophilia or coagulation
disorder
10-Adult heterosexual
contact with transfusion or
transplant recipient with
documented HIV infection
11-Adult heterosexual
contact with person with
documented HIV infection,
risk factor not specified
13-Adult received
transfusion or transplant
14-Adult undetermined
transmission category
15-Child received clotting
factor
16-Mother IDU
17-Mother had
heterosexual contact with
IDU

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)
18-Mother had
heterosexual contact with
bisexual male
19-Mother had
heterosexual contact with
person with hemophilia or
coagulation disorder
22-Mother had
heterosexual contact with
transfusion or transplant
recipient with documented
HIV infection
23-Mother had
heterosexual contact with
person with documented
HIV infection, risk factor
not specified
24-Mother received
transfusion or transplant
25-Mother HIV positive
26-Child received
transfusion or transplant
27-Child undetermined
transmission category
28-Child other confirmed
risk factor
88-Adult other confirmed
risk factor
99-Adult and pediatric risk
factors selected with no
age at diagnosis

f
3-22

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

223

Exposure category

224

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)

225
226
227
228
229

Most recent test result date
Most recent test type

230
243

Most recent test result value
First detectable viral load test result
date

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

01 - MSM only
02 - IDU only
03 - Heterosexual contact
only
04 - MSM & IDU
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)
99-Adult and pediatric risk
factors selected with no
age at diagnosis
YYYYMMDD

YES

All

System

YES

All

System

1 - Lab test
2 - Physician diagnosis

YES

All

System

YYYYMMDD

YES

All

System

1 - CD4
2 - Viral load
3 - CD4 and Viral Load
YYYYMMDD
1 - CD4
2 - Viral load
LAB_RESULT_VALUE
YYYYMMDD

YES

All

System

YES
YES

All
All

System
System

YES
YES

All
All

System
System

TABLE NAME
VARIABLES

244
245
246
247
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269

3-24

DESCRIPTION

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
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
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
May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

YES

All

System

YES

All

System

YYYYMMDD
YYYYMMDD

YES
YES

All
All

System
System

YYYYMMDD

YES

All

System

YES
YES
YES
YES
YES

All
All
All
All
All

System
System
System
System
System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YES

All

System

YES

All

System

YES
YES
YES
YES
YES

All
All
All
All
All

System
System
System
System
System

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD
YYYYMMDD

YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD

TABLE NAME
VARIABLES

270

DESCRIPTION

271
272

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
281

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)
Date of the earliest condition classifying
the case as stage 3 HIV infection
The earliest date on which the clinical
disease criterion (opportunistic illness
[OI] diagnosis) for stage 3 HIV infection
was met
HIV disease diagnosis date
Diagnostic status

282

285
287

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

YYYYMMDD

YES

All

System

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
YYYYMMDD

YES
YES

All
All

System
System

YES

All

System

YES
YES
YES
YES
YES
YES
YES

All
All
All
All
All
All
All

System
System
System
System
System
System
System

YYYYMMDD

YES

All

System

YYYYMMDD
1 - Adult HIV
2 - Adult AIDS
3 - Perinatal HIV exposure

YES
YES

All
All

System
System

TABLE NAME
VARIABLES

288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
3-26

DESCRIPTION

Date reported as HIV positive
Date reported as not infected with HIV
(seroreverters)
Date reported as perinatal exposure
Date reported as AIDS (nonimmunologic)
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)
Meets CDC case definition for HIV (not
AIDS)
Meets CDC case definition for AIDS
Meets CDC case definition for HIV
disease
Meets CDC eligibility for HIV (not AIDS)
Meets CDC eligibility for AIDS
Meets CDC eligibility for HIV disease
Age at death (years)
Age at death (months)
Date death reported
Type of first CD4 test after HIV diagnosis
(count or percent)
Meets CDC case definition for HIV
perinatal exposure or pediatric
seroreverter
Meets CDC eligibility for HIV perinatal
exposure or pediatric seroreverter
Laboratory documented date of last
negative before first positive HIV test
result

May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

4 - Pediatric HIV
5 - Pediatric AIDS
6 - Pediatric seroreverter
9 - Unknown
YYYYMMDD
YYYYMMDD

YES
YES

All
All

System
System

YYYYMMDD
YYYYMMDD

YES
YES

All
All

System
System

YYYYMMDD
YYYYMMDD
YYYYMMDD
YYYYMMDD

YES
YES
YES
YES

All
All
All
All

System
System
System
System

YYYYMMDD

YES

All

System

YES_NO

YES

All

System

YES_NO
YES_NO

YES
YES

All
All

System
System

YES_NO
YES_NO
YES_NO
1-99
1-99
YYYYMMDD
RESULT_UNITS_CD4

YES
YES
YES
YES
YES
YES
YES

All
All
All
All
All
All
All

System
System
System
System
System
System
System

YES_NO

YES

All

System

YES_NO

YES

All

System

YYYYMMDD

YES

All

System

TABLE NAME
VARIABLES

DESCRIPTION

310

Date of last negative before first
positive HIV test result from testing
history

312

Stage 0 HIV infection at diagnosis

313

Stage at diagnosis based only on CD4
and opportunistic illness (OI)

314

Date of earliest use of antiretroviral
medications for HIV treatment
Date of last use of antiretroviral
medications for HIV treatment
Date of earliest use of antiretroviral
medications for pre-exposure
prophylaxis
Date of last use of antiretroviral
medications for pre-exposure
prophylaxis
Date of earliest use of antiretroviral
medications for post-exposure
prophylaxis
Date of last use of antiretroviral
medications for post-exposure
prophylaxis

315
316
317
318
319

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

1 - Stage 1, CD4 cnt≥500 or
CD4 pct≥26
2 - Stage 2, 200≤CD4
cnt≤499 or 14≤CD4 pct≤25
3 - Stage 3, OI or CD4
cnt<200 or CD4 pct <14
9 - Stage unknown
YYYYMMDD

YES

All

System

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

A – Stage 0, acute
infection at
diagnosis
B – Stage 0, unknown if
acute at diagnosis
N – Insufficient evidence for
diagnosis

TABLE NAME
VARIABLES

320
321
322
323
324
325
326
327
328
329
330
331
332
333
334

3-28

DESCRIPTION

Date of earliest use of antiretroviral
medications for prevention of motherto-child transmission
Date of last use of antiretroviral
medications for prevention of motherto-child transmission
Date of earliest use of antiretroviral
medications for Hepatitis B treatment
Date of last use of antiretroviral
medications for Hepatitis B
Date of earliest use of antiretroviral
medications for other reasons
Date of last use of antiretroviral
medications for other reasons
Date of earliest use of antiretroviral
medications
Date of last use of antiretroviral
medications
Did mother receive any antiretroviral
medications prior to this pregnancy?
Date of mother’s earliest use of
antiretroviral medications prior to this
pregnancy
Date of mother’s last use of
antiretroviral medications prior to this
pregnancy
Did mother receive any antiretroviral
medications during pregnancy?
Date of mother’s earliest use of
antiretroviral medications during
pregnancy
Date of mother’s last use of
antiretroviral medications during
pregnancy
Did mother receive any antiretroviral
medications during labor/delivery?
May 2022

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

YES, NO_REF_UNK

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YES, NO_REF_UNK

YES

All

System

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

YES, NO_REF_UNK

YES

All

System

TABLE NAME
VARIABLES

335
336
337

CONSENT_QUESTIONNAI
RE
cconsent1

DESCRIPTION

Date of mother’s earliest use of
antiretroviral medications during
labor/delivery
Date of mother’s last use of
antiretroviral medications during
labor/delivery
Ever transgender or additional gender
identity

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

YYYYMMDD

YES

All

System

YYYYMMDD

YES

All

System

MF, FM, AD

YES

All

System

cdate1
cdate2
document_uid
DEATH

A table that maintains information on a person's consent for STARHS.
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
LEGACY_CONSENT
STARHS when approached the first
time?
Did the person consent to participate in YES_NO_UNK
YES
LEGACY_CONSENT
STARHS when approached the second
time?
The type of visit when the person was
01 - Pre-test
YES
LEGACY_CONSENT
approached for STARHS consent the
02 - Post-test
first time.
03 - Other Follow-up
The type of visit when the person was
01 - Pre-test
YES
LEGACY_CONSENT
approached for STARHS consent the
02 - Post-test
second time.
03 - Other Follow-up
Date of first approach for consent.
YYYYMMDD
YES
LEGACY_CONSENT
Date of second approach for consent.
YYYYMMDD
YES
LEGACY_CONSENT
A unique identifier for a document.
YES
LEGACY_CONSENT
A table that maintains information on a person's death.

autopsy

Was an autopsy performed?

cconsent2
cconsentvisit1
cconsentvisit2

Required/Optional

YES_NO_UNK

YES

LEGACY_NDI,
DEATH_DOC

Retired
Retired
Retired
Retired
Retired
Retired
System

Optional

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.

YYYYMMDD

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.

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
center
8 - Group/Assisted living
home

YES

DEATH_DOC,
LEGACY_NDI,

Optional

3-30

May 2022

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
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

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

00-20

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

TABLE NAME
VARIABLES

DOCUMENT
author
author_phone
complete_dt

document_number

document_source_cd

3-32

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.

May 2022

NO

All

Optional

7 or 10 digits

NO

All

Optional

YYYYMMDD

YES

All

Required

NO

All

Optional

YES

All

Required

A01.01-Inpatient
Record/Acute Care Facility
A01.01.01-Inpatient
Record/Acute Care
Facility/Infection Control
Practitioner
A01.01.02-Inpatient
Record/Acute Care
Facility/Obstetrics and
Gynecology
A01.01.02.01-Inpatient
Record/Acute Care
Facility/Obstetrics and
Gynecology/Prenatal Care
A01.01.02.02-Inpatient
Record/Acute Care
Facility/Obstetrics and
Gynecology/Labor and
Delivery

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A01.01.03-Inpatient
Record/Acute Care
Facility/Pediatric
A01.01.04-Inpatient
Record/Acute Care
Facility/Birth
A01.01.05-Inpatient
Record/Acute Care
Facility/All Other
A01.02-Inpatient
Record/Veteran's
Administration Hospital
A01.02.01-Inpatient
Record/Veteran's
Administration
Hospital/Infection Control
Practitioner
A01.02.02-Inpatient
Record/Veteran's
Administration Hospital/All
Other
A01.03-Inpatient
Record/Military Hospital
A01.03.01-Inpatient
Record/Military
Hospital/Infection Control
Practitioner
A01.03.02-Inpatient
Record/Military
Hospital/Obstetrics and
Gynecology
A01.03.02.01-Inpatient
Record/Military
Hospital/Obstetrics and
Gynecology/Prenatal Care

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A01.03.02.02-Inpatient
Record/Military
Hospital/Obstetrics and
Gynecology Labor and
Delivery
A01.03.03-Inpatient
Record/Military
Hospital/Pediatric
A01.03.04-Inpatient
Record/Military Hospital/All
Other
A01.04-Inpatient
Record/Long Term Care
Facility
A01.04.01-Inpatient
Record/Long Term Care
Facility/Nursing Home
A01.04.02-Inpatient
Record/Long Term Care
Facility/Rehabilitation
Center
An inpatient facility
specifically designed to help
restore normal function (to
the extent possible) in an
A01.04.03-Inpatient
Record/Long Term Care
Facility/Drug Treatment
Program
A01.05-Inpatient
Record/Hospice
A02-Outpatient Record
A02.01-Outpatient
Record/HMO
A02.01.01-Outpatient
Record/HMO/Hospitalassociated outpatient clinic

3-34

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A02.01.02-Outpatient
Record/HMO/Non- Hospital
associated outpatient clinic
A02.02-Outpatient
Record/VA Outpatient
Clinic
A02.03-Outpatient
Record/Private Physician
A02.03.01-Outpatient
Record/Private
Physician/Hospitalassociated outpatient clinic
A02.03.02-Outpatient
Record/Private
Physician/Non-Hospital
associated outpatient clinic
A02.04-Outpatient
Record/Adult HIV Clinic
A02.04.01-Outpatient
Record/Adult HIV
Clinic/Hospital-associated
outpatient clinic
A02.04.02-Outpatient
Record/Adult HIV
Clinic/Non-Hospital
associated outpatient clinic
A02.05-Outpatient
Record/Infectious Disease
Clinic
A02.05.01-Outpatient
Record/Infectious Disease
Clinic/Hospital- associated
outpatient clinic
A02.05.02-Outpatient
Record/Infectious Disease

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
Clinic/Non-Hospital
associated outpatient clinic
A02.06-Outpatient
Record/County Health
Dept. Clinic
A02.07-Outpatient
Record/Maternal HIV Clinic
A02.07.01-Outpatient
Record/Maternal HIV
Clinic/Hospital-associated
outpatient clinic
A02.07.02-Outpatient
Record/Maternal HIV
Clinic/Non-Hospital
associated outpatient clinic
A02.08-Outpatient
Record/Prenatal Clinic
A02.08.01-Outpatient
Record/Prenatal
Clinic/Hospital-associated
outpatient clinic
A02.08.02-Outpatient
Record/Prenatal
Clinic/Non-Hospital
associated outpatient clinic
A02.09-Outpatient
Record/Pediatric HIV Clinic
A02.09.01-Outpatient
Record/Pediatric HIV
Clinic/Hospital-associated
outpatient clinic
A02.09.02-Outpatient
Record/Pediatric HIV
Clinic/Non-Hospital
associated outpatient clinic
A02.10-Outpatient
Record/Obstetrics and
Gynecology

3-36

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A02.10.01-Outpatient
Record/Obstetrics and
Gynecology/Hospitalassociated outpatient clinic
A02.10.02-Outpatient
Record/Obstetrics and
Gynecology/Non-Hospital
associated outpatient clinic
A02.11-Outpatient
Record/Pediatric Clinic
A02.11.01-Outpatient
Record/Pediatric
Clinic/Hospital-associated
outpatient clinic
A02.11.02-Outpatient
Record/Pediatric
Clinic/Non-Hospital
associated outpatient clinic
A02.12-Outpatient
Record/TB Clinic
A02.12.01-Outpatient
Record/TB Clinic/Hospitalassociated outpatient clinic
A02.12.02-Outpatient
Record/TB Clinic/NonHospital associated
outpatient clinic
A02.14-Outpatient
Record/Indian Health
Service Clinic
A02.14.01-Outpatient
Record/Indian Health
Service Clinic/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)
A02.14.02-Outpatient
Record/Indian Health
Service Clinic/Non- Hospital
associated outpatient clinic
A02.15-Outpatient
Record/Early Intervention
Nurse
A02.15.01-Outpatient
Record/Early Intervention
Nurse/Hospital- associated
outpatient clinic
A02.15.02-Outpatient
Record/Early Intervention
Nurse/Non- Hospital
associated outpatient clinic
A02.16-Outpatient
Record/Visiting Nurse
Service
A02.16.01-Outpatient
Record/Visiting Nurse
Service/Hospitalassociated outpatient clinic
A02.16.02-Outpatient
Record/Visiting Nurse
Service/Non-Hospital
associated outpatient clinic
A02.17-Outpatient
Record/Hemophilia
Treatment Center
A02.17.01-Outpatient
Record/Hemophilia
Treatment Center/Hospitalassociated outpatient clinic
A02.17.02-Outpatient
Record/Hemophilia
Treatment Center/NonHospital associated
outpatient clinic

3-38

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A02.18-Outpatient
Record/Hospice
A02.18.01-Outpatient
Record/Hospice/Hospitalassociated outpatient clinic
A02.18.02-Outpatient
Record/Hospice/NonHospital associated
outpatient clinic
A02.19-Outpatient
Record/Drug Treatment
Center
A02.19.01-Outpatient
Record/Drug Treatment
Center/Hospital- associated
outpatient clinic
A02.19.02-Outpatient
Record/Drug Treatment
Center/Non- Hospital
associated outpatient clinic
A02.20-Outpatient
Record/Rehabilitation
Center
A02.20.01-Outpatient
Record/Rehabilitation
Center/Hospital-associated
outpatient clinic
A02.20.02-Outpatient
Record/Rehabilitation
Center/Non-Hospital
associated outpatient clinic
A02.25-Outpatient
Record/Other Clinic
A02.25.01-Outpatient
Record/Other

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
Clinic/Hospital-associated
outpatient clinic
A02.25.02-Outpatient
Record/Other Clinic/NonHospital associated
outpatient clinic
A03-Emergency Room
A04-Screening, Diagnosis
and Referral Agency
A04.01-Screening,
Diagnosis and Referral
Agency/Blood Bank
A04.02-Screening,
Diagnosis and Referral
Agency/Drug Treatment
Clinic or Program
A04.03-Screening,
Diagnosis and Referral
Agency/Family Planning
Clinic
A04.04-Screening,
Diagnosis and Referral
Agency/HIV Case
Management Agency
A04.05-Screening,
Diagnosis and Referral
Agency/HIV Counseling and
Testing Site
A04.06-Screening,
Diagnosis and Referral
Agency/Immigration
A04.07-Screening,
Diagnosis and Referral
Agency/Insurance Report
A04.08-Screening,
Diagnosis and Referral
Agency/Job Corps

3-40

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A04.09-Screening,
Diagnosis and Referral
Agency/Military
A04.10-Screening,
Diagnosis and Referral
Agency/Partner Counseling
and Referral Services
A04.11-Screening,
Diagnosis and Referral
Agency/STD Clinic
A04.12-Public health notes
A05-Laboratory
A05.01-Laboratory/Hospital
A05.02-Laboratory/State
A05.03-Laboratory/Private
A05.03.01Laboratory/Private/Referen
ce
A05.03.02Laboratory/Private/Other
A06-Other Database
A06.01-Other
Database/AIDS Drug
Assistance Program (ADAP)
A06.02-Other
Database/ASD
A06.03-Other
Database/Birth Certificate
A06.04-Other
Database/Birth Defects
Registry
A06.05-Other
Database/Cancer Registry
A06.06-Other
Database/Database

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
provided by coroner not
associated with inpatient
facility
A06.07-Other
Database/Death Certificate
A06.08-Other
Database/EHRAP
A06.09-Other
Database/EPS
A06.10-Other
Database/HARS
A06.11-Other
Database/Health
department records
A06.12-Other
Database/Hepatitis Registry
A06.13-Other
Database/Hospital billing
summary or discharge
records
A06.14-Other
Database/HRSA HIV CARE
A06.15-Other
Database/Immunization
registry
A06.16-Other
Database/Medicaid
Records
A06.17-Other
Database/National Death
Index (NDI) Search
A06.18-Other
Database/Out of State
Reports
A06.19-Other
Database/Prison, Jail or
Other Correctional Facility

3-42

May 2022

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A06.20-Other
Database/PSD
A06.21-Other
Database/State Disease
Registry
A06.22-Other
Database/SHAS
A06.23-Other
Database/SHDC
A06.24-Other
Database/STD Registry
A06.25-Other
Database/Tuberculosis
Registry
A06.27-Other
Database/Vital Statistics
(State/Local)
A06.28-Other
Database/HARS NDI
A06.29-Other
Database/RIDR
A06.29.01-Other
Database/RIDR/CDC RIDR
A06.29.02-Other
Database/RIDR/CDC
Soundex Check
A06.29.03-Other
Database/RIDR/Other
State-to-State
Communications
A06.30-Other
Database/SSDMF or SSDI
A06.31-Other
Database/Legacy TTH Pretest

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
A06.32-Other
Database/Legacy TTH Posttest
A06.33-Other
Database/Legacy Consent
A06.34-Other
Database/MMP
A06.34.01-Other
Database/MMP/Medical
Record Abstraction
A06.34.02-Other
Database/MMP/Patient
Interview
A06.35-Other
Database/FIMR
A06.35.01-Other
Database/FIMR/Medical
Record Abstraction
A06.35.02-Other
Database/FIMR/Patient
Interview
A06.36-Other
Database/Internet
Person/People Search
A06.50-Other
Database/Other
A07-Other Facility Record
A07.01-Other Facility
Record/Prison, jail, or other
correctional facility
A07.02-Other Facility
Record/Coroner not
associated with inpatient
facility
A10-Other source
A10.01-COPHI Investigation
A10.02-Patient interview
UNK-Unknown

3-44

May 2022

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

SOURCE-No source defined

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.

000-document.personView
001document.adultCaseReport
Doc
002document.pediatricReportD
oc
003document.harsAdultDoc
004-document.lab
005document.birthCertificateD
oc
006document.deathCertificate
Doc
009document.harsPediatric
Doc
010-Supplemental Risk
Form
011-document.harsNdiDoc
012-document.tthDoc
013-document.consent
15 - document.starhs

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

3-46

DESCRIPTION

The user ID of the person who entered
the information into eHARS, autopopulated by the application.
The system date when the document
was entered into eHARS.
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.
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 county code), or the fivedigit FIPS place code (state + fips place
code).
May 2022

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

Optional - System

YES

ACRF, PCRF,
LEGACY_CONSENT,
LEGACY_TTH
All

YES_NO_UNK

YES

All

Optional

YYYYMMDD

YES

All

Optional

NO

All

Optional

NO

Optional - System

YES

ACRF, PCRF,
LEGACY_CONSENT,
LEGACY_TTH
All

YES

All

System

YYYYMMDD

YES

All

Optional

Two-character state
abbreviation + three-digit
FIPS county code or fivedigit FIPS place code

YES

All

Optional

PROVIDER_CODE (table)

Required if follow-up
document

System

TABLE NAME
VARIABLES

rep_hlth_dept_name
rpt_medium

ship_flag

site_cd
status_flag

surv_method

FACILITY_CODE
city_fips
city_name
country_cd
country_usd

DESCRIPTION

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.

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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
All
pv documents),
PERSON_VIEW_STATUS (pv
documents)
A field indicating whether the report
A - Active
YES
All
was obtained via active or passive
F - Follow-up
surveillance.
P - Passive
R - Reabstraction
U - Unknown
A table that maintains information for selecting and identifying healthcare facilities.

System

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.

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.

Required

FIPS_CITY (table)
FIPS_CITY (table)

YES
YES

N/A
N/A

Optional
Optional

COUNTRY_CODE (table)

YES

N/A

Optional

COUNTRY_CODE (table)

YES

N/A

Optional

TABLE NAME
VARIABLES

county_fips
county_name
email
facility_type_cd

3-48

DESCRIPTION

County FIPS code for the facility's
address.
County name associated with the
facility's address.
The email address of the facility.
A code indicating the type of healthcare
facility.

May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

FIPS_COUNTY (table)

YES

N/A

Optional

FIPS_COUNTY (table)

YES

N/A

Optional

NO
YES

N/A
N/A

Optional
Required

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

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

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

facility_uid
fax
3-50

DESCRIPTION

A unique identifier for a healthcare
facility.
The fax number of the facility.
May 2022

Valid data element values
(lookup type, reference
table, or actual values)
F02.57-Outpatient
Facility/Primary Care Clinic,
Not Specified
F02.58-Outpatient
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

Transfer
to CDC

Document Source

Required/Optional

YES

N/A

System

NO

N/A

Optional

TABLE NAME
VARIABLES

funding_cd
funding_flag
name1
name2
phone
setting_cd

ship_flag
state_cd
street_address1
street_address2
zip_cd
FACILITY_EVENT
doc_belongs_to

DESCRIPTION

A code that indicates the type of HRSA
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.

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

FUNDING_CD

YES

N/A

Optional

YES_NO

YES
YES
YES

N/A
N/A
N/A

Optional
Optional
Optional

NO
YES

N/A
N/A

Optional
Optional

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

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
STATE_CODES
YES
N/A
Optional
address.
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.
Indicates if the facility event data (such
as facility at HIV dx or facility at birth)
belong to PERSON or CHILDn.

PERSON, MOTHER, CHILD

YES

All except
DEATH_DOC and
LAB_DOC

Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

document_uid

A unique identifier for a document.

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.

3-52

May 2022

Transfer
to CDC

Document Source

Required/Optional

YES

All except
DEATH_DOC and
LAB_DOC

System

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

All except
DEATH_DOC and
LAB_DOC

Optional

YES

All except
DEATH_DOC and
LAB_DOC

Optional - System

PROVIDER_CODE (table)

NO

All except
DEATH_DOC and
LAB_DOC

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

TABLE NAME
VARIABLES

id_value
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

DESCRIPTION

The value of the person's identifier.

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

YES

Document Source

All

Required/Optional

Refer to ID_CODE table
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
NO
All
Optional
(reported)

TABLE NAME
VARIABLES

028
029
030
031
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
3-54

DESCRIPTION

Philadelphia, PA Unique Code (verified)
MA Coded Identifier (reported)
MA Coded Identifier (verified)
MD Unique Identifier (reported)
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)
May 2022

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
NO
NO
NO
NO
YES
YES
NO
YES
YES
YES
YES
YES
YES
YES
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
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
Optional
Optional

TABLE NAME
VARIABLES

072
073
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

DESCRIPTION

IL Patient Code Number (generated)
Philadelphia, PA Unique Code
(generated)
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)

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

NO
NO

All
All

Optional
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

TABLE NAME
VARIABLES

134
135
136
137
138
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
3-56

DESCRIPTION

AK STATENO
AZ STATENO
AR STATENO
CA STATENO
CO STATENO
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

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
YES
YES
May 2022

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
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*
Optional*
Optional*

TABLE NAME
VARIABLES

166
167
168
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

DESCRIPTION

NC STATENO
ND STATENO
OH STATENO
OK STATENO
OR STATENO
RI STATENO
SC STATENO
SD STATENO
TN STATENO
New York, NY CITYNO
American Samoa STATENO
Mariana Islands STATENO
DC STATENO
Guam STATENO
Puerto Rico STATENO
Virgin Islands STATENO
San Francisco, CA CITYNO
Los Angeles, CA CITYNO
Chicago, IL CITYNO
Philadelphia, PA CITYNO
PATNO (ASD)
INS Number
KY Unique Code Alias (Retired)
Tracking ID
Generic ID
PEMS Client Unique Key
PEMS Local Client Key
PEMS Form ID
Palau STATENO
Marshall Islands 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
NO
NO
NO
NO
NO
NO
NO
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

197
198
199
200
201
202
203
204
INVESTIGATION_CASE
document_uid
invest_case_seq
invest_type_cd
invest_ident_method

invest_ident_dt
invest_incl

3-58

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

MMP PARID
FIMR ID
Federated States of Micronesia
STATENO
EvalWeb Client ID
EvalWeb Form ID
EvalWeb Partner Services Case Number
Integrated Disease Surveillance System
Person ID
Integrated Disease Surveillance System
Event ID
A table that maintains the details of the HIV case investigation.
A unique identifier for a document.
Sequence number to make the record
unique.
Type of investigation
0 - Transmission Cluster
1 - Not in care
How person was first identified as
01 - Health department HIV
needing investigation.
surveillance system (e.g.,
eHARS)
02 - Health department
integrated data system
03 - Provider report
04 - Transmission cluster
investigation
05 - Elevated viral load
investigation
06 - Partner services
investigation
07 - Medical Monitoring
Project (MMP)
88 - Other
Date first identified as needing
YYYYMMDD
investigation
Included in investigation.
Y - Included in investigation
N - Excluded from
investigation
May 2022

Transfer
to CDC

Document Source

Required/Optional

YES
YES
YES

All
All
All

Optional
Optional
Optional*

NO
YES
YES
No

All
All
All
All

Optional
Optional
Optional
Optional

No

All

Optional

YES
YES

ACRF
ACRF

System
System

YES

ACRF

Required

YES

ACRF

Required

YES

ACRF

Required

YES

ACRF

Required

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

invest_start_dt
invest_dispo

Date investigation opened.
Investigation disposition.

invest_dispo_dt
invest_dispo_method

Investigation disposition date.
Basis of investigation disposition.

int_dispo_dt
int_dispo

Intervention disposition date.
Intervention disposition.

YYYYMMDD
1 - Deceased
2 - Resides out of
jurisdiction
3 - In care
4 - Not in care
5 - Unable to determine
YYYYMMDD
1 - Database/record search,
only
2 - Patient contact/field
investigation, only
3 - Database/record search
and patient contact/field
investigation
YYYYMMDD
1 –-No linkage/reengagement intervention
initiated
2 - Linkage/re-engagement
intervention declined by
client
3 - Returned to care before
linkage/re-engagement
intervention was initiated
4 - Linkage/re-engagement
intervention initiated, not
successfully linked to/reengaged in care
5 - Linked to/re-engaged in
care, documented
6 - Linked to/re-engaged in
care, client self-report, only
7 - Linkage/re-engagement
status unknown

Transfer
to CDC

Document Source

Required/Optional

YES
YES

ACRF
ACRF

Required
Required

YES
YES

ACRF
ACRF

Required
Required

YES
YES

ACRF
ACRF

Required
Required

TABLE NAME
VARIABLES

INVESTIGATION_CLUSTER
cluster_uid
cluster_ident_method

document_uid
invest_cluster_seq
person_ident_met
person_ident_dt
LAB
accession_number
case_cd

clia_uid
comments

3-60

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

A table that maintains the details of molecular cluster investigation.
Unique cluster ID number.
A-Z, 0-9,-,_, blank
YES
ACRF
Method of cluster identification.
01 - State/local molecular
YES
ACRF
cluster analysis
02 - National molecular
cluster analysis
03 - State/local time-space
cluster analysis
04 - National time-space
cluster analysis
05 - Provider notification
06 - Partner services
notification
88 - Other
A unique identifier for a document.
YES
ACRF
Sequence number to make the record
YES
ACRF
unique.
How person was identified as part of
1 - Through
YES
ACRF
this cluster.
analysis/notification
2 - Through investigation
Date person was identified as part of
YYYYMMDD
YES
ACRF
this cluster.
A table that maintains information on a person's diagnostic tests and STARHS results.
An identifier assigned by the lab to a
specimen when received; acts as a
tracking mechanism for the specimen.
For application use, a code associating a
diagnostic test with the HIV/AIDS case
definition algorithm.
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.

May 2022

Required/Optional

Required
Required

System
System
Required
Required

NO

ACRF, PCRF, LAB_DOC

Optional

LAB_TEST_CODE (table)

YES

System

CLIA_CODE (table)

YES

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF, LAB_DOC

YES

ACRF, PCRF, LAB_DOC

Optional

Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

document_uid

A unique identifier for a document.

facility_uid

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)

LAB_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
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

lab_seq

YES

YES
YES

YES

Document Source

Required/Optional

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF, 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,
LEGACY_ADULT,
LEGACY_PEDIATRIC

Optional

Optional - System

Required

Optional if the test is
rapid

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
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
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
41-DiaSorin

3-62

May 2022

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

42-Hologic
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.
The result value including the optical
density for STARHS.

YYYYMMDD

YES

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

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

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
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC

Optional

Optional

Required when entering
a lab test
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

Required when entering
a CD4 test

NO

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC
ACRF, PCRF, LAB_DOC

YES

ACRF, PCRF, LAB_DOC

Optional

YES

ACRF, PCRF, LAB_DOC

Optional

YES

ACRF, PCRF, LAB_DOC

If lab_test_cd=EC-023,
EC-024, EC-025, EC-026,
or EC-027 then this
variable is REQUIRED

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

sreason

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_ANALYTE
document_uid
lab_seq

result_interpretation

A table that contains the HIV-1/2 Ag/Ab and Type-Differentiating Immunoassay lab test’s analyte results.
A unique identifier for a document.
YES
ACRF, PCRF, LAB_DOC
Sequence identifier for a person's
YES
ACRF, PCRF, LAB_DOC
laboratory results.
The eHARS defined codes to identify lab LAB_TEST_CODE (table)
YES
ACRF, PCRF, LAB_DOC
tests
An interpretation of the lab result.
RESULT_INT_ANALYTE
YES
ACRF, PCRF, LAB_DOC

result
result_units

The result value.
The reported units

lab_test_cd

3-64

May 2022

0.00000-9999.99999, <, >, =
IDX

YES
YES

ACRF, PCRF, LAB_DOC
ACRF, PCRF, LAB_DOC

Required when entering
a lab test
Optional

System
System
Required
Required when entering
a lab test
Optional
System

TABLE NAME
VARIABLES

LAB_GENOTYPE
document_uid
genotype_sequence
lab_seq
OBSERVATION
document_uid

obs_uid

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

A table that contains the gene sequence from a person's genotype diagnostic test.
A unique identifier for a document.
YES
The genotype sequence result from a
GENE_VALIDATION
YES
genotype diagnostic test.
Sequence identifier for a person's
YES
laboratory results.
A table that maintains information on a person’s observations.
An internal unique identifier for a
YES
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
YES
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?

4
5
6

Transfer
to CDC

YES_NO_UNK

YES_NO_UNK

Document Source

Required/Optional

ACRF, PCRF, LAB_DOC
ACRF, PCRF, LAB_DOC

System
Required

ACRF, PCRF, LAB_DOC

System

All

System

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

All

Required if laboratory
test not documented

TABLE NAME
VARIABLES

DESCRIPTION

7

Date patient was confirmed by a
physician as HIV infected

8
9
10
11

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

12
13
14
15
16
17
18
19

20
21
22
23
3-66

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
May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

YYYYMMDD

YES

All

YES_NO
YYYYMMDD

YES
YES
YES
YES

All
All
All
All

Required if laboratory
test not documented
and physician diagnosis
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

1=Active follow-up
2=Moved from state
3=Provider out of state
4=Lost to follow-up
9=Unknown

TABLE NAME
VARIABLES

24
25
26
27
28
29
31

32
33
34
35
39
40
41
42
43
44

DESCRIPTION

Is patient currently pregnant?
Has patient delivered live-born infant?
HARS Legacy - Has child's mother had
sex 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
eHARS Retired ––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?

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

YES_NO_UNK
YES_NO_UNK
YES_NO_UNK

YES
YES
YES

All
All
All

Required
Optional
Legacy HARS

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
YES

All
All

Optional
Optional

YES_NO_UNK

YES

All

Optional

YES_NO_UNK
YES_NO_UNK

YES
YES

All
All

Optional
Optional

YES_NO_UNK

YES

All

Optional

TABLE NAME
VARIABLES

45
46
47
48

DESCRIPTION

Is patient confirmed by a physician as
not HIV infected?
Date patient confirmed by physician as
not HIV infected
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?
Has child received other neonatal antiretroviral therapy?
Has patient received anti-retroviral
therapy?
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
78
81
83
84
86
87
88

89
3-68

Child's primary caretaker
May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

YES_NO_UNK

YES

All

Optional

YYYYMMDD

YES

All

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
YES

All
All

Retired
Retired

YES_NO_UNK

YES

All

Retired

YES_NO_UNK
YYYYMMDD
PATIENT_ENROLLED_TRIAL

YES
YES
YES

All
All
All

Optional
Optional
Optional

PATIENT_ENROLLED_CLINIC
1=Medicaid
2=Private coverage
3=No coverage
4=Other public fund
7=Government program
9=Unknown
1 - Biological parent(s)
2 - Other relative

YES
YES

All
All

Optional
Legacy HARS

YES

All

Optional

TABLE NAME
VARIABLES

90
91
92

93
94
95
96
99
100

DESCRIPTION

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
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 birthplace

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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

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
9=Unknown

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

3-70

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)

May 2022

Valid data element values
(lookup type, reference
table, or actual values)
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

YES

All

Legacy HARS

TABLE NAME
VARIABLES

210
211
212
220

221

3-72

DESCRIPTION

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

May 2022

Valid data element values
(lookup type, reference
table, or actual values)
missing
V - Pending verification
W - Deleted before verified
X – Reuse record in
Database
Z – ID number change
(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
15 - No health insurance
88 - Other
99 - Unknown
01 - CHAMPUS/TRICARE
02 - CHIP
03 - Medicaid
04 - Medicaid, pending
05 - Medicare
06 - Other public funding

Transfer
to CDC

Document Source

Required/Optional

YES
YES
YES

All
All
All

Legacy HARS
Legacy HARS
Legacy HARS

YES

All

Optional

YES

All

Optional

TABLE NAME
VARIABLES

222
223
224
225

227
229
230
231

DESCRIPTION

Did the documented laboratory test
results meet approved alternate HIV
testing algorithm criteria?
If YES, provide specimen collection date
of earliest positive test for this
algorithm
Ever taken any ARVs?
Main source of antiretroviral (ARV) use
information

Date patient reported information
Date of last use of PCP prophylaxis
eHARS Retired -Did mother receive
zidovudine(ZDV,AZT) prior to this
pregnancy?
eHARS Retired - Did mother receive
zidovudine(ZDV,AZT) during pregnancy

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

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
15 - No health insurance
88 - Other
99 - Unknown
YES_NO_UNK

YES

All

YYYYMMDD

YES

All

YES_NO_UNK
1 - Provider Report
2 - Patient Interview
3 – Medical Record Review
4 – NHM&E
5 – Other
YYYYMMDD
YYYYMMDD
YES_NO_UNK

YES
YES

ACRF, PCRF
ACRF

Required if laboratory
tests meet approved
alternative algorithm
Required if laboratory
tests meet approved
alternative algorithm
Required
Required

YES
YES
YES

ACRF
ACRF, PCRF
PCRF

Required
Optional
Retired

YES_NO_REF_UNK

YES

PCRF

Retired

TABLE NAME
VARIABLES

232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
3-74

DESCRIPTION

eHARS Retired -If yes, what week of
pregnancy was zidovudine (ZDV, AZT)
start)
eHARS Retired -Did mother receive any
other Antiretroviral medication during
pregnancy?
eHARS Retired -Did mother receive
zidovudine(ZDV,AZT) during
labor/delivery?
eHARS Retired -Did mother receive any
other Antiretroviral medication during
labor/delivery
Did mother receive any ARVs prior to
this pregnancy?
Did mother receive any ARVs during
pregnancy?
Did mother receive any ARVs during
labor/delivery?
Evidence of receipt of HIV medical care
other than laboratory test result
Date of medical visit or prescription
Suspect acute HIV infection
Clinical sign/symptom consistent with
acute retroviral syndrome
Date of acute retroviral syndrome
sign/symptom onset
Other evidence suggestive of acute
HIV infection
Date of other evidence
Description of other evidence
eHARS Retired - 1. If information on the
mother is not available, was the child
adopted, or in foster care?
eHARS Retired -2. Records Abstracted
eHARS Retired -3. Weeks' gestation at
first prenatal care visit.
May 2022

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

01-52

YES

PCRF

Retired

YES_NO_UNK

YES

PCRF

Retired

YES_NO_REF_UNK

YES

PCRF

Retired

YES_NO_UNK

YES

PCRF

Retired

YES_NO_UNK

YES

PCRF

Optional

YES_NO_UNK

YES

PCRF

Optional

YES_NO_UNK

YES

PCRF

Optional

1 – Yes, documented
2 – Yes, client self-report,
only
YYYYMMDD
YES_NO_UNK
YES_NO_UNK

YES

ACRF

Optional

YES
YES
YES

ACRF
ACRF
ACRF

Optional
Optional
Optional

YYYYMMDD

YES

ACRF

Optional

YES_NO_UNK

YES

ACRF

Optional

YYYYMMDD
[A-Z,0-9, special character]
YES_NO_NA

YES
YES
YES

ACRF
ACRF
PCRF

Optional
Optional
Retired

YES
YES

PCRF
PCRF

Retired
Retired

TABLE NAME
VARIABLES

250
251
252
253
254
255
256
257
258
259
260
261
262

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

eHARS Retired - 19. Was mothers HIV
serostatus noted in prenatal care, labor
and delivery and child’s birth records?
eHARS Retired -12. Were ARV's
prescribed for the mother during this
pregnancy: gestational age
eHARS Retired -14.Did mother receive
ARV's during labor and delivery?: time
received, type of administration
eHARS Retired -20.Were antiretroviral
drugs prescribed for the child?: time
started, art completed, stop codes
eHARS Retired -15. Was mother
referred for HIV care after delivery?
eHARS Retired -16a. Indicate first CD4
result after discharge from hospital (up
to 6 months after discharge)
eHARS Retired -16b. Indicate first viral
load after discharge from hospital (up to
6 months after discharge)
eHARS Retired -17. Birth information
available
eHARS Retired -17. Onset of labor

YHIVP_YHIVN_NO_RNA_UN
K

eHARS Retired -17. Admission to labor
and delivery
eHARS Retired - 7. Sibling date of birth,
HIV serostatus, State No, City No
eHARS Retired - 8. Was substance use
during pregnancy noted in medical or
social work records?
eHARS Retired - 8b. If substances used,
were any injected? Specify injected
substance(s).

Transfer
to CDC

Document Source

Required/Optional

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

BNH_RNA

YES

PCRF

Retired

YES_NO hh:mm:ssss
MM/DD/YYYY
YES_NO hh:mm:ssss
MM/DD/YYYY

YES

PCRF

Retired

YES

PCRF

Retired

YES

PCRF

Retired

PCRF

Retired

PCRF

Retired

YES_NO_ND_RNA_UNK

YES
YES

TABLE NAME
VARIABLES

263

264
265
266
OI
document_uid
dx
dx_dt
oi_cd

3-76

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

eHARS Retired - 9. Was a toxicology
YES
PCRF
screen done on the mother (either
during pregnancy or at the time of
delivery)?
eHARS Retired - 10. Was a toxicology
YPR_YNR_NO_TSND
YES
PCRF
screen done on the infant at birth?
eHARS Retired - Was this child
YES_NO
YES
PCRF
breastfed?
eHARS Retired - Maternal stateno
YES
PCRF
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
YYYYMMDD
YES
ACRF, PCRF,
was diagnosed.
LEGACY_ADULT,
LEGACY_PEDIATRIC
A code indicating a person's AIDS
AD01 - Bacterial infection,
YES
ACRF, PCRF,
defining conditions.
multiple or recurrent
LEGACY_ADULT,
(including Salmonella
LEGACY_PEDIATRIC
septicemia)
AD02 - Candidiasis, bronchi,
trachea, or lungs
AD03 - Candidiasis,
esophageal
AD04 - Carcinoma, invasive
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)
May 2022

Required/Optional

Retired

Retired
Retired
Retired
System
Optional
Optional
Optional

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)
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
extrapulmonary
AD20 - M. tuberculosis,
pulmonary
AD21 - M. tuberculosis,
disseminated or
extrapulmonary
AD22 - Mycobacterium, of
other species or
unidentified species,

Transfer
to CDC

Document Source

Required/Optional

TABLE NAME
VARIABLES

oi_seq

DESCRIPTION

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

Transfer
to CDC

Document Source

Required/Optional

OTHER_HEALTH_CONDITI
ONS

ACRF, PCRF,
System
LEGACY_ADULT,
LEGACY_PEDIATRIC
A table that maintains the health conditions, other than HIV, of birthing person and infant during pregnancy, labor and delivery. This
information is collected in the Birth History and Birthing Person History sections of Pediatric Case Report Forms (PCRF) documents.

document_uid

A unique identifier for a document.

condition_seq

Sequence number. Implement sequence
number to way RISK and ADDRESS to
handle all codes on PV.

condition_event_cd

Connects to the overall question or
section to allow storage when data
gathered for different questions for the
same case.

3-78

Sequence identifier for a person's AIDS
defining conditions.

Valid data element values
(lookup type, reference
table, or actual values)

May 2022

YES

YES

PCRF,
LEGACY_PEDIATRIC

System

0-999999

YES

PCRF,
LEGACY_PEDIATRIC

System

CONDITION_EVENT_CD

YES

PCRF,
LEGACY_PEDIATRIC

System

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

condition_cd

Unique code for health condition

HEALTH_CONDITION_CD

YES

condition_value

Screening value or diagnosis value of
other health condition.

YES_NO_UNK - only for
new records, manual entry
and ADI
ND & RNA- valid for PHER
converted data and will
appear as greyed out
options in manual entry
drop-down box

YES

condition_dt

Date screening or performed or date
condition diagnosed.

YYYYMMDD .

doc_belongs_to

Indicates who the address data belong
to: PERSON, MOTHER.

PERSON, MOTHER

PERSON

A table that maintains demographic information about a person.

birth_country_cd

A code indicating the country of birth.

birth_country_usd

birth_sex

Document Source

Required/Optional

PCRF,
LEGACY_PEDIATRIC
PCRF,
LEGACY_PEDIATRIC

Optional

YES

PCRF,
LEGACY_PEDIATRIC

Optional

YES

PCRF,
LEGACY_PEDIATRIC
PCRF,
LEGACY_PEDIATRIC

System

COUNTRY_CODE (table)

YES

Optional

A code indicating the specific U.S.
dependency of birth.

COUNTRY_CODE (table)

YES

The person's biological sex at birth, as
noted on the birth certificate.

F - Female
M - Male

YES

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
LEGACY_CONSENT,
LEGACY_TTH
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
LEGACY_CONSENT,
LEGACY_TTH
All

Optional

Optional

Required

TABLE NAME
VARIABLES

DESCRIPTION

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.

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).

3-80

May 2022

Valid data element values
(lookup type, reference
table, or actual values)
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

Transfer
to CDC

Document Source

Required/Optional

YES

All except BC

Required

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,
LEGACY_CONSENT,
LEGACY_TTH
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC
All
All except BC

1 - 8th grade or less
2 - Some high school
3 - High school graduate,
GED or equivalent
4 - Some college
5 - College degree
6 - Post-graduate work
7 - Some school, level
unknown

YES
NO

System

System
Optional

TABLE NAME
VARIABLES

ethnicity1

ethnicity2

gender_id_dt

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.
The date the gender identity of the
person was identified.

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

9 - Unknown
ETHNICITY

YES

All

Required

ETHNICITY

YES

All

Optional

YYYYMMDD

YES

All except BC

Required

YES

All except BC

Required

gender_other_specify

User entered gender identity when
“other specify” is chosen.

hars_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/fedr
eg/ombdir15.html]).
HARS expanded race.

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

Is this person a healthcare worker?
(optional field)

YES_NO_UNK

YES

ACRF

Optional

hars_xrace
hcw

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

hcw_occup

Occupation, if healthcare worker
(optional field).

OCCUPATION

YES

marital_status

The person's marital status.

race1
race2
race3
race4
race5
sexual_orientation

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.
The person’s sexual orientation

A - Married and separated
D - Divorced
M - Married
N - Not otherwise specified
O - Other
S - Single and never married
U - Unknown
W - Widowed
RACE
RACE
RACE
RACE
RACE
SEXUAL_ORIENTATION

sexual_orientation_id_dt

The date the sexual orientation of the
person was identified.

YYYYMMDD

sexual_orientation_other_
spec

Use entered sexual orientation when
“other specify” is chosen.

vital_status

Indicates vital status at time form was
completed—alive, dead, or unknown.

PERSON_NAME

A table that maintains information on a person’s names and Soundex codes.

3-82

May 2022

1 - Alive
2 - Dead
9 - Unknown

Document Source

Required/Optional

Optional

NO

ACRF,
LEGACY_CONSENT,
LEGACY_TTH
All except PCRF

YES
YES
YES
YES
YES
YES

All
All
All
All
All
All except BC

Required
Required
Required
Required
Required
Required

YES

All except BC

Required

YES

All except BC

Required

YES

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC

Required

Optional

TABLE NAME
VARIABLES

doc_belongs_to

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Document Source

Required/Optional

document_uid

Indicates if the name belongs to
PERSON, MOTHER, or CHILDn.
A unique identifier for a document.

first_name

The person's first name.

NO

All

Optional

first_name_sndx

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

All

Optional

All

System

PREGNANCY_OUTCOME

A code indicating the type of name
NAME_USE
YES
being used, such as Maiden or Birth.
The default value is Legal.
Sequence identifiers for a person's
0-999,999,999
YES
name.
A field used by the application to
YES_NO
NO
determine if the name removal utility
has been applied to this row.
A table to capture final outcome of previous pregnancies of birthing person.

document_uid

A unique identifier for a document.

PCRF,
LEGACY_PEDIATRIC

last_name
last_name_sndx

person_name_seq
removal_ind

PERSON, MOTHER, CHILDn

Transfer
to CDC

YES

All

System

YES

All

System

YES

System

System

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

preg_outcome

Final outcome of pregnancy.

PREGNANCY_OUTCOME

YES

PCRF,
LEGACY_PEDIATRIC

Optional

preg_seq

Auto-generated number to allow for
multiple events per document.

0-9

YES

PCRF,
LEGACY_PEDIATRIC

System

preg_outcome_dt

Year in which pregnancy event
occurred.

YYYY….
YES
YYYYMMDD
99999999
A table that maintains information on a person's pretest questionnaire.

PCRF,
LEGACY_PEDIATRIC

Optional

A unique identifier for the person’s
Pretest Questionnaire.
Are you now taking any ARVs?
Main source of testing history
information.
When you first tested positive for HIV,
was the HIV test an anonymous test?
Date of first positive HIV test
First positive test result from self-test
performed by patient
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?
Date of last negative HIV test

YES

ACRF, LEGACY_TTH

System

YES_NO
UCTS

YES
YES

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Optional
Required

YES_NO_REF

YES

ACRF, LEGACY_TTH

Optional

YES_NO_UNK

YES
YES

ACRF, LEGACY_TTH
ACRF

Required
Required

SITE_CD

NO

ACRF, LEGACY_TTH

Optional

STATE_CODES_PR
FACILITY_TYPE

YES
YES

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Optional
Optional

YES

ACRF, LEGACY_TTH

Optional

YES

ACRF, LEGACY_TTH

Required

YES_NO_UNK

YES

ACRF

Required

FACILITY_TYPE

YES

ACRF, LEGACY_TTH

Optional

SITE_CD

NO

ACRF, LEGACY_TTH

Optional

PRETEST_QUESTIONNAIR
E
document_uid
qhrtnw
Ucts
ufposa
ufposd
ufposd_self
ufps_site
ufps_state
ufpstyp
uftstd
ulstnd
ulstnd_sef
ulstngs
ulstngs_site
3-84

Last negative test result from a self-test
performed by patient
Type of facility where last tested
negative for HIV
Name of facility where last tested
negative for HIV
May 2022

TABLE NAME
VARIABLES

ulstngs_state
ungtst
unumtsts
unumtsts_self
upastp
upnumtsts

uptests
uqintd
ur3_5sp

DESCRIPTION

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
Number of negative test results were
self-tests performed by patient
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?
Date patient reported information
Reason for getting today’s HIV test: If
other reason, describe

ur4e_5sp

Reason for getting the first positive HIV
test: If other reason, describe

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

ureas3_2
ureas3_3
ureas3_4
ureas3_5

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

STATE_CODES_PR
YES_NO_REF_UNK
0-99

YES
YES
YES

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Optional
Required
Required

0-99

YES

ACRF

Required

YES_NO_REF
0-99

YES
YES

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Required
Legacy Incidence

YES_NO_REF

YES

ACRF, LEGACY_TTH

Optional

YES
YES

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Required
Optional

YES

ACRF, LEGACY_TTH

Optional

YES_NO

YES

ACRF, LEGACY_TTH

Optional

YES_NO

YES

ACRF, LEGACY_TTH

Optional

YES_NO

YES

ACRF, LEGACY_TTH

Optional

YES_NO

YES

ACRF, LEGACY_TTH

Optional

YES_NO

YES

ACRF, LEGACY_TTH

Optional

TABLE NAME
VARIABLES

urs4e_1

urs4e_2
urs4e_3
urs4e_4
urs4e_5
PROVIDER_CODE
first_name
last_name
middle_name
name_prefix
name_suffix
phone
provider_uid
ship_flag
specialty_cd
RIDR

3-86

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Reason for getting the first positive HIV
YES_NO
YES
test: Thought you might have been
exposed to HIV in the past 6 months
before the test
Reason for getting the first positive HIV
YES_NO
YES
test: Got tested on a regular basis and it
was time to get tested again
Reason for getting the first positive HIV
YES_NO
YES
test: Just checking to make sure you
were HIV negative
HIV test required
YES_NO
YES
Reason for getting the first positive HIV
YES_NO
YES
test: Other reason you wanted to get
tested
A table that maintains information on healthcare providers.
The first name of the healthcare
NO
provider.
The last name of the healthcare
NO
provider.
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
SPECIALTY_CD
YES
for this health care provider.
A table that maintains information pertaining to a case's duplicate status review.

May 2022

Document Source

Required/Optional

ACRF, LEGACY_TTH

Optional

ACRF, LEGACY_TTH

Optional

ACRF, LEGACY_TTH

Optional

ACRF, LEGACY_TTH
ACRF, LEGACY_TTH

Optional
Optional

N/A

Optional

N/A

Optional

N/A

Optional

N/A

Optional

N/A

Optional

N/A

Optional

N/A

System

N/A

System

N/A

Optional

TABLE NAME
VARIABLES

comments
document_uid
duplicate_status
ehars_uid
last_verify_dt
state_cd

DESCRIPTION

Notes or comments pertaining to the
duplicate status information entered for
this person.
A unique identifier of the current
document.
The status of the duplicate review, such
as Pending or Same As.
A unique identifier for the existing case.
The date when the status of the
duplicate review was last verified.
The two character postal code of the
state of the possible duplicate case.

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

NO

ACRF, PCRF

Optional

YES

ACRF, PCRF

System

YES

ACRF, PCRF

YYYYMMDD

YES
YES

ACRF, PCRF
ACRF, PCRF

Required if case
identified as potential
duplicate
System
Optional

STATE_CODES_PR

YES

ACRF, PCRF

1 - Same as
2 - Different than
3 - Pending

stateno

The stateno identifier of the possible
duplicate case.

YES

ACRF, PCRF

verify_by

The person who reviewed the duplicate
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

YES

ACRF, PCRF

YES

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH _DOC

RISK
cophi_status

Required/Optional

Required if case
identified as potential
duplicate
Required if case
identified as potential
duplicate
Optional

Optional

TABLE NAME
VARIABLES

detail

display

DESCRIPTION

This field captures detailed information
about risk factor—the type of clotting
factor the person had or the
occupation, if occupational exposure.
Note: RISK.detail also stores NIR type
information (1 = user entered [if date
investigation was completed is
entered], 2 = system assigned)
A field used by the application for
display purposes.

Valid data element values
(lookup type, reference
table, or actual values)
For R04, R30, R33, R32 =>
CLOTTING_FACTOR
For R13 => OCCUPATION
For R80, R81 => 1 = user
entered [if date
investigation was
completed is entered], 2 =
system assigned
A(adult), P(pediatric),
H(hemophilia)

Transfer
to CDC

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC

Optional

NO

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
All

System

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC

Optional

A unique identifier for a document.

resolution_dt

The date the COPHI investigation was
resolved.

YYYYMMDD

YES

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).

YES_NO_UNK_CDC

YES

May 2022

Required/Optional

YES

document_uid

3-88

Document Source

YES

System

Refer to RISK_CD table
for requirements for
each variable
System

Refer to RISK_CD table
for valid data element
values for each variable

TABLE NAME
VARIABLES

trans_first_dt

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC

Required

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC

Required

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

Required

R02

Sex with female

YES_NO_UNK_CDC

YES

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 person who
injected drugs

YES_NO_UNK_CDC

YES

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,

trans_last_dt

Required

Required

Required

Required

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

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

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

3-90

May 2022

Document Source

LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_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

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

R17

Perinatally acquired HIV infection

YES_NO_UNK_CDC

YES

R18

Injected non-prescription drugs

YES_NO_UNK_CDC

YES

R19

Heterosexual contact with person who
injected drugs

YES_NO_UNK_CDC

YES

Document Source

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_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

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

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

3-92

May 2022

Document Source

ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
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

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

R35

Received transplant of tissue/organs

YES_NO_UNK_CDC

YES

R36

Child breastfed/chestfed by birthing
person

YES_NO_UNK_CDC

YES

R37

Child received premasticated/prechewed food from birthing person

YES_NO_UNK_CDC

YES

Document Source

LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
ACRF, PCRF,
LAB_DOC,
LEGACY_ADULT,

Required/Optional

Required

Required

Required

Required

Required

Required

Required

TABLE NAME
VARIABLES

R38

R39

R40

R41

R80

R81

SUBSTANCE_HISTORY
document_uid

3-94

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

Document Source

Required/Optional

LEGACY_PEDIATRIC,
BC, DEATH_DOC
Child breastfed/chestfed by nonYES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
birthing person
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
Child received premasticated/preYES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
chewed food from non-birthing person
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
Adult other documented risk
YES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
Child other documented risk
YES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
Adult no identified risk
YES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
Child no identified risk
YES_NO_UNK_CDC
YES
ACRF, PCRF,
Required
LAB_DOC,
LEGACY_ADULT,
LEGACY_PEDIATRIC,
BC, DEATH_DOC
A table that maintains the toxicology data of birthing person and infant during pregnancy, labor and delivery. This information is
collected in the Birth History and Birthing Person History sections of Pediatric Case Report Forms (PCRF) documents.
A unique identifier for a document.

May 2022

YES

PCRF,
LEGACY_PEDIATRIC

System

TABLE NAME
VARIABLES

DESCRIPTION

Valid data element values
(lookup type, reference
table, or actual values)

Transfer
to CDC

substance_seq

Sequence number.

YES

doc_belongs_to

Indicates who the substance data
belongs to: PERSON or MOTHER.

MOTHER, PERSON

YES

substance_event_cd

Code to determine if and when
substance was tested for use or
injection by mother or person.

SUBSTANCE_EVENT_C
D

substance_cd

Substance code used or injected by
person.

substance_value

Document Source

Required/Optional

PCRF,
LEGACY_PEDIATRIC
PCRF,
LEGACY_PEDIATRIC

System

YES

PCRF,
LEGACY_PEDIATRIC

System

SUBSTANCE_CD

YES

PCRF,
LEGACY_PEDIATRIC

Optional

Result value selected.

SUBSTANCE_USE_RESULT
SUBSTANCE_SCREEN_RESU
LT

YES

PCRF,
LEGACY_PEDIATRIC

Optional

substance_detail

User entered substance name when
Other (specify) code is chosen.

alphanumeric, NULL, blank

YES

PCRF,
LEGACY_PEDIATRIC

Optional

substance_dt

Date of substance screening or use.

YYYYMMDD

YES

PCRF,
LEGACY_PEDIATRIC

Optional

System