Form 0920-1072 SSuN Data Elements

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Overview

StrategyA
Strategy B

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Sheet 1: StrategyA

DE #	Data Element Name	Description/Response Coding
Strategy A (STI Clinic) Data Elements
1	F1_FacilityID	Unique facility identifier
		This ID should be supplied by the site and is a unique facility identifier from underlying surveillance systems or may be generated specifically for SSuN. Regardless of source, this ID must be unique and allow for longitudinal tracking of the facility. This data element MUST NOT be ‘null’ or contain missing values.
2	F1_SiteID	Unique site code
		BA= Baltimore (Strategy A & B)
		CA= California (Strategy A & B)
0		CB= Columbus Ohio (Strategy A & B)
0		CH= Chicago (Strategy B)
0		CO= Colorado (Strategy A)
0		DC= District of Columbia (Strategy A)
0		FL= Florida (Strategy A & B)
0		IN= Indiana (Strategy A)
0		MA= Massachusetts (Strategy A & B)
0		MI= Michigan (Strategy B)
0		NY= New York City (Strategy A & B)
0		PH= Philadelphia (Strategy A & B)
0		SF= San Francisco (Strategy A)
0		TN= Tennessee (Strategy B)
0		WA= Washington (Strategy A & B)
0		This data element MUST NOT be ‘null’ or contain missing values.
0		0
3	F1_PatientID	Unique patient identification number assigned by site
0		This ID should be supplied by the site and may be a unique patient identifier from underlying surveillance systems or may be generated specifically for SSuN. Regardless of source, this ID must be unique and allow for longitudinal tracking of patients within facilities. This data element MUST NOT be ‘null’ or contain missing values.
0
4	F1_Visdate	Date of clinic visit
0		This data element MUST NOT be ‘null’ or contain missing values.
0
5	F1_EventID	Unique visit identification
0		This record ID should be supplied by the site and is an event or visit ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values.
0
6	F1_Sex	What is the patient's sex?
0		1= Male
0		2= Female
0		3= Undetermined
		9= Missing Value [Null]
8	F1_Age	How old is the patient? (Age in years)
0		If age is unknown or missing, use null value.
0
0		For the following race/ethnic questions below: Indicate yes for all of the race/ethnic questions that apply. A response of 9 indicates the information is not captured/ collected by the facility or is not provided to SSuN. Response should be null if (1) race is collected by the facility but is unknown for this record, or (2) a response of “no” is not collected separately.
9	F1_Hisp	Is the patient of Hispanic ethnicity?
0		1= Yes
0		2= No
0		9= Not captured
0
10	F1_AIAN	Is the patient American Indian or Alaskan Native?
0		1= Yes
0		2= No
0		9= Not captured
0
11	F1_Asian	Is the patient Asian?
0		1= Yes
0		2= No
0		9= Not captured
0
12	F1_PIH	Is the patient Native Hawaiian or Pacific Islander?
0		1= Yes
0		2= No
0		9= Not captured
0
13	F1_Black	Is the patient Black?
0		1= Yes
0		2= No
0		9= Not captured
0		0
14	F1_White	Is the patient White?
0		1= Yes
0		2= No
0		9= Not captured
0		0
15	F1_Multirace	Is the patient Multirace?
0		1= Yes
0		2= No
0		9= Not captured
0		0
16	F1_Otherrace	Is the patient another race not listed above?
0		1= Yes
0		2= No
0		9= Not captured
0		0
17	F1_Insurance	What is the primary health insurance status of the patient (regardless of whether it is used for the clinic visit)?
0		1= Insured, Public only
0		2= Insured, Private only
0		3= Insured, Multiple types
0		4= Unknown type
0		5= Uninsured
0		9= Insurance status not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
18	F1_Visit_type	What is the clinic visit type?
0		1= Clinician
0		2= Express/Fast track
0		3= Telemedicine - Clinician Visit
0		4= Telemedicine - Express Visit
0		8= Other
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
19	F1_Reason_visit	What was the primary purpose of the visit?
0		1= Symptomatic/new problem
0		2= Treatment only/Positive STI test
0		3= Follow-up
0		5= STI/HIV screening only (asymptomatic)
0		7= HIV PrEP Visit
0		8= Other
0		9= Not captured
0		10= Referred by sex partner
0		11= Referred by another doctor or clinic
0		12= DoxyPEP visit
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. The response options 4 and 6 are no longer to be used but left here for historical purposes. Although multiple response options may be applicable to a single clinic visit, please give precedence to the symptomatic/new problem option. A response of null indicates that the information is collected but is unknown for this record.
0		0
20	F1_Pregnant	Does the female patient self-report being pregnant?
0		1= Yes
0		2= No
0		3= Patient does not know/ not sure
0		9= Not captured
0		If information is collected but patient is not sure, then appropriate response is 3. A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates patient is a male or information is collected by the facility but unknown for this record.
0		0
21	F1_Sympt	Did the patient present with symptoms consistent with a STI (includes genital pain, itching, dysuria, genital sores/blisters, rash, vaginal/penile/rectal discharge) during the clinical visit?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
22	F1_Contact_GC	Was the patient a contact to or exposed to gonorrhea?
0		1= Yes
0		2= No
0		3= Patient does not know/not sure
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
23	F1_Contact_CT	Was the patient a contact to or exposed to chlamydia?
0		1= Yes
0		2= No
0		3= Patient does not know/not sure
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
24	F1_Contact_SY	Was the patient a contact to or exposed to syphilis?
0		1= Yes
0		2= No
0		3= Patient does not know/not sure
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
25	F1_Contact_Other	Was the patient a contact or exposed to a STI (other than syphilis, chlamydia, or gonorrhea)?
0		1= Yes, Herpes Simplex Virus (HSV)
0		2= Yes, Mpox
0		3= Yes, multiple
0		4= Yes, don’t know specific STI
0		5= Yes, other not listed
0		6= No, not a contact or exposed to STI
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
26	F1_Pelvic_exam	Was a pelvic exam performed?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values allowed for men or if information is collected by the facility but unknown for this record. A response of null indicates that the (1) information is collected by the facility but is unknown for this record, (2) patient is a male, or (3) that there was not an opportunity for a “no” response.
0		0
0		For the following sexual behavior variables, sites must either collect F1_MENSEX, and F1_FEMSEX OR F1_SEXOR and F1_NUMSEX. It is NOT necessary to collect all 4 variables.
0		0
27	F1_MENSEX	In the past 3 months, how many male sex partners does the patient report?
0		If number of male sex partners is unknown, missing, or not captured, use null value.
0		0
28	F1_FEMSEX	In the past 3 months, how many female sex partners does the patient report?
0		If number of female sex partners is unknown, missing, or not captured, use null value.
0		0
0		0
0		0
30	F1_SEXOR3	In the past 3 months, does the patient report having sex with men only, women only or both men and women?
0		1= Men Only
0		2= Women Only
0		3= Both men and women
0		4= No Sex Partners Last 3 Mos
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
0		0
32	F1_NUMSEX3	In the past 3 months, how many sexual partners does the patient report having?
0		If number of sex partners is unknown, missing, or not captured, use null value.
0		0
33	F1_SEXUALITY	How does the person characterize their sexual orientation?
0		1= Gay/Lesbian/Homosexual
0		2= Straight/Heterosexual
0		3= Bisexual
0		4= Other
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected by the facility but is unknown for this record.
0		0
34	F1_NewSex	In the last 3 months, does the patient report having a new sexual partner(s)?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response (radio button).
0		0
35	F1_Rectal_sex	In the past 3 months, does the patient report receptive anal sex with a male sexual partner?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
36	F1_Oral_Sex	In the past 3 months, does the patient report oral receptive sex with a male sexual partner?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
37	F1_condom	In the past 3 months, does the patient report condomless sex (may include receptive anal or vaginal sex) with a male sexual partner?
0		1= Yes
0		2= No
0		3= Patient not sure/unknown/refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
38	F1_HIV_partner	In the past 12 months, does the patient report having sex with a known HIV positive partner?
0		1= Yes
0		2= No
0		3= Patient not sure/unknown/refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
39	F1_IVDU	In the past 3 months, does the patient report use of illicit injected drugs?
0		1= Yes
0		2= No
0		3= Patient not sure/unknown/refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
40	F1_OPIOID	In the past 3 months, does the patient report use of opioids (but not under a physician's orders)?
0		1= Yes
0		2= No
0		3= Patient not sure/unknown/refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record or (2) that there was not an opportunity for a “no” response.
0		0
41	F1_PrEP_ever	Has the patient ever been on PrEP?
0		1= Yes
0		2= No
0		3= Patient not sure/unknown/refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
42	F1_PrEP_current	Is the patient currently on HIV PrEP?
0		1= Yes
0		2= No
0		3= Patient not sure/ unknown/ refused
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
43	F1_Prep_Scrn	Was this patient counseled and screened for PrEP eligibility?
0		1= Yes
0		2= No, Patient HIV+
0		3= No, Patient Refused
0		4= No, Express Visit Only
0		5= No, Patient is already on PrEP
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
44	F1_Prep_Elig	Was this patient eligible for PrEP?
0		1= Yes
0		2= No, Patient Not Eligible (HIV+)
0		3= No, Patient Not Eligible (Other Reason)
0		4= No, Patient is already on PrEP
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
0		0
45	F1_Prep_Ref	Was this patient referred for PrEP services?
0		1= Yes, Referred to in-house PrEP specialist
0		2= Yes, Referred to external PrEP provider
0		3= No, Patient Not Eligible
0		4= No, Patient is already on PrEP
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
46	F1_Prep_Rx	Was this patient prescribed PrEP at this visit?
0		1= Yes, Initial PrEP prescription given
0		2= Yes, Prescription refilled
0		3= No, Patient not prescribed PrEP
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
47	F1_dPEP_Rx	Was the patient prescribed doxycycline prophylaxis (DoxyPEP) at this visit?
0		1= Yes, initial DoxyPEP prescription given
0		2= Yes, DoxyPEP prescription refilled
0		3= No, Patient not prescribed DoxyPEP
0		9= Not Captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
0		0
48	F1_PEP_rec	Was the patient given HIV PEP at the STI clinic?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
49	F1_PrEP_rec	Was the patient given PrEP at the STI clinic?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. A response of null indicates that the information is collected but is unknown for this record.
0		0
50	F1_Partner_tx	Was the patient prescribed or given medication for expedited partner therapy at this visit?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates that EPT is provided by the facility, but information is not captured or collected or is not provided to SSuN. A response of null indicates that the (1) information is collected by the facility but is unknown for this record, or (2) information is collected by the facility but there is not an opportunity for a “no” response.
0		0
51	F1_SXRectal	Does the patient report rectal symptoms (e.g., discharge, pain, itching, bleeding)?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
52	F1_SXPharyngeal	Does the patient report oral symptoms (e.g., soreness, painful/itchy sores)?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response (radio button).
0		0
53	F1_SXAbdomen	Does the patient report abdominal pain?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
54	F1_SXDysuria	Does the patient report dysuria?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
55	F1_SXDischarge	Does the patient report a vaginal/rectal/penile discharge?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
56	F1_SXLesion	Does the patient report a genital/oral  lesion?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
57	F1_Sxitching	Did the patient report vaginal (abnormal), rectal or penile (urethral) itching?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response,, or 3(patient is a female).
0		0
58	F1_SXPain	Did the patient report vaginal (abnormal), rectal or genital pain?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response,, or 3(patient is a female).
0		0
59	F1_SXRash	Did the patient report a genital/anal rash?
0		1= Yes
0		2= No
0		9= Not captured
0		Although this question specifies a genital/anal rash, a response of 1 should be reported if the patient has any rash regardless of anatomic site. A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response,, or 3(patient is a female).
0		0
60	F1_Sxbleeding	Did the patient report vaginal (abnormal), rectal or (urethral ) penile bleeding?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response,, or 3(patient is a female).
0		0
0		0
0		0
61	F1_PEDischarge	Is there a finding of abnormal discharge on physical exam?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response.
0		0
62	F1_PEAbdomen	Is there a finding of lower abdominal pain/tenderness on physical exam?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response, or 3(patient is a male).
0		0
0		0
63	F1_HIVTest	Does the patient report ever being tested for HIV (excluding HIV testing on today’s visit)?
0		1= Yes
0		2= No
0		3= Patient does not know/ not sure
0		9= Not captured
0		If information is collected by the facility but patient is not sure, then appropriate response is 3. A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values allowed if information is collected by the facility but unknown for this record.
0		0
64	F1_HIVTestdate	What is the month and year of the most recent HIV test reported by the patient? (excluding HIV testing on today’s clinic visit)?
0		Null values are allowed if (1) response to F1_HIVTest is either 2, 3, 9 or (2) patient does not know/ or not sure of the date of most recent HIV test. This should be coded as character data (“MM/YY”) with missing information as “../..” or “../YY”
0		0
65	F1_HIVResultlast	What is the result of the patient's most recent HIV test reported by the patient (excluding HIV testing on today’s visit)?
0		0 = Negative
0		1 = Positive/Preliminary positive
0		2 = Indeterminant
0		3= Patient does not know/not sure
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value are allowed if (1) response to F1_HIVTest is either 2, 3,9 or (2) patient does not know/ or not sure of the result of the most recent HIV test.
0		0
66	F1_HIVTest_refuse	Did the patient refuse an HIV test today?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but is unknown for this record.
0		0
67	F1_HregMatch	Was eHARS registry match done for this patient?
0		1= Yes
0		2= No
0		This data element may be initially coded as ‘2’ if the grantee conducts a batch match with their HIV registry and the case is reported before that batch is processed. This information can be updated in the SSuN record in the next data transmission following the match. This data element should not be ‘null’ or contain missing values.
0		0
68	F1_HIVcare	Is the patient currently in HIV care?
0		1= Yes
0		2= No
0		3= Patient is not HIV positive
0		4= Unknown
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but is unknown for this record.
0		0
69	F1_HregMatchStat	Did this patient match a registry entry in eHARS?
0		1= Matching Record Found
0		2= No Matching Record
0		3= Match Not Performed
0		This data element may be initially coded as ‘3’ if the grantee conducts a batch match with their HIV registry and the case is reported before that batch is processed. This information can be updated in the SSuN record in the next data transmission following the match. This data element should not be ‘null’ or contain missing values.
0		0
70	F1_HregID	Unique record number from HIV registry (such as stateno from eHARS).
0		This data element should not be ‘null’ or contain missing values if a matching record is present in eHARS (F1_HregMatchStat = 1).
0		0
71	F1_HDXMOYR	What is this patient's earliest indication of HIV positive result?
0		This information can be obtained from the eHARS person table (HIVPMOYR) if eHARS match found (F1_HregMatchStat = 1). This should be coded as character data (“MM/YY”) with missing information as “../..” or “../YY”.
0		0
72	F1_EXPMOD	What is the exposure mode from HIV registry?
0		1= MSM Only
0		2= IDU Only
0		3= Heterosexual Contact Only
0		4= MSM & IDU
0		5= IDU & Heterosexual Contact
0		6= MSM & Heterosexual Contact
0		7= MSM, IDU & Heterosexual Contact
0		8= Perinatal Exposure
0		9= Other/Unknown
0		This data element should not be ‘null’ or contain missing values if a matching record is present in eHARS (F1_HregMatchStat = 1).
0		0
73	F1_HPVVaxadmin	Was the patient given HPV vaccination at this visit?
0		1= Yes
0		2= No, not indicated/refused
0		3= No, clinic does not administer/offer HPV vaccination
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but is unknown for this record.
0		0
74	F1_MPOX_VaxHx	Does the patient report being previously vaccinated for smallpox or mpox?
0		1= Yes, fully vaccinated
0		2= Yes, not fully vaccinated
0		3= No, no prior smallpox or mpox vaccination
0		4= Refused to provide vaccination information
0		9= Not captured
0		0
75	F1_MPOX_VaxDATE	If patient previously vaccinated for smallpox or mpox, date of most recent dose.
0		Date the smallpox or mpox vaccine was administered. Null values are allowed if (1) response to F1_MPOX_VaxHx is either 3,4, 9 or (2) patient does not know/ or not sure of the date.
0		0
76	F1_MPOX_Vax	Was this patient vaccinated for smallpox or mpox at this visit?
0		1= Yes, Administered Initial Dose
0		2= Yes, Administered Second (or more) Dose
0		3= Yes, Dose number not captured
0		4= No, no MPX vaccine administered
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed.
0		0
77	F1_MPOX_Vax_Spec	What smallpox or mpox vaccine was administered at this visit?
0		1= JYNNEOS (Imvamune or Imvanex)
0		2= ACAM2000
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed if F1_MPX_Vax= 1,2 or 3.
0		0
78	F1_MPOX_Vx_Mthd	What was the method of smallpox or mpox vaccine administration at this visit?
0		1= Intradermal (ID)
0		2= Subcutaneous (SQ)
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed if F1_MPX_Vax= 1,2 or 3.
0		0
79	F1_MPOX_Vx_Lot	What is the vaccine lot number of the vaccine administered at this visit?
0		A response of 9999 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed if F1_MPX_Vax= 1,2 or 3.
0		0
80	F1_MPOX_Vx_dosage	What vaccine dose was administered at this visit?
0		##### A response of 9999 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed if F1_MPX_Vax= 1,2 or 3.
0		0
81	F1_MPOX_Vx_dosUnit	What was the vaccine dose unit for the vaccine administered at this visit?
0		#####
0		A response of 9999 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value not allowed if F1_MPX_Vax= 1,2 or 3.
0		1= mL
0		2= CC
0		3= mG
0		4= μG (microgram)
0		9= Not Captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN.  Null value not allowed if F1_MPX_Vax= 1,2 or 3
0		0
82	F1_GCtx	Was patient prescribed antimicrobials for gonorrhea treatment (at today's visit)?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response
0		0
83	F1_CTtx	Was patient prescribed antimicrobials for chlamydia treatment (at today's visit)?
0		1= Yes
0		2= No
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null values are allowed if the information is collected by the facility but (1) is unknown for this record or (2) there is not an opportunity for a “no” response
0		0
0	Data Element Name	Description/Response Coding
0	Diagnosis Dataset
0		0
84	F2_PatientID	Unique patient identification number assigned by site
0		Will be a secondary key for merging diagnosis and visit record data; should correspond to F1_PatientID. This patient ID should be supplied by the site and may be an person ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values.
0		0
85	F2_Eventid	Unique visit identification
0		Will be a secondary key for merging diagnosis and visit record data; should correspond to F1_Eventid. This record ID should be supplied by the site and may be an event or visit ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values.
86	F2_Visdate	Date of clinic visit
0		Will be a secondary key for merging diagnosis and visit record data; should correspond to F1_Visdate. This data element MUST NOT be ‘null’ or contain missing values.
0		0
87	F2_DXCODE	Diagnosis Code
0		SY01= Syphilis, primary
0		SY02= Syphilis, secondary
0		SY03= Syphilis, early latent
0		SY04= Syphilis, late latent/Unknown
0		SY05= Syphilis, neurosyphilis
0		SY06= Syphilis, unspecified/other
0		GC01= Gonorrhea
0		CT01= Chlamydia
0		GW01= Genital Warts
0		HI01= HIV/AIDS
0		BV01= Bacterial vaginosis (BV)
0		TR01= Trichomoniasis
0		GH01= Genital Herpes
0		NU01= Nongonococcal Urethritis (NGU)
0		MC01= Muco-purulent cervicitis (MPC)
0		MG1= Mycoplasma genitalium
0		PI01= Pelvic Inflammatory Disease (PID)
0		EP01= Epididymitis
0		CC01= Chancroid
0		LV01= Lymphogranuloma venereum (LGV)
0		GI01= Granuloma Inguinale
0		CD01= Candidiasis
0		SC01= Scabies
0		MPX1=Mpox (Suspected)
0		MPX2=Mpox (Probable)
0		MPX3=Mpox (Confirmed)
0		PD01= Pediculosis
0		CS01= Contact to STI
0		PG01= Pregnancy
0		NE01= Normal exam/diagnosis
		CH01= Contact to HIV
0		OT01= Other
0		Null values allowed if information is collected by the facility but unknown for this record.
0		0
0	Data Element Name	Description/Response Coding
0	Laboratory Dataset
0		0
88	F3_PatientID	Unique patient identification number assigned by site
0		Will be a secondary key for merging with laboratory and visit record data; should correspond to F1_PatientID. This patient ID should be supplied by the site and may be an person ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values.
0		0
89	F3_Eventid	Unique visit identification
0		Will be a secondary key for merging laboratory and visit record data ; should correspond to F1_Eventid. This record ID should be supplied by the site and may be an event or visit ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values except in the cases of HIV eHARS lab match records (in which case the variable F3_SpecColdate will not be 'null' or contain missing values).
0		0
90	F3_Source	Did lab record originate from eHARS match?
0		Default to 0 for records NOT coming from the eHARS registry, 1 for lab data from eHARS
0		0
91	F3_Visdate	Date of clinic visit
0		Will be a secondary key for merging laboratory and visit record data; should correspond to F1_Visdate. This data element MUST NOT be ‘null’ or contain missing values except in the cases of HIV eHARS lab match records (in which case the variable F3_SpecColdate will not be 'null' or contain missing values).
0		0
92	F3_SpecColdate	Date of specimen collection for this laboratory observation
0		Date the laboratory specimen was collected. Specimen collection date in many cases will be the same as F3_visdate; however it can be different in the case of HIV eHARS lab records since they may be collected independant of the clinic visit. This data element MUST NOT be ‘null’ or contain missing values.
0		0
93	F3_Condtested	What condition was the patient tested for?
0		1= Syphilis
0		2= Gonorrhea
0		3= Chlamydia
0		4= Chancroid
0		5= Trichomoniasis
0		6= HIV/AIDS
0		7= Bacterial vaginosis
0		8= Herpes
0		9= Mycoplasm genitalium
0		10= Mpox
0		20= Pregnancy
0		This data element MUST NOT be ‘null’ or contain missing values.
0		0
94	F3_Anatsite	What anatomic site was tested?
0		1= Urethra
0		2= Vagina/cervix
0		3= Urine
0		4= Rectum
0		5= Pharynx
0		6= Blood
0		8= Other
0		9= Not captured
0		Although a null value is allowed, sites should make every attempt to make sure the value is not a null value.
0		0
95	F3_Test_Type	What type of test was used?
0		1= Culture
0		2= NAAT (nucleic acid amplification test)
0		3= Non-amplified nucleic acid test/DNA probe
0		4= Gram Stain
0		5= DFA (Direct Fluorescent Antibody)
0		6= Rapid HIV (old terminology)
0		7= ELISA (Enzyme Linked immunosorbent Assay)
0		8= Western blot
0		9= Pooled RNA
0		10= RPR (Rapid Plasma Reagin)
0		11= VDRL (Venereal Disease Research Laboratory)
0		12= FTA (Fluorescent Treponemal Antibody)
0		13= TP-PA (Treponema Pallidum Particle Agglutination)
0		14= MHA (Microhemagglutination Assay)
0		15= Wet Mount/Clue Cell
0		16= PH (Power of Hydrogen)
0		22= HIV-1 Immumoassay (IA) (Enzyme Immunoassay [EIA] or Other)
0		22a= HIV-1 Immumoassay (IA) (Enzyme Immunoassay [EIA] or Other) (POC)
0		23= HIV-1/2 IA (EIA or Other)
0		23= HIV-1/2 IA (EIA or Other) (POC)
0		24= HIV-2 IA (EIA or Other)
0		25= HIV-1/2 Ag (antigen)/Ab (antibody)
0		26= HIV-1/2 Type-Differentiating Immunoassay (4th generation)
0		33= HIV-1 RNA/DNA NAAT (Qualitative)
0		34= HIV-2 RNA/DNA NAAT (Qualitative)
0		35= HIV-1 RNA/DNA NAAT (Quantitative viral load)
0		36= HIV-2 RNA/DNA NAAT (Quantitative viral load)
0		37= CD4 T-lymphocytes
0		38= CD4 Percent
0		50= HIV-1/2 Ag/Ab-Distinguishing Immunoassay
0		51= HIV-1 Genotype (EN Nucleotide Sequence)
0		52= HIV-1 Genotype (FI Nucleotide Sequence)
0		53= HIV-1/2 Ag/Ab and Type-Differentiating Immunoassay
0		54= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-1 p24 Antigen Analyte
0		55= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-1 Antibody Analyte
0		56= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-2 Antibody Analyte
0		57= HIV-1/2 Type-Differentiating Immunoassay (Supplemental)
0		58= HIV-1/2 Type-Differentiating IA (Suppl) - HIV-1 Antibody Analyte
0		59= HIV-1/2 Type-Differentiating IA (Suppl) - HIV-2 Antibody Analyte
0		74= Syphilis EIA test
0		75= T. Vaginalis Rapid Test
0		76= T. Vaginalis NAAT
0		80= Pregnancy
0		81= T. Vaginalis Culture
0		84= Mpox (Orthopoxvirus), DNA, PCR
0		88= Other
0		99=Not captured
0		Although a null value is allowed, sites should make every attempt to make sure the value is not a null value.
0		0
96	F3_Qualres	What was the qualitative test result?
0		0 = Negative
0		1 = Positive
0		2 = Nonreactive
0		3 = Reactive
0		4 = Indeterminate
0		5= Unknown/No Result
0		6 = QNS/Contaminated/Unsaturated
0		8 = Other/pending
0		9= Not captured
0		10= Gram Stain Only: Gram-negative intracellular diplococci (GNID)
0		11=Gram Stain Only: ≥2 WBCs / high power field without GNID
0		12= Gram Stain Only: NGU with <2WBC and no GNID
0		13= Gram Stain Only: negative results
0		Although a null value is allowed, sites should make every attempt to make sure the value is not a null value.
0		0
97	F3_Quantres	Numeric - or Ratio (for RPR/VDRL, e.g. 1:2, 1:4, etc.)
0		0
98	F3_QuantUnits	Units for quantitative results:
0		1= Copies/mL
0		2= Log Copies/mL
0		3= Cells/Cubic mm
0		4= CD4%
0		5= Titer Ratio
0		6= Cycles/Time (rtPCR)
0		0
0		0
DE #	Data Element Name	Description/Response Coding
0	Treatment Dataset
0		0
99	F4_PatientID	Unique patient identification number assigned by site
0		Will be a secondary key for merging treatment and visit record data; should correspond to F1_PatientID. This patient ID should be supplied by the site and may be an person ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values.
0		0
100	F4_Eventid	Unique visit identification
0		Will be a secondary key for merging treatment and visit record data; should correspond to F1_EventID. This record ID should be supplied by the site and may be an event or visit ID assigned at the clinic level. This data element MUST NOT be ‘null’ or contain missing values except in the case where treatment date (f4_TxDate) is different from F4_Visdate.
0		0
101	F4_Visdate	Date of clinic visit
0		Will be a secondary key for merging treatment and visit record data; should not be ‘null’ or contain missing values except in the case where treatment date (f4_TxDate) is different from F4_Visdate.
0		0
102	F4_TxDate	Treatment Date
0		Date the treatment was dispensed or prescribed. Treatment date in many cases will be the same as F4_visdate; however it can be different if treatment was provided independant of the clinic visit. This data element MUST NOT be ‘null’ or contain missing values.
0		0
103	F4_Medication	What medication was prescribed to the patient (brand name)?
0		1= Penicillin G (benzathine, aqueous procaine, or aqueous crystalline)
0		2= Probenacid
0		10= Amoxicillin (Amoxil, Polymox, Trimox, Wymox)
0		11= Ampicillin (Omnipen, Polycillin, Polycillin-N, Principen, Totacillin)
0		20= Azithromycin (Zithromax)
0		21= Erythromycin base
0		22= Clindamycin (Cleocin)
0		23= Gentamicin (Garamycin, G-Mycin, Jenamicin)
0		30= Cefixime (Suprax)
0		31= Ceftizoxime (Cefizox)
0		32= Cefotaxime (Claforan)
0		33= Cefoxitin (Mefoxin)
0		34= Cefpodoxime (Vantin)
0		35= Ceftibuten (Cedax)
0		36= Cefdinir (omnicef)
0		37= Ceftriaxone (Rocephin)
0		38= Cefuroxime (Ceftin, Kefurox, Zinacef, Zinnat)
0		40= Ciprofloxacin (Cipro, Cipro XR, Ciprobay, Ciproxin)
0		41= Levofloxacin (Cravit, Levaquin)
0		42= Moxifloxacin (Avelox, Vigamox)
0		43= Ofloxacin (Floxin, Oxaldin, Tarivid)
0		44= Gemifloxacin (Factive)
0		45= Zoliflodacin
0		50= Doxycycline (Doryx, Vibramycin)
0		60= Metronidazole (Flagyl, Helidac, Metizol, Metric 21, Neo-Metric, Noritate, Novonidazol)
0		61= Tinidazole (Tindamax)
0		70= Tenofovir/emtricitabine (Truvada, Descovy)
0		71= Raltegravir (Isentress)
0		72= Dolutegravir (Tivicay)
0		73= Apretude (Cabotegravir)
0		74= Minocycline
0		75= Hepatitis A Vaccine (2nd Dose)
0		76= Hepatitis A Vaccine (1st Dose)
0		77= HepA-HepB (Twinrix) 1st Dose
0		78= HepA-HepB (Twinrix) 2nd Dose
0		79= HepA-HepB (Twinrix) 3rd Dose
0		80= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 1st Dose
0		81= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 2nd Dose
0		82= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 3rd Dose
0		83= Doxycycline Post-Exposure Prophylaxis (DoxyPEP)
0		88= Other
0		99= Unknown
0		Although a null value is allowed, sites should make every attempt to make sure the value is not a null value.
0		0
104	F4_TxMethod	Method of Administration
0		1= PO - oral dosing
0		2= IM - intramuscular
0		3= IV - intravenous/infusion
0		4= Intravaginal
0		5= Topical
0		4= Other
0		99=Unknown
0		0
105	F4_Medication_Oth	If the patient received a medication other than what is listed above as indicated by response option 88, please provide name of other medication (Free text description of other medication)
0		0
106	F4_Dosage	What was the dosage of the medication prescribed?
0		1= 100 mg
0		2= 125mg
0		3= 150mg
0		4= 200mg
0		5= 240mg
0		6= 250mg
0		7= 300mg
0		8= 320mg
0		9= 400mg
0		10= 500mg
0		11= 600mg
0		12= 750mg
0		13= 800mg
0		14= 1g
0		15= 2g
0		16= 50 mg
0		17= 2.4 Million Units
0		18= 7.2 Million Units
0		88= Other
0		99= Not captured
0		A response of 99 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value allowed if dosage is unknown or missing.
0		0
107	F4_Number_doses	What is the total number of doses prescribed?
0		Null value allowed if (1) number of total doses is unknown or missing or (2) the information is not captured or collected by the facility or is not provided to SSuN. Sites can either collect number_doses or duration. It is NOT necessary to collect both variables. Refills should not be include in number of doses.
0		0
108	F4_Dose_Freq	What is the frequency of doses?
0		1= One single dose
0		2= Twice a day
0		3= Three times a day
0		4= Four times a day
0		5= Once a day
0		6= Once a week
0		8= Other
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value allowed if frequency of doses is unknown or missing.
0		0
109	F4_Duration	What duration was the medication prescribed for?
0		1= 1 day
0		2= 3 days
0		3= 5 days
0		4= 7 days
0		5= 10 days
0		6= 14 days
0		7= 30 days
0		8= Other
0		9= Not captured
0		A response of 9 indicates the information is not captured or collected by the facility or is not provided to SSuN. Null value allowed if duration of medication is unknown or missing. Sites can either collect number_doses or duration. It is NOT necessary to collect both variables.
0		0
DE #	Data Element Name	Description/Response Coding
0	Facility Reference Dataset	0
0		0
110	F5_Facility_ID	Unique facility identifier
0		This ID should be supplied by the site and is a unique facility identifier from underlying surveillance systems or may be generated specifically for SSuN. Regardless of source, this ID must be unique and allow for longitudinal tracking of the facility. This data element MUST NOT be ‘null’ or contain missing values.
0		0
111	F5_SiteID	Unique site code
0		BA= Baltimore (Strategy A & B)
0		CA= California (Strategy A & B)
0		CB= Columbus Ohio (Strategy A & B)
0		CH= Chicago (Strategy B)
0		CO= Colorado (Strategy A)
0		DC= District of Columbia (Strategy A)
0		FL= Florida (Strategy A & B)
0		IN= Indiana (Strategy A)
0		MA= Massachusetts (Strategy A & B)
0		MI= Michigan (Strategy B)
0		NY= New York City (Strategy A & B)
0		PH= Philadelphia (Strategy A & B)
0		SF= San Francisco (Strategy A)
0		TN= Tennessee (Strategy B)
0		WA= Washington (Strategy A & B)
0		This data element MUST NOT be ‘null’ or contain missing values.
0		0
112	F5_Facility_name	What is the name of the facility?
0		0
113	F5_Facility_type	What is the facility type?
0		1= STI clinic
0		88= Other
0		0
114	F5_FQHC	Is this facility a Federally Qualified Health Center?
0		1= Yes
0		2= No
0		0
115	F5_Facility_Address	What is the physical street address of the facility?
0		0
116	F5_Facility_City	In what city is the facility located?
0		FIPS code, example: 3290 (City of SF)
0		0
117	F5_Facility_State	In what state is the facility located?
0		FIPS code
0		0
118	F5_Facility_Zip	Zip code for the facility (9-digit ZIP code of facility)
0		0
119	F5_Point_contact	Point of contact at facility
0		0
120	F5_EPT	Does the facility have written policies governing Expedited Partner Therapy (EPT)?
0		1= Yes
0		2= No
0		9= Facility does not employ EPT
0		0
121	F5_PrEP	Does the facility have written policies governing referral or management of HIV PrEP?
0		1= Yes
0		2= No
0		3= Facility does not refer to or manage PrEP
0		0
122	F5_PrEP_Rx	Does the facility prescribe PrEP?
0		1= Yes
0		2= No
0		3= Facility does not prescribe PrEP
0		0
123	F5_PEP_Rx	Does the facility prescribe PEP?
0		1= Yes, HIV PEP
0		2= Yes, Doxycycline PEP
0		3= Yes, both HIV PEP and Doxycycline PEP
0		3= No, neither HIV PEP nor Doxycycline PEP
0		0
124	F5_PrEP_Manage	Does the facility actively manage patients on PrEP?
0		1= Yes
0		2= No
0		3= facility does not refer to or manage PrEP
0		0
125	F5_HPV_vaccine	Does the facility have written policies governing HPV vaccination?
0		2= No
0		3= facility does not provide HPV vaccination
0		0
126	F5_HIV_algorithm	Does the facility have written policies governing HIV testing?
0		1= Yes
0		2= No
0		3= facility does not provide HIV testing
0		0
127	F5_Screening_CT	Does the facility have written policies governing chlamydia screening?
0		1= Yes
0		2= No
0		3= facility does not provide CT testing
0		0
128	F5_Screening_GC	Does the facility have written policies governing gonorrhea screening?
0		1= Yes
0		2= No
0		3= facility does not provide GC testing
0		0
129	F5_Billing	Does the facility bill for STI services?
0		1= Yes
0		2 = No
0		3= Other
0		0
130	F5_Medical_record	Type of medical record system?
0		1= Paper-based
0		2= Electronic
0		3= Combination
0		9= Not sure
0		0
131	F5_Insurance	Is the facility in an insurance network?
0		1= Yes
0		2= No

---

Sheet 2: Strategy B

DE #	Data Element Name	Description/Response Coding
0	Data Elements from Initial Case or Laboratory Report
164	P1_SiteID	Unique site code
0	0	BA=Baltimore (Strategy A & B)
0	0	CA=California (Strategy A & B)
0	0	CB=Columbus Ohio (Strategy A & B)
0	0	CH=Chicago (Strategy B)
0	0	CO=Colorado (Strategy A)
0	0	DC=District of Columbia (Strategy A)
0	0	FL=Florida (Strategy A & B)
0	0	IN= Indiana (Strategy A)
0	0	MA=Massachusetts (Strategy A & B)
0	0	MI= Michigan (Strategy B)
0	0	NY=New York City (Strategy A & B)
0	0	PH=Philadelphia (Strategy A & B)
0	0	SF=San Francisco (Strategy A)
0	0	TN=Tennessee (Strategy B)
0	0	WA=Washington (Strategy A & B)
0	0	This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
165	P1_EventID	Site generated unique event identifier
0	0	This record ID should be supplied by the site and may be an event or report identifier from underlying surveillance system. Regardless of source, this ID must be unique for each confirmed case report. This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
166	P1_PatientID	Site generated ID allows for longitudinal tracking of unique persons
0	0	This ID should be supplied by the site and may be a unique patient identifier from underlying surveillance systems or may be generated specifically for SSuN from identifying information provided through case reporting. Regardless of source, this ID must be unique and allow for longitudinal tracking of persons reported with multiple episodes of disease. This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
167	P1_RecRepDte	Earliest date this specific disease event/report received at health department?
0	0	This date should reflect the earliest information available to the health department regarding the case. This date should include laboratory records received if lab results were reported prior to receipt of a provider case report. This data element MUST NOT be ‘null’ or contain missing values. This should be coded as a ‘SAS’ numeric date.
0	0	0
168	P1_DxDte	What is the diagnosis date for the current episode of disease (may be date of provider visit, specimen collection date, laboratory report date or other suitable proxy)
0	0	This data element should not be ‘null’ or contain missing values. This should be coded as a ‘SAS’ numeric date.
0	0	0
169	P1_DxCode	Diagnosis
0	0	This data element should not be ‘null’ or contain missing values. For this cycle of SSuN, only values for gonorrhea and for syphilis (10280 and 10311, 10312, 10313 and 10320 are acceptable)
0	0	10273= Chancroid
0	0	10274= Chlamydia
0	0	10280= Gonorrhea
0	0	10311= Syphilis, primary
0	0	10312= Syphilis, secondary
0	0	10313= Syphilis, early non-primary non-secondary
0	0	10320= Syphilis, unknown duration or late
0	0	0
170	P1_RandSamp	Is this record/case selected in the gonorrhea random sample?
0	0	This data element MUST NOT be ‘null’ or contain missing values.
0	0	0= Not in random sample
0	0	1= In random sample
0	0	0
171	P1_SampDte	Date record/case sampled by jurisdiction
0	0	For jurisdiction deploying a batch process for record sampling, this should be the actual date that the batch was sampled. For jurisdictions deploying real-time sampling of cases through their surveillance system, this date should match the report date (or date case status was confirmed if appropriate). This data element should not be ‘null’ or contain missing values. This should be coded as a ‘SAS’ numeric date.
0	0	0
172	P1_InitSx	If patient previously reported, what is the registry/source of earliest report for this patient? (If the patient was not known to have been previously reported for any disease/condition, this data element may be coded as '.'/Null)
0	0	0= STI Registry
0	0	1= HIV Registry
0	0	2= Viral Hepatitis Registry
0	0	3= Other Disease Registry
0	0	4= Unknown
0	0	0
173	P1_HregMatch	Was eHARS registry match done for this patient?
0	0	This data element may be initially coded as ‘2’ if the grantee conducts a periodic batch match with their HIV registry and the case is reported before that batch is processed. This information can be updated in the SSuN record in the next data transmission following the match. This data element should not be ‘null’ or contain missing values.
0	0	1= Yes
0	0	2= No
0	0	0
174	P1_HregMatchStat	Did this patient match a registry entry in eHARS?
0	0	This data element may be initially coded as ‘3’ if the grantee conducts a periodic batch match with their HIV registry and the case is reported before that batch is processed. This information can be updated in the SSuN record in the next data transmission following the match. This data element should not be ‘null’ or contain missing values.
0	0	1= Matching Record Found
0	0	2= No Matching Record
0	0	3= Match Not Performed
0	0	0
175	P1_HregID	Unique record number from HIV registry (such as stateno from eHARS).
0	0	This data element should not be ‘null’ or contain missing values if a matching record is present in eHARS. Sites may decide to use a locally generated UNIQUE registry number rather than STATENO as long as this number can be used to obtain matching HIV laboratory data)
0	0	0
176	P1_HDXMOYR	What is this patient's earliest indication of HIV positive result?
0	0	This information can be obtained from the eHARS person table (HIVPMOYR). If eHARS match found. This should be coded as character data (“MM/YY”) with missing information as “../..” or “../YY”
0	0	0
177	P1_EXPMOD	Exposure (HIV transmission) mode from HIV registry.
0	0	This data element should not be ‘null’ or contain missing values if a matching record is present in eHARS.
0	0	1= MSM Only
0	0	2= IDU Only
0	0	3= Heterosexual Contact Only
0	0	4= MSM & IDU
0	0	5= IDU & Heterosexual Contact
0	0	6= MSM & Heterosexual Contact
0	0	7= MSM, IDU & Heterosexual Contact
0	0	8= Perinatal Exposure
0	0	9= Other/Unknown
0	0	0
178	P1_PrevDx	Most recent previous diagnosis (if applicable; could include hepatitis, TB or HIV)
0	0	If this patient also has a record in other/ancillary disease registries as indicated above, indicate the diagnosis documented by that record. Should be ‘Null’ if no previous diagnosis is confirmed. Note that previous gonorrhea diagnoses are captured in DE#184, prioritize non-gonorrhea diagnoses for this data element (HIV, syphilis, CT, etc.)
0	0	10311= Syphilis, primary
0	0	10312= Syphilis, secondary
0	0	10313= Syphilis, early non-primary non-secondary
0	0	10320= Syphilis, unknown duration or late
0	0	10280= Gonorrhea
0	0	10274= Chlamydia
0	0	10100= Hepatitis B, acute
0	0	10105= Hepatitis B, chronic
0	0	20001= Hepatitis C
0	0	10562= HIV infection (non-AIDS)
0	0	10560= AIDS
0	0	10307= Nongonococcal Urethritis (NGU)
0	0	10308= Muco-purulent cervicitis (MPC)
0	0	10309= Pelvic Inflammatory Disease (PID)
0	0	10273= Chancroid
0	0	10306= Lymphogranuloma venereum (LGV)
0	0	10276= Granuloma Inguinale
0	0	20002= TB
0	0	20003= Other
0	0	0
179	P1_PrevDxDte	Date of most recent previous diagnosis documented above.
0	0	Should not be null if P1_PrevDx is not null.
0	0	0
180	P1_PrevGCDx	Has the patient been previously diagnosed and reported with gonorrhea?
0	0	1= Yes
0	0	2= No
0	0	3= Registry records not searched
0	0	0
181	P1_PrevGCDxDte	Date of most recent previous diagnosis of gonorrhea documented above.
0	0	Should not be null if P1_PrevGCDx = 1. This should be coded as a ‘SAS’ numeric date.
0	0	0
182	P1_ConcurCTDx	Was this patient diagnosed with Chlamydia at the same time as their current gonorrhea diagnoses?
0	0	1= Yes, tested and found to be CT positive
0	0	2= No, tested and found to be CT negative
0	0	3= No, patient not tested for CT/No CT information available
0	0	0
183	P1_CaseDup	Is this record/case a duplicate report, new report or was duplicate status not determined?
0	0	The grantee should document if an initial case report was subsequently found to be a duplicate of an existing case – the record should be retained in the SSuN dataset and coded as a duplicate (‘1’)? If the jurisdiction receives a report that they know to be a duplicate (same patient/eent in last 28 days) at the time of report, the record can be omitted from the SSuN datasets and not sampled for enhanced investigation. This data element should not be ‘null’ or contain missing values.
0	0	0= New Case
0	0	1= Duplicate Case (previously reported in last 28 days)
0	0	9= Unknown, site surveillance system does not capture
0	0	0
184	P1_FacilityID	Site generated facility ID. Each reporting provider/facility must have a unique ID.
0	0	This is a primary key for linking the provider type and other provider information to the case record. Historically, the majority of cases in any grantee’s jurisdictions will be reported from known providers, but for cases reported from entirely new or unknown providers, this field should be populated with that facility’s new number and be included in the next update of the provider reference file. This data element should not be ‘null’ or contain missing values.
0	0	0
0	0	0
185	P1_PtxSex	Sex of the patient as indicated on initial health department report?
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Male
0	0	2= Female
		3= Undetermined
0	0	9= (Missing Value) [Null]
0	0	0
0	0	0
187	P1_PtxRace_White	White Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
188	P1_PtxRace_Black	Black Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
189	P1_PtxRace_AIAN	American Indian/Alaska Native Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
190	P1_PtxRace_Asian	Asian Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
191	P1_PtxRace_NHOPI	Native Hawaiian/Other Pacific Islander Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
192	P1_PtxRace_Other	Other Race
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
193	P1_PtxRace_Unk	Is all information on race and Hispanic ethnicity missing from initial case report?
0	0	If additional/supplemental information is received on race and ethnicity of patient but this information was missing from the initial report to the health department, please leave this data element coded as ‘1’ and capture the source of supplemental information below.
0	0	1= Yes
0	0	2= No
0	0	0
194	P1_PtxRaceSource	What is the source of the final race information of record as ascertained for this patient?
0	0	For grantees able to distinguish the source of information for race, please indicate as appropriate. For grantees NOT able to distinguish the source of race data at all, code as ‘6’. If race information is missing/unknown from all sources, code as ‘5’.
0	0	1= Patient Self-Report
0	0	2= Provider Case Report
0	0	3= Laboratory Report
0	0	4= Previous Registry Record
0	0	5= No Information Available from Any Source
0	0	6= Source not Identifiable
0	0	0
195	P1_PtxHisp	Patient Hispanic ethnicity
0	0	Information from case/lab reports to the health department only. Patient self-report from interviews should be captured in interview variables. If additional information from any source (other than patient report) is received, these data may be updated as required by underlying surveillance system.
0	0	1= Hispanic
0	0	2= Non-Hispanic
0	0	3= Unknown
0	0	4= Refused
0	0	0
196	P1_PtxHispSource	What is the source of the final Hispanic ethnicity information
0	0	For grantees able to distinguish the source of information for Hispanic ethnicity, please indicate as appropriate. For grantees NOT able to distinguish the source of Hispanic ethnicity data at all, code as ‘6’. If information is missing/unknown from all sources, code as ‘5’.
0	0	1= Patient Self-Report
0	0	2= Provider Case Report
0	0	3= Laboratory Report
0	0	4= Previous Registry Record
0	0	5= No Information Available from Any Source
0	0	6= Source not Identifiable
0	0	0
197	P1_PtxAGE	Age of patient from initial reporting record/document .
0	0	If age information is missing/unknown from all sources, use null value.
0	0	0
198	P1_PtxAgeUnit	Age unit
0	0	If P1_PtxAGE is null, use null value for this data element (‘.’)
0	0	1=Years
0	0	2=Months
0	0	0
199	P1_PtxCountyres	County of patient residence
0	0	If information is missing/unknown, code to null value ( ‘.’)
0	0	0
200	P1_PtxCTract	Census Tract of patient residence
0	0	If information is missing/unknown, code to null value (‘.’)
0	0	0
201	P1_PtxAddrStat	Was patient street address present and complete in initial reporting documents?
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Street Address Known
0	0	2= Street Address Missing
0	0	3= Street Address Incomplete
0	0	0
202	P1_GCAccuracy	What is the basis of census tract assignment (XY coordinates, street segment, centroid, etc.)
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Close (based on direct street segment, parcel, or lon/lat match.)
0	0	2= Approximate (modification of address required to match to to street segment)
0	0	3= Very approximate (based only on zip or city centroid)
0	0	4= Not-geocodable (insufficient data to geocode, PO Box, General Delivery)
0	0	9= Missing (no address available)
0	0	0
203	P1_SiteUrine	Urine 'site' of infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
204	P1_SiteVagCerv	Vaginal or cervical site of infection in women
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
205	P1_SiteUreth	Urethral site of infection - only if this is specifically indicated.
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
206	P1_SiteRect	Rectal site of infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
207	P1_SitePhar	Pharyngeal site of infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
208	P1_SiteEye	Ocular site of infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
209	P1_SiteSera	Blood or sera infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
210	P1_SiteJoint	Joint or synovial fluid infection
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
211	P1_SiteOth	Site of infection, not specified above
0	0	If information is missing/unknown, code as ‘3’
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
212	P1_SiteUnk	All site of infection information missing for this case - use only if no other information is available.
0	0	If the answer to any one of 40-48 above is ‘1’ or ‘2’ then this data element should be coded ‘2’. If all data elements 40-48 are coded as ‘3’ then code this data element as ‘1’.
0	0	1= Yes
0	0	2= No
0	0	0
0	Data elements from provider investigations	0
0	0	0
213	P2_ProvID	Unique facility/provider ID
0	0	This data element MUST NOT be ‘null’ or contain missing values for cases in the random sample. SHOULD NOT be null for all other cases (collaborators requested to include this information for all gonorrhea case records – this can be accomplished with a default coding of P2_ProvID= P1_FacilityID.
0	0	0
214	P2_ProvCO	County FIPS code for provider/facility physical location
0	0	This should be coded as the 3-digit FIPS code for the county.
0	0	0
215	P2_ProvZIP	Facility/provider physical location 5-digit ZIP
0	0	0
216	P2_ProvCHC	Is facility/provider a Community Health Center (CHC)?
0	0	Community Health Centers are not-for-profit primary care organizations governed by a community board and whose primary mission is to provide medical services to traditionally under-served populations. The primary way of determining CHC status is by self-identification (though some put it in their name). The National Association of Community Health Centers (NACHC) does maintain member lists as well. Non-profit and community board governance are the key features.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
217	P2_ProvFQHC	Is facility/provider a Federally Qualified Health Center (FQHC)?
0	0	Federally qualified health centers (FQHCs) include all organizations receiving grants under Section 330 of the Public Health Service Act (PHS). These are a matter of public record and lists are available from HRSA
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	0
218	P2_ProvPTXVisitDte	Date of patient initial visit for this issue, can be supplied/filled in from initial case report.
0	0	This should be formatted as a ‘SAS’ numeric date.
0	0	0
219	P2_ProvClinType	What was the category of provider examining/treating this patient?
0	0	1= MD
0	0	2= RN
0	0	3= PA
0	0	4= ARNP
0	0	5= LPN
0	0	6= Other
0	0	7= Unknown/Not Ascertained
0	0	0
220	P2_ProvPTX_SexSP	Provider documented sex of sex partners
0	0	1= Males only
0	0	2= Females only
0	0	3= Both Males and Females
0	0	4= No Sex Partners Last 3 Mos
0	0	9= Not Captured/Not Documented
0	0	0
221	P2_ProvPTX_Insure	Insurance status of patient from provider's records
0	0	1= Yes, Insured
0	0	2= No, Not Insured
0	0	3= Unknown
0	0	0
222	P2_Urethritis	Was urethritis found on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
223	P2_Proctitis	Was proctitis found on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
224	P2_Epididymitis	Was epididymitis found on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
225	P2_PID	Was PID diagnosed?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
226	P2_Discharge	Was discharge found on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
227	P2_OtherFinding	Were there other STI-related findings on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
228	P2_NoFinding	Were there no findings on exam?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
229	P2_ProvScrnUreth	Was patient screened/tested for urethral infection?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
230	P2_ProvScrnVagCerv	Was patient screened/tested for vaginal/cervical infection?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
231	P2_ProvScrnAnal	Was patient screened/tested for anorectal infection?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
232	P2_ProvScrnPhar	Was patient screened/tested for pharyngeal infection?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
233	P2_ProvScrnHIV	Was patient screened/tested for HIV infection at time of visit?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
234	P2_ProvPTX_PrepRx	Was patient prescribed PrEP?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
235	P2_ProvPTX_dPEPRx	Was patient prescribed doxycycline as STI prophylaxis?
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
236	P2_ProvPTX_PDPT	Were any medications/prescriptions provided for patient's partner(s)?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
237	P2_ProvPTX_HIBC	Was patient counseled to prevent transmission/reinfection?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
238	P2_ProvPTX_Refer	Was patient referred to HD (or other) for partner services?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
239	P2_ProvPTX_PrepRefer	Was patient referred for PrEP?
0	0	Missing/unknown information code as null (‘.’).
0	0	1= Yes
0	0	2= No
0	0	0
0	Treatment Repeating Table (sourced either from initial case report or provider investigations)	0
0	0	0
240	P2_PR_EventID	Primary key for merging treatment records with case file, should be the same as P1_EventID
0	0	Must not be missing or null.
0	0	0
241	P2_PR_ProvPTX_TxDte	Treatment date (or date of administration, date prescription given)
0	0	This should be coded as a ‘SAS’ numeric date. Missing/unknown information code as null (‘.’).
0	0	0
242	P2_PR_DrugName	What drug was patient treated with?
0	0	01= Penicillin G (benzathine, aqueous procaine, or aqueous crystalline)
0	0	02= Probenacid
0	0	10= Amoxicillin (Amoxil, Polymox, Trimox, Wymox)
0	0	11= Ampicillin (Omnipen, Polycillin, Polycillin-N, Principen, Totacillin)
0	0	20= Azithromycin (Zithromax)
0	0	21= Erythromycin base
0	0	22= Clindamycin (Cleocin)
0	0	23= Gentamicin (Garamycin, G-Mycin, Jenamicin)
0	0	30= Cefixime (Suprax)
0	0	31= Ceftizoxime (Cefizox)
0	0	32= Cefotaxime (Claforan)
0	0	33= Cefoxitin (Mefoxin)
0	0	34= Cefpodoxime (Vantin)
0	0	35= Ceftibuten (Cedax)
0	0	36= Cefdinir (omnicef)
0	0	37= Ceftriaxone (Rocephin)
0	0	38= Cefuroxime (Ceftin, Kefurox, Zinacef, Zinnat)
0	0	40= Ciprofloxacin (Cipro, Cipro XR, Ciprobay, Ciproxin)
0	0	41= Levofloxacin (Cravit, Levaquin)
0	0	42= Moxifloxacin (Avelox, Vigamox)
0	0	43= Ofloxacin (Floxin, Oxaldin, Tarivid)
0	0	44= Gemifloxacin (Factive)
0	0	45= Zoliflodacin
0	0	50= Doxycycline (Doryx, Vibramycin)
0	0	60= Metronidazole (Flagyl, Helidac, Metizol, Metric 21, Neo-Metric, Noritate, Novonidazol)
0	0	61= Tinidazole (Tindamax)
0	0	70= Truvada (Tenofovir/emtricitabine)
0	0	71= Raltegravir (Isentress)
0	0	72= Dolutegravir (Tivicay)
0	0	72= Cabotegravir (Apretude)
0	0	74= Minocycline
0	0	75= Hepatitis A Vaccine (2nd Dose)
0	0	76= Hepatitis A Vaccine (1st Dose)
0	0	77= HepA-HepB (Twinrix) 1st Dose
0	0	78= HepA-HepB (Twinrix) 2nd Dose
0	0	79= HepA-HepB (Twinrix) 3rd Dose
0	0	80= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 1st Dose
0	0	81= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 2nd Dose
0	0	82= HepB (Engerix-B, Heplisav-B, and Recombivax HB) 3rd Dose
0	0	88= Other (provide text in P2_PR_OthMedTXT)
0	0	99= Not Captured
0	0	Must not be missing or null.
0	0	0
243	P2_PR_OthMedTXT	Other medication if value of 88 selected for P2_PR_DrugName
0	0	0
244	P2_PR_Dosage	Dosage - numeric
0	0	Missing/unknown information code as null (‘.’).
0	0	0
245	P2_PR_Dose_Units	Dosage units
0	0	1= Miligrams (mg)
0	0	2= Grams (g)
0	0	3= Units
0	0	4= Units/Kilogram
0	0	5= Million Units
0	0	6= Million Units/Kilogram
0	0	7= Milliliters (ml)
0	0	0
246	P2_PR_Method	Method of administration
0	0	1= PO - oral dosing
0	0	2= IM - intramuscular
0	0	3= IV - intravenous/infusion
0	0	4= Other
0	0	5= Unknown
0	0	Missing/unknown information code as null (‘.’).
0	0	0
247	P2_PR_Number	Number of doses/day
0	0	0= Single dose, STAT
0	0	Numeric value for all other
0	0	Missing/unknown information code as null (‘.’).
0	0	0
248	P2_PR_Duration_Number	Days duration or frequency of doses
0	0	Missing/unknown information code as null (‘.’).
0	0	0
0	Data elements from Patient Interviews	0
0	0	0
249	P3_IDX_ID	Interviewer/Investigator ID
0	0	This is a locally assigned ID to uniquely identify the person conducting patient interview. This data element should not be ‘null’ or contain missing values for interviewed cases.
0	0	0
250	P3_PatientID	Unique identifier for person/patient
0	0	Will be a secondary key for merging data; should correspond to P1_PatientID. This data element should not be ‘null’ or contain missing values for interviewed cases.
0	0	0
251	P3_EventID	Unique identifier for record
0	0	Will be a primary key for merging data; should correspond to P1_EventID. This data element should not be ‘null’ or contain missing values for interviewed cases.
0	0	0
252	P3_IDX_CADate1	Contact attempt date 1
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases.
0	0	0
253	P3_IDX_CAout1	Contact attempt outcome 1
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases.
0	0	0= Answer/Partial or Complete Interview Obtained
0	0	1= No Answer/No Message
0	0	2= No Answer/Message Left
0	0	3= Answer/Hang up
0	0	4= Answer/Refusal
0	0	5= Answer/Reschedule DIS call-back
0	0	6= Answer/Reschedule Patient Callback
0	0	7= Number out of service
0	0	8= Other
0	0	0
254	P3_IDX_CADate2	Contact attempt date 2
0	0	This should be coded as a ‘SAS’ numeric date.
0	0	0
255	P3_IDX_CAout2	Contact attempt outcome 2
0	0	0= Answer/Partial or Complete Interview Obtained
0	0	1= No Answer/No Message
0	0	2= No Answer/Message Left
0	0	3= Answer/Hang up
0	0	4= Answer/Refusal
0	0	5= Answer/Reschedule DIS call-back
0	0	6= Answer/Reschedule Patient Callback
0	0	7= Number out of service
0	0	8= Other
0	0	0
256	P3_IDX_CADate3	Contact attempt date 3
0	0	This should be coded as a ‘SAS’ numeric date.
0	0	0
257	P3_IDX_CAout3	Contact attempt outcome 3
0	0	0= Answer/Partial or Complete Interview Obtained
0	0	1= No Answer/No Message
0	0	2= No Answer/Message Left
0	0	3= Answer/Hang up
0	0	4= Answer/Refusal
0	0	5= Answer/Reschedule DIS call-back
0	0	6= Answer/Reschedule Patient Callback
0	0	7= Number out of service
0	0	8= Other
0	0	0
258	P3_IDX_CADate4	Contact attempt date 4
0	0	This should be coded as a ‘SAS’ numeric date.
0	0	0
259	P3_IDX_CAout4	Contact attempt outcome 4
0	0	0= Answer/Partial or Complete Interview Obtained
0	0	1= No Answer/No Message
0	0	2= No Answer/Message Left
0	0	3= Answer/Hang up
0	0	4= Answer/Refusal
0	0	5= Answer/Reschedule DIS call-back
0	0	6= Answer/Reschedule Patient Callback
0	0	7= Number out of service
0	0	8= Other
0	0	0
260	P3_IDX_Ixdate	Interview/Disposition Date
0	0	This should be coded as a ‘SAS’ numeric date.
0	0	0
261	P3_IDX_Dispo	Patient Investigation/Interview Disposition
0	0	Should not be ‘null’ for cases included in random sample.
0	0	00= Investigation complete: patient contacted, interview completed
0	0	01= Investigation complete: patient contacted, partial interview completed
0	0	10= Investigation not complete: Pending Interview
0	0	11= Investigation not complete: patient contacted, refused interview
0	0	12= Investigation not complete: patient contacted, unable to complete because of language barrier
0	0	22= Investigation not complete: patient did not respond to contact attempts
0	0	33= Investigation not complete: patient contact not initiated because patient resident in correctional, mental health or substance abuse facility
0	0	44= Investigation not complete: patient contact not initiated because patient is active military on foreign deployment
0	0	55= Investigation not complete: >60 days from diagnosis
0	0	66= Investigation not complete: case determined to be OOJ
0	0	77= Investigation not complete: insufficient contact information
0	0	88= Investigation not complete: provider refused patient contact
0	0	99= Investigation not complete: administrative closure/other reason
0	0	0
262	P3_PTX_age	What is your age?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	888= Refused
0	0	0
263	P3_PTX_sex	What is your sex?
0	0	May be ‘Null’
0	0	1= Male
0	0	2= Female
0	0	0
265	P3_PTX_HispEthnic	Do you consider yourself to be Hispanic or Latino/a?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
266	P3_PTX_White	Patient reported White race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
267	P3_PTX_Black	Patient reported Black race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
268	P3_PTX_AIAN	Patient reported AIAN race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
269	P3_PTX_AIAN_TXT	Tribal Affiliation
0	0	0
270	P3_PTX_Asian	Patient reported Asian race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
271	P3_PTX_NHOPI	Patient reported NHOPI race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
272	P3_PTX_OthRace	Patient reported other race
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown
0	0	4= Refused
0	0	0
273	P3_PTX_OthRaceTxt	Patient-reported other race
0	0	0
274	P3_PTX_RefRace	Patient refuses provision of all race information
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	0
275	P3_PTX_Insure	Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare, Indian Health Services, the V.A. or Military?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
276	P3_PTX_InsType	What kind of healthcare insurance do you have?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 285 P3_PTX_Insure not equal to 1 (Yes) or P3_IDX_Dispo = ‘1’, partial interview
0	0	1= Private healthcare insurance provided by my employer
0	0	2= Private healthcare insurance I pay for myself
0	0	3= Public healthcare insurance like Medicaid, Medicare, or a "state-specific health plan"
0	0	4= Active or retired military or dependent plan like the V.A. or Tricare
0	0	5= Bureau of Indian Affairs/IHS/Urban Indian Health
		6=Private healthcare insurance provided by a parent, spouse, or partner
0	0	7= Other
0	0	8= Don‘t know / Not sure
0	0	9= Refused
0	0	0
277	P3_PTX_OthInsSpecify	Other type of insurance (text)
0	0	0
278	P3_PTX_PriCareDoc	Do you have one person you think of as your personal doctor or health care provider?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes, only one
0	0	2= More than one or facility
0	0	3= No
0	0	4= Don't Know /Not Sure
0	0	5= Refused
0	0	0
279	P3_PTX_Hccost	Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
280	P3_PTX_OOPE	When you went to see _______________ (mention provider, clinic or facility name) when you were diagnosed with gonorrhea, did you need to pay anything out-of-pocket at the time of your visit?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
281	P3_PTX_SYMP1	Before you went to see _______________ (mention provider, clinic or facility name) when you were diagnosed with gonorrhea, did you have any unusual discharge or oozing from your (penis/vagina)?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	0
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
282	P3_PTX_SYMP2	Before you went to see _______________ (mention provider, clinic or facility name) did you notice any unexplained sores or bumps on your (penis/vagina)?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	0
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
283	P3_PTX_SYMP3	Before you went to see _______________ (mention provider, clinic or facility name) when you were diagnosed with gonorrhea, did you have any pain or burning when you urinated?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	0
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
284	P3_PTX_SYMP4	Did you go to the doctor that time because you were having symptoms or pains you thought might be from an STI?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
0	0	0
285	P3_PTX_Delay	How long did you have these symptoms or pains before you were able to see the doctor?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 293 P3_PTX_SYMP4 not equal to 1 (Yes) or P3_IDX_Dispo = ‘1’, partial interview
0	0	1= 1 Day
0	0	2= 2 - 6 Days
0	0	3= 1 - 2 weeks
0	0	4= More than 2 weeks
0	0	5= Don‘t know / Not sure / Don’t remember
0	0	6= Refused
0	0	0
286	P3_PTX_ExpSTD	Before you went to the doctor that time, did any of your sex partners tell you that you might have been exposed to an STI?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
287	P3_PTX_PartnerTest	Did the doctor, nurse or anyone else during that visit talk to you about the importance of getting your sex partners examined and tested for STIs?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
288	P3_PTX_TellParts	In the time since your visit, did you tell any of your sex partners they may need to be tested or treated for STIs?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
289	P3_PTX_EPToffer	Did a doctor, nurse or someone at the health department offer to give you medications or a prescription for you to give to any of your sex partner(s)?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	0
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
290	P3_PTX_EPTWHO	Who was it that offered you the additional medications or prescriptions? Was it someone from your doctor’s office or someone from the health department?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 311 P3_PTX_EPToffer not equal to 1 (Yes) or P3_IDX_Dispo = ‘1’, partial interview
0	0	0
0	0	1= My doctor’s office
0	0	2= The health department
0	0	3= Someone else
0	0	4= Don‘t know / Not sure
0	0	5= Refused
0	0	0
291	P3_PTX_EPTGET	Did you actually get the additional medications or prescriptions for your sex partners?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 311 P3_PTX_EPToffer not equal to 1 (Yes) or P3_IDX_Dispo = ‘1’, partial interview
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
292	P3_PTX_EPTMEDORRX	Did you get medicine to give to your partner? Or did you get prescriptions that your partners needed to have filled at a pharmacy?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 311 P3_PTX_EPToffer not equal to 1 (Yes) or P3_IDX_Dispo = ‘1’, partial interview
0	0	1= I got additional medications
0	0	2= I got prescription(s)
0	0	3= Don‘t know / Not sure
0	0	0
293	P3_PTX_EPTGAVE	Did you give the additional medications or prescriptions to at least one of your sex partners?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 311 P3_PTX_EPToffer not equal to 1 (Yes) or 314 P3_PTX_EPTMEDORRX = 3 or P3_IDX_Dispo = ‘1’,  partial interview
0	0	1= Yes
0	0	2= No
0	0	9= Refused
0	0	0
294	P3_PTX_EPTPARTTAKE	Do you think at least one of your sex partners took this medication?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases unless 311 P3_PTX_EPToffer not equal to 1 (Yes) or 314 P3_PTX_EPTMEDORRX = 3 or P3_IDX_Dispo = ‘1’, partial interview
0	0	1= Yes, I think at least one of my partner(s) took this medicine
0	0	2= No, I do not think any of my partner(s) took these medicines
0	0	3= Don't Know / Not Sure
0	0	9= Refused
0	0	0
0	0	0
295	P3_PTX_HIVtested	Did you get tested for HIV at that visit?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
296	P3_PTX_HIVresult	What was the result of your HIV test at that visit?
0	0	This data element should not be ‘null’ or contain missing values if P3_PTX_HIVtested= 1.
0	0	1= Positive
0	0	2= Negative
0	0	3= Don't Know / Not Sure / did not get results
0	0	4= Refused
0	0	0
297	P3_PTX_everHIVtst	Have you ever been tested for HIV?
0	0	May be ‘Null’ if P3_PTX_HIVtested= 1. This data element should not be ‘null’ or contain missing values for cases responding with 2, 3 or 4 to P3_PTX_HIVtested.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
298	P3_PTX_whenHIVtest	When was your last HIV test? Just month and year is ok? (IF PATIENT UNABLE TO RECALL, PROBE UNTIL APPROXIMATE RESPONSE ELICITED)
0	0	This should be character data ”MM/YYYY”, missing/REFUSED information as”../YYYY” or “../….”
0	0	0
299	P3_PTX_HIVeverResult	What was the result of that HIV test?
0	0	This data element should not be ‘null’ or contain missing values for cases responding to P3_PTX_everHIVtst= 1.
0	0	1= Positive
0	0	2= Negative
0	0	3= Don't Know / Not Sure / did not get results
0	0	4= Refused
0	0	0
300	P3_PTX_inHIVcare	When was your most recent visit to a doctor, nurse or other health care worker?
0	0	This data element should not be ‘null’ or contain missing values for cases identifying as HIV positive (P3_PTX_HIVResult= 1 or P3_PTX_HIVeverResult= 1). This should be entered as character data ”MM/YYYY”, missing/REFUSED information as”../YYYY” or “../….”
0	0	0
301	P3_PTX_ART	Are you taking antiretroviral medicines to treat your HIV infection?
0	0	This data element should not be ‘null’ or contain missing values for cases identifying as HIV positive (P3_PTX_HIVResult= 1 or P3_PTX_HIVeverResult= 1). This should be entered as character data ”MM/YYYY”, missing/REFUSED information as”../YYYY” or “../….”
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
302	P3_PTX_PrEP	When you were diagnosed with gonorrhea, did your health care provider or anyone else discuss medications to help you prevent getting HIV?
0	0	This data element should be ‘null’ for patients reporting being HIV positive. This data element should not be ‘null’ or contain missing values for patients identifying as HIV negative or unknown HIV status.
0	0	0= No, I am already on PrEP
0	0	1= Yes
0	0	2= No
0	0	3= Don‘t know / Not sure
0	0	4= Refused
0	0	0
303	P3_PTX_PREP1	Did your health care provider offer to prescribe or give you medications to help you prevent getting HIV?
0	0	This data element should not be ‘null’ or contain missing values if patient reports PrEP use. This data element should not be ‘null’ or contain missing values for patients identifying as HIV negative or unknown HIV status.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
304	P3_PTX_PREP2	Did you fill a prescription or get medications to help you prevent getting HIV?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to P3_PTX_PrEP1.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
305	P3_PTX_PREP3	Are you currently taking daily medications to help you prevent
0	0	getting HIV (on PrEP)? This is often called PrEP, or pre-exposure prophylaxis.
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to P3_PTX_PrEP1.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
306	P3_mpox	Has a doctor or other health care provider ever told you that you had Mpox (monkeypox)?
0	0	1= Yes
0	0	2= No
0	0	0
307	P3_mpox_vax	Have you ever received a vaccine for mpox?
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know / Not Sure
0	0	4= Refused
0	0	0
0	0	0
308	P3_mpox_vaxD	How many doses of vaccine for mpox have you received?
0	0	1= One Dose
0	0	2= Two or more Doses
0	0	3= Don't know/Not sure/Unknown
0	0	4= Refused
0	0	0
309	P3_mpox_vaxDTE	When was your last mpox vaccine shot?
0	0	This should be character data: ”MM/YYYY”, missing/REFUSED information as”../YYYY” or “../….”
0	0	0
310	P3_PTX_Pregnant	Were you pregnant at the time you were told that you had gonorrhea?
0	0	This data element should not be ‘null’ or contain missing value for female cases interviewed. May be null for partial interviews, must be null for male cases.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
311	P3_PTX_SexSP	During the past 12 months, have you had sex with only males, only females or both?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Males only
0	0	2= Females only
0	0	3= Both Males and Females
0	0	4= Unknown
0	0	9= refused
0	0	0
313	P3_PTX_Sxorient	Do you consider yourself to be…
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Heterosexual/Straight (not Gay or Lesbian)
0	0	2= Gay/Lesbian/Homosexual
0	0	3= Bisexual
0	0	4= Other/Don't Know
0	0	9= Refused
0	0	0
314	P3_PTX_MaleSPL3MO	Thinking back to the 3 months before you were diagnosed with gonorrhea, how many male sex partners did you have?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview. Probe for approximate response or ‘best’ guess. Enter 0 to indicate ‘None’, 9999 to indicate “Refused”.
0	0	0
315	P3_PTX_FemaleSPL3MO	Thinking back to the 3 months before you were diagnosed with gonorrhea, how many female sex partners did you have?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview. Probe for approximate response or ‘best’ guess. Enter 0 to indicate ‘None’, 9999 to indicate “Refused”.
0	0	0
316	P3_PTX_SPtreatOne	To the best of your knowledge, was your sex partner treated?
0	0	This data element is for patient reporting only a single sex partner.
0	0	1= Yes, definitely
0	0	2= Yes, probably
0	0	3= Don't Know / Not Sure
0	0	4= No, probably not
0	0	5= Refused
0	0	6= No need/no partners infected
0	0	0
317	P3_PTX_SPtreatMult	To the best of your knowledge, would you say that all of your sex partners were definitely treated, at least one of your partners was definitely treated, or that none were treated?
0	0	This data element is for patients reporting multiple sex partners.
0	0	1= All definitely treated
0	0	2= At least one definitely treated
0	0	3= At least one probably treated
0	0	4= Not sure
0	0	5= Probably none treated
0	0	6= Refused
0	0	7= No need/no partners infected
0	0	0
318	P3_PTX_SexExch	During the past 12 months, have you given drugs or money in exchange for sex or received drugs or money in exchange for sex? By sex we mean vaginal, oral, or anal sex.
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
319	P3_PTX_Opioid	In the past year, how often have you used prescription pain medications other than as prescribed by a doctor?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if #107 (P3_IDX_Dispo) = ‘1’, partial interview.
0	0	1= Never
0	0	2= Once or Twice
0	0	3= Monthly
0	0	4= Weekly
0	0	5= Daily or Almost Daily
0	0	9= Refused
0	0	0
320	P3_IVDU	In the past year, have you used any injection drugs such as heroin, cocaine or meth?
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
321	P3_IVDU_HER	In the past year, did you inject heroin?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to 338 P3_IVDU.
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
322	P3_IVDU_COC	In the past year, did you inject cocaine/crack?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to 338 P3_IVDU.
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
323	P3_IVDU_MTH	In the past year, did you inject Crystal Meth/Methamphetamine/Methadrone?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to 338 P3_IVDU.
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
324	P3_IVDU_OXY	In the past year, did you inject Oxycodone/morphine/Fentanyl/Carfentanil/some other opioid?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to 338 P3_IVDU.
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
325	P3_IVDU_OTH	In the past year, did you inject other drugs not listed?
0	0	This data element should not be ‘null’ or contain missing values for those answering “Yes” to 338 P3_IVDU.
0	0	1= Yes
0	0	2= No
0	0	3= Don’t Know/Can’t Remember
0	0	4= Refused
0	0	0
326	P3_IVDU_DR_TX	Other drug injected text.
0	0	0
327	P3_PTX_LastSex	When was the last time you had sex?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= In last week
0	0	2= > 1 week but within last month
0	0	3= > 1 month, but within 2 months
0	0	4= > 2 months ago
0	0	5= Don't Know / Not sure
0	0	9= Refused
0	0	0
328	P3_PTX_SexMRSP	Thinking back to the last time you had sex, was the person you had sex with…?
0	0	May be ‘Null’
0	0	1= Male
0	0	2= Female
0	0	0
329	P3_PTX_AgeMRSP	Thinking back to the last person you had sex with, how old do you think that person is? If you don’t know for sure, it’s OK to make your best guess.
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	0
330	P3_PTX_HISPMRSP	Would you say that person is Hispanic/Latino/a? If you don’t know for sure, it’s OK to make your best guess.
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= Yes, Hispanic
0	0	2= No, Not Hispanic
0	0	8= Unknown/Can't guess
0	0	9= Refused
0	0	0
331	P3_PTX_RaceMRSP	Thinking back to the last person you had sex with, what race(s) would you say that person is? If you don’t know for sure, it’s OK to make your best guess.
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= White
0	0	2= Black
0	0	3= American Indian/Alaska Native
0	0	4= Asian
0	0	5= Native Hawaiian/Other Pacific Islander
0	0	6= Multiple Races
0	0	7= Unknown/Can't guess
0	0	9= Refused
0	0	0
332	P3_PTX_MRSPHIV	Thinking back to the last person you had sex with, do you know if that person was HIV positive?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= Yes, I know that person is HIV positive
0	0	2= No, I know that person is HIV negative
0	0	3= Don't Know /Don't Remember/ Not Sure
0	0	4= Refused
0	0	0
333	P3_PTX_SexAgainMRSP	Thinking back to the last person you had sex with; do you think you will have sex with this person again?
0	0	This data element should not be ‘null’ or contain missing values for interviewed cases. May be ‘Null’ if P3_IDX_Dispo = ‘1’, partial interview.
0	0	1= Yes
0	0	2= No
0	0	3= Don't Know /Maybe/ Not Sure
0	0	4= Refused
0	0	0
0	0	0
0	Laboratory Observation Dataset - sourced from laboratory reporting or case investigations
0	0	0
334	P1_L1_EventID	Unique identifier for associated surveillance record
0	0	Will be a primary key for merging lab and case data; should correspond to P1_EventID. This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
335	P1_L1_LabID	Unique identifier for laboratory performing testing
0	0	Site assigned; may be ID from other system or specifically created for SSuN. If performing lab is not known, site should still create a lab record with a locally defined ID corresponding to unknown lab that they will use throughout the SSuN data collection period. This data element should not be ‘null’ or contain missing values.
0	0	0
336	P1_L1_Accession	Unique identifier (accession number) for laboratory record
0	0	Leave blank (null) if not available/ascertained
0	0	0
337	P1_L1_Source	Did this lab record originate from eHARS Match?
0	0	Default code to '0' for lab record NOT from eHARS
0	0	0
338	P1_L1_PatientID	Unique identifier for person (allowing longitudinal tracking of persons)
0	0	Will be a secondary key for merging lab and case data; should correspond to P1_PatientID. This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
339	P1_L1_CondTested	Specific condition/pathogen tested
0	0	This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
0	0	1= Syphilis
0	0	2= Gonorrhea
0	0	3= Chlamydia
0	0	4= Genital Herpes
0	0	5= Trichomoniasis
0	0	6= HIV
0	0	7= Hepatitis A
0	0	8= Hepatitis B
0	0	9= Hepatitis C
0	0	10= Bacterial Vaginosis
0	0	11= Mpox
0	0	12= Other
0	0	0
340	P1_L1_SpecColDte	Specimen collection date - this is often used as a proxy for diagnosis
0	0	This data element should not be ‘null’ or contain missing values. This should be coded as a ‘SAS’ numeric date.
0	0	0
341	P1_L1_LabRepDte	This is the date that the performing lab reported the results to the
0	0	This should be coded as a ‘SAS’ numeric date.
0	0	0
342	P1_L1_SpecType	Type of specimen
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Exudate
0	0	2= Blood/sera
0	0	3= Synovial fluid
0	0	4= Urine
0	0	5= Cerebral Spinal Fluid
0	0	6= Tissue
0	0	7= Saliva
0	0	8= Other
0	0	9= Unknown
0	0	0
343	P1_L1_AnatSite	This is the anatomic site from which the specimen was obtained and is important in determining the anatomic site of infection.
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Urethra
0	0	2= Vagina/cervix
0	0	3= Urine
0	0	4= Rectum
0	0	5= Pharynx
0	0	6= Eye
0	0	7= Sera/Blood
0	0	8= Joint
0	0	9= Other Anatomic Site
0	0	10= Unknown Anatomic Site
0	0	0
344	P1_L1_TestType	As test technology advances, it is important to obtain the type of test performed
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Culture
0	0	2= NAAT (nucleic acid amplification test)
0	0	3= Non-amplified nucleic acid test/DNA probe
0	0	4= Gram Stain
0	0	5= DFA (Direct Fluorescent Antibody)
0	0	6= Rapid HIV (old terminology)
0	0	7= ELISA (Enzyme Linked immunosorbent Assay)
0	0	8= Western blot
0	0	9= Pooled RNA
0	0	10= RPR (Rapid Plasma Reagin)
0	0	11= VDRL (Venereal Disease Research Laboratory)
0	0	12= FTA (Fluorescent Treponemal Antibody)
0	0	13= TP-PA (Treponema Pallidum Particle Agglutination)
0	0	14= MHA (Microhemagglutination Assay)
0	0	15= Wet Mount/Clue Cell
0	0	16= PH (Power of Hydrogen)
0	0	22= HIV-1 Immumoassay (IA) (Enzyme Immunoassay [EIA] or Other)
0	0	22a= HIV-1 Immumoassay (IA) (Enzyme Immunoassay [EIA] or Other) (POC)
0	0	23= HIV-1/2 IA (EIA or Other)
0	0	23= HIV-1/2 IA (EIA or Other) (POC)
0	0	24= HIV-2 IA (EIA or Other)
0	0	25= HIV-1/2 Ag (antigen)/Ab (antibody)
0	0	26= HIV-1/2 Type-Differentiating Immunoassay (4th generation)
0	0	33= HIV-1 RNA/DNA NAAT (Qualitative)
0	0	34= HIV-2 RNA/DNA NAAT (Qualitative)
0	0	35= HIV-1 RNA/DNA NAAT (Quantitative viral load)
0	0	36= HIV-2 RNA/DNA NAAT (Quantitative viral load)
0	0	37= CD4 T-lymphocytes
0	0	38= CD4 Percent
0	0	50= HIV-1/2 Ag/Ab-Distinguishing Immunoassay
0	0	51= HIV-1 Genotype (EN Nucleotide Sequence)
0	0	52= HIV-1 Genotype (FI Nucleotide Sequence)
0	0	53= HIV-1/2 Ag/Ab and Type-Differentiating Immunoassay
0	0	54= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-1 p24 Antigen Analyte
0	0	55= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-1 Antibody Analyte
0	0	56= HIV-1/2 Ag/Ab and Type-Differentiating IA - HIV-2 Antibody Analyte
0	0	57= HIV-1/2 Type-Differentiating Immunoassay (Supplemental)
0	0	58= HIV-1/2 Type-Differentiating IA (Suppl) - HIV-1 Antibody Analyte
0	0	59= HIV-1/2 Type-Differentiating IA (Suppl) - HIV-2 Antibody Analyte
0	0	74= Syphilis EIA test
0	0	75= T. Vaginalis Rapid Test
0	0	76= T. Vaginalis NAAT
0	0	80= Pregnancy
0	0	81= T. Vaginalis Culture
0	0	84= Mpox (Orthopoxvirus), DNA, PCR
0	0	88= Other
0	0	99= Not captured
0	0	Although a null value is allowed, sites should make every attempt to make sure the value is not a null value.
0	0	0
345	P1_L1_QualRes	Qualitative result: For most pathogens/tests, positive, negative,
0	0	This data element should not be ‘null’ or contain missing values.
0	0	0
0	0	1= Positive
0	0	2= Negative
0	0	3= Reactive
0	0	4= Weakly Reactive
0	0	5= Non-Reactive
0	0	6= Equivocal/Indeterminate
0	0	7= Specimen Inadequate/Contaminated
0	0	8= Other
0	0	9= Unknown
0	0	0
346	P1_L1_Quantres	Numeric - or Ratio (for RPR/VDRL, e.g. 1:2, 1:4, etc.)
0	0	0
347	P1_L1_QuantUnits	Units for quantitative results:
0	0	1= Copies/mL
0	0	2= Log Copies/mL
0	0	3= Cells/Cubic mm
0	0	4= CD4%
0	0	5= Titer Ratio
0	0	6= Cycles/Time (rtPCR)
0	0	0
0	0	0
0	Provider Reference Dataset (information should be updated annually)
0	0	0
348	P4_ProvID	Unique identifier for provider/facility
0	0	This data element MUST NOT be ‘null’ or contain missing values.
0	0	0
349	P4_ProvName	Name of provider or facility
0	0	0
350	P4_ProvCO	FIPS code for provider/facility physical location
0	0	0
351	P4_ProvZIP	Facility/provider physical location 5-digit ZIP
0	0	This data element should not be ‘null’ or contain missing values.
0	0	0
352	P4_UpdateDate	Date provider information last updated/verified
0	0	This data element should not be ‘null’ or contain missing values. This
0	0	0
353	P4_LocationLon	Provider physical location longitude
0	0	0
354	P4_LocationLat	Provider physical location latitude
0	0	0
355	P4_CensusTract	Census tract of provider physical location
0	0	0
356	P4_Prov_Fac_Type	Facility or provider type code (PHINVAD compatible)
0	0	This data element MUST NOT be ‘null’ or contain missing values.
0	0	1= Blood Bank
0	0	Includes for-profit sera collection centers
0	0	2= Correctional Facilities
0	0	Includes jails, prisons, juvenile detention, etc.
0	0	3= Day care center (environment)
0	0	4= Dentist
0	0	5= Drug Treatment Facility
0	0	6= Emergency Room/Emergency Department
0	0	Include HMO/other urgent care in this category
0	0	7= Family Planning Facility
0	0	Includes reproductive health clinics
0	0	8= Other Federal Agencies
0	0	Do not include bureau of prisons in this category (should be 2)
0	0	9= HIV Care Facility
0	0	Includes and care facility whose primary service is HIV care
0	0	10= HIV Counseling and Testing Site
0	0	Include HIV outreach & street testing in this category
0	0	11= Hospital - Not Emergency Department/Emergency Room
0	0	This should include in-patient facilities where the patient was
0	0	12= Labor and Delivery
0	0	13= Laboratory
0	0	14= Managed Care/HMOs
0	0	15= Mental Health Provider
0	0	16= Military
0	0	17= National Job Training Program
0	0	18= Other, not otherwise specified
0	0	19= Other Health Department Clinic
0	0	Do not include health department clinics whose primary
0	0	20= Other State and Local Agencies
0	0	21= Other Treatment Center
0	0	22= Pharmacy
0	0	23= Prenatal/Obstetrics Facility
0	0	24= Private physicians' group office
0	0	25= Public Health Clinic
0	0	Include ONLY public clinics not otherwise categorized
0	0	26= Data/Disease Registries
0	0	27= Rural Health Clinic
0	0	Includes clinics specifically designated as RHCs on the Centers
0	0	28= Categorical STD Clinic
0	0	29= School-Based Clinic
0	0	30= TB Clinic
0	0	31= Tribal Government Clinic
0	0	Do not include IHS hospitals (those are coded as 32)
0	0	32= Indian Health Service
0	0	33= Veterinary Sources
0	0	34= Vital Statistics
0	0	99= Unknown
0	0	0
357	P4_ProvCHC	Is facility/provider a Community Health Center (CHC)?
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown/Missing
0	0	0
358	P4_ProvFQHC	Is facility/provider a Federally Qualified Health Center (FQHC)?
0	0	This data element should not be ‘null’ or contain missing values.
0	0	1= Yes
0	0	2= No
0	0	3= Unknown/Missing