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Global: ^RORDATA(799.4

Package: Clinical Case Registries

Global: ^RORDATA(799.4


Information

FileMan FileNo FileMan Filename Package
799.4 ROR HIV RECORD Clinical Case Registries

Description

Directly Accessed By Routines, Total: 10

Package Total Routines
Clinical Case Registries 10 AIDS INDICATOR DISEASE    ERROR    RORDD01    RORHIV03    RORHIVUT    RORHL02    RORRP033    RORUPD62
RORXU005    ^RORDATA(799.4    

Accessed By FileMan Db Calls, Total: 10

Package Total Routines
Clinical Case Registries 10 RORDD01    RORHIV03    RORHL02    RORRP025    RORRP026    RORRP033    RORUPD62    RORX001
RORX003A    RORXU005    

Pointer To FileMan Files, Total: 5

Package Total FileMan Files
Kernel 3 INSTITUTION(#4)[.04]    STATE(#5)[9.1212.03]    NEW PERSON(#200)[9.05]    
Clinical Case Registries 2 ROR AIDS INDICATOR DISEASE(#799.49)[#799.41(.01)]    ROR REGISTRY RECORD(#798)[.01]    

Fields, Total: 102

Field # Name Loc Type Details
.01 REGISTRY RECORD 0;1 POINTER TO ROR REGISTRY RECORD FILE (#798)
************************REQUIRED FIELD************************
ROR REGISTRY RECORD(#798)

  • INPUT TRANSFORM:  S:$D(X) DINUM=X
  • LAST EDITED:  OCT 28, 2003
  • DESCRIPTION:  The REGISTRY RECORD field links a record of the ROR HIV RECORD file to the main registry record in the ROR REGISTRY RECORD file.
    You can access records of this file only if you have appropriate security key(s) for the Human Immunodeficiency Virus Registry.
  • TECHNICAL DESCR:  Internal value of this field is used as the internal entry number of the record (the 'DINUM' feature). Therefore, the corresponding records of this file and the ROR REGISTRY RECORD file have the same internal entry
    numbers.
    DELETE AUTHORITY: @
    WRITE AUTHORITY: @
    UNEDITABLE
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
  • CROSS-REFERENCE:  799.4^B
    1)= S ^RORDATA(799.4,"B",$E(X,1,30),DA)=""
    2)= K ^RORDATA(799.4,"B",$E(X,1,30),DA)
    3)= Do not delete!
.02 CLINICAL AIDS 0;2 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JAN 19, 2011
  • HELP-PROMPT:  Has clinical AIDS been diagnosed for this patient?
  • DESCRIPTION:  
    The CLINICAL AIDS field indicates if the clinical AIDS (category 4) was diagnosed for the patient.
.03 CLINICAL AIDS DATE 0;3 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  APR 07, 2003
  • DESCRIPTION:  
    The CLINICAL AIDS DATE field stores the date of the clinical AIDS diagnosis indicated by the CLINICAL AIDS field.
.04 STATION 0;4 POINTER TO INSTITUTION FILE (#4) INSTITUTION(#4)

  • LAST EDITED:  DEC 17, 1987
  • HELP-PROMPT:  Enter the name of the institution completing the form.
  • DESCRIPTION:  
    This field is a pointer to the Institution file (#4) and identifies the name of the station completing the Center for Disease Control (CDC) HIV/AIDS form.
9.01 DATE CDC FORM COMPLETED 9;1 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  APR 11, 2003
  • HELP-PROMPT:  Enter date CDC Form is being completed.
  • DESCRIPTION:  
    This field is used to track the date on which the CDC form was completed.
  • GROUP:  CDC HEADER
9.02 STATUS AT REPORT 9;2 SET
  • '1' FOR HIV (NOT AIDS);
  • '2' FOR AIDS;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  This is the status indicator at the time of generating the HIV/AIDS report form.
  • DESCRIPTION:  
    This field is used to indicate the status of the patient at the time a CDC HIV/AIDS form is generated.
  • GROUP:  CDC FORM (III)
9.03 AGE AT HIV DIAGNOSIS 9;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  This is the age at which HIV was diagnosed in this patient. Type a Number between 0 and 99, 0 Decimal Digits.
  • DESCRIPTION:  
    This field contains the age at which HIV was diagnosed in this patient. The value is used for a field on the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (III)
9.04 AGE AT AIDS DIAGNOSIS 9;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JAN 14, 1988
  • HELP-PROMPT:  Enter patient's age at diagnosis of AIDS. Type a number between 0-100, 0 decimal digits.
  • DESCRIPTION:  
    This field is used to indicate the patient's age at the time that the diagnosis of AIDS was made. The field is used to print part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.05 CDC FORM COMPLETED BY 9;5 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  APR 17, 2003
    DELETE AUTHORITY: @
    WRITE AUTHORITY: @
  • GROUP:  CDC HEADER
9.06 STATE/TERRITORY OF DEATH 9;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>24!($L(X)<2) X
  • LAST EDITED:  MAR 13, 1995
  • HELP-PROMPT:  Enter the State or Territory in which the patient's death occurred. Answer must be 2-24 characters in length.
  • DESCRIPTION:  
    This field is used to hold the name of the state or territory in which the patient died. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (III)
9.07 COUNTRY OF BIRTH 9;7 SET
  • '1' FOR U.S.;
  • '7' FOR U.S. DEPENDENCIES AND POSSESSIONS (INCLUDING PUERTO RICO);
  • '8' FOR OTHER;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  MAY 06, 2003
  • HELP-PROMPT:  Enter the number (or name) indicating the country of birth. NOTE that U.S. Dependencies and possessions includes Puerto Rico.
  • DESCRIPTION:  This is the country of birth information for this patient for use on the revised CDC form. The options for this information on the current form differ from those available on the earlier CDC form.
    The name for either 7 or 8 should be entered in the appropriate place.
  • GROUP:  CDC FORM (III)
9.08 DEPENDENCY OR POSSESSION NAME 9;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<2) X
  • LAST EDITED:  MAR 31, 1993
  • HELP-PROMPT:  Enter the name of the U.S. Dependency or Possession in which the patient was born (2-15 characters).
  • DESCRIPTION:  
    This field is used to enter the name of the country of birth when the country of birth is indicated as a U.S. dependency or possession on the revised CDC form.
  • GROUP:  CDC FORM (III)
9.09 OTHER COUNTRY DESCRIPTION 9;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  DEC 17, 1987
  • HELP-PROMPT:  If patient's country of birth is 'Other', enter name (3-15 characters).
  • DESCRIPTION:  
    This field is used to enter the name of the country of birth if OTHER was selected as a value of the COUNTRY OF BIRTH field. If the field is not blank, then it is printed in part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.1 ONSET OF ILLNESS/AIDS- CITY 9;10 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter city of residence at onset of illness suggestive of AIDS diagnosis. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the city in which the patient was residing at the onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.11 ONSET OF ILLNESS/AIDS- COUNTY 9;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter county of residence at onset of illness suggestive of AIDS diagnosis. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This field is used to indicate the COUNTY in which the patient was residing at the onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.12 ONSET OF ILLNESS/AIDS- STATE 9;12 POINTER TO STATE FILE (#5) STATE(#5)

  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter patient's state of residence at onset of illness sugesstive of AIDS.
  • DESCRIPTION:  
    This field is used to indicate the STATE in which the patient was residing at the time of onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.13 ONSET OF ILLNESS/AIDS- COUNTRY 9;13 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter patient's country of residence at onset of illness suggestive of AIDS. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This field is used to indicate the COUNTRY in which the patient was residing at the time of onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.14 ONSET OF ILLNESS/AIDS- ZIP 9;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>9!($L(X)<5) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter patient's zip code of residence at onset of illness suggestive of AIDS. Answer must be 5-9 characters in length.
  • DESCRIPTION:  
    This field is used to indicate the zip code associated with the residence of the patient at the onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
  • GROUP:  CDC FORM (III)
9.9 PATIENT STATUS COMPUTED

  • MUMPS CODE:  S X=$S('$D(D0):"",D0<0:"",1:D0),X=$S(X>0:+$P($G(^RORDATA(798,+X,0)),U),1:0),X=$S(X'>0:9,$P($G(^RORDATA(798.4,X,1)),U,4)>0:2,1:1)
  • ALGORITHM:  RORPTSTATUS(NUMBER)
  • LAST EDITED:  FEB 19, 2003
  • DESCRIPTION:  
    The PATIENT STATUS field indicates whether the patient is alive (1) or dead (2), or if the status is unknown (9). It is also used in printing the CDC form.
10 AIDS INDICATOR DISEASE 10;0 POINTER Multiple #799.41 799.41

  • DESCRIPTION:  
    The AIDS INDICATOR DISEASE multiple contains a list of disease diagnoses that indicate AIDS.
  • TECHNICAL DESCR:  
    The records of the multiple have the same internal entry numbers as the corresponding diseases from the ROR AIDS INDICATOR DISEASE file (#799.49).
  • GROUP:  CDC FORM (VIII)
  • INDEXED BY:  INITIAL DIAGNOSIS & DATE (AD), INITIAL DIAGNOSIS & DATE (AIDSOI)
11.01 RECORD REVIEWED 11;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient's medical record was reviewed prior to submitting the CDC HIV/AIDS form or not.
  • DESCRIPTION:  
    This field is used to indicate whether the patient's medical record was reviewed prior to submitting the CDC HIV/AIDS form. The entry is used in the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VIII)
11.02 DATE ASYMPTOMATIC 11;2 DATE

  • INPUT TRANSFORM:  S %DT="E",%DT(0)=-DT D ^%DT S X=Y K:Y<1 X K %DT(0)
  • LAST EDITED:  JUL 15, 1997
  • HELP-PROMPT:  This is the date the patient was diagnosed as ASYMPTOMATIC (including acute retroviral syndrome and persistant generalized lymphadenopathy).
  • DESCRIPTION:  This field is used for a date requested in the CLINICAL STATUS portion of the CDC form. The form requests the date the patient was diagnosed as ASYMPTOMATIC (including acute retroviral syndrome and persistent generalized
    lymphadenopathy).
  • GROUP:  CDC FORM (VIII)
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
11.03 DATE SYMPTOMATIC 11;3 DATE

  • INPUT TRANSFORM:  S %DT="E",%DT(0)=-DT D ^%DT S X=Y K:Y<1 X K %DT(0)
  • LAST EDITED:  JUL 15, 1997
  • HELP-PROMPT:  Enter the date when the patient was diagnosed as SYMPTOMATIC (not AIDS).
  • DESCRIPTION:  
    This field is used for the date requested as SYMPTOMATIC in the CLINICAL STATUS portion of the CDC HIV/AIDS reporting form.
  • GROUP:  CDC FORM (VIII)
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
11.04 IMMUNODEF THAT DISQUALIFIES 11;4 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  This field indicates whether the patient has an immunodeficiency which would disqualify the patient from an AIDS diagnosis.
  • DESCRIPTION:  
    This field indicates whether the patient has an immunodeficiency which would disqualify the patient from an AIDS diagnosis. This field is used in the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VIII)
11.05 RVCT CASE NO. 11;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAR 31, 1993
  • HELP-PROMPT:  If the presence of tuberculosis is indicated, enter the RVCT CASE Number for the patient.
  • DESCRIPTION:  
    This field is used to enter the RVCT Case number if a diagnosis of tuberculosis had been indicated in part VIII of the CDC form.
  • GROUP:  CDC FORM (VIII)
12.01 AIDS DX - HOSPITAL 12;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the name of hospital where AIDS diagnosed. Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This field contains the name of the hospital where the diagnosis of AIDS was first made. This field is used in printing part IV of the CDC form.
  • GROUP:  CDC FORM (IV)
12.02 AIDS DX - CITY 12;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter name of city of hospital where HIV was diagnosed. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This field contains the city in which the hospital where the diagnosis of AIDS was first made is located. This field is used in printing part IV of the CDC form.
  • GROUP:  CDC FORM (IV)
12.03 AIDS DX - STATE 12;3 POINTER TO STATE FILE (#5) STATE(#5)

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the name of the state where AIDS was diagnosed.
  • DESCRIPTION:  
    This field contains the name of the STATE in which the hospital where the diagnosis of AIDS was first made is located. This field is used in printing part IV of the CDC form.
  • GROUP:  CDC FORM (IV)
12.04 AIDS DX - COUNTRY 12;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter name of country where AIDS was diagnosed. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This field is used to record the country in which the hospital at which the patient was diagnosed as having AIDS is located. This field is used in printing part IV of the CDC form.
  • GROUP:  CDC FORM (IV)
12.05 AIDS DX - FACILITY SETTING 12;5 SET
  • '1' FOR PUBLIC;
  • '2' FOR PRIVATE;
  • '3' FOR FEDERAL;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  This entry is used to indicate the type of facility on the revised HIV/CDC form.
  • DESCRIPTION:  
    This field is used to contain data related to the facility setting where the diagnosis was first made. The facility setting is public, federal, etc. This field is used on the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IV)
12.06 AIDS DX - FACILITY TYPE 12;6 SET
  • '01' FOR PHYSICIAN,HMO;
  • '31' FOR HOSPITAL,INPATIENT;
  • '88' FOR OTHER;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Select the appropriate code to indicate the type of facility at which the AIDS diagnosis was made.
  • DESCRIPTION:  
    This field holds information on the type of facility in which the diagnosis was originally made for this patient. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IV)
12.07 AIDS DX - OTHER FACILITY TYPE 12;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<2) X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  This field is used to specify the 'OTHER' type of facility at which the AIDS diagnosis was made. Answer must be 2-25 characters in length.
  • DESCRIPTION:  
    If the facility type selected for the 'AIDS DX - FACILITY TYPE' field (12.06) is 'OTHER', then this field is used to provide a text description of the 'OTHER' type.
  • GROUP:  CDC FORM (IV)
12.08 HIV DX - FIRST DIAGNOSED HERE 12;8 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JAN 20, 2011
  • HELP-PROMPT:  Is this facility the first health care setting (VA or non-VA) to diagnose HIV for this patient?
  • DESCRIPTION:  
    This field indicates if this facility was the first health care setting (VA or non-VA) to diagnose HIV in this patient.
14.01 SEX RELATIONS W/MALE PARTNER 14;1 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a male partner.
  • DESCRIPTION:  
    This field contains the answer to the question 'Did this patient after 1977 and preceding the diagnosis of AIDS, have sexual relations with a male partner?' The field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.02 SEX RELATIONS W/FEMALE PARTNER 14;2 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a female partner.
  • DESCRIPTION:  
    This field contains the answer to the question 'Did this patient, after 1977 and preceding the diagnosis of AIDS, have sexual relations with a female partner?' The field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.03 IV DRUGS AFTER 77 AND PRE HIV 14;3 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient used IV drugs after 1977 and preceding HIV diagnosis.
  • DESCRIPTION:  This field is used to indicate whether the patient used needles for self-injection of drugs not prescribed by a physician during the period after 1977 and before the diagnosis of AIDS.
    This field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.04 REC'D CLOTTING FACTORS 14;4 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • DESCRIPTION:  
    This field is used in part V of the CDC form to indicate whether the patient had received clotting factors in the period between 1977 and the diagnosis of AIDS.
  • GROUP:  CDC FORM (V)
14.05 TYPE OF HEMOPHILIA 14;5 SET
  • '1' FOR HEMOPHILIA A (FACTOR VIII);
  • '2' FOR HEMOPHILIA B (FACTOR IX);
  • '8' FOR OTHER;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the type of hemophilia.
  • DESCRIPTION:  This field is used to indicate, for those patients who had received clotting factors as indicated in field 15.9, the type of hemophilia for which clotting factors were given. This field is used in printing part 2 of the
    CDC form.
  • GROUP:  CDC FORM (V)
14.06 OTHER HEMOPHILIA DESCRIPTION 14;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  DEC 17, 1987
  • HELP-PROMPT:  If hemophilia is 'OTHER', indicate type. Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This field is used to indicate the type of hemophilia, if OTHER is selected in field 14.05. This field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.07 SR WITH IV DRUG USER 14;7 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with an IV drug user.
  • DESCRIPTION:  
    This field is used to store the answer to the question 'Did this patient have heterosexual relations with any of the following: IV drug user' The response is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.08 SR WITH BISEXUAL MAN 14;8 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a bisexual male.
  • DESCRIPTION:  This field is used to store the answer to the question 'Did this patient have heterosexual relations with any of the following: Bisexual Man'.
    Note that this question should be ignored for Male patients. The response is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.09 SR W HEMOPHILIA/COAG DISORDER 14;9 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a person with hemophilia/coagulation disorder.
  • DESCRIPTION:  This field is used to store the answer to the question 'Did this patient have heterosexual relations with any of the following: Person with hemophilia/coagulation disorder.' The response is used in printing part V of the
    CDC form.
  • GROUP:  CDC FORM (V)
14.1 SR W TRANS RECIPIENT WITH AIDS 14;10 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a transfusion recipient with AIDS or documented HIV infection.
  • DESCRIPTION:  This field is used to store the answer to the question 'Did this patient have heterosexual relations with any of the following: Blood transfusion recipient with AIDS or documented HIV infection.' This field is used in
    printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.11 TRANSPLANT RECIP-DOCUMNTD HIV 14;11 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether patient is a transplant recipient with documented HIV infection.
  • DESCRIPTION:  
    This field should reflect whether the patient is a transplant recipient with documented HIV infection. The field is used on the CDC HIV/AIDS report form.
  • GROUP:  CDC FORM (V)
14.12 SR W AIDS/HIV INFECTION 14;12 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had sex with a person with AIDS or documented HIV infection.
  • DESCRIPTION:  This field is used to store the answer to the question 'Did this patient have heterosexual relations with any of the following: Person with AIDS or documented HIV infection.' This field is used in printing part V of the
    CDC form.
  • GROUP:  CDC FORM (V)
14.13 TRANS AFTER 77 AND BEFORE HIV 14;13 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient had transfusion(s) after 1977 and prior to HIV Dx.
  • DESCRIPTION:  
    This field is used to indicate if the patient had a transfusion after 1977 and before diagnosis of AIDS. This field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.14 DATE OF FIRST TRANSFUSION 14;14 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 17, 1987
  • HELP-PROMPT:  Enter date of patient's first transfusion.
  • DESCRIPTION:  This is the date of the first transfusion after 1977. This field is only required if the patient did have a transfusion after 1977 and before the diagnosis of AIDS, AND this is the only risk factor for the patient. This
    field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.15 DATE OF LAST TRANSFUSION 14;15 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 17, 1987
  • HELP-PROMPT:  Enter date of patient's last transfusion.
  • DESCRIPTION:  This is the date of the last transfusion after 1977. This field is only required if the patient did have a transfusion after 1977 and before the diagnosis of AIDS (YES to field #14.13), AND this is the only risk factor for
    the patient. This field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.16 TRANSPLANT OR ARTIF INSEMIN 14;16 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether the patient received a transplant of tissue/organs or artificial insemination.
  • DESCRIPTION:  This field is used to indicate whether the patient was the recipient of a transplant or artificial insemination following 1977 and prior to being diagnosed as HIV positive. This field is used in printing part V of the CDC
    form.
  • GROUP:  CDC FORM (V)
14.17 WORK IN HEALTH CARE OR LAB 14;17 SET
  • '0' FOR NO;
  • '1' FOR YES;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  APR 01, 1993
  • HELP-PROMPT:  Indicate whether patient has worked as health care or lab worker.
  • DESCRIPTION:  
    After 1977 and preceding the diagnosis of AIDS did the patient work in a health care or clinical laboratory setting? This field is used in printing part V of the CDC form.
  • GROUP:  CDC FORM (V)
14.18 OCCUPATION 14;18 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  SEP 05, 1990
  • HELP-PROMPT:  If patient has worked as health care or lab worker, indicate occupation. Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    If the patient did work in a health care or clinical lab after 1977 and prior to the diagnosis of AIDS (YES to field #14.17), this field is used to specify the occupation.
  • GROUP:  CDC FORM (V)
16.01 HIV-1 EIA 16;1 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the result of the ELISA antibody test.
  • DESCRIPTION:  
    This field is used in filling out part VI of the CDC form, and indicates whether an ELISA test for HIV was performed, and if so, what the result was.
  • GROUP:  CDC FORM (VI)
16.02 HIV-1 EIA DATE 16;2 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the date (Month and Year) for the FIRST POSITIVE TEST, or the test date.
  • DESCRIPTION:  
    This field is used to contain the date (month and year) when the indicated result in part VI of the revised CDC form was originally determined.
  • GROUP:  CDC FORM (VI)
16.03 HIV-1/HIV-2 EIA 16;3 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the result of the HIV-1/HIV-2 combination EIA test.
  • DESCRIPTION:  
    This field is used to hold information on whether an HIV-1/HIV-2 EIA was performed on the patient and, if so, the result. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
16.04 HIV-1/HIV-2 EIA DATE 16;4 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 03, 1994
  • HELP-PROMPT:  Enter the date of the MOST RECENT HIV-1/HIV-2 combination EIA test.
  • DESCRIPTION:  
    This field is used to indicate the date on which an HIV-1/HIV-2 EIA test was performed. It is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
16.05 HIV-1 WESTERN BLOT/IFA 16;5 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '8' FOR INDETERMINATE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the result of the Western blot antibody test.
  • DESCRIPTION:  
    This field is used in filling out part VI of the CDC form, and indicates whether a WESTERN BLOT test was performed for HIV, and if so, what the result was.
  • GROUP:  CDC FORM (VI)
16.06 HIV-1 WESTERN BLOT/IFA DATE 16;6 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the date (Month and Year) for the FIRST POSITIVE TEST, or the test date.
  • DESCRIPTION:  
    This field is used to contain the date (month and year) when the indicated result in part VI of the revised CDC form was originally determined.
  • GROUP:  CDC FORM (VI)
16.07 OTHER HIV ANTIBODY TEST 16;7 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '8' FOR INDETERMINATE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the result of "Other" antibody test.
  • DESCRIPTION:  
    This field is used in filling out part VI of the CDC form, and is used to indicate whether an antibody test for HIV was performed other than the ELISA or WESTERN BLOT, and the result of this test.
  • GROUP:  CDC FORM (VI)
16.08 OTHER HIV ANTIBODY TEST DATE 16;8 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Enter the date (Month and Year) for the FIRST POSITIVE TEST, or the test date
  • DESCRIPTION:  
    This field is used to contain the date (month and year) when the indicated result in part VI of the revised CDC form was originally determined.
  • GROUP:  CDC FORM (VI)
16.09 OTHER HIV ANTIBODY TEST DESC 16;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  FEB 10, 2003
  • HELP-PROMPT:  Describe the type of "Other" antibody test. Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    This field is used to name or describe the OTHER ANTIBODY test used, if field 16.07 indicates that an OTHER ANTIBODY test was used. This field is used in filling out part VI of the CDC form.
  • GROUP:  CDC FORM (VI)
16.11 * HIV-2 SERUM EIA 16;11 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  APR 10, 2003
  • HELP-PROMPT:  Indicate the type of results (or NOT DONE) for HIV-2 serum antibody EIA tests.
  • DESCRIPTION:  
    This field is used to enter the results of a test for the HIV-2 virus by serum EIA.
  • GROUP:  CDC FORM (VI)
16.12 * HIV-2 SERUM EIA DATE 16;12 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  APR 10, 2003
  • HELP-PROMPT:  Enter the date (Month and Year) for the FIRST POSITIVE TEST, or the test date
  • DESCRIPTION:  
    This field is used to contain the date (month and year) when the indicated result in part VI of the revised CDC form was originally determined.
  • GROUP:  CDC FORM (VI)
16.13 * HIV-2 WESTERN BLOT 16;13 SET
  • '1' FOR POSITIVE;
  • '0' FOR NEGATIVE;
  • '8' FOR INDETERMINATE;
  • '9' FOR NOT DONE;

  • LAST EDITED:  APR 10, 2003
  • HELP-PROMPT:  Enter the result for the Western Blot test for HIV-2
  • DESCRIPTION:  
    This field is used to hold information on whether an HIV-2 Western Blot test was performed on the patient and, if so, the result of the test. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
16.14 * HIV-2 WESTERN BLOT DATE 16;14 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  APR 10, 2003
  • HELP-PROMPT:  Enter the date of the MOST RECENT Western Blot test for the HIV-2 virus
  • DESCRIPTION:  
    This field is used to hold the date on which an HIV-2 Western Blot test was performed on the patient. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.01 HIV CULTURE DETECTION TEST 18;1 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the DATE of the FIRST POSITIVE HIV culture detection test.
  • DESCRIPTION:  
    This field is used to hold the date on which an HIV culture test first produced a positive result. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.02 HIV ANTIGEN DETECTION TEST 18;2 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the DATE of the FIRST POSITIVE HIV ANTIGEN detection test.
  • DESCRIPTION:  
    This field is used for the date of the first positive HIV antigen detection test which was run. The data is used in generating the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.03 HIV PCR, DNA, OR RNA PROBE 18;3 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the DATE of the FIRST POSITIVE PCR, DNA, or RNA detection test for HIV.
  • DESCRIPTION:  
    This field is used to hold the date on which an HIV test involving PCR, DNA or RNA probes first produced a positive result. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.04 TYPE OF OTHER POSITIVE TEST 18;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  MAY 19, 1995
  • HELP-PROMPT:  Enter the TYPE of OTHER HIV detection test which was POSITIVE.
  • DESCRIPTION:  
    This field is used to indicate the type of other HIV detection test which yielded a positive result. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.05 DATE OTHER POS DETECTION TEST 18;5 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the DATE for the OTHER positive HIV test.
  • DESCRIPTION:  
    This field is used to hold the date on which a positive HIV detection test was obtained with an "other" type of test. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.06 LAST DOCUMNTD NEG HIV TEST 18;6 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 03, 1994
  • HELP-PROMPT:  Enter the date on which the last DOCUMENTED negative HIV test was obtained for this patient.
  • DESCRIPTION:  
    This field is used to hold the date on which the patient last had a documented negative HIV test. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.07 TYPE FOR LAST NEG TEST 18;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  AUG 03, 1994
  • HELP-PROMPT:  Enter the TYPE of HIV test which was the last documented NEGATIVE HIV test for this patient. Enter 3-30 characters.
  • DESCRIPTION:  
    This field is used to hold information on the type of test which resulted in the last documented negative HIV test (field 18.06). This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.08 PHYS DOCUMNTD DIAGNOSIS? 18;8 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNONW;

  • LAST EDITED:  AUG 03, 1994
  • HELP-PROMPT:  Indicate whether, if HIV laboratory tests were not documented, the HIV diagnosis was documented by a physician.
  • DESCRIPTION:  
    This field is used to indicate whether a physician has documented the diagnosis of HIV or AIDS in this patient. The information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.09 DATE PHYS DOCUMNTD DIAG 18;9 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 03, 1994
  • HELP-PROMPT:  If HIV laboratory tests were not documented, enter the DATE that the HIV diagnosis was documented by a physician.
  • DESCRIPTION:  
    This field is used for the date on which the physician documented the diagnosis on this patient if this is the case as indicated by field 18.08. The information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
18.1 DETECTABLE VIRAL LOAD TEST 18;10 SET
  • '11' FOR NASBA (Organon);
  • '12' FOR RT-PCR (Roche);
  • '13' FOR bDNA (Chiron);
  • '18' FOR Other;

  • LAST EDITED:  APR 10, 2003
  • GROUP:  CDC FORM (VI)
18.11 DETECTABLE VIRAL LOAD RESULT 18;11 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  APR 10, 2003
  • HELP-PROMPT:  Type a Number between 0 and 9999999, 0 Decimal Digits
  • GROUP:  CDC FORM (VI)
18.12 DETECTABLE VIRAL LOAD DATE 18;12 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  APR 10, 2003
  • GROUP:  CDC FORM (VI)
18.13 POSITIVE HIV DETECTION TEST 18;13 SET
  • '1' FOR CULTURE;
  • '2' FOR ANTIGEN;
  • '3' FOR PCR, DNA OR RNA PROBE;

  • LAST EDITED:  APR 16, 2003
  • GROUP:  CDC FORM (VI)
20.01 CD4+ COUNT FOR CDC 20;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter the actual count, expressed as number of cells per microliter, of T-helper (CD4+) lymphocytes.
  • DESCRIPTION:  
    This field is used to contain the CD4+ count entered for part VI of the revised CDC form.
  • GROUP:  CDC FORM (VI)
20.02 CD4+ COUNT FOR CDC DATE 20;2 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter the date (Month and Year) for the FIRST POSITIVE TEST, or the test date.
  • DESCRIPTION:  
    This field is used to contain the date (month and year) when the indicated result in part VI of the revised CDC form was originally determined.
  • GROUP:  CDC FORM (VI)
20.03 CD4+ PERCENT FOR CDC 20;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Type a Number between 0 and 99, 0 Decimal Digits to indicate the percent of the lymphocyte population which was CD4+ lymphocytes.
  • DESCRIPTION:  
    This field is used to enter the percentage of CD4+ leukocytes present in the leukocyte population. The value is used for part VI of the revised CDC form.
  • GROUP:  CDC FORM (VI)
20.04 CD4+ PERCENT FOR CDC DATE 20;4 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  Enter the DATE for the CD4 PERCENTAGE at or near the current diagnostic status.
  • DESCRIPTION:  
    This field is used to store the date on which the percentage CD4 value was determined at or closest to the current diagnosis. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
20.05 CD4 COUNT FIRST <200 20;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>200)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the first CD4 COUNT which was below 200. This should be a number between 0 and 199
  • DESCRIPTION:  
    This field is used to contain the number count for the first CD4 count which was below the value of 200. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
20.06 CD4 COUNT FIRST <200 DATE 20;6 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the date for the CD4 count which first gave a value of less than 200.
  • DESCRIPTION:  
    This field is used to hold the date on which the CD4 count was first below the value of 200. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
20.07 CD4 PERCENT FIRST <14% 20;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>13)!(X<0)!(X?.E1"."2N.N) X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the CD4 PERCENTAGE which first gave a value of less than 14 %.
  • DESCRIPTION:  
    This field is used to hold the CD4 percentage value which was obtained when the percentage was first below 14%. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
20.08 CD4 PERCENT FIRST <14% DATE 20;8 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the date of the first CD4 PERCENTAGE which resulted in a value of less than 14%.
  • DESCRIPTION:  
    This field is used to hold the date on which the percentage CD4 value was first observed to be below 14%. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (VI)
22.01 PATIENT BEEN INFORMED OF HIV 22;1 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient has been informed of the diagnosis of HIV infection.
  • DESCRIPTION:  
    This field is used to indicate whether the patient has been informed of the diagnosis of HIV infection. The field is used to supply data for the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.02 PARTNERS NOTIFIED BY 22;2 SET
  • '1' FOR Health Dept.;
  • '2' FOR Physician/Provider;
  • '3' FOR Patient;
  • '9' FOR Unknown;

  • LAST EDITED:  FEB 03, 2006
  • HELP-PROMPT:  Indicate the entity with responsibility for informing the patient's sexual partners of the patient's HIV infection.
  • DESCRIPTION:  
    This field is used to indicate the entity with responsibility for informing the patient's sexual partners of the patient's HIV infection. The data in this field will be used in the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.03 HIV RELATED MED SERVICES 22;3 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUL 10, 1995
  • HELP-PROMPT:  Indicate if this patient is receiving or has been referred for HIV-related medical services.
  • DESCRIPTION:  
    This field is used to hold the response related to whether the patient is receiving or has been referred to receive HIV-related medical services. This information is used in preparing the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.04 RCVD ANTI-RETROVIRAL THERAPY 22;4 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient has received or is receiving anti-retroviral therapy.
  • DESCRIPTION:  
    The response should indicate whether the patient has received or is receiving anti-retroviral therapy. The data is used in generating the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.05 RECEIVED PCP PROPHYLAXIS 22;5 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient has received or is receiving PCP prophylaxis.
  • DESCRIPTION:  
    The response should indicate whether the patient has received or is receiving PCP prophylaxis. The data is used in generating the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.06 ENROLLED AT CLINCAL TRIAL 22;6 SET
  • '1' FOR NIH SPONSORED;
  • '2' FOR OTHER;
  • '3' FOR NONE;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient is enrolled in a clinical trial, and which category of clinical trial.
  • DESCRIPTION:  
    This field is used to indicate whether the patient is enrolled in a clinical trial, and which category of clinical trial. The data in this field is used in generating the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.07 ENROLLED AT CLINIC 22;7 SET
  • '1' FOR HRSA SPONSORED;
  • '2' FOR OTHER;
  • '3' FOR NONE;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate whether the patient is enrolled in a clinic, and which category of clinic.
  • DESCRIPTION:  
    This field is used to indicate whether the patient is enrolled in a clinic, and which category of clinic. The data in this field is used in generating the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.08 PRIMARY REIMBURSER FOR MED RX 22;8 SET
  • '1' FOR MEDICAID;
  • '2' FOR PRIMARY INS/HMO;
  • '3' FOR NO COVERAGE;
  • '4' FOR OTHER PUBLIC FUNDS;
  • '7' FOR CLINICAL TRIAL/GOVMNT PROGRAM;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  JUN 28, 1994
  • HELP-PROMPT:  Indicate the PRIMARY reimburser for this patient's medical treatment.
  • DESCRIPTION:  
    This field is used to indicate who was the PRIMARY reimburser for this patient's medical treatment. The entry is used in the generation of the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
22.09 SUBSTANCE ABUSE TREATMENT 22;9 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '8' FOR N/A;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  MAY 19, 2006
  • HELP-PROMPT:  Indicate if this patient is receiving or has been referred for substance abuse treatment services.
  • DESCRIPTION:  
    This field is used to hold the response related to whether the patient is receiving or has been referred to receive substance abuse tratment services. This information is used in preparing the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
23.01 GYNECOLOGY OR OBSTETRIC CARE 23;1 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  For FEMALE patients only - Is the patient receiving obstetric or gynecological care?
  • DESCRIPTION:  
    This field is applicable to female patients only. The field is used to indicate whether the patient is receiving obstetric or gynecological care.
  • GROUP:  CDC FORM (IX)
23.02 CURRENTLY PREGNANT 23;2 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '9' FOR UNKNOWN;

  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  For FEMALE patients only - Is the patient currently pregnant?
  • DESCRIPTION:  
    This field is applicable to female patients only. The field is used to indicate whether the female patient is pregnant at the time the CDC HIV/AIDS form is generated.
  • GROUP:  CDC FORM (IX)
23.03 DELIVERED LIVE BORN INFANT 23;3 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '3' FOR UNKNOWN;

  • LAST EDITED:  FEB 11, 2003
  • HELP-PROMPT:  For FEMALE patients only - Has the female patient ever delivered a live born infant?
  • DESCRIPTION:  
    This field is applicable to female patients only. The field is used to indicate whether the female patient ever delivered a live born infant. The response is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
23.04 CHILD'S DATE OF BIRTH 23;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  For FEMALE patients only - Enter the date of birth of the last child born to the patient if the birthdate is past 1977.
  • DESCRIPTION:  
    This field is used to indicate the date of birth of a child to a female patient who has been diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
23.05 CHILD'S HOSPITAL OF BIRTH 23;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>23!($L(X)<2) X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  For FEMALE patients only - Enter the name of the hospital (2 to 23 characters) in which the patient's last child was born, if applicable, and the date of birth is past 1977.
  • DESCRIPTION:  
    This field is used to indicate the birth hospital for the most recent child of a female patient who has been diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
23.06 CHILD'S HOSPITAL - CITY 23;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>23!($L(X)<2) X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the name of the city (2-23 characters) in which the CHILD'S HOSPITAL of birth is located.
  • DESCRIPTION:  
    This field is used to hold the city of the birth hospital of the most recent child of a female diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
23.07 CHILD'S HOSPITAL - STATE 23;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<2)!'(X?2U) X
  • LAST EDITED:  OCT 26, 1994
  • HELP-PROMPT:  Enter the 2 letter abbreviation for the state in which the CHILD'S HOSPITAL OF BIRTH is located.
  • DESCRIPTION:  
    This field is used to hold the state of the birth hospital of the most recent child of a female diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
  • GROUP:  CDC FORM (IX)
25 CDC COMMENTS 25;0 WORD-PROCESSING #799.425

  • GROUP:  CDC FORM (X)
  • LAST EDITED:  FEB 11, 2003
  • DESCRIPTION:  
    The CDC COMMENTS field stores 3 lines of text that is printed in the section X of the CDC form.

External References

Name Field # of Occurrence
^%DT .03+1, 9.01+1, 11.02+1, 11.03+1, 14.14+1, 14.15+1, 16.02+1, 16.04+1, 16.06+1, 16.08+1
, 16.12+1, 16.14+1, 18.01+1, 18.02+1, 18.03+1, 18.05+1, 18.06+1, 18.09+1, 18.12+1, 20.02+1
, 20.04+1, 20.06+1, 20.08+1, 23.04+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^RORDATA(798 - [#798] 9.9+1
^RORDATA(798.4 - [#798.4] 9.9+1
^RORDATA(799.4 - [#799.4] .01(XREF 1S), .01(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT .03+1*, 9.01+1*, 11.02+1*, 11.03+1*, 14.14+1*, 14.15+1*, 16.02+1*, 16.04+1*, 16.06+1*, 16.08+1*
, 16.12+1*, 16.14+1*, 18.01+1*, 18.02+1*, 18.03+1*, 18.05+1*, 18.06+1*, 18.09+1*, 18.12+1*, 20.02+1*
, 20.04+1*, 20.06+1*, 20.08+1*, 23.04+1*
>> %DT(0 11.02+1*!, 11.03+1*!
>> D0 9.9+1
>> DA .01(XREF 1S), .01(XREF 1K)
>> DINUM .01+1*
DT 11.02+1, 11.03+1
U 9.9+1
X .01+1, .01(XREF 1S), .01(XREF 1K), .03+1*!, 9.01+1*!, 9.03+1!, 9.04+1!, 9.06+1!, 9.08+1!, 9.09+1!
, 9.1+1!, 9.11+1!, 9.13+1!, 9.14+1!, 9.9+1*, 11.02+1*!, 11.03+1*!, 11.05+1!, 12.01+1!, 12.02+1!
, 12.04+1!, 12.07+1!, 14.06+1!, 14.14+1*!, 14.15+1*!, 14.18+1!, 16.02+1*!, 16.04+1*!, 16.06+1*!, 16.08+1*!
, 16.09+1!, 16.12+1*!, 16.14+1*!, 18.01+1*!, 18.02+1*!, 18.03+1*!, 18.04+1!, 18.05+1*!, 18.06+1*!, 18.07+1!
, 18.09+1*!, 18.11+1!, 18.12+1*!, 20.01+1!, 20.02+1*!, 20.03+1!, 20.04+1*!, 20.05+1!, 20.06+1*!, 20.07+1!
, 20.08+1*!, 23.04+1*!, 23.05+1!, 23.06+1!, 23.07+1!
>> Y .03+1, 9.01+1, 11.02+1, 11.03+1, 14.14+1, 14.15+1, 16.02+1, 16.04+1, 16.06+1, 16.08+1
, 16.12+1, 16.14+1, 18.01+1, 18.02+1, 18.03+1, 18.05+1, 18.06+1, 18.09+1, 18.12+1, 20.02+1
, 20.04+1, 20.06+1, 20.08+1, 23.04+1
Info |  Desc |  Directly Accessed By Routines |  Accessed By FileMan Db Calls |  Pointer To FileMan Files |  Fields |  External References |  Global Variables Directly Accessed |  Local Variables  | All