
File ROR_HIV_RECORD(799.4) Data List
| REGISTRY RECORD |
CLINICAL AIDS |
CLINICAL AIDS DATE |
STATION |
AIDS INDICATOR DISEASE |
RECORD REVIEWED |
DATE ASYMPTOMATIC |
DATE SYMPTOMATIC |
IMMUNODEF THAT DISQUALIFIES |
RVCT CASE NO. |
AIDS DX - HOSPITAL |
AIDS DX - CITY |
AIDS DX - STATE |
AIDS DX - COUNTRY |
AIDS DX - FACILITY SETTING |
AIDS DX - FACILITY TYPE |
AIDS DX - OTHER FACILITY TYPE |
HIV DX - FIRST DIAGNOSED HERE |
SEX RELATIONS W/MALE PARTNER |
SEX RELATIONS W/FEMALE PARTNER |
IV DRUGS AFTER 77 AND PRE HIV |
REC'D CLOTTING FACTORS |
TYPE OF HEMOPHILIA |
OTHER HEMOPHILIA DESCRIPTION |
SR WITH IV DRUG USER |
SR WITH BISEXUAL MAN |
SR W HEMOPHILIA/COAG DISORDER |
SR W TRANS RECIPIENT WITH AIDS |
TRANSPLANT RECIP-DOCUMNTD HIV |
SR W AIDS/HIV INFECTION |
TRANS AFTER 77 AND BEFORE HIV |
DATE OF FIRST TRANSFUSION |
DATE OF LAST TRANSFUSION |
TRANSPLANT OR ARTIF INSEMIN |
WORK IN HEALTH CARE OR LAB |
OCCUPATION |
HIV-1 EIA |
HIV-1 EIA DATE |
HIV-1/HIV-2 EIA |
HIV-1/HIV-2 EIA DATE |
HIV-1 WESTERN BLOT/IFA |
HIV-1 WESTERN BLOT/IFA DATE |
OTHER HIV ANTIBODY TEST |
OTHER HIV ANTIBODY TEST DATE |
OTHER HIV ANTIBODY TEST DESC |
* HIV-2 SERUM EIA |
* HIV-2 SERUM EIA DATE |
* HIV-2 WESTERN BLOT |
* HIV-2 WESTERN BLOT DATE |
HIV CULTURE DETECTION TEST |
HIV ANTIGEN DETECTION TEST |
HIV PCR, DNA, OR RNA PROBE |
TYPE OF OTHER POSITIVE TEST |
DATE OTHER POS DETECTION TEST |
LAST DOCUMNTD NEG HIV TEST |
TYPE FOR LAST NEG TEST |
PHYS DOCUMNTD DIAGNOSIS? |
DATE PHYS DOCUMNTD DIAG |
DETECTABLE VIRAL LOAD TEST |
DETECTABLE VIRAL LOAD RESULT |
DETECTABLE VIRAL LOAD DATE |
POSITIVE HIV DETECTION TEST |
CD4+ COUNT FOR CDC |
CD4+ COUNT FOR CDC DATE |
CD4+ PERCENT FOR CDC |
CD4+ PERCENT FOR CDC DATE |
CD4 COUNT FIRST <200 |
CD4 COUNT FIRST <200 DATE |
CD4 PERCENT FIRST <14% |
CD4 PERCENT FIRST <14% DATE |
PATIENT BEEN INFORMED OF HIV |
PARTNERS NOTIFIED BY |
HIV RELATED MED SERVICES |
RCVD ANTI-RETROVIRAL THERAPY |
RECEIVED PCP PROPHYLAXIS |
ENROLLED AT CLINCAL TRIAL |
ENROLLED AT CLINIC |
PRIMARY REIMBURSER FOR MED RX |
SUBSTANCE ABUSE TREATMENT |
GYNECOLOGY OR OBSTETRIC CARE |
CURRENTLY PREGNANT |
DELIVERED LIVE BORN INFANT |
CHILD'S DATE OF BIRTH |
CHILD'S HOSPITAL OF BIRTH |
CHILD'S HOSPITAL - CITY |
CHILD'S HOSPITAL - STATE |
CDC COMMENTS |
DATE CDC FORM COMPLETED |
STATUS AT REPORT |
AGE AT HIV DIAGNOSIS |
AGE AT AIDS DIAGNOSIS |
CDC FORM COMPLETED BY |
STATE/TERRITORY OF DEATH |
COUNTRY OF BIRTH |
DEPENDENCY OR POSSESSION NAME |
OTHER COUNTRY DESCRIPTION |
ONSET OF ILLNESS/AIDS- CITY |
ONSET OF ILLNESS/AIDS- COUNTY |
ONSET OF ILLNESS/AIDS- STATE |
ONSET OF ILLNESS/AIDS- COUNTRY |
ONSET OF ILLNESS/AIDS- ZIP |
PATIENT STATUS |