STANDARD DATA DICTIONARY #799.4 -- ROR HIV RECORD FILE 6/27/25 PAGE 1
STORED IN ^RORDATA(799.4, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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The ROR HIV RECORD file stores the patients' data specific to the Human Immunodeficiency Virus Registry (CCR:HIV).
Records of this file have the same internal entry numbers as the corresponding records of the ROR REGISTRY RECORD file (#798).
When an CCR:HIV record is deleted from the ROR REGISTRY RECORD file, the corresponding record of this file is deleted
automatically.
A permanent screen (the ^DD(799.4,0,"SCR") node) restricts access to this file. Only the users who have the CCR:HIV security key(s)
and those with the ROR VA IRM key can access the records of the file.
FILE SCREEN (SCR-node) : I $$ACCESS^RORDD(799.4,"VA ICR",1)
DD ACCESS: @
RD ACCESS:
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: REGISTRY RECORD(B)
799.4,.01 REGISTRY RECORD 0;1 POINTER TO ROR REGISTRY RECORD FILE (#798) (Required)
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!
799.4,.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.
799.4,.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.
799.4,.04 STATION 0;4 POINTER TO INSTITUTION FILE (#4)
Institution
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.
799.4,9.01 DATE CDC FORM COMPLETED 9;1 DATE
CDC Form 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
799.4,9.02 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)
799.4,9.03 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)
799.4,9.04 AGE AT AIDS DIAGNOSIS 9;4 NUMBER
Age at AIDS Diagnosis
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)
799.4,9.05 CDC FORM COMPLETED BY 9;5 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: APR 17, 2003
DELETE AUTHORITY: @
WRITE AUTHORITY: @
GROUP: CDC HEADER
799.4,9.06 STATE/TERRITORY OF DEATH 9;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>24!($L(X)<2) X
LAST EDITED: MAR 13, 1995
HELP-PROMPT: Enter the State or Territory in which the patient's death occurred. Answer must be 2-24 characters
in length.
DESCRIPTION: This field is used to hold the name of the state or territory in which the patient died. This
information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (III)
799.4,9.07 COUNTRY OF BIRTH 9;7 SET
'1' FOR U.S.;
'7' FOR U.S. DEPENDENCIES AND POSSESSIONS (INCLUDING PUERTO RICO);
'8' FOR OTHER;
'9' FOR UNKNOWN;
LAST EDITED: MAY 06, 2003
HELP-PROMPT: Enter the number (or name) indicating the country of birth. NOTE that U.S. Dependencies and
possessions includes Puerto Rico.
DESCRIPTION: This is the country of birth information for this patient for use on the revised CDC form. The
options for this information on the current form differ from those available on the earlier CDC
form.
The name for either 7 or 8 should be entered in the appropriate place.
GROUP: CDC FORM (III)
799.4,9.08 DEPENDENCY OR POSSESSION NAME 9;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<2) X
LAST EDITED: MAR 31, 1993
HELP-PROMPT: Enter the name of the U.S. Dependency or Possession in which the patient was born (2-15
characters).
DESCRIPTION: This field is used to enter the name of the country of birth when the country of birth is indicated
as a U.S. dependency or possession on the revised CDC form.
GROUP: CDC FORM (III)
799.4,9.09 OTHER COUNTRY DESCRIPTION 9;9 FREE TEXT
Other Country Name
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: DEC 17, 1987
HELP-PROMPT: If patient's country of birth is 'Other', enter name (3-15 characters).
DESCRIPTION: This field is used to enter the name of the country of birth if OTHER was selected as a value of
the COUNTRY OF BIRTH field. If the field is not blank, then it is printed in part III of the CDC
form.
GROUP: CDC FORM (III)
799.4,9.1 ONSET OF ILLNESS/AIDS- CITY 9;10 FREE TEXT
City at Onset of Illness Suggestive of AIDS
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: FEB 11, 2003
HELP-PROMPT: Enter city of residence at onset of illness suggestive of AIDS diagnosis. Answer must be 3-15
characters in length.
DESCRIPTION: This is the city in which the patient was residing at the onset of an illness suggestive of AIDS.
This field is used in printing part III of the CDC form.
GROUP: CDC FORM (III)
799.4,9.11 ONSET OF ILLNESS/AIDS- COUNTY 9;11 FREE TEXT
County at Onset of Illness Suggestive of AIDS
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: FEB 11, 2003
HELP-PROMPT: Enter county of residence at onset of illness suggestive of AIDS diagnosis. Answer must be 3-15
characters in length.
DESCRIPTION: This field is used to indicate the COUNTY in which the patient was residing at the onset of an
illness suggestive of AIDS. This field is used in printing part III of the CDC form.
GROUP: CDC FORM (III)
799.4,9.12 ONSET OF ILLNESS/AIDS- STATE 9;12 POINTER TO STATE FILE (#5)
State at Onset of Illness Suggestive of AIDS
LAST EDITED: FEB 11, 2003
HELP-PROMPT: Enter patient's state of residence at onset of illness sugesstive of AIDS.
DESCRIPTION: This field is used to indicate the STATE in which the patient was residing at the time of onset of
an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
GROUP: CDC FORM (III)
799.4,9.13 ONSET OF ILLNESS/AIDS- COUNTRY 9;13 FREE TEXT
Country at Onset of Illness Suggestive of AIDS
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: FEB 11, 2003
HELP-PROMPT: Enter patient's country of residence at onset of illness suggestive of AIDS. Answer must be 3-15
characters in length.
DESCRIPTION: This field is used to indicate the COUNTRY in which the patient was residing at the time of onset
of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
GROUP: CDC FORM (III)
799.4,9.14 ONSET OF ILLNESS/AIDS- ZIP 9;14 FREE TEXT
Zip Code at Onset of Illness Suggestive of AIDS
INPUT TRANSFORM: K:$L(X)>9!($L(X)<5) X
LAST EDITED: FEB 11, 2003
HELP-PROMPT: Enter patient's zip code of residence at onset of illness suggestive of AIDS. Answer must be 5-9
characters in length.
DESCRIPTION: This field is used to indicate the zip code associated with the residence of the patient at the
onset of an illness suggestive of AIDS. This field is used in printing part III of the CDC form.
GROUP: CDC FORM (III)
799.4,9.9 PATIENT STATUS ; COMPUTED
MUMPS CODE: S X=$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(^RORD
ATA(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.
799.4,10 AIDS INDICATOR DISEASE 10;0 POINTER Multiple #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)
799.41,.01 AIDS INDICATOR DISEASE 0;1 POINTER TO ROR AIDS INDICATOR DISEASE FILE (#799.49) (Multiply asked)
INPUT TRANSFORM: S DIC("S")="I $P($G(^(0)),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X S:$D(X) DINUM=X
LAST EDITED: FEB 07, 2003
DESCRIPTION:
The AIDS INDICATOR DISEASE field references the AIDS indicator disease.
TECHNICAL DESCR: Only diseases that have values in the SEQUENTIAL NUMBER field can be selected from the ROR AIDS
INDICATOR DISEASE file.
Internal value of this field is used as the internal entry number of the record (the 'DINUM'
feature).
SCREEN: S DIC("S")="I $P($G(^(0)),U,3)"
EXPLANATION: Only active indicator diseases can be selected.
DELETE AUTHORITY:
GROUP: CDC FORM (VIII)
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 799.41^B
1)= S ^RORDATA(799.4,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^RORDATA(799.4,DA(1),10,"B",$E(X,1,30),DA)
799.41,.02 INITIAL DIAGNOSIS 0;2 SET
'1' FOR Definitive;
'2' FOR Presumptive;
LAST EDITED: JUN 14, 2006
DESCRIPTION:
The INITIAL DIAGNOSIS field stores a diagnosis for the disease.
TECHNICAL DESCR: The set of codes is screened according to the value of the INITIAL DIAGNOSIS VALUES field (.02)
from the record of the ROR AIDS INDICATOR DISEASE file (#799.49) that is referenced by the AIDS
INDICATOR DISEASE field (.01) of this multiple.
SCREEN: S DIC("S")="N RORV S RORV=+$G(^RORDATA(799.4,DA(1),10,DA,0)) I RORV>0 S RORV=$P($G(^ROR(799.49,RORV
,0)),U,2) I ("";""_RORV)[("";""_Y_"":"")"
EXPLANATION: Each indicator disease have its own set of initial diagnoses.
DELETE AUTHORITY:
GROUP: CDC FORM (VIII)
RECORD INDEXES: AD (#373), AIDSOI (#706)
799.41,.03 DATE 0;3 DATE
INPUT TRANSFORM:S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 14, 2006
DESCRIPTION:
The DATE field stores the date when the disease was diagnosed.
DELETE AUTHORITY:
GROUP: CDC FORM (VIII)
RECORD INDEXES: AD (#373), AIDSOI (#706)
799.4,11.01 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)
799.4,11.02 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
799.4,11.03 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
799.4,11.04 IMMUNODEF THAT DISQUALIFIES 11;4 SET
Immunodeficiency that would disqualify AIDS diagnosis
'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)
799.4,11.05 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)
799.4,12.01 AIDS DX - HOSPITAL 12;1 FREE TEXT
Hospital Where AIDS Diagnosed
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: FEB 10, 2003
HELP-PROMPT: Enter the name of hospital where AIDS diagnosed. Answer must be 3-30 characters in length.
DESCRIPTION: This field contains the name of the hospital where the diagnosis of AIDS was first made. This
field is used in printing part IV of the CDC form.
GROUP: CDC FORM (IV)
799.4,12.02 AIDS DX - CITY 12;2 FREE TEXT
City of Hospital Where AIDS Dx.
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: FEB 10, 2003
HELP-PROMPT: Enter name of city of hospital where HIV was diagnosed. Answer must be 3-15 characters in length.
DESCRIPTION: This field contains the city in which the hospital where the diagnosis of AIDS was first made is
located. This field is used in printing part IV of the CDC form.
GROUP: CDC FORM (IV)
799.4,12.03 AIDS DX - STATE 12;3 POINTER TO STATE FILE (#5)
State of Hospital Where AIDS Dx.
LAST EDITED: FEB 10, 2003
HELP-PROMPT: Enter the name of the state where AIDS was diagnosed.
DESCRIPTION: This field contains the name of the STATE in which the hospital where the diagnosis of AIDS was
first made is located. This field is used in printing part IV of the CDC form.
GROUP: CDC FORM (IV)
799.4,12.04 AIDS DX - COUNTRY 12;4 FREE TEXT
Country of Hospital Where AIDS Dx.
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: FEB 10, 2003
HELP-PROMPT: Enter name of country where AIDS was diagnosed. Answer must be 3-15 characters in length.
DESCRIPTION: This field is used to record the country in which the hospital at which the patient was diagnosed
as having AIDS is located. This field is used in printing part IV of the CDC form.
GROUP: CDC FORM (IV)
799.4,12.05 AIDS DX - FACILITY SETTING 12;5 SET
'1' FOR PUBLIC;
'2' FOR PRIVATE;
'3' FOR FEDERAL;
'9' FOR UNKNOWN;
LAST EDITED: FEB 10, 2003
HELP-PROMPT: This entry is used to indicate the type of facility on the revised HIV/CDC form.
DESCRIPTION: This field is used to contain data related to the facility setting where the diagnosis was first
made. The facility setting is public, federal, etc. This field is used on the CDC HIV/AIDS form.
GROUP: CDC FORM (IV)
799.4,12.06 AIDS DX - FACILITY TYPE 12;6 SET
'01' FOR PHYSICIAN,HMO;
'31' FOR HOSPITAL,INPATIENT;
'88' FOR OTHER;
LAST EDITED: FEB 10, 2003
HELP-PROMPT: Select the appropriate code to indicate the type of facility at which the AIDS diagnosis was made.
DESCRIPTION: This field holds information on the type of facility in which the diagnosis was originally made for
this patient. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (IV)
799.4,12.07 AIDS DX - OTHER FACILITY TYPE 12;7 FREE TEXT
INPUT TRANSFORM: K:$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)
799.4,12.08 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.
799.4,14.01 SEX RELATIONS W/MALE PARTNER 14;1 SET
Sex With Male Partner
'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)
799.4,14.02 SEX RELATIONS W/FEMALE PARTNER 14;2 SET
Sex With Female Partner
'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)
799.4,14.03 IV DRUGS AFTER 77 AND PRE HIV 14;3 SET
IV Drugs After 1977/Pre HIV
'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)
799.4,14.04 REC'D CLOTTING FACTORS 14;4 SET
BP1. Received Clotting Factor
'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)
799.4,14.05 TYPE OF HEMOPHILIA 14;5 SET
BP1. Type of Hemophilia
'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)
799.4,14.06 OTHER HEMOPHILIA DESCRIPTION 14;6 FREE TEXT
BP1. Other Hemophilia Desc.
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)
799.4,14.07 SR WITH IV DRUG USER 14;7 SET
Sex With IV Drug Abuser
'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)
799.4,14.08 SR WITH BISEXUAL MAN 14;8 SET
Sex With Bisexual Male
'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)
799.4,14.09 SR W HEMOPHILIA/COAG DISORDER 14;9 SET
Sex With Hemophiliac/Coagulation Disorder
'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)
799.4,14.1 SR W TRANS RECIPIENT WITH AIDS 14;10 SET
Sex With Transfusion Recipient with AIDS
'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)
799.4,14.11 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)
799.4,14.12 SR W AIDS/HIV INFECTION 14;12 SET
Sex With AIDS/HIV Infected Person
'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)
799.4,14.13 TRANS AFTER 77 AND BEFORE HIV 14;13 SET
Trans After 1977/Pre HIV
'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)
799.4,14.14 DATE OF FIRST TRANSFUSION 14;14 DATE
Date of First Transfusion
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)
799.4,14.15 DATE OF LAST TRANSFUSION 14;15 DATE
Date of Last Transfusion
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)
799.4,14.16 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)
799.4,14.17 WORK IN HEALTH CARE OR LAB 14;17 SET
Health Care/Lab Worker
'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)
799.4,14.18 OCCUPATION 14;18 FREE TEXT
Occupation
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)
799.4,16.01 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)
799.4,16.02 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)
799.4,16.03 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)
799.4,16.04 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)
799.4,16.05 HIV-1 WESTERN BLOT/IFA 16;5 SET
WESTERN BLOT
'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)
799.4,16.06 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)
799.4,16.07 OTHER HIV ANTIBODY TEST 16;7 SET
Other Antibody Test
'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)
799.4,16.08 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)
799.4,16.09 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)
799.4,16.11 * 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)
799.4,16.12 * 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)
799.4,16.13 * 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)
799.4,16.14 * 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)
799.4,18.01 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)
799.4,18.02 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)
799.4,18.03 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)
799.4,18.04 TYPE OF OTHER POSITIVE TEST 18;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAY 19, 1995
HELP-PROMPT: Enter the TYPE of OTHER HIV detection test which was POSITIVE.
DESCRIPTION: This field is used to indicate the type of other HIV detection test which yielded a positive
result. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (VI)
799.4,18.05 DATE OTHER POS DETECTION TEST 18;5 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 26, 1994
HELP-PROMPT: Enter the DATE for the OTHER positive HIV test.
DESCRIPTION: This field is used to hold the date on which a positive HIV detection test was obtained with an
"other" type of test. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (VI)
799.4,18.06 LAST DOCUMNTD NEG HIV TEST 18;6 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 03, 1994
HELP-PROMPT: Enter the date on which the last DOCUMENTED negative HIV test was obtained for this patient.
DESCRIPTION: This field is used to hold the date on which the patient last had a documented negative HIV test.
This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (VI)
799.4,18.07 TYPE FOR LAST NEG TEST 18;7 FREE TEXT
INPUT TRANSFORM: K:$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)
799.4,18.08 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)
799.4,18.09 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)
799.4,18.1 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)
799.4,18.11 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)
799.4,18.12 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)
799.4,18.13 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)
799.4,20.01 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)
799.4,20.02 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)
799.4,20.03 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)
799.4,20.04 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)
799.4,20.05 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)
799.4,20.06 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)
799.4,20.07 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)
799.4,20.08 CD4 PERCENT FIRST <14% DATE 20;8 DATE
Date of First CD4 Percentage value of less than 14%
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)
799.4,22.01 PATIENT BEEN INFORMED OF HIV 22;1 SET
Has the Patient been informed of HIV Infection?
'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)
799.4,22.02 PARTNERS NOTIFIED BY 22;2 SET
Patient's sexual Partners will be notified by
'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)
799.4,22.03 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)
799.4,22.04 RCVD ANTI-RETROVIRAL THERAPY 22;4 SET
RECIEVING OR RECIEVED ANTI-RETROVIRAL THERAPY
'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)
799.4,22.05 RECEIVED PCP PROPHYLAXIS 22;5 SET
Received or receiving PCP Prophylaxis
'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)
799.4,22.06 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)
799.4,22.07 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)
799.4,22.08 PRIMARY REIMBURSER FOR MED RX 22;8 SET
Medical treatment PRIMARILY reimbursed by
'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)
799.4,22.09 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)
799.4,23.01 GYNECOLOGY OR OBSTETRIC CARE 23;1 SET
Patient receiving obstetric or gynecological care
'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)
799.4,23.02 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)
799.4,23.03 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)
799.4,23.04 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)
799.4,23.05 CHILD'S HOSPITAL OF BIRTH 23;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>23!($L(X)<2) X
LAST EDITED: OCT 26, 1994
HELP-PROMPT: For FEMALE patients only - Enter the name of the hospital (2 to 23 characters) in which the
patient's last child was born, if applicable, and the date of birth is past 1977.
DESCRIPTION: This field is used to indicate the birth hospital for the most recent child of a female patient who
has been diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (IX)
799.4,23.06 CHILD'S HOSPITAL - CITY 23;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>23!($L(X)<2) X
LAST EDITED: OCT 26, 1994
HELP-PROMPT: Enter the name of the city (2-23 characters) in which the CHILD'S HOSPITAL of birth is located.
DESCRIPTION: This field is used to hold the city of the birth hospital of the most recent child of a female
diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (IX)
799.4,23.07 CHILD'S HOSPITAL - STATE 23;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2)!'(X?2U) X
LAST EDITED: OCT 26, 1994
HELP-PROMPT: Enter the 2 letter abbreviation for the state in which the CHILD'S HOSPITAL OF BIRTH is located.
DESCRIPTION: This field is used to hold the state of the birth hospital of the most recent child of a female
diagnosed with HIV or AIDS. This information is used to generate the CDC HIV/AIDS form.
GROUP: CDC FORM (IX)
799.4,25 CDC COMMENTS 25;0 WORD-PROCESSING #799.425 (NOWRAP)
GROUP: CDC FORM (X)
LAST EDITED: FEB 11, 2003
DESCRIPTION:
The CDC COMMENTS field stores 3 lines of text that is printed in the section X of the CDC form.
FILES POINTED TO FIELDS
INSTITUTION (#4) STATION (#.04)
NEW PERSON (#200) CDC FORM COMPLETED BY (#9.05)
ROR AIDS INDICATOR DISEASE
(#799.49) AIDS INDICATOR DISEASE:AIDS INDICATOR DISEASE (#.01)
ROR REGISTRY RECORD (#798) REGISTRY RECORD (#.01)
STATE (#5) ONSET OF ILLNESS/AIDS- STATE (#9.12)
AIDS DX - STATE (#12.03)
Subfile #799.41
Record Indexes:
AD (#373) RECORD REGULAR IR SORTING ONLY
Short Descr: Date of diagnosis
Description: This index sorts the AIDS indicator diseases by the dates when they were diagnosed.
Set Logic: S ^RORDATA(799.4,DA(1),10,"AD",X(2),DA)=""
Set Cond: S X=(X(1)'="")
Kill Logic: K ^RORDATA(799.4,DA(1),10,"AD",X(2),DA)
Whole Kill: K ^RORDATA(799.4,DA(1),10,"AD")
X(1): INITIAL DIAGNOSIS (799.41,.02) (forwards)
X(2): DATE (799.41,.03) (Subscr 1) (forwards)
AIDSOI (#706) RECORD MUMPS IR ACTION
Short Descr: Sets the CLINICAL AIDS field
Set Logic: D AIDSOI^RORDD01(.DA,$G(X(2)))
Set Cond: S X=($G(X(1))'="")
Kill Logic: Q
X(1): INITIAL DIAGNOSIS (799.41,.02) (forwards)
X(2): DATE (799.41,.03) (forwards)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):