1. Demographic Information

Birth Sex

Present Sex

Transgendered

Birth Year

Race

Hispanic

 

2. Risk Factor for HIV Transmission

 

3. Visits

Initial visit date

Primary Care visit dates

 

4. Inpatient Stays

 

5. Diagnoses

AIDS-defining illnesses (CDC ‘C’)

Hypertension

Diabetes Mellitus

Malignancies (currently being added)

Cardiovascular disease (currently being added)

Cerebrovascular disease (currently being added)

Renal disease (currently being added)

Hepatic disease (currently being added)

 

6. Mortality

Death date

Data source

HIV-related cause of death

 

7. Medications

Antiretroviral

Lipid-lowering

Anti-hypertensives

Diabetes

 

8. Specimen Tracking

Collection Date

Specimen Type

Quantity Available

 

9. Laboratory Table

Alanine aminotransferase

Albumin

Alkaline phosphatase

Amylase Pancreatic

Amylase Salivary

Amylase Total

Aspartate aminotransferase

Bartonella Henselae Antibody IgG

Bartonella Henselae Antibody IgM

Bartonella Quintana Antibody IgG

Bartonella Quintana Antibody IgM

Basophil absolute

Bilirubin Direct

Bilirubin Indirect

Bilirubin Total

Blood Urea nitrogen

C-reactive Protein (with cardiac risk)

Carbon dioxide (Bicarbonate)

CD4 cell absolute

CD4 percent

CD4/CD8 ratio

CD8 cell absolute

CD8 percent

Chloride

Cholesterol HDL (Fasting)

Cholesterol HDL (Random)

Cholesterol LDL (Fasting)

Cholesterol LDL (Random)

Cholesterol Total (Fasting)

Cholesterol Total (Random)

Creatine Kinase MB Mass

Creatine Kinase MB Quotient

Creatine Kinase Total

Creatinine

Cryptococcal Antigen Blood

Cryptococcal Antigen CSF

Diastolic

Eosinophil absolute

Gamma glutamyl transferase

Glucose (Fasting)

Glucose (Random)

Height

Hematocrit

Hemoglobin

Hemoglobin A1C

Hepatitis A Antibody IgM

Hepatitis A Antibody Total

Hepatitis B core Antibody IgM

Hepatitis B core Antibody Total

Hepatitis B e Antigen

Hepatitis B surface Antibody

Hepatitis B surface Antigen

Hepatitis B virus DNA

Hepatitis C Antibody (ELISA/EIA)

Hepatitis C Genotype (1 - 6, with subtypes)

Hepatitis C RIBA (HCV WB)

Hepatitis C RNA, qualitative

Hepatitis C RNA, quantitative

HIV p24 Antigen

HIV-1 Antibody (EIA)

HIV-1 Antibody (WB)

HIV-1 DNA PCR Quantitative (Unspecified)

HIV-1 RNA Abbott m2000 Real-Time PCR

HIV-1 RNA Branched DNA version (Unspecified)

HIV-1 RNA Branched DNA version 1.0 Quantitative

HIV-1 RNA Branched DNA version 2.0 Quantitative

HIV-1 RNA Branched DNA version 3.0 Quantitative

HIV-1 RNA Roche Amplicore RT-PCR

HIV-1 RNA Roche Ultrasensitive RT-PCR

HIV-1 RNA Roche COBAS Taqman

HIV-1 RNA UW RT-PCR

HIV-1 Viral Load Assay (Unspecified)

HIV-2 Antibody

Lactate

Lactate dehydrogenase

Large Lymphocyte absolute

Lipase

Lymphocyte absolute

Mean Corpuscular Volume (MCV)

Monocyte absolute

Neutrophil absolute

Partial Thromboplastin Time (PTT)

Platelet count

Potassium

Protein Total

Prothrombin INR

Prothrombin Time (PT)

Rapid Plasma Reagin (RPR)

Red blood cell count (RBC)

Sodium

Systolic

Toxoplasma Antibody, IgG

Toxoplasma Antibody, IgM

Triglycerides (Fasting)

Triglycerides (Fasting)

Triglycerides (Random)

Troponin I (TnI)

Troponin T (TnT)

Uric Acid

Venereal Disease Research Laboratory (VDRL)

Weight

White blood cell count (WBC)