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California Department of Public Health Office of AIDS. Collecting Testing and Treatment History for HIV Incidence Surveillance. In Private and other Non - Counseling & Testing Settings. NOTE: To view the notes section please download and save the file.

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california department of public health office of aids
California Department of Public Health

Office of AIDS

Collecting Testing and Treatment History for HIV Incidence Surveillance

In Private and other Non - Counseling & Testing Settings

NOTE: To view the notes section please download and save the file.

slide2

Collecting Testing and Treatment History for HIV Incidence SurveillanceIn Private and other Non-Counseling and Testing Settings

testing and treatment history tth
Testing and Treatment History(TTH)

Used in calculation of HIV incidence estimates.

Needed to differentiate between new testers and repeat testers.

Used to identify patients receiving ARV meds within six months of first positive HIV test.

review of tth on the hiv aids case report form cdph 8641 a

Review of TTH on the HIV/AIDS Case Report Form(CDPH 8641 A)

Laboratory Data Section

Treatment/ Services Referrals Section

documented tth on the hiv aids case report form not for patient reported tth
Documented TTH on the HIV/AIDS Case Report Form (Not for Patient Reported TTH)

Laboratory Data Section

slide8

Documented TTH on the HIV/AIDS Case Report Form (Not for Patient Reported TTH)

Treatment/Services Referrals Section

slide12

Date question answered by patient ___/___/___

  • Description: Date information is obtained either from the client by interview or from the medical chart by abstraction.
  • Format: mm/dd/yy
slide13

Date of first Positive HIV Test reported by patient

(mo/dd/yr) ____/____/_____

  • Description: Date the patient first tested positive for HIV. This is a self-reported date. Laboratory documented previous HIV tests should be recorded in the Laboratory Data section of the HIV/AIDS Case Report Form.
slide14
Can the date of the first positive HIV test result be based only on a patient’s preliminary positive rapid test result?

No. A positive HIV test refers to a reactive screening test that is confirmed using supplemental testing, either Western Blot or Immunofluorescent assay (IFA). If a patient did not return for his or her confirmatory result disclosure, then this test cannot be considered their first positive HIV test.

slide15

Date of last negative HIV test reported by patient

(mo/dd/yr) ____/____/_____

 Check if never had a negative HIV test

Description: Date the patient last tested negative for HIV. This a self-reported date. Laboratory documented previous tests should be recorded in the Laboratory Data section of the HIV/AIDS Case Report Form.

example 1 this is the patient s first hiv test ever
Example #1 This is the patient’s first HIV test ever.

Date of last negative HIV test reported by patient

(mo/dd/yr) ____/____/____

 Check if never had a negative HIV test

x

example 2 patient reported his or her last negative test was march 15 2007
Example #2Patient reported his or her last negative test was March 15, 2007.

Date of last negative HIV test reported by patient

(mo/dd/yr) ____/____/____

 Check if never had a negative HIV test

03

15

07

example 3 patient does not remember the day of his or her last negative test
Example #3Patient does not remember the day of his or her last negative test.

Date of last negative HIV test reported by patient

(mo/dd/yr) ____/____/____

 Check if never had a negative HIV test

. .

03

07

example 4 the patient claims to have previously tested for hiv but did not return for the results
Example #4 The patient claims to have previously tested for HIV but did not return for the results.

Date of last negative HIV test reported by patient

(mo/dd/yr) ____/____/____

 Check if never had a negative HIV test

slide20

Prior Tests (2 years before 1st positive)

Number of HIV tests in 2 years before first positive:

_1_ (first positive) + ___ (# prior negative tests) = ___ Total

  • Description:
  • Information can be self-reported.
  • A pre-printed ‘1’ in the formula just below the question counts as the first confirmatory positive test.
  • The blank space is used to record the number of HIV tests the client has had in the past two years (not including the first positive).
  • Prior negative HIV tests may include any kind of test used to detect HIV including anonymous tests and screening tests (e.g., rapid oral fluid).
example 1 this hiv positive test is the patient s first hiv test ever
Example #1This HIV positive test is the patient’s first HIV test ever.

Prior Tests (2 years before 1st positive)

Number of HIV tests in 2 years before first positive:

_1_ (first positive) + ___ (# prior negative tests) = ___ Total

0

1

0

1

example 2 patient tested six months ago
Example #2Patient tested six months ago.

Prior Tests (2 years before 1st positive)

Number of HIV tests in 2 years before first positive:

_1_ (first positive) + ___ (# prior negative tests) = ___ Total

1

2

0

1

example 3 patient tested twice in the past two years three times in 2001 and four times in 1998
Example #3Patient tested twice in the past two years, three times in 2001, and four times in 1998.

Prior Tests (2 years before 1st positive)

Number of HIV tests in 2 years before first positive:

_1_ (first positive) + ___ (# prior negative tests) = ___ Total

2

0

1

3

slide24

Antiretroviral & Prophylaxis Treatment History

Used ARV (e.g., to prevent/treat HIV or Hep B) in the last six months? □ Yes □ No

slide25

First date of ARV use: (mo/dd/yr) ____/____/_____

Last date of ARV use: (mo/dd/yr) ____/____/_____

If yes, list medications: ________________________________________________________________________________________________________________________________________________________________________________________________________

sending tthas to cdph oa step 1 of 2
Sending TTHAs to CDPH/OAStep 1 of 2

Attach the form to the HIV/AIDS Case Report Form.

New Cases: Attach to the new HIV/AIDS Case Report Form.

Previously Reported Cases: Treat as an update; attach to an HIV/AIDS Case Report form with the “update” box checked.

sending tthas to cdph oa step 2 of 2
Sending TTHAs to CDPH/OAStep 2 of 2
  • Shipment should be double enveloped and sent via traceable overnight courier
    • Inner envelope: Seal SIFs and CIFs in the inner envelope and mark it confidential.
    • Outer envelope: Address to:
      • Chief
      • HIV/AIDS Case Registry Section
      • Office of AIDS
      • 1616 Capitol Avenue, Suite 616, MS 7700
      • Sacramento, CA 95814
sending sifs to cdph oa step 3 of 3
Sending SIFs to CDPH/OAStep 3 of 3
  • Notify the HIS program of shipment
    • Atsuko Nonoyoma
    • HIS Data Coordinator
    • email: Atsuko.Nonoyama@cdph.ca.gov
    • phone: 916-449-5819
slide29
OA HIS Website

www.cdph.ca.gov/programs/OAHIS

The Forms are located under Local Heath Departments and Providers

Download and Print as needed

How do I get more TTHA forms?

thank you

Thank You!

For more information please visit our websites:

HIV/AIDS Surveillance in California

www.cdph.ca.gov/programs/OAHIS

HIV Incidence Surveillance in the U.S.

www.cdc.gov/hiv/topics/surveillance/incidence.htm