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welcome (type: esriFieldTypeString, alias: Success!. You now have access to the entire HIV/AIDS Confidential Reporting Form. Please click Next to continue. , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Date_of_referral_appointment (type: esriFieldTypeDate, alias: Date of referral appointment, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Post_test_counselling (type: esriFieldTypeString, alias: Post Test Counsellor, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Date_Post_test_counselling (type: esriFieldTypeDate, alias: Date of Post Test Counselling, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
countryofResidence (type: esriFieldTypeString, alias: Country of Residence, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Jamaica: Jamaica], [usa: United States of America], [uk: United Kingdom], ... 246 more ...)
parishes (type: esriFieldTypeString, alias: Parish of Residence in Jamaica, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [clarendon: Clarendon], [hanover: Hanover], [kingston: Kingston], ... 11 more ...)
communities (type: esriFieldTypeString, alias: Name of community in parish where patient lives?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
numberOfChildren (type: esriFieldTypeInteger, alias: Number of children under 15 years of age?, SQL Type: sqlTypeOther, nullable: true, editable: true)
country (type: esriFieldTypeString, alias: Which country were you deported from?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [usa: United States of America], [uk: United Kingdom], [Canada: Canada], ... 245 more ...)
BloodtransfusionEver (type: esriFieldTypeString, alias: Did patient ever have a blood transfusion?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
BloodtransfusionLastYear (type: esriFieldTypeString, alias: Did patient have a blood transfusion in the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Intravenousdrug_lastYear (type: esriFieldTypeString, alias: Has patient used Intravenous drugs in the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Sex_TransmittedInfection_ever (type: esriFieldTypeString, alias: Has patient ever had a sexually transmitted infection?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Sex_TransmittedInfection_lastyear (type: esriFieldTypeString, alias: Has patient had a sexually transmitted infection during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Genital_Ulcers_sores_lastyear (type: esriFieldTypeString, alias: Has patient had genital/ulcer sores during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Sex_with_CSW_ever (type: esriFieldTypeString, alias: Has patient ever had sex with a commercial sex worker (CSW)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
Sex_with_CSW_lastyear (type: esriFieldTypeString, alias: Has patient had sex with a CSW during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
csw_ever (type: esriFieldTypeString, alias: Has patient ever been a commercial sex worker?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
csw_lastyear (type: esriFieldTypeString, alias: Was patient a commercial worker during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
unprotectedanalsex_lastyear (type: esriFieldTypeString, alias: Did patient have unprotected anal sex during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
multiplepartners_ever (type: esriFieldTypeString, alias: Has patient ever had multiple sex partners?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
multiple_partners_lastyear (type: esriFieldTypeString, alias: Has patient had multiple partners during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
everinprison_lastyear (type: esriFieldTypeString, alias: Was patient imprisoned during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
victim_of_sexual_assault_ever (type: esriFieldTypeString, alias: Was patient ever a victim of sexual assault?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
victim_of_sexual_assault_lastyear (type: esriFieldTypeString, alias: Was patient a victim of sexual assault during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
sexknownPLHIV_ever (type: esriFieldTypeString, alias: Has patient ever had sex with a known person living with HIV (PLHIV)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
sexknownPLHIV_lastyear (type: esriFieldTypeString, alias: Did patient have sex with a known PLHIV during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
transactionalsex_ever (type: esriFieldTypeString, alias: Has patient ever had a sexually transmitted infection?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
transactionalsex_lastyear (type: esriFieldTypeString, alias: Did patient have a sexually transmitted infection during the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
perinatalexposuretoHIV_ever (type: esriFieldTypeString, alias: Did patient have prenatal exposure to HIV?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
perinatalexposuretoHIV_lastyear (type: esriFieldTypeString, alias: Did patient had prenatal exposure to HIV during last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
clinical_status_date (type: esriFieldTypeDate, alias: Date of Clinical Status, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
reportType (type: esriFieldTypeString, alias: Diagnosis, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [InitialHIVDiagnosis: Initial HIV Diagnosis], [ARTInitiation: ART Initiation], [Pregnancy_HIV_Woman: Pregnancy of HIV+ Woman], ... 3 more ...)
weightloss (type: esriFieldTypeString, alias: Has patient experienced involuntary weight loss of less than 10% of body weight?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
cough (type: esriFieldTypeString, alias: Has patient experienced persistent cough for more than 4 weeks?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
fever (type: esriFieldTypeString, alias: Has patient experienced fever for more than one month?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
currentStatusofPT (type: esriFieldTypeString, alias: Current Status of Patient, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [HIV: HIV], [Advanced_HIV: Advanced HIV (CD4 count 201 –350)], [AIDS: AIDS], ... 1 more ...)
date_of_onset_symptons (type: esriFieldTypeDate, alias: Date of Onset of Symptons, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Date_diagnosed_as_Advanced_HIV_AIDS (type: esriFieldTypeDate, alias: Date Diagnosed as Advanced HIV/AIDS, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
HIVDate_of_Death (type: esriFieldTypeDate, alias: Date of Death, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
HIVCause_of_Death (type: esriFieldTypeString, alias: Cause of Death, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
sex_partner_gender (type: esriFieldTypeString, alias: With whom does patient have sex?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Men_only: Men only], [Women_only: Women only], [men_and_women: Both men and women], ... 1 more ...)
keyPopulationCharacteristics (type: esriFieldTypeString, alias: Key Population Characteristics of Patient (check all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)