HIV Screening Clinical Guidelines Implementation Guide, published by National Association of Community Health Centers, Inc. (NACHC). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/hiv-cds/ and changes regularly. See the Directory of published versions

NACHC Data Element By Activity

NACHC.A0 Contact & Profile

Data elements for this activity can be collected using the NACHCA0

Id	Label	Description	Type	Profile Path
NACHC.A0.DE55	Gender Identity	Concepts Associated with Gender Identity Elements	CodeableConcept	Observation.code
NACHC.A0.DE1	Encounter Type	The type of patient encounter	CodeableConcept	Encounter.type
NACHC.A0.DE48	Sexual Orientation	Concepts Associated with Sexual Orientation Elements	CodeableConcept	Observation.code

NACHC.A1 HIV

Data elements for this activity can be collected using the NACHCA1

Id	Label	Description	Type	Profile Path
NACHC.A1.DE1	HIV Diagnosis	Concepts Associated with HIV Diagnosis	CodeableConcept	Condition.code

NACHC.A2 HIV test

Data elements for this activity can be collected using the NACHCA2

Id	Label	Description	Type	Profile Path
NACHC.A2.DE1	HIV Test	Concepts Associated with HIV Testing	CodeableConcept	Observation.code
NACHC.A2.DE216	HIV Test Ordered	Concepts Associated with Ordering an HIV Test	CodeableConcept	ServiceRequest.code

NACHC.B1 HCV

Data elements for this activity can be collected using the NACHCB1

Id	Label	Description	Type	Profile Path
NACHC.B1.DE1	Hepatitis C Diagnosis	Concepts Associated with HCV Diagnosis	CodeableConcept	Condition.code

NACHC.B2 HCV test

Data elements for this activity can be collected using the NACHCB2

Id	Label	Description	Type	Profile Path
NACHC.B2.DE112	Hepatitis C Procedures	Concepts Associated with HCV Procedures	CodeableConcept	Procedure.code
NACHC.B2.DE1	Hepatitis C Test	Concepts Associated with HCV Testing	CodeableConcept	Observation.code

NACHC.C1 Syphilis

Data elements for this activity can be collected using the NACHCC1

Id	Label	Description	Type	Profile Path
NACHC.C1.DE1	Syphilis Diagnosis	Concepts Associated with Syphilis Diagnosis	CodeableConcept	Condition.code

NACHC.C2 Syphilis test

Data elements for this activity can be collected using the NACHCC2

Id	Label	Description	Type	Profile Path
NACHC.C2.DE1	Syphilis Test	Concepts Associated with Syphilis Testing	CodeableConcept	Observation.code

NACHC.D1 Gonorrhea

Data elements for this activity can be collected using the NACHCD1

Id	Label	Description	Type	Profile Path
NACHC.D1.DE1	Gonorrhea Diagnosis	Concepts Associated with Gonorrhea Diagnosis	CodeableConcept	Condition.code

NACHC.D2 Gonorrhea test

Data elements for this activity can be collected using the NACHCD2

Id	Label	Description	Type	Profile Path
NACHC.D2.DE1	Gonorrhea Test	Concepts Associated with Gonorrhea Testing	CodeableConcept	Observation.code

NACHC.E1 Chlamydia

Data elements for this activity can be collected using the NACHCE1

Id	Label	Description	Type	Profile Path
NACHC.E1.DE1	Chlamydia Diagnosis	Concepts Associated with Chlamydia Diagnosis	CodeableConcept	Condition.code

NACHC.E2 Chlamydia test

Data elements for this activity can be collected using the NACHCE2

Id	Label	Description	Type	Profile Path
NACHC.E2.DE1	Chlamydia Test	Concepts Associated with Chlamydia Testing	CodeableConcept	Observation.code

NACHC.F1 Injection Drug Use

Data elements for this activity can be collected using the NACHCF1

Id	Label	Description	Type	Profile Path
NACHC.F1.DE1	Drug Rehabilitation	Concepts related to Injection Drug Use Rehabiliation	CodeableConcept	Procedure.code
NACHC.F1.DE200	Injection Drug Use	Concepts related to Injection Drug Use History	CodeableConcept	MedicationStatement.medication[x]
NACHC.F1.DE15	Injection Drug Use Diagnosis	Concepts Associated with Injection Drug Use Diagnosis	CodeableConcept	Condition.code
NACHC.F1.DE12	Injection Findings	Concepts related to findings or observations related to Injection Drug Usage	CodeableConcept	Observation.code

NACHC.F2 Pregnancy

Data elements for this activity can be collected using the NACHCF2

Id	Label	Description	Type	Profile Path
NACHC.F2.DE108	Maternal Care	Procedures identifying Maternal Care for Pregnancy	CodeableConcept	Procedure.code
NACHC.F2.DE1131	Pregnancy Conditions	Conditions identified for Pregnancy	CodeableConcept	Condition.code
NACHC.F2.DE1	Pregnancy Encounters	Encounters in the usage of Pregnancy	CodeableConcept	Encounter.type
NACHC.F2.DE904	Pregnancy Observations	Observations identified for Pregnancy	CodeableConcept	Observation.value[x]
NACHC.F2.DE672	Pregnancy Procedures	Procedures identified for Pregnancy	CodeableConcept	Procedure.code
NACHC.F2.DE42	Pregnancy Supervision	Procedures in the usage of the Supervision of Pregnancy	CodeableConcept	Procedure.code
NACHC.F2.DE38	Third Trimester Encounters	Third Trimester Encounters in the usage of Pregnancy	CodeableConcept	Encounter.type

NACHC.G1 Pep

Data elements for this activity can be collected using the NACHCG1

Id	Label	Description	Type	Profile Path
NACHC.G1.DE143	PEP Dispensed Medications	List of Medications Provisioned and Supplied for Non-Occupational Post Exposure Prophylaxis	CodeableConcept	MedicationDispense.medication[x]
NACHC.G1.DE5	PEP Medication Prescriptions	List of Medication Prescriptions for Non-Occupational Post Exposure Prophylaxis	CodeableConcept	MedicationRequest.medication[x]
NACHC.G1.DE1	Post Exposure Prophylaxis	Concepts and Procedures Identifying Post Exposure Prophylaxis	CodeableConcept	Procedure.code

NACHC.G2 Prep

Data elements for this activity can be collected using the NACHCG2

Id	Label	Description	Type	Profile Path
NACHC.G2.DE26	Prep Dispensed Medications	List of Medications Provisioned and Supplied for Non-Occupational Pre Exposure Prophylaxis	CodeableConcept	MedicationDispense.medication[x]
NACHC.G2.DE1	Prep Medication Prescriptions	List of Medication Prescriptions for Non-Occupational Pre Exposure Prophylaxis	CodeableConcept	MedicationRequest.medication[x]

NACHC.H1 Risk Factors

Data elements for this activity can be collected using the NACHCH1

Id	Label	Description	Type	Profile Path
NACHC.H1.DE3	Patient Currently Pregnant	Whether the patient is currently pregnant?	boolean	Observation.value[x]
NACHC.H1.DE7	Patient Diagnosed with Chlamydia	Whether the patient has been diagnosed with Chlamydia?	boolean	Observation.value[x]
NACHC.H1.DE6	Patient Diagnosed with Gonorrhea	Whether the patient has been diagnosed with Gonorrhea?	boolean	Observation.value[x]
NACHC.H1.DE4	Patient Diagnosed with HCV	Whether the patient has been diagnosed with HCV?	boolean	Observation.value[x]
NACHC.H1.DE5	Patient Diagnosed with Syphilis	Whether the patient has been diagnosed with Syphilis?	boolean	Observation.value[x]
NACHC.H1.DE8	Patient has used Injection Drugs	Whether the patient has been using Injection Drugs?	boolean	Observation.value[x]
NACHC.H1.DE10	Previous experience with PREP	Whether the patient has previously been given PREP?	boolean	Observation.value[x]
NACHC.H1.DE2	Previous HIV Diagnosis	Whether the patient has previously been diagnosed with HIV?	boolean	Observation.value[x]
NACHC.H1.DE1	Previous HIV Screening	Whether the patient has previously been screened for HIV?	boolean	Observation.value[x]
NACHC.H1.DE9	Seeking STD Treatment	Whether the patient is currently seeking evaluation and treatment of an STD?	boolean	Observation.value[x]
NACHC.H1.DE22	Sexual Activity - Coercion	Have you ever been coerced or pressured to have sex?	boolean	Observation.value[x]
NACHC.H1.DE20	Sexual Activity - Drug or Alcohol Use	Have you or any of your partners used alcohol or drugs when you had sex?	boolean	Observation.value[x]
NACHC.H1.DE21	Sexual Activity - Exchanged for Sex	Have you ever exchanged sex for drugs or money?	boolean	Observation.value[x]
NACHC.H1.DE12	Sexual Activity - History	Have you ever been sexually active?	boolean	Observation.value[x]
NACHC.H1.DE23	Sexual Activity - Kind of Sex - Anal	In the past 3 months have you had anal sex?	boolean	Observation.value[x]
NACHC.H1.DE26	Sexual Activity - Kind of Sex - Vaginal	In the past 3 months have you had vaginal sex?	boolean	Observation.value[x]
NACHC.H1.DE25	Sexual Activity - Male - Kind of Sex - Insertive Anal	If Male: In the past 3 months have you had insertive anal sex?	boolean	Observation.value[x]
NACHC.H1.DE24	Sexual Activity - Male - Kind of Sex - Receptive Anal	If Male: In the past 3 months have you had receptive anal sex?	boolean	Observation.value[x]
NACHC.H1.DE13	Sexual Activity - Men	Do you have sex with men?	boolean	Observation.value[x]
NACHC.H1.DE16	Sexual Activity - New Partner Past 3 Months	In the past 3 months, have you had sex with someone you didn’t know or had just met?	boolean	Observation.value[x]
NACHC.H1.DE15	Sexual Activity - Number of Partners	Have you had more than 1 sexual partner since last being tested for HIV?	boolean	Observation.value[x]
NACHC.H1.DE17	Sexual Activity - Partners History	Do you know whether your partner has other sexual partners?	boolean	Observation.value[x]
NACHC.H1.DE19	Sexual Activity - Partners HIV History	Do you know whether your partner has HIV?	boolean	Observation.value[x]
NACHC.H1.DE18	Sexual Activity - Partners Number of Partners	Do you know whether your partner has had more than 1 sexual partner since their last HIV test?	boolean	Observation.value[x]
NACHC.H1.DE11	Sexual Activity - Past Year	Have you been sexually active in the past year?	boolean	Observation.value[x]
NACHC.H1.DE14	Sexual Activity - Women	Do you have sex with women?	boolean	Observation.value[x]

NACHC.H2 DAST 10

Data elements for this activity can be collected using the NACHCH2

Id	Label	Description	Type	Profile Path
NACHC.H2.DE1	DAST 10 Question 1	Have you used drugs other than those required for medical reasons?	boolean	Observation.value[x]
NACHC.H2.DE10	DAST 10 Question 10	Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?	boolean	Observation.value[x]
NACHC.H2.DE2	DAST 10 Question 2	Do you use more than one drug at a time?	boolean	Observation.value[x]
NACHC.H2.DE3	DAST 10 Question 3	Are you always able to stop using drugs when you want to?	boolean	Observation.value[x]
NACHC.H2.DE4	DAST 10 Question 4	Have you had blackouts or flashbacks as a result of drug use?	boolean	Observation.value[x]
NACHC.H2.DE5	DAST 10 Question 5	Do you ever feel bad or guilty about your drug use?	boolean	Observation.value[x]
NACHC.H2.DE6	DAST 10 Question 6	Does your spouse (or parents) ever complain about your involvement with drugs?	boolean	Observation.value[x]
NACHC.H2.DE7	DAST 10 Question 7	Have you neglected your family because of your use of drugs?	boolean	Observation.value[x]
NACHC.H2.DE8	DAST 10 Question 8	Have you engaged in illegal activities in order to obtain drugs?	boolean	Observation.value[x]
NACHC.H2.DE9	DAST 10 Question 9	Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?	boolean	Observation.value[x]
NACHC.H2.DE11	DAST 10 Score	Substance Abuse Prescription Illicit Substance Over the Counter Product Screening Test Score	integer	Observation.value[x]