Complete and accurate HIV/AIDS and Sexually Transmitted Disease (STD) reporting by healthcare providers and laboratories is critical in order to monitor disease burden and track changes in these diseases in Texas. Texas law mandates the reporting of HIV/AIDS and STD by both healthcare providers and laboratories and Texas Administrative Code, Chapters 97.131-97.134 specifies the reporting process for HIV/AIDS, syphilis, gonorrhea, chancroid and Chlamydia. Communicable disease reporting is exempt from HIPAA (Health Insurance Portability and Accountability Act of 1996).
Frequently Asked Questions About Disease Reporting
Read the frequently asked questions (PDF : 26 kb) regarding the HIV/STD reporting rule changes that were effective January 1, 2010.
Texas Department of State Health Services HIV/AIDS Data Changes 2010
The DSHS TB/HIV/STD Unit changed the way it produces and reports HIV/AIDS data for surveillance reports, epidemiologic profiles and data requests. Learn more about DSHS HIV/AIDS data reporting changes.
Technical Assistance Bulletin: Reporting Rapid HIV Test Results
The purpose of this technical assistance bulletin (PDF : 14 kb) is to provide HIV/STD surveillance sites and HIV counseling and testing sites guidance for the reporting of preliminary positive rapid HIV test results.
Reporting by Healthcare Providers
HIV/AIDS Reporting: Adults and Adolescents 13 Years Old or Older:
Reporting by Healthcare Providers
|Texas Adult HIV/AIDS Confidential Case Report Form
For individuals 13 years of age and older who have been diagnosed with HIV or AIDS, the Texas Adult HIV/AIDS Confidential Case Report Form is used to collect the following information:
- Residence at diagnosis
- Facility at diagnosis
- Personal history
- Lab tests
- Clinical status
- Medical treatment
|HIV Testing and Treatment History Interview Form (rev. 2/09)
Healthcare providers are required to collect this information in addition to the Texas Adult HIV/AIDS Confidential Case Report Form. Testing and treatment history information enables health officials to estimate the incidence of new HIV infection in Texas , which is critical to preventing the spread of HIV. CDC received approval from the Office of Management and Business to require these elements from jurisdictions conducting HIV surveillance. Texas and other surveillance areas are authorized by CDC to develop state-level forms to collect these elements. The HIV Testing and Treatment History Interview Form is used to collect the following information:
- Date of first positive HIV test
- Number of HIV tests in 2 years before first positive
- Ever had a negative HIV test
- Date of last negative HIV test
- Date antiretroviral use began
- Date antiretroviral use ended
- Antiretroviral medications taken
HIV/AIDS Reporting: Children 12 Years Old or Younger (including infants who are suspect cases due to maternal antibodies)
Children 12 Years Old or Younger
|Texas Pediatric HIV/AIDS Confidential Case Report Form
The pediatric HIV/AIDS confidential case report form is used to report children under 13 years of age with HIV infection or AIDS, or for children that have been perinatally exposed, but considered HIV indeterminate.
A case report form is to be completed for each child born to an HIV infected mother (i.e. perinatally HIV exposed). Case report forms should also be completed on:
- Children that meet the pediatric AIDS case definition
- Children with confirmed HIV infection
- Children whose infection status has not yet been determined
- Children who have seroreverted (lost maternal antibodies)
|Enhanced HIV/AIDS Surveillance to Maximally Reduce Perinatal HIV Transmission (EPS) Form (rev. 8/06)
Data collection for Enhanced Perinatal Surveillance (EPS) will supplement information collected on both the adult and pediatric case report form and include data on prenatal care, clinical history, testing, and antiretroviral therapy. These clinical and behavioral data will be used to better monitor the effects of HIV testing, prevention, and treatment guidelines and to maximally reduce perinatal HIV transmission.
The initial EPS form will be completed within 90 days of the child's birth. Follow-up EPS forms to adequately determine the child's HIV status will be completed at 6 months, 12 months, 18 months, or until the HIV status of the child is determined.
Healthcare providers are required to report each person who has or is suspected of having an STD by providing all of the information sought in the most current version of the Confidential Report of Sexually Transmitted Diseases Form (STD-27). In addition to the reporting requirements of the STD-27 as described below, all diagnoses of primary and secondary syphilis must be reported to the local reporting authority by telephone within one working day.
|Confidential Report of Sexually Transmitted Diseases Form (STD-27)
Physicians or other healthcare providers who diagnose or treat a sexually transmitted disease are required to report it within seven calendar days of the determination of the existence of the reportable STD. The STD-27 report form should be completed and submitted to the local reporting authority for the following:
- All chancroid, Chlamydia trachomatis, gonorrhea and syphilis infections
- All congenital syphilis infections
- Positive point of care tests for STDs (including HIV), for adults, adolescents and HIV-exposed infants
Any questions regarding HIV or STD reporting should be directed to the local reporting authority closest to you. HIV and STD reporting forms may also be obtained from the local reporting authority. Find your region by county in the Texas county listing.
Reporting by Laboratories
All public health, hospital and commercial laboratories are required to report the results for each person who has or is suspected of having an STD and/or is an HIV-exposed infant by providing all of the information sought in the most current version of the Notification of Laboratory Test Findings Indicating Presence of Chlamydia trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or CD4 Counts Form (STD-28).
Reporting by Laboratories
|Notification of Laboratory Test Findings Indicating Presence of Chlamydia trachomatis, Gonorrhea, Syphilis, Chancroid, HIV Infections or CD4 Counts Form (STD-28)
This report form should be completed for the following:
- Any specimen derived from a human body, yielding microscopic, cultural, serological or any other evidence of an STD (including HIV)
- All CD4 T-lymphocyte (CD4) counts for adults and adolescents over the age of 12
- All HIV viral loads (both detectable and undetectable)
- Positive and negative HIV DNA or RNA virologic test results for infants up to 3 years of age
- Positive and negative confirmatory syphilis test results
- Syphilis laboratory test results within 3 working days
- HIV genotype resistance results (FASTA files)
Reporting by Insurance Companies
Insurance companies can use the Notification of Positive HIV Status Form (PDF : 54 kb) to report a positive HIV test. The purpose of this form is for insurance companies to report of a positive HIV test for public health follow up and payment of the $25.00 processing fee to the DSHS fiscal department.
Helpful Links Regarding HIV and STD Reporting