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Biology / AIDS / HIV test / HIV / Viral load / CD4 / AIDS defining clinical condition / CDC Classification System for HIV Infection in Adults and Adolescents / HIV/AIDS / Medicine / Health


Microsoft Word - HIV_AIDS Adult Case Reporting Form.doc
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Document Date: 2013-11-01 10:52:59

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File Size: 79,79 KB

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City

Concord / /

Facility

Hospital of Birth / FACILITY OF DIAGNOSIS Facility Name / /

IndustryTerm

healthcare/clinical / /

MedicalCondition

HIV infection / documented HIV infection / Pneumonia / HIV / Lymphoma / Wasting syndrome / esophagitis / bronchitis / Pneumocystis carinii pneumonia / chronic / Candidiasis / Histoplasmosis / Cryptosporidiosis / Isosporiasis / Cytomegalovirus retinitis / sarcoma / hemophilia/ coagulation disorder / pulmonary / Progressive multifocal leukoencephalopathy / Toxoplasmosis / AIDS / Coccidioidomycosis / HIV/AIDS / infection / pneumonitis / Cryptococcosis / Herpes simplex / tuberculosis / /

MedicalTreatment

tissue insemination / artificial insemination / organ transplant / /

Organization

NH DHHS Bureau of Infectious Disease / Medicare / /

Person

Mo Day Mo / Erin Metcalf / Mo Day Yr / /

/

Position

Private Physician / Physician / /

ProvinceOrState

New Hampshire / /

SocialTag