Provision of Patient-level Data Agreement to provide visit-level clinical data for all persons receiving STI/HIV or sexual health services in the collaborating STI/Sexual Health clinics, including all data elements specified in the SSuN project protocols. Additionally, patient IDs are required and must be static/preserved throughout the project period. >90% completeness of reporting on enhanced demographic, clinical and laboratory variables of interest to be determined by CDC/MDPH, for all patients seeking STD-related clinical services. These variables will need to be incorporated into the clinic’s Electronic Medical Record (EMR) as structured data elements, so these questions can be asked at the clinical point of care, if they are not already routinely asked. Specific examples of enhanced variables of interest include gender of sex partners, reason for clinic visit, number of sex partners, type of sexual activity, injection drug and opioid use, and anatomic location of symptoms. Data transmission to CDC will be done via SAMS with the assistance of MDPH, if needed. Below are the datasets required by CDC. Clinic Visit Records - Line-listed, visit-level data that includes demographics, behavioral, and clinical information consistent with protocol, cumulative from the beginning of the calendar year. (Every two months). Clinic Laboratory Records - Line-listed STI-related laboratory tests associated with each patient visit in a separate record, consistent with protocol and cumulative from the beginning of the calendar year. (Every two months). Clinic Diagnosis Records - Line-listed STI-related diagnoses associated with each visit in a separate record, consistent with protocol and cumulative from the beginning of the calendar year. (Every two months). Clinic Treatment Records - Line-listed medications, vaccines, treatments prescribed, dispensed or administered at each visit in a separate record, consistent with protocol and cumulative from the beginning of the calendar year. (Every two months). Clinic metadata file - Descripting/services/policy information for each clinic consistent with protocol for that calendar year in separate record. (Initial submission, updated annually thereafter). End of year datasets - Final, cleaned and validated annual cumulative datasets consistent with protocol and containing all records for the previous calendar year. These serve as the primary analytic data. (Due March 15th of each year of the cooperative agreement). image3.emfAgreement to provide identifiable patient data (i.e. names) for all persons receiving STI/HIV or sexual health services in the collaborating STI/Sexual Health clinics to MDPH for HIV registry matching. Once provided to MDPH, DSTDP will complete the HIV registry matching and will submit data to CDC per project protocols. Further information can be found: Agreement to implement periods for brief patient surveys. During collection periods, clinics will administer a brief survey to patients at time of service. Specific survey content and frequency will be determined post-award collaboratively with recipients and CDC. Timeline: First transmission of data via SAMS ~6 months after release of funding to the partnering clinical facility. Additional STDs and variables of interest may be added in Years 2-5, per CDC SSuN determinations. Key clinic staff will be required to participate in routine project conference calls with CDC project staff and MDPH project staff, as needed. Work with CDC and MDPH project staff to address any data quality issues that arise over the course of the project. Provision of Clinic-level Data Description of STI and HIV screening, testing, and treatment policies. Details on clinic’s inventory of services (including linkage to HIV care) and types of services provided (e.g. express versus clinician visit). Descriptions of clinic’s doxy PEP, HIV PrEP/PEP initiation, monitoring and/or referral policies and other information necessary for interpretation of patient-visit data. Additional information of interest to be added in Years 1-5, per CDC SSuN determinations.