REFERENCES
ASTM. E1384-96: Standard Guide for Content and
Structure of the Computer-Based Patient Record. West Conshohocken,
PA: ASTM, 1996
Bachman R, Saltzman LE. Violence Against Women: Estimates from the Redesigned Survey, Bureau
of Justice Statistics, Special Report. Washington, DC: US Department of Justice, August 1995.
Centers for Disease Control and Prevention. Guidelines for evaluating surveillance systems. MMWR 1988: 37 (suppl. No S-5): 1-18.
Council on Scientific Affairs, American Medical Association. Violence against women. JAMA 1992;267:3184-3189.
Federal Bureau of Investigation. Uniform Crime Reports for the United States, 1996. Washington, DC: US Department of Justice, 1997.
Health Level 7 (HL7). Health Level 7, Version 2.3. Ann Arbor, Michigan: HL7, 1996.
National Center for Injury Prevention and Control. Data Elements for Emergency Department
Systems (DEEDS), Release 1.0. Atlanta, GA: Centers for Disease Control and Prevention, 1997.
http://www.cdc.gov/ncipc/pub-res/deedspage.htm
National Research Council. Understanding Violence Against Women. Washington, DC: National Academy Press, 1996.
Office of Management and Budget. Revisions
to the Standards for the Classification of Federal Data on Race and
Ethnicity. Fed Regist 1997; 62: 58781-58790.
Standards Committee Health Information and Surveillance Systems Board. Common Data Elements: Implementation Guide, Version 1.55. http://www.cdc.gov/data/index.htm, 1998.
Straus MA, Gelles RJ. How violent are American families? Estimates from the National Family Violence Resurvey and other studies. In: Straus MA, Gelles RJ, eds. Physical Violence in
American Families: Risk Factors and Adaptations to Violence in 8,145 Families. New Brunswick, NJ: Transaction Publishers, 1990; 95-112.
Taylor AG. SQL for Dummies. Foster City, California: IDG Books, 1997.
Tjaden P, Thoennes N. Prevalence, incidence, and consequences of violence against women: findings from the National Violence Against Women Survey. Washington, DC: US Department of Justice, 1998.
APPENDIX
Summary of Recommended Data Elements
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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1.101 1.102 1.103 2.101
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Case ID Data Source Date of First Agency Documentation Birth Date of Victim
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A required, unique identification code used by the agency compiling IPV surveillance data Agency or source from which IPV surveillance information is abstracted Date when the agency providing data to the IPV surveillance system first documented IPV victimization for this person Date of birth of the victim
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CX — extended composite ID with check digit CE — coded element TS — time stamp TS — time stamp
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2.102
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Sex of Victim
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Sex of victim
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CE — coded element
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2.103
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Race of Victim
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Race of victim
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CE — coded element
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2.104
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Hispanic or Latino Ethnicity of Victim
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Ethnicity of victim. A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. The term “Spanish origin” can be used in addition to “Hispanic or Latino”
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CE – coded element
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2.105
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City, State, and County of Victim’s Residence
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City, state, and county of the victim’s residence at the time the agency providing data to the IPV surveillance system first documented IPV victimization for this person
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XAD — extended address
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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2.106 3.101
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Marital Status of Victim Physical Violence by Any Intimate Partner Ever
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Victim’s legal marital status at the time when the agency providing data to the IPV surveillance system first documented IPV victimization for this person Occurrence, ever in the victim’s life, of physical violence by any intimate partner
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CE — coded element CE — coded element
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3.102
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Number of Episodes Involving Physical Violence by Any Intimate Partner Ever
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Number of episodes, ever in the victim’s life, involving physical violence by any intimate partner
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CE — coded element
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3.103
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Number of Episodes Involving Physical Violence in the Past 12 Months by Any Intimate Partner
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Number of episodes involving physical violence by any intimate partner (current or former) that occurred in the 12 months prior to the date the agency providing data to the IPV surveillance system first documented IPV victimization for this person
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CE — coded element
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3.104
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Number of Episodes Involving Physical Violence in the Past 12 Months by Perpetrator of Most Recent Violent Episode
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Number of episodes involving physical violence by the perpetrator of the most recent violent episode that occurred in the 12 months prior to the date of the most recent violent episode
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CE — coded element
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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3.201
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Sexual Violence by Any Intimate Partner Ever
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Occurrence, ever in the victim’s life, of sexual violence by any intimate partner
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CE — coded element
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3.202
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Number of Episodes Involving Sexual Violence by Any Intimate Partner Ever
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Number of episodes, ever in the victim’s life, involving sexual violence by any intimate partner
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CE — coded element
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3.203
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Number of Episodes Involving Sexual Violence in the Past 12 Months by Any Intimate Partner
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Number of episodes involving sexual violence by any intimate partner (current or former) that occurred in the 12 months prior to the date the agency providing data to the IPV surveillance system first documented IPV victimization for this person
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CE — coded element
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3.204
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Number of Episodes Involving Sexual Violence in the Past 12 Months by Perpetrator of Most Recent Violent Episode
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Number of episodes involving sexual violence by the perpetrator of the most recent violent episode that occurred in the 12 months prior to the date of the most recent violent episode
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CE — coded element
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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3.301
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Threat of Physical or Sexual Violence by Any Intimate Partner Ever
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Occurrence, ever in the victim’s life, of the threat of physical or sexual violence by any intimate partner
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CE — coded element
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3.302
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Number of Episodes Involving Threat of Physical or Sexual Violence by Any Intimate Partner Ever
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Number of episodes, ever in the victim’s life, involving threat of physical or sexual violence by any intimate partner
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CE — coded element
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3.303
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Number of Episodes Involving Threat of Physical or Sexual Violence in the Past 12 Months by Any Intimate Partner
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Number of episodes involving threat of physical or sexual violence by any intimate partner (current or former) that occurred in the 12 months prior to the date the agency providing data to the IPV surveillance system first documented IPV victimization for this person
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CE — coded element
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3.304
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Number of Episodes Involving Threat of Physical or Sexual Violence in the Past 12 Months by Perpetrator of Most Recent Violent Episode
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Number of episodes involving threat of physical or sexual violence by the perpetrator of the most recent violent episode that occurred in the 12 months prior to the date of the most recent violent episode
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CE — coded element
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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3.401
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Psychological/ Emotional Abuse by Any Intimate Partner Ever
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Occurrence, ever in the victim’s life, of psychological/emotional abuse by any intimate partner
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CE — coded element
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3.402
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Psychological/ Emotional Abuse in the Past 12 Months by Any Intimate Partner
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Occurrence of psychological/ emotional abuse by any intimate partner
(current or former) in the 12 months prior to the date the agency
providing data to the IPV surveillance system first documented IPV
victimization for this person
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CE — coded element
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3.403 4.101
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Proportion of Time Victim Felt Psychologically/ Emotionally Abused in the Past 12 Months by Perpetrator of Most Recent Violent Episode Type(s) of Violence in Most Recent Episode
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Proportion of time the victim felt psychologically/emotionally abused by the perpetrator of the most recent violent episode in the 12 months prior to the date of the most recent violent episode The type(s) of violence used in the most recent episode perpetrated by any intimate partner
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CE — coded element CE — coded element
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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4.102
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Date of Most Recent Violent Episode
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Date when the most recent violent episode by any intimate partner ended
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TS — time stamp
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4.103
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Date of Agency Documentation of Most Recent Violent Episode
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The date when the most recent violent episode perpetrated by any intimate partner was first documented by the agency providing data to the IPV surveillance system
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TS — time stamp
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4.104
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City, State, and County of Occurrence
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City, state, and county of occurrence of the most recent violent episode perpetrated by any intimate partner
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XAD — extended address
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4.105
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Victim’s Pregnancy Status
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The victim’s pregnancy status at the time of the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.106
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Number of Perpetrators
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Whether one or multiple perpetrators were involved in the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.107
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Relationship of Victim and Perpetrator
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The victim’s relationship to the perpetrator at the time of the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.108
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Cohabitation of Victim and Perpetrator
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The victim and the perpetrator’s cohabitation status at the time of the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.109
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Length of Intimate Relationship
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The time between the most recent violent episode perpetrated by any intimate partner and the time when the victim and perpetrator first became intimate partners, specified in months
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NM — numeric
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4.110
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Length of Time Relationship Had Been Violent
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The length of time, in months, between the most recent violent episode perpetrated by any intimate partner and the first violent episode that involved the same partner
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NM — numeric
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4.111
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Pattern of Violence in the Past 12 Months
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Pattern of violence with the perpetrator of the most recent violent episode in the 12 months prior to the date of the most recent violent episode
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CE — coded element
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4.112
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Number of Children in Victim’s Home
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The number of children under age 18 who were living in the victim’s home at the time of the most recent violent episode perpetrated by any intimate partner
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NM — numeric
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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4.201
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Physical Consequences to Victim
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The physical consequences to the victim attributed to the most recent violent episode, perpetrated by any intimate partner, by the agency providing data to the IPV surveillance system
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CE — coded element
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4.202
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Psychological Consequences to Victim
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The psychological consequences to the victim attributed to the most recent violent episode, perpetrated by any intimate partner, by the agency providing data to the IPV surveillance system
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CE — coded element
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4.203
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Medical Care Received by Victim
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The medical health care received by the victim following the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.204
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Mental Health Care Received by Victim
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The mental health care (excluding substance abuse treatment) received by the victim following the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.205
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Substance Abuse Treatment Received by Victim
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The substance abuse treatment received by the victim following the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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4.206
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Deaths Related to Episode
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All deaths associated with the most recent violent episode perpetrated by any intimate partner
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CE — coded element
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Data Element
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Description/Definition
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Data Type
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No.
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Name
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4.301
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Birth Date of Perpetrator of Most Recent Violent Episode
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Date of birth of the perpetrator of the most recent violent episode
perpetrated by any intimate partner
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TS — time stamp
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4.302
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Sex of Perpetrator of Most Recent Violent Episode
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Sex of the perpetrator of the most recent violent episode
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CE — coded element
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4.303
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Race of Perpetrator of Most Recent Violent Episode
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Race of the perpetrator of the most recent violent episode
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CE — coded element
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4.304
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Hispanic or Latino Ethnicity of Perpetrator of Most Recent Violent Episode
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Ethnicity of perpetrator of the most recent violent episode. A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. The term “Spanish origin” can be used in addition to “Hispanic or Latino”
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CE — coded element
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4.305
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City, State, and County of Residence of Perpetrator of Most Recent Violent Episode
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City, state, and county of residence of the perpetrator of the most recent violent episode, at the time of the event
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XAD — extended address
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4.306
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Alcohol Use by Perpetrator of Most Recent Violent Episode
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Proportion of time the perpetrator of the most recent violent episode uses alcohol in conjunction with violence or abuse
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CE — coded element
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4.307
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Drug Use by Perpetrator of Most Recent Violent Episode
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Proportion of time the perpetrator of the most recent violent episode uses drugs (other than alcohol) in conjunction with violence or abuse
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CE — coded element
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4.308
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Weapons Used by Perpetrator in Most Recent Violent Episode
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Weapons (including bodily force) used by the perpetrator in the most recent violent episode
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CE — coded element
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