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North Carolina has successfully implemented one of the Nation’s first automated online HIV Care Continuum Data-to-Care database systems. This online Web-enabled system will allow us to link HIV-diagnosed individuals to care.  This is critical to our efforts to meet the Centers for Disease Control and Prevention (CDC) and National HIV/AIDS Strategy goals to decrease HIV transmission because we are able to link HIV-diagnosed people back into care so they can achieve viral load suppression.  An HIV positive person who is virally suppressed cannot transmit the virus to others – an important public health goal – and lives a far healthier life free of opportunistic infections.  This system, labelled NCECHO,  collects demographic, HIV surveillance, clinical and service, Medicaid claims, and antiretroviral therapy information from five separate data systems (NCEDSS, eHARS, ADAP, Ryan White data (CAREWare) and Medicaid), and performs a probabilistic linkage function to connect associated data records to identify HIV diagnosed individuals not in care. 



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