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The following data elements will be collected and stored by core Needle Syringe Program workers, workers funded under the AIDS Bureau Harm Reduction Outreach program, and Hep C Team outreach workers when distributing harm reduction supplies.

Additional services providedDetermined by the types of needles and supplies distributed at site.

	MDS for NEP and CTS	Data element	Permissible values
Site informationInformation	Site Name	Any site name chosen by the participating agency is acceptable.
	Affiliated PHU	One of the 35 public health units in Ontario.
	Programs provided	One or more of: Needle Exchange Harm reduction outreach Hep C Team Ontario Naloxone Program
Client informationInformation	Anonymous Client Code (part of the client reference code)	Exactly 4 letters
	Year of birth (part of the client reference code)	4-digit year, between 1901 and 2018
	Gender (part of the client reference code)	Male Female Trans Male Trans Female Other gender not listed
	Postal code of residence (Forward Sortation Area only)	The first three characters of any valid postal code within Ontario (e.g. M5A) Do not know No fixed address Outside of Ontario
	Substances used	This field can be left blank (non-mandatory field); the permissible options are below. Alcohol Amphetamines Antidepressants Benzodiazepines (Valium, Xanax, Ativan, etc.) Cannabis (prescription/medical use) Cannabis (recreational use) Cocaine Codeine Crack / cocaine Dilaudid/ Hydromorphone Fentanyl (non-prescribed) Fentanyl (prescribed) Heroin Hydrocodone Inhalants (solvents such as gasoline, glue, aerosols such as spray paint, gases) Kadian Ketamine Methadone (non-prescribed) Methadone (prescribed) Methamphetamine (Crystal Meth) Methamphetamine (speed) Morphine Non-beverage Alcohol (e.g., Listerine, other mouthwash, cooking wine, hand sanitizer, etc.) Other Oxycodone/Percocet/OxyNEO Party Drugs (Ecstasy, MDMA, K, GHB, etc.) Ritalin/methylphenidate Speedball (crystal meth/fentanyl) Speedball (crystal meth/hydromorphone/Dilaudid) Speedball (fentanyl/crack) Speedball/other polysubstance Steroids/ testosterone Suboxone/ buprenorphine (non-prescribed) Suboxone/ buprenorphine (prescribed) Unknown Unspecified opioid Unspecified stimulant Wellbutrin/bupropion
NSP transaction information	Date of transaction	dd/mm/yyyy
	Location of transaction	In-service NEP/NSP (core or satellite) Addiction programs (e.g., residential and day programs) Bars/night clubs Residence (e.g., client home, apartment/house, hotel/motel, friend's place, place where client resides, etc.) Community agencies/services (that are not fixed site needle exchange programs, e.g., church basement for the out of the cold program, shelters, etc.) Community public spaces (e.g., barbershop, hair salon, bathhouse, massage parlour, etc.) Jails/detention centres/prisons Opioid agonist therapy clinics Parties/raves Pharmacies Street/parks (e.g., you are on foot and distributing safer injection or inhalation equipment) Mobile distribution from a van (e.g., driving a route and distributing from a van/car, does not include driving to a specific location to deliver supplies)
	Client collecting on behalf of	Self Self and others Others only
	Services Provided	Indigenous Traditional Services Brief Counselling Harm Reduction Teaching Indigenous Traditional Services Practical Support
	Referrals providedProvided	Addictions services Harm reduction services Clinical service providers - HIV Care Clinical service providers - Other Urgent Care Clinical service providers - Primary Care Clinical service providers - Urgent Other Care Community event Community-based HIV Mental health service providers Harm reduction servicesHIV/STI testing Hep C teams Hep C testing other (non-Hep C team) Hep C treatment other (non-Hep C team) HIV/STI testing Mental health Community-based HIV service providers Other community-based service providers	Safer injection equipment provided
	Safer inhalation equipment provided
	Other equipment provided
	Inhalation Equipment	(OHRDP Supplies) Bowl Pipe Foil Push Stick Screen (Impact 1.0 Blue) Screen (Impact 1.0 Orange) Straight Stems Straw - Blue Straw - Green Straw - Orange Straw - Yellow Tubing - Bowl Pipe Tubing - Straight Stems Other distributed items (ie. types of needles, kits and supplies) determined by site.
	Injection Equipment	(OHRDP Supplies) Blister Packed Filters Cooker - One-Use Cooker - Spoon Cooker - Stericup Sterile Water Tourniquet Vitamin C Other distributed items (ie. types of needles, kits and supplies) determined by site.
Other Equipment	(OHRDP Supplies) Alcohol Swab Baggie - Black, Resealable Baggie - Black, Ties Baggie - Blue, Resealable Baggie - Blue, Ties Baggie - Clear, Resealable Baggie - Green, Resealable Baggie - Green, Ties Baggie - Orange, Resealable Baggie - Yellow, Ties BZK Wipe Other distributed items (ie. types of needles, kits and supplies) are determined by site.
Safer Sex Supplies	Condoms Lube Dental dams Other distributed supplies are determined by site. Safer sex supplies provided
Needles returned and Community Clean-up information	Date needles were returned	dd/mm/yyyy
	Quantity of needles returned	Number
	Date of community clean-up	dd/mm/yyyy

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Organizations that report to the Ontario Naloxone Program need only to fulfill the requirements of the ONP Quarterly Report. NEO can be used to collect this data on a client-by-client basis (i.e. service providers record an encounter in NEO every time they distribute/train for the naloxone program), or this data can be submitted in bulk once a quarter.

	Data element	Permissible values

Naloxone - distribution

Total number of naloxone kits distributed

Intra-nasal kit
Intra-muscular kit

Total number of trainings to administer naloxone provided

Intra-nasal training
Intra-muscular training

Total number of individuals who received naloxone refills

# of individuals who received 1 refill
# of individuals who received 2 refill
# of individuals who received 3 refill
# of individuals who received 4 refill
# of individuals who received 5 refill

(Differentiated by intra-nasal or intra-muscular dose, e.g. "1 intra-nasal dose")

(Optional) Reported reasons for resupply of naloxone kit

Kit broken/contents missing
Kit confiscated
Kit expired
Kit given away
Kit lost
Kit recalled
Kit used

(Optional) Reported access point for previous naloxone kit

This ONP site
Other ONP site
Pharmacy
Correctional facility
Another individual

Naloxone - administration

(Optional) Type of individual who reported administration of naloxone

Client
Friend or family member
Recently released inmate

Required Questions (applicable to all sites except Fire, Police, St. John Ambulance)	Injectable Naloxone Distributes	Number of injectable naloxone kits distributed Number of SINGLE injectable doses distributed (1 box is 10 doses)
	Nasal Spray Naloxone Distributed	Number of nasal spray naloxone kits distributed Number of SINGLE nasal spray doses distributed (1 box is 2 doses)
	Number of Individuals Trained	Number of individuals trained to administer naloxone
Fire, Police, St. John Ambulance	Number of Overdoses where First Responders Administered Naloxone	Number of overdoses where first responders administered naloxone

(Optional) Location of overdose

At home/residence
On the street
Outside of local area

Number of doses individual reported they administered for the overdose

1
2
3
4
5 or more

(Differentiated by intra-nasal or intra-muscular dose, e.g. "1 intra-nasal dose")

Individual reported calling 911 when naloxone administered

(Optional) Individual reported someone stayed with person until paramedics arrived or person recovered

(Optional) Drugs used when overdose occurred

Same as list provided under Substances Used

(Optional) Reported outcome of naloxone administration

Resuscitation successful

Resuscitation unsuccessful

Unknown

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