ā1
| āRecipient ID
| āRECIP_ID
| āUnique ID for this recipient.
| ān/a
|
ā2
| Recipient name: first
| RECIP_FIRST_NAME
| Recipient's first name.ā
| n/a
|
3
| āRecipient name: middle
| āRECIP_MIDDLE_NAME
| āRecipient's middle name.
| ān/a
|
ā4
| āRecipient name: last
| āRECIP_LAST_NAME
| āRecipient's last name.
| ān/a
|
5ā | āRecipient date of birth
| āRECIP_DOB
| āRecipient's date of birth.
| ān/a
|
ā6
| āRecipient sex
| āRECIP_SEX
| āRecipient sex.
| ā HL7 User Defined table 0001 M (Male) F (Female) U (Unknown/undifferentiated) X (Non-binary) ā
|
ā7
| āRecipient race/ethnicity
| āRECIP_RACE_ETH
| āRecipient's race/ethnicity.
| āWhen ethnicity is marked āHispanic or Latinoā then āLatinoā, when more than one specified race code (1002-5, 2028-9, 2076-8, 2054-5, 2106-3) is noted then āMultiracialā, otherwise first race is noted.
Derived from original ethnicity and race codes: HL7 User Defined Table 0189 2135-2 (Hispanic or Latino) 2186-5 (Not Hispanic or Latino) PHC1175 (Prefer not to say) UNK (Unknown ethnicity)
HL7 User Defined Table 0005 1002-5 (American Indian or Alaska Native) 2028-9 (Asian) 2076-8 (Native Hawaiian or Other Pacific Islander) 2054-5 (Black or African American) 2106-3 (White) 2131-1 (Other Race) UNK (Unknown)
ā
|
ā8
| Recipientās current age
| RECIP_CURRENT_AGE
| Recipient's current age in years.
| n/a
|
ā9ā
| āRecipient age at first dose
| āAGE_FIRST_HEPA
| āRecipient age in years at time of first dose of hep A vaccine.ā
| ān/a
|
ā 10
| āRecipient age at second dose
| āAGE_SECOND_HEPA
| āRecipient age in years at time of second dose of hep A vaccine.
| ān/a
|
ā 11
| āRecipient age at third dose
| āAGE_THIRD_HEPA
| āRecipient age in years at time of third dose of hep A vaccine.
| ān/a
|
ā12
| āRecipient age at fourth dose
| āAGE_FOURTH_HEPA
| āRecipient age in years at time of fourth dose of hep A vaccine.
| ān/a
|
ā 13
| āRecipient ageā
| āRECIP_AGE
| āRecipient age in years at time of most recent dose.
| ān/a
|
ā 14
| āRecipient address: street
| āRECIP_ADDRESS_STREET
| āThe street component of the recipient's address.
| ān/a
|
ā 15
| āRecipient address: street 2
| āRECIP_ADDRESS_STREET_2
| āThe street 2 component of the recipient's address.ā
| ān/a
|
ā16
| āRecipient address: city
| āRECIP_ADDRESS_CITY
| āThe city component of the recipient's address.
| ān/a
|
ā 17
| Recipient address: stateā | āRECIP_ADDRESS_STATE
| āThe state component of the recipient's address.
| āUS Postal Service two-character State Codes
|
ā18
| āRecipient address: zip code
| āRECIP_ADDRESS_ZIP
| āThe zip code of the recipient's address (5 digit or 10 digits, with hyphen, are acceptable).
| ān/a
|
ā19
| āRecipient county name
| āRECIP_COUNTY_LABEL
| āThe county name component of the recipient's address.
| āDerived from FIPs based on County Code. When RECIP_ADDRESS_COUNTY is null, derived from RECIP_ADDRESS_ZIP. See RECIP_ADDRESS_COUNTY _NEW
|
ā 20
| āResponsible organization
| āRESPONSIBLE_ORG
| āThe name of the parent organization or health system that originated and is accountable for the content of the record. If an organization has several clinics or facilities, this would be the organization that represents all of the clinics/facilities (the "Administered at location" field is the name of individual physical location).ā
| ān/aā
|
ā21
| āAdministered at location
| āADMIN_NAME
| āThe name of the physical clinic or facility that reported the vaccination. In a small practice setting, this could be the same as the responsible organization.
| ān/a
|
ā 22
| āCensus tract ā recipient address (2020)
| āCENSUS_TRACT
| ā2020 census tract based on recipient address only.
| ā |
ā 23
| āCensus tract ā recipient address (2010)
| āCENSUS_TRACT_10
| ā2010 census tract based on recipient address only.
| ā |
ā24
| āCensus tract ā administration address
| āCENSUS_TRACT_ADMIN_10
| ā2010 census tract based on vaccinating providerās address only
| ā |
ā25
| āHPI 3.0 - census tract
| āHPI_3_TRACT
| āHealthy Places Index 3.0 score quartile based on the 2010 census tract from the recipientās address.
| āHealthy Places Index Locally Defined Value Set: 1 (HPI Quartile 1) 2 (HPI Quartile 2) 3 (HPI Quartile 3) 4 (HPI Quartile 4) Null (no HPI score assigned) https://map.healthyplacesindex.org ā
|
ā26
| āHPI 3.0 ā zip
| āHPI_3_ZIP
| āHealthy PIaces Index 3.0 score quartile based on the recipientās address zip (if null, uses the ZCTA zip from the zip-to-ZCTA crosswalk); if recipientās address zip is still null, uses the vaccinating providerās address zip (if providerās address zip is null, uses the ZCTA from the zip-to-ZCTA crosswalk).
| ā Healthy Places Index Locally Defined Value Set: 1 (HPI Quartile 1) 2 (HPI Quartile 2) 3 (HPI Quartile 3) 4 (HPI Quartile 4) Null (no HPI score assigned) https://map.healthyplacesindex.org ā
|
ā 27
| āHPI 3.0 - mixed
| āHPI_3_MIXED
| āHPI_3_TRACT; if null, uses HPI_3_ZIP.
| Healthy Places Index Locally Defined Value Set: 1 (HPI Quartile 1) 2 (HPI Quartile 2) 3 (HPI Quartile 3) 4 (HPI Quartile 4) Null (no HPI score assigned) https://map.healthyplacesindex.org āā
|
ā 28
| āRecipient address: county based on HPI_3_MIXED
| āHPI_COUNTY_RCP_MIXED
| āThe county name of the recipientās address, derived from HPI_3_MIXED.
| ā |
ā29
| āAdministration date: dose 1
| āADMIN_DATE_DOSE1
| āThe first recorded hepatitis A vaccine administration date for the recipient
| ān/a
|
ā 30
| Administration date: dose 2ā | āADMIN_DATE_DOSE2
| āThe second recorded hepatitis A vaccine administration date for the recipient. ā
| ān/a
|
ā31
| āAdministration date: dose 3
| āADMIN_DATE_DOSE3
| āThe third recorded hepatitis A vaccine administration date for the recipient.
| ān/a
|
ā32
| āAdministration date: dose 4
| āADMIN_DATE_DOSE4
| āThe fourth recorded hepatitis A vaccine administration date for the recipient.
| ān/a
|
ā 33
| āVaccine product - dose 1
| āVACCINE_PRODUCT_1
| āThe manufacturer name of vaccine received for the first dose of the hepatitis A vaccine series. Vaccine_Product_1 = first hepatitis A vaccination given.
| ān/a
|
ā34
| āVaccine product - dose 2
| āVACCINE_PRODUCT_2
| āThe manufacturer name of vaccine received for the second dose of the hepatitis A vaccine series. Vaccine_Product_2 = second hepatitis A vaccination given.
| ān/a
|
ā 35
| āVaccine product - dose 3
| āVACCINE_PRODUCT_3
| āThe manufacturer name of vaccine received for the third dose of the hepatitis A vaccine series. Vaccine_Product_3 = third hepatitis A vaccination given.ā
| ān/a
|
ā36
| āVaccine product - dose 4
| āVACCINE_PRODUCT_4
| āThe manufacturer name of vaccine received for the fourth dose of the hepatitis A vaccine series. Vaccine_Product_4 = fourth hepatitis A vaccination given.
| ān/a
|
ā37
| āCVX - dose 1
| āVACCINE_PRODUCT_1_CVX
| āThe vaccine type that was administered for the first dose of the hepatitis A vaccine series. Vaccine_Product_1_CVX = first hepatitis A vaccination given.
| āCVX Codesāā
|
ā38
| āCVX - dose 2
| āVACCINE_PRODUCT_2_CVX
| āThe vaccine type that was administered for the second dose of the hepatitis A vaccine series. Vaccine_Product_2_CVX = second hepatitis A vaccination given.
| āCVX Codesāā
|
ā39
| āCVX - dose 3
| āVACCINE_PRODUCT_3_CVX
| āThe vaccine type that was administered for the third dose of the hepatitis A vaccine series. Vaccine_Product_3_CVX = third hepatitis A vaccination given
| āCVX Codesā
|
ā40
| āCVX - dose 4
| āVACCINE_PRODUCT_4_CVX
| āThe vaccine type that was administered for the fourth dose of the hepatitis A vaccine series. Vaccine_Product_4_CVX = fourth hepatitis A vaccination given.
| āCVX Codesā
|
ā41
| Hepatitis A vaccination series completed
| HAV_SERIES_COMPLETE_ ON_SCHEDULE
| Hepatitis A vaccination completed according to CDC recommended schedules: (1) 1-17 years and 2 doses of CVX 83 at least 6 months apart; (2) 18+ and 2 doses of CVX 52; (3) 18+ and 3 doses of CVX 104 [0, 1, and 6 months]; or (4) 18+ and 3 doses of CVX 104 at 0, 7, and 21-30 days, followed by a booster dose at 12 months.
| Yes No
|