ā1
|
āRecipient ID
|
RECIP_IDā
|
āUnique ID for this recipient.
|
ān/aā
|
ā2
|
āRecipient date of birthā
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āRECIP_DOB
|
āRecipient's date of birth.
|
n/aā
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ā3
|
āRecipient sex
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āRECIP_SEX
|
āRecipient sex.
|
āHL7 User Defined Table 0001 M (Male) F (Female) U (Unknown/ undifferentiated)
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ā4
|
āRecipient race/ethnicity
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āRECIP_RACE_ETH
|
āRecipient's race/ethnicity.
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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
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ā5
|
āAdministration date - dose 1 (most recent)
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āADMIN_DATE_1
|
āMost recent (up to five) flu vaccine administration dates. ADMIN_DATE_1 = most recent flu vaccine administration date.
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ān/a
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ā6
|
āAdministration date - dose 2
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āADMIN_DATE_2
|
āMost recent (up to five) flu vaccine administration dates. ADMIN_DATE_1 = most recent flu vaccine administration date.
|
ān/a
|
ā7
|
āAdministration date - dose 3
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āADMIN_DATE_3
|
āMost recent (up to five) flu vaccine administration dates. ADMIN_DATE_1 = most recent flu vaccine administration date.
|
ān/a
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ā8
|
āAdministration date - dose 4
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āADMIN_DATE_4
|
āMost recent (up to five) flu vaccine administration dates. ADMIN_DATE_1 = most recent flu vaccine administration date.
|
ān/a
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ā9
|
āAdministration date - dose 5
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āADMIN_DATE_5
|
āMost recent (up to five) flu vaccine administration dates. ADMIN_DATE_1 = most recent flu vaccine administration date.
|
ān/a
|
ā10
|
āāVaccine product - dose 1
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āVACCINE_PRODUCT_1
|
āThe manufacturer name of vaccine received for the most recent (up to five) flu vaccinations. Vaccine_Product_1 = most recent flu vaccination given.
|
ā |
ā11
|
āVaccine product - dose 2
|
āVACCINE_PRODUCT_2
|
āThe manufacturer name of vaccine received for the most recent (up to five) flu vaccinations. Vaccine_Product_1 = most recent flu vaccination given.
|
ā |
ā12
|
āāVaccine product - dose 3
|
āVACCINE_PRODUCT_3
|
āThe manufacturer name of vaccine received for the most recent (up to five) flu vaccinations. Vaccine_Product_1 = most recent flu vaccination given.
|
ā |
ā13
|
āVaccine product - dose 4
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āVACCINE_PRODUCT_4
|
āThe manufacturer name of vaccine received for the most recent (up to five) flu vaccinations. Vaccine_Product_1 = most recent flu vaccination given.
|
ā |
ā14
|
āVaccine product - dose 5
|
āVACCINE_PRODUCT_5
|
āThe manufacturer name of vaccine received for the most recent (up to five) flu vaccinations. Vaccine_Product_1 = most recent flu vaccination given.
|
ā
|
ā15
|
āCVX - dose 1
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āVACCINE_PRODUCT _1_CVX
|
āThe vaccine type that was administered for the most recent (up to five) flu vaccinations. Vaccine_Product_1 _cvx = most recent flu vaccination given.
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āCVX Codes
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ā16
|
āCVX - dose 2
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āVACCINE_PRODUCT _2_CVXā
|
āThe vaccine type that was administered for the most recent (up to five) flu vaccinations. Vaccine_Product_1_cvx = most recent flu vaccination given.
|
āCVX Codes
|
ā17
|
āCVX - dose 3
|
āVACCINE_PRODUCT _3_CVX
|
āThe vaccine type that was administered for the most recent (up to five) flu vaccinations. Vaccine_Product_1_cvx = most recent flu vaccination given.
|
āCVX Codes
|
ā18
|
āCVX - dose 4
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āVACCINE_PRODUCT _4_CVX
|
āThe vaccine type that was administered for the most recent (up to five) flu vaccinations. Vaccine_Product_1_cvx = most recent flu vaccination given.
|
āCVX Codes
|
ā19
|
āCVX - dose 5
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āVACCINE_PRODUCT _5_CVX
|
āThe vaccine type that was administered for the most recent (up to five) flu vaccinations. Vaccine_Product_1_cvx = most recent flu vaccination given.
|
āCVX Codes
|
ā20
|
āVaccine received - 2018-2019 flu season (MMWR)ā
|
āVAX_RECEIVED_18 _19_MMWR
|
āāReceived flu vaccine during 2018-2019 flu season, based on CDC MMWR weeks.ā
|
āYes/No Yes if flu vaccine administered during 09/30/2018-9/28/2019, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
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ā21
|
āāVaccine received - 2019-2020 flu season (MMWR)
|
āāVAX_RECEIVED_ 19_20_MMWR
|
āāReceived flu vaccine during 2019-2020 flu season, based on CDC MMWR weeks.
|
āāYes/No Yes if flu vaccine administered during 09/29/2019-9/26/2020, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā22
|
āāVaccine received - 2020-2021 flu season (MMWR)
|
āVAX_RECEIVED_ 20_21_MMWR
|
āāReceived flu vaccine during 2020-2021 flu season, based on CDC MMWR weeks.
|
āYes/No Yes if flu vaccine administered during 09/27/2020-10/2/2021, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā23
|
āāVaccine received - 2021-2022 flu season (MMWR)
|
āVAX_RECEIVED_ 21_22_MMWR
|
āāReceived flu vaccine during 2021-2022 flu season, based on CDC MMWR weeks.
|
āYes/No Yes if flu vaccine administered during 10/3/2021-10/1/2022, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā24
|
āVaccine received - 2022-2023 flu season (MMWR)
|
āVAX_RECEIVED_ 22_23_MMWR
|
āReceived flu vaccine during 2022-2023 flu season, based on CDC MMWR weeks.
|
āYes/No Yes if flu vaccine administered during 10/2/2022-9/30/2023, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
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ā25
|
āVaccine received - 2018-2019 flu season (Ordering)
|
āVAX_RECEIVED_ 18_19_ORDER
|
āReceived flu vaccine during 2018-2019 flu season, based on ordering.
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āYes/No Yes if flu vaccine administered during 07/1/2018-6/30/2019, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā26
| āVaccine received - 2019-2020 flu season (Ordering)
| āāVAX_RECEIVED_ 19_20_ORDER
| āReceived flu vaccine during 2019-2020 flu season, based on ordering.
| āYes/No Yes if flu vaccine administered during 07/1/2019-6/30/2020, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā27
| āāVaccine received - 2020-2021 flu season (Ordering)
| āāVAX_RECEIVED_ 20_21_ORDER
| āāReceived flu vaccine during 2020-2021 flu season, based on ordering.
| āYes/No Yes if flu vaccine administered during 07/1/2020-6/30/2021, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā28
| āVaccine received - 2021-2022 flu season (Ordering)
| āāVAX_RECEIVED_ 21_22_ORDER
| āReceived flu vaccine during 2021-2022 flu season, based on ordering.
| āYes/No Yes if flu vaccine administered during 07/1/2021-6/30/2022, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā29
| āVaccine received - 2022-2023 flu season (Ordering)
| āāVAX_RECEIVED_ 22_23_ORDER
| āReceived flu vaccine during 2022-2023 flu season, based on ordering.
| āYes/No Yes if flu vaccine administered during 07/1/2022-6/30/2023, and age >=9; if age < 9, child must have received either two doses >= 4 weeks apart during this time period or have received two flu vaccine doses prior to this season.
|
ā30
| āāRecipient name: first
| āāRECIP_FIRST_NAME
| āRecipient's first name.
| ān/a
|
ā31
| āāRecipient name: middle
| āRECIP_MIDDLE_NAME
| āāRecipient's middle name.
| ān/a
|
ā32
| āāRecipient name: last
| āāRECIP_LAST_NAME
| āāRecipient's last name.
| ān/a
|
ā33
| āRecipient age
| RECIP_AGEāā
| āāRecipientās age in years.
| ān/a
|
ā34
| āāRecipient address: street
| āāāāRECIP_ADDRESS _STREET
| āThe street component of the recipient's address.
| ān/a
|
āā35āāā
| āāRecipient address: street 2
| RECIP_ADDRESS _STREET_2
| The street 2 component of the recipient's address.ā
| ān/a
|
ā36
| āRecipient address: cityā | āāRECIP_ADDRESS _CITY
| āāThe city component of the recipient's address.
| ān/a
|
ā37
| āRecipient address: state
| āāRECIP_ADDRESS _STATE
| āāThe state component of the recipient's address.
| ān/a
|
ā38
| āāRecipient address: zip code
| āāRECIP_ADDRESS_ZIP
| āāThe zip code of the recipient's address (5 digit or 10 digits, with hyphen, are acceptable).
| ān/a
|
ā39
| āRecipient county name
| āRECIP_COUNTY _LABEL
| āThe county name component of the recipient's address. āOutside Californiaā category includes out-of-state residents and records where recipientās state of residence is blank.
| āDerived from FIPs based on County_Code. When recip_address _county is null, derived from recip_address_zip.
|
āā40
| āResponsible organization
| āāRESPONSIBLE_ORGā
| The 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.)
| āān/a
|
ā41
| āāāAdministration address: county name
| āADMIN_COUNTY _LABEL
| āThe county component of where the vaccine is being administered/planned to be administered. Exception for mobile clinics. Derived from value recorded for most recent dose.
| āJoin with FIPs table based on County Code to get county name.
|
ā42
| āCensus tract - recipient address (2020)
| āCENSUS_TRACT
| ā2020 census tract based on recipient address only.
| ā
|
ā43
| āCensus tract - recipient address (2010)
| āCENSUS_TRACT_10
| ā2010 census tract based on recipient address only.
| ā |
ā44
| āāCensus tract - administration address
| āCENSUS_TRACT _ADMIN_10
| ā2010 census tract based on vaccinating provider's address only.ā
| ā |
ā45
| āAdministered at location
| āADMIN_NAME
| āThe name of the physical clinic or facility that reported the vaccination, refusal, or missed appointment. In a small practice setting, this could be the same as the responsible organization.
| ān/a
|