ā1
| āAdministration date ā DTaP dose 1
| āADMIN_DATE_DOSE1_DTAP
| āVaccine administration date for 1st dose of DTaP (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).
| ān/a
|
ā2
| āAdministration date ā DTaP dose 2
| āADMIN_DATE_DOSE2_DTAP
| āVaccine adminisātration date for 2nd dose of DTaP (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).ā
| ān/a
|
ā3
| āAdministration date ā DTaP dose 3ā
| āADMIN_DATE_DOSE3_DTAP
| āVaccine administration date for 3rd dose of DTaP (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).
| ān/a
|
ā4
| āAdministration date ā DTaP dose 4
| āADMIN_DATE_DOSE4_DTAP
| āVaccine administration date for 4th dose of DTaP (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).ā
| ān/a
|
ā5
| āAdministration date ā DTaP dose 5
| āADMIN_DATE_DOSE5_DTAP
| āVaccine administration date for 5th dose of DTaP (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).
| ān/a
|
ā6
| āAdministration date ā Tdap age 11-12
| āADMIN_DATE_TDAP_11-12
| āVaccine administration date for Tdap dose given at age 11-12 years (CVX Code = 115)
| ān/a
|
ā7
| 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
|
ā8
| āArray ā vaccine administration dates
| āARR_ADMIN_DATE
| āArray showing dates that all DTaP or Tdap doses were administered to recipient.
| ān/a
|
ā9
| āArray ā age at receipt of vaccination
| āARR_AGE
| āArray showing recipient's age in years when each DTaP or Tdap dose was administered.
| ān/a
|
ā10
| āArray ā CVX codes
| āARR_CVX
| āArray showing CVX codes for all DTaP or Tdap doses administered to recipient.
| ān/a
|
ā11
| āCensus tract ā recipient address (2020)
| āCENSUS_TRACT
| ā2020 census tract based on recipient address only.
| ā |
ā12
| āCensus tract ā recipient address (2010)
| āCENSUS_TRACT_10
| ā2010 census tract based on recipient address only.
| ā |
ā13
| āCensus tract ā administration address
| āCENSUS_TRACT_ADMIN_10
| ā2010 census tract based on vaccinating providerās address only.
| ā |
ā14
| ā5 DTaP by age 6
| āFIVEDTAPBY6YO
| āReceived 5 DTaP doses by age 6 (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).
| ā 0 (No) 1 (Yes) ā
|
ā15
| ā4 DTaP by age 2
| āFOURDTAPBY2YO
| āReceived 4 DTaP doses by age 2 (CVX code = 20, 50, 106, 107, 110, 120, 130, 132, 146, 170).
| ā 0 (No) 1 (Yes)
|
ā16
| āHPI 3.0 - mixed
| āHPI_3_MIXED
| āHPI_3_TRACT; if null, uses HPI_3_ZIP.
| 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
|
ā17
| 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
| ā |
ā18
| 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.
| 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
|
ā19
| 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
|
ā20
| āRecipient address: city
| āRECIP_ADDRESS_CITY
| āThe city component of the recipient's address.
| ān/a
|
ā21
| āRecipient address: state
| āRECIP_ADDRESS_STATE
| āThe state component of the recipient's address.
| āUS Postal Service two-character State Codesā
|
ā22
| āRecipient address: street
| āRECIP_ADDRESS_STREET
| āThe street component of the recipient's address.ā
| ān/a
|
ā23
| āRecipient address: street 2
| āRECIP_ADDRESS_STREET_2
| āThe street 2 component of the recipient's address.
| ān/a
|
ā24
| āRecipient address: zip code
| āRECIP_ADDRESS_ZIP
| āThe zip code of the recipient's address (5 digit or 10 digits, with hyphen, are acceptable).āā
| ān/a
|
ā25
| āRecipient age
| āRECIP_AGE
| āRecipient age in years at time of most recent dose.
| ān/a
|
ā26
| 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
|
ā27
| āRecipient date of birth
| āRECIP_DOB
| āRecipient's date of birth.
| ān/a
|
ā28
| āRecipient name: first
| āRECIP_FIRST_NAME
| āRecipient's first name.ā
| ān/a
|
ā29
| āRecipient ID
| āRECIP_ID
| āUnique ID for this recipient.
| ān/a
|
ā30
| āRecipient name: last
| āRECIP_LAST_NAME
| āRecipient's last name.
| ān/a
|
ā31
| āRecipient name: middle
| āRECIP_MIDDLE_NAME
| āRecipient's middle name.ā
| ān/a
|
ā32
| āRecipient race/ethnicity
| āRECIP_RACE_ETH
| āRecipient's race/ethnicity.
| ā When 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)
|
ā33
| āRecipient sex
| āRECIP_SEX
| āRecipient sex.
| āHL7 User Defined table 0001 M (Male) F (Female) U (Unknown/undifferentiated)
X (Non-binary) ā
|
34ā | 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).
| ān/a
|
ā35
| āTDAP_11_12
| TDAP_11_12
| āReceived at least 1 dose of Tdap at age 11-12 years (CVX code = 115).ā
| ā 0 (No) 1 (Yes)
|