ā1
| āRecipient ID
| āRECIP_ID
| āUnique ID for this recipient.
| ān/a
|
ā2
| āRecipient date of birth
| āRECIP_DOB
| āRecipient's date of birth.
| ān/a
|
ā3
| āRecipient sex
| āRECIP_SEX
| āRecipient sex.
| āHL7 User Defined table 0001 M (Male) F (Female) U (Unknown/undifferentiated) X (Non-binary)
|
ā4
| 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)
|
ā5
| āAdministration date: dose 1 (most recent)
| āADMIN_DATE_1
| āMost recent (up to four) Hep B vaccine administration dates. ADMIN_DATE_1 = most recent Hep B vaccine administration date.ā
| ān/a
|
ā6
| āAdministration date: dose 2
| āADMIN_DATE_2
| āMost recent (up to four) Hep B vaccine administration dates. ADMIN_DATE_1 = most recent Hep B vaccine administration date.
| ān/a
|
ā7
| āAdministration date: dose 3
| āADMIN_DATE_3
| āMost recent (up to four) Hep B vaccine administration dates. ADMIN_DATE_1 = most recent Hep B vaccine administration date.
| ān/a
|
ā8
| āAdministration date: dose 4
| āADMIN_DATE_4
| āMost recent (up to four) Hep B vaccine administration dates. ADMIN_DATE_1 = most recent Hep B vaccine administration date.
| ān/a
|
ā9
| āVaccine product - dose 1
| āVACCINE_PRODUCT_1
| āThe manufacturer name of vaccine received for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1 = most recent Hep B vaccination givenā
| ān/a
|
ā10
| āVaccine product - dose 2
| āVACCINE_PRODUCT_2
| āThe manufacturer name of vaccine received for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1 = most recent Hep B vaccination given.
| ān/a
|
ā11
| āVaccine product - dose 3
| āVACCINE_PRODUCT_3
| āThe manufacturer name of vaccine received for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1 = most recent Hep B vaccination given.
| ān/a
|
ā12
| āVaccine product - dose 4
| āVACCINE_PRODUCT_4
| āThe manufacturer name of vaccine received for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1 = most recent Hep B vaccination given.
| ān/a
|
ā13
| āCVX - dose 1
| āVACCINE_PRODUCT_1_CVX
| āThe vaccine type that was administered for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1_cvx = most recent Hep B vaccination given.
| āCVX Codesā
|
ā14
| āCVX - dose 2
| āVACCINE_PRODUCT_2_CVX
| āThe vaccine type that was administered for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1_cvx = most recent Hep B vaccination given.
| āCVX Codesā
|
ā15
| āCVX - dose 3
| āVACCINE_PRODUCT_3_CVX
| āThe vaccine type that was administered for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1_cvx = most recent Hep B vaccination given.
| āCVX Codesā
|
ā16
| āCVX - dose 4
| āVACCINE_PRODUCT_4_CVX
| āThe vaccine type that was administered for the most recent (up to four) Hep B vaccinations. Vaccine_Product_1_cvx = most recent Hep B vaccination given.
| āCVX Codesā
|
ā17
| āArray ā vaccine administration dates
| āARR_ADMIN_DATE
| āArray showing dates that all hep B vaccine doses were administered to recipient.
| ān/a
|
ā18
| āArray ā CVX codes
| āARR_CVX
| āArray showing CVX codes for all hep B vaccine doses administered to recipient.ā
| ān/a
|
ā19
| āVaccine received - Birth
| āVAX_BIRTH_RECEIVED
| āReceived Hep B vaccine at birth, as recommended by CDC.
| āYes/No
|
ā20
| āVaccine received - within 3 days of birth
| āVAX_BIRTH_3_DAYS_RECEIVED
| āReceived Hep B vaccine within 3 days of birth.
| āYes/Noā
|
ā21
| āVaccine 2 received - 1-2 Months of age
| āVAX_2_RECEIVED_CHILDHOOD
| āReceived second Hep B vaccine at 1-2 months of age, as recommended by CDC.
| āYes/No
|
ā22
| āVaccine 3 received - 6-18 Months of age
| āVAX_3_RECEIVED_CHILDHOOD
| āReceived third Hep B dose at 6-18 months of age, as recommended by CDC.
| āYes/No
|
ā23
| āHep B series completed per CDC childhood immunization schedule
| āHep_B_SERIES_COMPLETE_CHILDHOOD
| āThree dose Hep B childhood vaccination series was completed according to CDC childhood immunization schedule
| āYes/No
|
ā24
| āVaccine received - time 0
| āVAX_1_RECEIVED
| āReceived first Hep B dose
| āYes/No
|
ā25
| āVaccine 2 received - 1-2 months after first dose
| āVAX_2_RECEIVED
| āReceived second Hep B vaccine 1-2 months after first dose, as recommended by CDC.
| āYes/No
|
ā26
| āVaccine 3 received - 6 months after first dose
| āVAX_3_RECEIVED
| āReceived third Hep B dose 6 months after first dose, as recommended by CDC.
| āYes/No
|
ā27
| āHep B 3 dose series completed
| āHep_B_SERIES_3_COMPLETE
| āThree dose Hep B vaccination series completed at 0, 1-2 months and 6 month intervalā
| āYes/No
|
ā28
| āHep B 3 dose series completed, varied interval
| āHep_B_RECEIVED_3_DOSES
| āReceived three doses of Hep B, vaccine interval varied
| āYes/No
|
ā29
| āHep B 2 dose series completed
| āHep_B_SERIES_2_COMPLETE_Recombivax
| āAdolescents age 11ā15 years may use an alternative 2-dose schedule with at least 4 months between doses (adult formulation Recombivax HB only)
| āYes/No
|
ā30
| āHep B 2 dose series completed
| āHep_B_SERIES_2_COMPLETE_Heplisav
| āAdolescents age 18 years or older may receive: Heplisav-B 2-dose series at least 4 weeks apart
| āYes/No
|
31
| āRecipient age - at first dose, months
| āAGE_FIRST_Hep_B_Months
| āRecipient age in months when received first Hep B vaccine.
| ān/a
|
ā32
| āRecipient age - at second dose, months
| āAGE_SECOND_Hep_B_Months
| āRecipient age in months when received second Hep B vaccine.
| ān/a
|
ā33
| āRecipient age - at third dose, months
| āAGE_THIRD_Hep_B_Months
| āRecipient age in months when received third Hep B vaccine.
| ān/a
|
ā34
| āRecipient age - at first dose, years
| āAGE_FIRST_Hep_B_Years
| āRecipient age in years when received first Hep B vaccine.ā
| ān/a
|
ā35
| āRecipient age - at second dose, years
| āAGE_SECOND_Hep_B_Years
| āRecipient age in years when received second Hep B vaccine.
| ān/a
|
ā36
| āRecipient age - at third dose, years
| āAGE_THIRD_Hep_B_Years
| āRecipient age in years when received third Hep B vaccine.
| ān/a
|
ā37
| āRecipient name: first
| āRECIP_FIRST_NAME
| āRecipient's first name.
| ān/a
|
ā38
| āRecipient name: middle
| āRECIP_MIDDLE_NAME
| āRecipient's middle name.
| ān/a
|
ā39
| āRecipient name: last
| āRECIP_LAST_NAME
| āRecipient's last name.
| ān/a
|
ā40
| āRecipient age
| āRECIP_AGE
| āRecipientās age in years as of current date.
| ān/a
|
ā41
| āRecipient address: street
| āRECIP_ADDRESS_STREET
| āThe street component of the recipient's address.
| ān/a
|
ā42
| āRecipient address: street 2
| āRECIP_ADDRESS_STREET_2
| āThe street 2 component of the recipient's address.ā
| ān/a
|
ā43
| āRecipient address: city
| āRECIP_ADDRESS_CITY
| āThe city component of the recipient's address
| ān/a
|
ā44
| āRecipient address: state
| āRECIP_ADDRESS_STATE
| āThe state component of the recipient's address.
| āUS Postal Service two-character State Codes
|
ā45
| 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
|
ā46
| 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.
|
47ā | āResponsible organizationā
| 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/a
|
ā48
| āAdministration 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.
|
ā49
| āCensus tract ā recipient address (2020)
| āCENSUS_TRACT
| ā2020 census tract based on recipient address only.
| ā |
ā50
| āCensus tract ā recipient address (2010)
| āCENSUS_TRACT_10
| ā2010 census tract based on recipient address only.
| ā |
ā51
| āCensus tract ā administration address
| āCENSUS_TRACT_ADMIN_10
| ā2010 census tract based on vaccinating providerās address only.
| ā |
ā52
| 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
|
ā53
| 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 |
ā54
| 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
|
ā55
| 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
|
ā56
| 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
|