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) RSV vaccine administration dates. ADMIN_DATE_1 = most recent RSV vaccine administration date.ā
| ān/a
|
ā6
| āAdministration date: dose 2
| āADMIN_DATE_2
| āMost recent (up to four) RSV vaccine administration dates. ADMIN_DATE_1 = most recent RSV vaccine administration date.
| ān/a
|
ā7
| āAdministration date: dose 3
| āADMIN_DATE_3
| āMost recent (up to four) RSV vaccine administration dates. ADMIN_DATE_1 = most recent RSV vaccine administration date.ā
| ān/a
|
ā8
| āAdministration date: dose 4
| āADMIN_DATE_4
| āMost recent (up to four) RSV vaccine administration dates. ADMIN_DATE_1 = most recent RSV vaccine administration date.ā
| ān/a
|
ā9
| āVaccine product - dose 1
| āVACCINE_PRODUCT_1
| āThe manufacturer name of vaccine received for the most recent (up to four) RSV vaccinations. Vaccine_Product_1 = most recent RSV vaccination given.
| ān/a
|
ā10
| āVaccine product - dose 2
| āVACCINE_PRODUCT_2
| āThe manufacturer name of vaccine received for the most recent (up to four) RSV vaccinations. Vaccine_Product_1 = most recent RSV 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) RSV vaccinations. Vaccine_Product_1 = most recent RSV 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) RSV vaccinations. Vaccine_Product_1 = most recent RSV vaccination given.ā
| ān/a
|
ā13
| āCVX - dose 1
| āVACCINE_PRODUCT_1_CVX
| āThe vaccine type that was administered for the most recent (up to four) RSV vaccinations. Vaccine_Product_1_cvx = most recent RSV 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) RSV vaccinations. Vaccine_Product_1_cvx = most recent RSV 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) RSV vaccinations. Vaccine_Product_1_cvx = most recent RSV 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) RSV vaccinations. Vaccine_Product_1_cvx = most recent RSV vaccination given.
| āCVX Coādesā
|
ā17
| āRecipient age - at first dose, monthsā
| āAGE_FIRST_DOSE_Months
| āRecipient age in months when received first RSV vaccine; if age > 24 months, then value=null
| ān/a
|
ā18
| āRecipient age - at second dose, monthsā
| āAGE_SECOND_DOSE_Months
| āRecipient age in months when received second RSV vaccine; if age > 24 months, then value=nullā
| ān/a
|
ā19
| āRecipient age - at third dose, months
| āAGE_THIRD_DOSE_Months
| āRecipient age in months when received third RSV vaccine, if age > 24 months, then value=null
| ān/a
|
ā20
| āRecipient age - at fourth dose, months
| āAGE_FOURTH_DOSE_Months
| āRecipient age in months when received fourth RSV vaccine, if age > 24 months, then value=null
| ān/a
|
ā21
| āRecipient age - at first dose, years
| āAGE_FIRST_DOSE_Years
| āRecipient age in years when received first RSV vaccine.
| ān/a
|
ā22
| āRecipient age - at second dose, years
| āAGE_SECOND_DOSE_Years
| āRecipient age in years when received second RSV vaccine.
| ān/a
|
ā23
| āRecipient age - at third dose, years
| āAGE_THIRD_DOSE_Years
| āRecipient age in years when received third RSV vaccine.ā
| ān/a
|
ā24
| āRecipient age - at fourth dose, years
| āAGE_FOURTH_DOSE_Years
| āRecipient age in years when received fourth RSV vaccine.
| ān/a
|
ā25
| āRecipient name: first
| āRECIP_FIRST_NAME
| āRecipient's first name.
| ān/a
|
ā26
| āRecipient name: middle
| āRECIP_MIDDLE_NAME
| āRecipient's middle name.ā
| ān/a
|
ā27
| āRecipient name: last
| āRECIP_LAST_NAME
| āRecipient's last name.
| ān/a
|
ā28
| āRecipient age
| āRECIP_AGE
| āRecipientās age in years as of current date.ā
| ān/a
|
ā29
| āRecipient address: street
| āRECIP_ADDRESS_STREET
| āThe street component of the recipient's address.
| ān/a
|
ā30
| āRecipient address: street 2
| āRECIP_ADDRESS_STREET_2
| āThe street 2 component of the recipient's address.
| ān/a
|
ā31
| āRecipient address: city
| āRECIP_ADDRESS_CITY
| āThe city component of the recipient's address.
| ān/a
|
ā32
| āRecipient address: state
| āRECIP_ADDRESS_STATE
| āThe state component of the recipient's address.
| āUS Postal Service two-character State Codes
|
ā33
| āRecipient address: zip code
| āRECIP_ADDRESS_ZIP
| āThe zip code of the recipient's address (5 digit or 10 digits, with hyphen, are acceptable).ā
| ān/a
|
ā34
| 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.
|
ā35
| 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/a
|
ā36
| 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.
|
37ā | āCensus tract ā recipient address (2020)
| āCENSUS_TRACT
| ā2020 census tract based on recipient address only.
| ā |
ā38
| āCensus tract ā recipient address (2010)
| āCENSUS_TRACT_10
| ā2010 census tract based on recipient address only.
| ā |
ā39
| āCensus tract ā administration address
| āCENSUS_TRACT_ADMIN_10
| ā2010 census tract based on vaccinating providerās address only.
| ā |
ā40
| 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
|
ā41
| 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 |
ā42
| 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
|
ā43
| 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
|
ā44
| 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 ā
|