Table of Contents
- D.1 Description of Data Import Capability and Usage
- D.2 Data Content and Format of the Import Files
- D.3 Description of Import File Data Formats
- D.4 DATA ELEMENT - FIELD DEFINITIONS
- D.5 DATA ELEMENT - CODE TABLE
- D.6 Example Reports
- D.6.1 Example of Edit Error Report (HSPR0410)
- D.6.2 Example of Update Error Report(HSPR0411)
- D.6.3 Example of Potential Duplicate Participant Report (HSPR0412)
D.1 Description of Data Import Capability and Usage
Introduction
The purpose of this document is to describe Cornerstone's data import capability and explain how this function may be used. This capability has been implemented so that agency users can transfer data from their other automated applications to Cornerstone. It addresses the concern raised by local agency users about entering the same participant information multiple times into different systems. Using this function can help reduce redundant data capture by allowing data to be electronically transferred between systems. For example, agencies may want to extract participant demographic data captured in their local participant billing or tracking system to import into Cornerstone in order to avoid reentry of the information. The import function will also allow immunization shot data captured in a local application to be transferred to Cornerstone to update participant records and provide for consolidated immunization reporting.
This document first explains how the import files will be processed, and it then defines the data content and format of the import files. Local agencies should be able to use this information to develop a program to export this data from their local applications as appropriate. These export programs will need to be specific to each agency's unique system requirements and data formats.
Processing of the Import Files
The import files are processed by using the Standard System Interface Import Screen (AD20). This screen is accessed from the File Maintenance selection off of the main Administrative menu choice. The layout of this screen is shown on the following page. (Please refer to Chapter 9 "Administrative Screens" under "9.20 Standard System Interface Import (AD20)" for more information about this screen, including field definitions.)
Screen Layout
Image001.jpg
The top portion of the screen allows the user to specify the location of the import files. The file location (drive and directory path) default to G:\APPL\IMPORT. If the user wants to specify a different file location, the drive or directory path may be modified as required. It is necessary to place the import files in the directory specified above as part of the file export procedure before invoking the import function.
The import function will check for two specific files in the location specified. The first file should be named CLINPART.TXT. This file is used to transfer general participant demographic data. The second file should be named CLINIMMN.TXT. This file can be used to transfer participant immunization shot data. Both of these files are optional. If present, however, they will need to conform to the formats defined in the next section of this document. The import process is initiated from the screen by pressing F4.
The first step of the import process will be to validate the data in the import files. Each field will be edited based on specific field definitions and formats. An error report will be printed listing any data elements that did not pass the edit checks. An example of this report (Edit Error Report (HSPR0410)) is displayed at the end of this document. The user will be prompted as to whether or not any import file errors were encountered. The user is then given the option to terminate the import function or to process all import records that passed each of the edits. If the user wants to continue processing, the Cornerstone import module will then update the Cornerstone database as appropriate with the data being imported. A confirmation message will be displayed at the end of this process. An example of this message (Update Error Report (HSPR0411)) is displayed at the end of this document. Records that did not pass the edit rules should be reviewed and the data should be corrected as appropriate before rerunning the import process.
An important function of the import program is to match the import data to the correct participant in Cornerstone. This is referred to as the import file matching process. It will be used to determine whether to add a new participant and assign a new Cornerstone participant ID number, or to update an existing participant. The following data elements on an import file will be used in this matching process: Participant Identifier/ID Number, Participant Name (Last, First and Middle Initial), Participant Birth Date, Participant Sex, Participant Social Security Number and Participant Recipient ID Number assigned by public aid.
The user's Participant Identifier/ID Number should contain the participant identifier the user's agency uses to uniquely identify each participant. This may also be called the patient or participant ID number. This field should be used consistently on every import record to match up the import information. The import program will use this field to establish a system cross-reference between the user's participant identifier and the unique participant ID assigned by Cornerstone to new participants. Once this cross-reference is establish, the import program will use the user's participant identifier to determine what Cornerstone participant is to be updated from subsequent import records. The user's participant identifier will be stored in Cornerstone's System Cross-Reference Table. The system code in the cross-reference table will be "LOCL" to designate the user's local application. The user can directly update the Cornerstone system cross-reference table with their local participant identifiers if desired. This could be done to assure the proper matching of participant information or to correct previous file matching problems. The system cross-reference table can be viewed and updated through the System Cross Reference List (PA17).
If the user's participant identifier is not found in the Cornerstone cross-reference table, the participant name fields in combination with the date of birth and sex code will be used to look for a matching participant in Cornerstone. Therefore, consistency in the formatting of the name fields will help facilitate the matching process. If a matching participant is found, this participant's information will be updated. This is referred to as a "hard match." Note that matching will also be done using the Participant's Social Security Number and/or Recipient ID Number if entered.
If no matching participant is found, the participant name in conjunction with the date of birth and sex code will be used to generate a new Cornerstone participant ID before updating the Cornerstone database. After the update process is complete, a report will be printed showing any other participants that could be potential matches (i.e., potential duplicates) because they have similar names. These are referred to as "soft matches." Since Cornerstone cannot be certain that a soft match is actually the same person, a new participant is added to avoid updating an incorrect participant. If there are any potential duplicates listed on the report, they should be reviewed to determine if they are the true duplicates. If any duplicate participants are found, they should be resolved using the Cornerstone duplicate resolution procedures. An example of this report (Potential Duplicate Participant Report (HSPR0412)) is displayed at the end of this document.
D.2 Data Content and Format of the Import Files
The import program will process two different import files. Each import file consists of one record format as shown in the following table.
Import File Description |
File Name |
Record Format |
Participant Demographic Data File |
CLINPART.TXT |
Demographic Record |
Participant Immunization Data File |
CLINIMMN.TXT |
Immunization Record |
The import files should be ASCII text files using comma delimited character data elements enclosed in double quotes. The remainder of this document provides a description of the data elements contained in the import files for each record format. The import program treats each data element as a character field even if it normally contains a numeric value. Each field will be validated based on the data element field definitions contained in this document. The maximum length for each data element is shown on the record layout. All data elements should be left justified unless otherwise noted. Spaces should be used for optional fields when there is no value. Data elements may be padded with spaces up to the maximum field size. Padding, however, is not required. Code fields must be encoded exactly as they are contained in the code tables. New code values added to Cornerstone will automatically become valid for the import program. Code fields used strictly as alphanumeric characters and leading zeroes are necessary. Date fields should be in the following format: "MM/DD/YYYY" including the imbedded slashes. Dates will be accepted in either the complete format such as "03/07/1996" or truncated as "3/7/96."
Examples of actual import file printouts are shown on the following page.
Examples of Import File Printouts
Image002.jpg
D.3 Description of Import File Data Formats
Demographic Record Layout
File Description and Data Elements |
Format |
Description |
Participant Demographic Data File |
|
File Name: CLINPART.TXT |
Clinic Number |
CHR 6 |
Cornerstone Clinic Number |
Participant Identifier/ID Number |
CHR 14 |
Local Agency Participant ID |
Participant Last Name |
CHR 15 |
|
Participant First Name |
CHR 13 |
|
Participant Middle Initial |
CHR 1 |
|
Participant Address Line 1 |
CHR 20 |
|
Participant Address Line 2 |
CHR 20 |
|
Participant Address Apartment Number |
CHR 5 |
|
Participant Address City |
CHR 20 |
|
Participant Address State |
CHR 4 |
"XX" (two digit postal codes) |
Participant Address Zip Code |
CHR 9 |
"999999999" |
Participant Contact Person Name |
CHR 25 |
Guardian or contact name |
Contact Person Relationship Code |
CHR 4 |
See field definition code values |
Participant County of Residence Code |
CHR 4 |
"999" (three digit county codes) |
Participant Telephone Number |
CHR 10 |
"9999999999" |
Participant Social Security Number |
CHR 9 |
"999999999" |
Participant Years of Education |
CHR 2 |
See field definition code values |
Participant Marital Status |
CHR 4 |
See field definition code values |
Participant Birth Date |
CHR 10 |
"MM/DD/YYYY" |
Participant Sex |
CHR 4 |
See field definition code values |
Participant Race Code |
CHR 4 |
See field definition code values |
Participant Ethnic Code |
CHR 4 |
See field definition code values |
Participant Household Size |
CHR 2 |
"99" |
Participant Annual Income |
CHR 6 |
"999999" |
Participant Immunization Status |
CHR 4 |
See field definition code values |
Participant Recipient ID Number |
CHR 9 |
"999999999" Assigned by HFS |
Date of Initial Contact/Registration Date |
CHR 10 |
"MM/DD/YYYY" |
Date of Last Update to This Data |
CHR 10 |
"MM/DD/YYYY" |
Record Status Code |
CHR 1 |
Leave Blank |
Total Characters: 249 |
|
|
Immunization Record Layout
File Description and Data Elements |
Format |
Description |
Participant Demographic Data File |
|
File Name: CLINPART.TXT |
Clinic Number |
CHR 6 |
Cornerstone Clinic Number |
Participant Identifier/ID Number |
CHR 14 |
Local Agency Participant ID |
Participant Last Name |
CHR 15 |
|
Participant First Name |
CHR 13 |
|
Participant Middle Initial |
CHR 1 |
|
Participant Address Line 1 |
CHR 20 |
|
Participant Address Line 2 |
CHR 20 |
|
Participant Address Apartment Number |
CHR 5 |
|
Participant Address City |
CHR 20 |
|
Participant Address State |
CHR 4 |
"XX" (two digit postal codes) |
Participant Address Zip Code |
CHR 9 |
"999999999" |
Participant Contact Person Name |
CHR 25 |
Guardian or contact name |
Contact Person Relationship Code |
CHR 4 |
See field definition code values |
Participant County of Residence Code |
CHR 4 |
"999" (three digit county codes) |
Participant Telephone Number |
CHR 10 |
"9999999999" |
Participant Social Security Number |
CHR 9 |
"999999999" |
Participant Years of Education |
CHR 2 |
See field definition code values |
Participant Marital Status |
CHR 4 |
See field definition code values |
Participant Birth Date |
CHR 10 |
"MM/DD/YYYY" |
Participant Sex |
CHR 4 |
See field definition code values |
Participant Race Code |
CHR 4 |
See field definition code values |
Participant Ethnic Code |
CHR 4 |
See field definition code values |
Participant Household Size |
CHR 2 |
"99" |
Participant Annual Income |
CHR 6 |
"999999" |
Participant Immunization Status |
CHR 4 |
See field definition code values |
Participant Recipient ID Number |
CHR 9 |
"999999999" Assigned by HFS |
Date of Initial Contact/Registration Date |
CHR 10 |
"MM/DD/YYYY" |
Date of Last Update to This Data |
CHR 10 |
"MM/DD/YYYY" |
Record Status Code |
CHR 1 |
Leave Blank |
Total Characters: 249 |
|
|
D.4 DATA ELEMENT - FIELD DEFINITIONS
Demographic Record Elements
Clinic Number CHR 6 Required
The Clinic Number needs to correspond to the Cornerstone clinic number assigned to the local site for each Cornerstone file server location. This field is used to verify that the import file is being processed at the proper location and that the data is being applied to the correct database. The Clinic Number can be found on Cornerstone's Clinic Administration Data Screen (AD14).
Participant Identifier/ID Number CHR 14 Required
This field should contain the participant identifier the user's agency uses to uniquely identify each participant. This may also be called the patient or participant ID number. The field should be left justified and may be padded with spaces. This field should be used consistently on every import record to match up the import information. Refer to the introductory description of the import file matching process on page 3 and 4.
Participant Last Name CHR 15 Required
Participant First Name CHR 13 Required
Participant Middle Initial CHR 1 Optional
The participant name fields should contain the participant's current name as used in the user's system. These fields should be left justified and may be padded with spaces. If the participant identifier is not found in Cornerstone on the cross-reference table, the participant name in combination with the date of birth and sex code will be used to look for a matching participant in Cornerstone. Therefore, consistency in the formatting of the name fields will help facilitate the matching process. Refer to the introductory description of the import file matching process on page 3 and 4.
Participant Address Line 1 CHR 20 Required
Participant Address Line 2 CHR 20 Optional
Participant Address Apartment
Number CHR 5 Optional
Participant Address City CHR 20 Required
Participant Address State CHR 4 Required (two-digit postal code)
Participant Address Zip Code CHR 9 Required (five-digit minimum)
The participant address fields should contain the participant's current home address as used in the user's system. These fields should be left justified and may be padded with spaces. The state field should contain the two-digit postal state code such as "IL" for Illinois. The state codes are listed in the following Codes Table. The zip code must be numeric and should be either 5 or 9 digits.
Participant Contact Person Name CHR 25 Optional
This field can contain the name of a contact person for the participant such as a child's guardian. If this field is entered, there must also be a value in the contact person relationship code.
Contact Person Relationship Code CHR 4 Optional
This field can contain the relationship code for the contact person. The valid relationship codes are contained in the Codes Table. If this field is entered, there must also be a value in the participant contact person name.
Participant County of Residence Code CHR 4 Optional
This field can contain the county code for the county where the participant lives. The valid county codes are contained in the Codes Table. The field should be entered as either "999" or "999." For example, Cook County should be entered "031" or "031", but not "31."
Participant Telephone Number CHR 10 Optional
This field can contain the participant's home telephone number. This field should be all numeric and include the area code.
Participant Social Security Number CHR 9 Optional
This field can contain the participant's social security number (SSN). This field should be all numeric. If entered, the SSN will be used for participant matching purposes.
Participant Years of Education CHR 2 Optional
This field can contain the number of years of education that the participant has had. The field values are from "01" to "32" years of education, "00" to indicate no education or "99"for unknown. Leading zeros are not required.
Participant Marital Status CHR 4 Optional
This field can contain the marital status code of the participant. The following code values are allowed:
Code |
Marital Status |
"01" |
Never Married |
"02" |
Married |
"03" |
Widowed |
"04" |
Divorced |
"05" |
Separated |
"09" |
Unknown |
Participant Birth Date CHR 10 Required
This field must contain the participant's birth date in the format "MM/DD/YYYY."
Participant Sex CHR 4 Required
This field must contain the sex code of the participant. The following code values are allowed:
Code |
Gender |
"F" |
Female |
"M" |
Male |
"O" |
Other |
"U" |
Unknown |
Participant Race Code CHR 4 Optional
This field can contain the racial code for the participant. The following code values are allowed:
Code |
Race |
"10" |
White |
"20" |
Black or African American |
"50" |
Asian |
"60" |
American Indian/Alaska Native |
"70" |
Native Hawaiian/Other Pacific Islander |
"80" |
Unknown |
Participant Ethnic Code CHR 4 Optional
This field can contain the ethnic code for the participant. Currently it is only used to indicate Hispanic origin. The following code values are allowed:
Code |
Ethnicity |
"00" |
Not Hispanic or Latino |
"01" |
Hispanic or Latino |
Participant Household Size CHR 2 Optional
This field can contain the number of persons in the participant's household. The field values are from "01" to "15" people. Leading zeroes are not required.
Participant Annual Income CHR 6 Optional
This field can contain the participant's annual income in whole dollars as defined for program purposes. The field values are from "000000" to "999999" dollars. Leading zeroes are not required.
Participant Immunization Status CHR 4 Optional
This code field may be used to record the participant's immunization program status. This field should normally be left blank unless the participant is active or has been active in the user's immunization program. The following code values are allowed:
"A" Active
"T" Terminated
Participant Recipient ID Number CHR 9 Optional
This field can contain the participant's recipient ID number as assigned by the Illinois Department of Public Aid. This field should be all numeric including leading zeroes. If entered the recipient ID will be used for participant matching purposes.
Date of Initial Contact/Registration Date CHR 10 Optional
This field can contain the date that the participant made initial contact with the clinic or the date the participant was registered or enrolled into the user's local application in the format "MM/DD/YYYY."
Date of Last Update To This Data CHR 10 Optional
This field can contain the date that the information on this record was last updated in the user's system using the format "MM/DD/YYYY." If a corresponding record is already in Cornerstone and the date of last update is greater than Cornerstone's, the corresponding data elements can be updated. If this field is blank or not greater than Cornerstone's, the user's information will not override data that is already on Cornerstone. New records will, however, be added without using this field.
Record Status Code CHR 1 Leave Blank
This field is reserved for future use and should be left blank.
Immunization Record Elements
Clinic Number CHR 6 Required
Same as Demographic Record element.
Participant Identifier/ID Number CHR 14 Required
Same as Demographic Record element.
Immunization Shot Type CHR 4 Required
This field must contain the immunization shot type code. The following code values are allowed:
Code Value |
Code Description |
01 |
DTP-DIPHTHERIA |
02 |
TD-TETANUS-UNSPCFD FRMULA |
03 |
ORAL POLIO VIRUS |
04 |
MMR |
05 |
MR-MEASLES/RUBELLA |
06 |
MEASLES (SINGLE ANTIGEN) |
07 |
MUMPS (SINGLE ANTIGEN) |
08 |
RUBELLA (SINGLE ANTIGEN) |
09 |
HIB-UNSPCFD FRMULA |
10 |
TB SKIN TEST-UNSPCFD FRMULA |
11 |
DT-DIPHTHERIA (PEDI FORM) |
12 |
DTP-HIB |
13 |
HIB-MSD |
14 |
HEP B - PEDIATRIC (3 DOSE) |
15 |
HEP B - ADULT (3 DOSE) |
17 |
IPV |
19 |
VARICELLA |
20 |
DTAP - ACELLULAR PERTUSIS VACC |
21 |
HBIG |
22 |
HIB/HEP B |
23 |
ROTAVIRUS (ROTARIX) |
24 |
HEP A - PEDIATRIC (2 DOSE) |
25 |
HEP A - ADULT |
26 |
PNEUMOCOCCAL CNJ(CHILD)PCV7 |
27 |
PNEUMOCOCCAL POLY (ADULT) |
28 |
HEP B - ADOLESCENT (2 DOSE) |
30 |
TWINRIX(HEP A/HEP B) |
31 |
MENINGOCOCCAL-UNSPCFD FRMULA |
32 |
PEDIARIX(DTAP/IPV/HEP B) |
34 |
INFLUENZA-SPLIT 6-35 MONTHS |
35 |
MENINGOCOCCAL (MCV4) |
36 |
TDAP - BOOSTRIX |
37 |
TDAP - ADACEL |
38 |
MMRV - PROQUAD |
39 |
ROTAVIRUS (ROTATEQ) |
40 |
RABIES-UNSPCFD FRMULA |
41 |
TYPHOID (ORAL) |
42 |
TYPHOID-UNSPCFD FRMULA |
43 |
YELLOW FEVER |
44 |
HPV-UNSPCFD FRMULA |
45 |
INFLUENZA - LAIV |
46 |
ZOSTAVAX |
47 |
PENTACEL(DTAP-HIB-IPV) |
48 |
KINRIX (DTAP-IPV) |
49 |
ROTAVIRUS-UNSPCFD FRMULA |
50 |
H1N1-09 ALL FORMULATIONS |
51 |
H1N1-09 NASAL |
52 |
H1N1-09 PRESRV FREE |
53 |
H1N1-09 INJECTABLE |
54 |
HIBERIX |
55 |
PNEUMOCOCCAL CNJ(CHILD)PCV13 |
56 |
INFLUENZA-AGRIFLU |
57 |
INFLUENZA-FLUZONE HIGH-DOSE |
58 |
FLUVIRIN-UNSPCFD FRMULA |
59 |
INFLUENZA-FLUVIRIN PFREE |
60 |
INFLUENZA-SPLIT >3YRS |
61 |
INFLUENZA-PFREE 6-35MNTH |
62 |
INFLUENZA-PFREE >3YRS |
63 |
INFLUENZA-AFLURIA |
64 |
INFLUENZA-AFLURIA PFREE |
65 |
FLUARIX-UNSPCFD FRMULA |
66 |
INFLUENZA-FLULAVAL |
67 |
INFLUENZA-FLUMIST |
68 |
INFLUENZA-FLUZONE >3YRS |
69 |
INFLUENZA-FLUZONE >3YRS PFREE |
70 |
INFLUENZA-FLUZONE 6-35 MNTH |
71 |
INFLUENZA-FLUZONE 6-35MN PFREE |
72 |
INFLUENZA-SEASONAL INJECTABLE |
73 |
INFLUENZA-SEASONAL INJCT PFREE |
74 |
ACEL-IMMUNE |
75 |
ACTHIB |
78 |
ANTHRAX |
80 |
AVAC-1 |
81 |
BCG |
83 |
BIORAB |
84 |
BIOTHRAX |
85 |
BOTULINUM ANTITOXIN |
86 |
CERTIVA |
87 |
CERVARIX |
89 |
CMV-IGIV |
90 |
COMVAX |
91 |
DAPTACEL |
92 |
DECAVAC |
94 |
DIPHTHERIA ANTITOXIN |
95 |
DRYVAX |
97 |
DTAP-HEP B-IPV |
98 |
DTAP-HIB |
100 |
DTAP-HIB-IPV |
101 |
DTAP-IPV-HIB-HEP B-HISTORICAL |
102 |
ENGERIX-B ADULT |
103 |
ENGERIX-B DIALYSIS 4 DOSE |
104 |
ENGERIX-B PED/ADOL |
105 |
FLUZONE INTRADERMAL |
106 |
GARDASIL |
116 |
HEP A/HEP B |
119 |
HAVRIX ADULT |
121 |
HEP B DIALYSIS (3 DOSE) |
125 |
HIB (PRP-OMP) |
126 |
HIB (PRP-T) |
128 |
HPV (BIVALENT) |
129 |
HPV (QUADRIVALENT) |
130 |
IG IM |
131 |
IG IV |
133 |
IG-GAMASTAN |
134 |
IG-GAMMAR |
135 |
IMOGAM RABIES HT |
136 |
IMOVAX |
137 |
INFANRIX |
139 |
IPOL |
140 |
IXIARO |
141 |
JAPNSE ENCEPHALITIS - SC |
142 |
JAPNSE ENCEPHALITIS - IM |
143 |
JE-VAX |
151 |
MENACTRA |
152 |
MENOMUNE A/C/Y/W-135 |
153 |
MENVEO |
154 |
MERUVAX II |
155 |
MMR II |
156 |
MMRV |
157 |
MYCOBAX |
162 |
PLAGUE |
164 |
PNEUMOVAX 23 |
165 |
PNU-IMUNE 23 |
167 |
PREVNAR 13 |
168 |
PREVNAR 7 |
171 |
RABAVERT |
172 |
RABIES INTRADERMAL |
173 |
RECOMBIVAX-HB ADULT |
174 |
RECOMBIVAX-HB DIALYSIS |
175 |
RECOMBIVAX-HB PED/ADOL |
176 |
RECOMBIVAX-HB PED/ADOL 2 DOSE |
177 |
RESPIGAM |
180 |
RIG |
181 |
RIG - HT |
182 |
ROTASHIELD |
183 |
ROTAVIRUS-ORAL |
184 |
RSV-IGIM |
185 |
RSV-IGIV |
187 |
SMALLPOX |
189 |
SYNAGIS |
190 |
TD - P FREE |
191 |
TD (ADULT)-NOT ABSORBED |
193 |
TDAP |
194 |
TETANUS TOXOID |
195 |
TETANUS TOXOID-NOT ABSORBED |
197 |
TICE BCG |
198 |
TIG |
199 |
TRIHIBIT |
200 |
TRI-IMMUNOL |
201 |
TRIPEDIA |
202 |
TRIVIVAC |
204 |
TYPHIM VI |
205 |
TYPHOID PARENTERAL-AKD |
206 |
TYPHOID-VICPS |
208 |
VACCINIA IG |
209 |
VAQTA ADULT |
210 |
VAQTA PED/ADOL |
211 |
VARIVAX |
215 |
VIVOTIF |
216 |
VZIG (VARICELLA IG) |
217 |
YF-VAX |
218 |
MUMPSVAX |
219 |
TYPHOID PARENTERAL (H-P) |
220 |
ADENOVIRUS TYPES 4 & 7 |
229 |
DTAP - 5 PERTUSSIS ANTIGENS |
232 |
MENINGOCOCCAL MPSV4 |
238 |
RABIES, INTRAMUSCULAR |
239 |
TD ABSORBED |
240 |
PEDVAXHIB |
241 |
MENINGOCOCCAL (MCV4O) |
242 |
MENINGOCOCCAL (MCV4P) |
243 |
HEP B - ADULT |
244 |
HEP B - DIALYSIS (4 DOSE) |
245 |
INFLUENZA-FLUARIX >3YRS |
246 |
INFLUENZA-FLUARIX 6-35MNTH |
247 |
INFLUENZA-FLUVIRIN >3YRS |
248 |
INFLUENZA-FLUVIRIN 6-35MNTH |
250 |
VACCINIA (SMALLPOX) - DILUTED |
252 |
DT PRESERVATIVE FREE |
The value of "LEAD" may also be used in this field to record the completion of a lead screening test. Refer to the field for Lead Screening Test Method.
Immunization Shot Date CHR 10 Required
This field must contain the date the immunization shot was administered in the format "MM/DD/YYYY." It is also required for the TB skin test or lead screening test.
Immunization Number in Series CHR 1 Optional
This field can contain the sequential number used to designate the occurrence of an immunization shot when there can be multiple shots of a single type given in a series. This field may be left blank since Cornerstone does not use this field directly to determine immunization status.
Immunization Exemption Code CHR 4 Optional
This code field may be used to record immunization shot exemptions or contraindication codes. This field should normally be left blank unless the participant does not actually receive the intended shot. The following code values are allowed:
"M" Disease History
"R" Religious Contraindication
"U" MED Contraindication-Unprotected
Provider ID Number CHR 9 Optional
This field may contain the provider identifier assigned to the provider in Cornerstone as contained in the provider code table. This field will be used to identify the specific agency that administered the shot. If the shot was administered by the user's clinic, the provider ID number as assigned in Cornerstone must be used to indicate that this shot was given at the user's clinic.
Biologic Lot Number CHR 10 Optional
This field may contain the biologic inventory lot number assigned to the user's immunization inventory for shots administered. This field will be used for information purposes only and will not be used to update the Cornerstone biologics inventory.
Clinic Location Code CHR 2 Optional
This field should normally be left blank unless the user is using the Location Code in Cornerstone to designate multiple service locations for the user's clinic operations. If this is the case, this field can be used to identify a specific service location for the immunization shot.
TB Result Reaction Code CHR 4 Optional
This field should be used to record the result of the TB skin test for shot type "10 ." The following reaction code values are allowed:
"TBNG" Negative TB Skin Test
"TBNR" Not Read TB Skin Test
"TBPS" Positive TB Skin Test
This field may also be used to record the result of the lead screening test for shot type "LEAD." In this case the field may contain a numeric field in the format "999." The lead result is measured in micrograms per deciliter and should be rounded to a whole number. Note that lead screening test will be posted to the Cornerstone child visit health record. If this is not a TB or lead test record, this field should be left blank.
Lead Screening Test Method CHR 4 Optional
This field should only be used to record alead screening test method for shot type "LEAD." Otherwise, it should be left blank. The following code values are allowed:
"0" Blank
"1" Venous
"2" Finger Stick
"3" Unknown
Place of Service Code CHR 4 Required
This field can be used to designate the type of organization where the shot was administered. If the user's clinic administered the shot, use the code value for Clinic. The following code values are allowed:
"1" Inpatient Hospital
"2" Outpatient Hospital
"3" Doctor's Office
"4" Patient's Home
"5" Day Care Facility
"6" Clinic
"7" Other
"8" IBBCP Lead or Consortia Agency
Provider Name CHR 50 Optional
This field can contain the provider's name. It would normally be used if a provider ID number were not available.
Comments CHR 70 Optional
This field may be used for other comments regarding the immunization shot record.
Date of Last Update To This Data CHR 10 Optional
Same usage as for the Demographic Record element.
Record Status Code CHR 1 Leave Blank
This field is reserved for future use and should be left blank.
D.5 DATA ELEMENT - CODE TABLE
Participant Address State CHR 4
AK Alaska
AL Alabama
AR Arkansas
AS American Samoa
AZ Arizona
CA California
CO Colorado
CT Connecticut
DC District of Columbia
DE Delaware
FL Florida
FM Federated States of Micronesia
GA Georgia
GU Guam
HI Hawaii
IA Iowa
ID Idaho
IL Illinois
IN Indiana
KS Kansas
KY Kentucky
LA Louisiana
MA Massachusetts
MD Maryland
ME Maine
MH Marshall Islands
MI Michigan
MN Minnesota
MO Missouri
MP Northern Mariana Islands
MS Mississippi
MT Montana
NC North Carolina
ND North Dakota
NE Nebraska
NH New Hampshire
NJ New Jersey
NM New Mexico
NV Nevada
NY New York
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
PR Puerto Rico
PW Palau
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VA Virginia
VI Virgin Islands
VT Vermont
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Contact Person Relationship Code CHR 4
AD Adopted Daughter
AN Aunt
AS Adopted Son
BR Brother
CO Cousin
DA Daughter
DF Daughter in Foster Care
FA Father
FD Foster Daughter
FF Foster Father
FL Father in Law
FM Foster Mother
FP Foster Parent
FR Financially Responsible Contact
FS Foster Son
GD Grand Daughter
GF Grand Father
GM Grand Mother
GS Grand Son
HU Husband
LG Legal Guardian
LR Legally Responsible Contact
ML Mother in Law
MO Mother
NE Nephew
NI Niece
OT Other
SD Step Daughter
SF Son in Foster Care
SFTR Step Father
SG Surrogate Parent
SI Sister
SMTR Step Mother
SO Son
SP Spouse
SS Step Son
UN Uncle
WF Wife
Participant County of Residence
Code CHR 4
001 Adams
003 Alexander
005 Bond
007 Boone
009 Brown
011 Bureau
013 Calhoun
015 Carroll
017 Cass
019 Champaign
021 Christian
023 Clark
025 Clay
027 Clinton
029 Coles
031 Cook
033 Crawford
035 Cumberland
037 Dekalb
039 Dewitt
041 Douglas
043 Dupage
045 Edgar
047 Edwards
049 Effingham
051 Fayette
053 Ford
055 Franklin
057 Fulton
059 Gallatin
061 Greene
063 Grundy
065 Hamilton
067 Hancock
069 Hardin
071 Henderson
073 Henry
075 Iroquois
077 Jackson
079 Jasper
081 Jefferson
083 Jersey
085 JoDaviess
087 Johnson
089 Kane
091 Kankakee
093 Kendall
095 Knox
097 Lake
099 LaSalle
101 Lawrence
103 Lee
105 Livingston
107 Logan
109 McDonough
111 McHenry
113 McLean
115 Macon
117 Macoupin
119 Madison
121 Marion
123 Marshall
125 Mason
127 Massac
129 Menard
131 Mercer
133 Monroe
135 Montgomery
137 Morgan
139 Moultrie
141 Ogle
143 Peoria
145 Perry
147 Piatt
149 Pike
151 Pope
153 Pulaski
155 Putnam
157 Randolph
159 Richland
161 Rock Island
163 St Clair
165 Saline
167 Sangamon
169 Schuyler
171 Scott
173 Shelby
175 Stark
177 Stephenson
179 Tazewell
181 Union
183 Vermilion
185 Wabash
187 Warren
189 Washington
191 Wayne
193 White
195 Whiteside
197 Will
199 Williamson
201 Winnebago
203 Woodford
217 Upspec in IL
900 Out of State
D.6 Example Reports
D.6.1 Example of Edit Error Report (HSPR0410)
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D.6.2 Example of Update Error Report(HSPR0411)
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D.6.3 Example of Potential Duplicate Participant Report (HSPR0412)
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