Immunization Data Submission and Response Guidelines Alberta Health Version 6.6 March, 2021 Superseded Alberta Health Immunization Data Submission and Response Guidelines March 2021 Table of Contents A. DATA SUBMISSION GUIDELINE ........................................................................................................ 1 1. INTRODUCTION ................................................................................................................................... 1 2. SUBMISSION FILE NAMING CONVENTION ............................................................................................ 2 3. SUBMISSION FILE STRUCTURE ............................................................................................................ 3 OVERVIEW .............................................................................................................................................. 3 RECORD DESCRIPTIONS .......................................................................................................................... 4 Version Record ................................................................................................................................................ 4 Header Record ................................................................................................................................................ 4 Patient Record ................................................................................................................................................. 4 Immunization Record ....................................................................................................................................... 5 Antigen Count Record...................................................................................................................................... 6 Not Immunized Record .................................................................................................................................... 7 Antigen Not Administered Record .................................................................................................................... 7 Footer Record .................................................................................................................................................. 7 4. SUBMISSION TYPE USAGE .................................................................................................................. 8 RULES FOR ADDING DATA ....................................................................................................................... 8 RULES FOR DELETING DATA .................................................................................................................... 8 RULES FOR CHANGING DATA ................................................................................................................... 8 5. DATA ELEMENTS .............................................................................................................................. 10 VERSION RECORD ................................................................................................................................ 11 Record Type .................................................................................................................................................. 11 DSG Version Number .................................................................................................................................... 11 HEADER RECORD ................................................................................................................................. 12 Record Type .................................................................................................................................................. 12 Submitter Prefix ............................................................................................................................................. 12 Batch Number ................................................................................................................................................ 14 PATIENT RECORD ................................................................................................................................. 15 Record Type .................................................................................................................................................. 15 Record Number ............................................................................................................................................. 15 Unique Lifetime Identifier (ULI) ...................................................................................................................... 15 Provincial Health Number Type ..................................................................................................................... 16 Provincial Health Number .............................................................................................................................. 16 Alternate Person Identifier Type .................................................................................................................... 17 Alternate Person Identifier ............................................................................................................................. 17 Last Name ..................................................................................................................................................... 17 Given Name ................................................................................................................................................... 18 Middle Name .................................................................................................................................................. 18 Address Type ................................................................................................................................................. 18 Street Address 1 ............................................................................................................................................ 18 Street Address 2 ............................................................................................................................................ 19 Street Address 3 ............................................................................................................................................ 19 Street Address 4 ............................................................................................................................................ 19 City Name ...................................................................................................................................................... 19 Province Code ............................................................................................................................................... 20 Country Code ................................................................................................................................................. 20 Postal Code ................................................................................................................................................... 25 Quarter Section Code .................................................................................................................................... 26 Section ................................Superseded........................................................................................................................... 26 Township ....................................................................................................................................................... 26 Range ............................................................................................................................................................ 27 Meridian ......................................................................................................................................................... 27 Birth Date ....................................................................................................................................................... 27 Gender Code ................................................................................................................................................. 28 Homeless/Indigent Flag ................................................................................................................................. 28 IMMUNIZATION RECORD ........................................................................................................................ 29 Record Type .................................................................................................................................................. 29 Record Number ............................................................................................................................................. 29 Unique Lifetime Identifier (ULI) ...................................................................................................................... 29 ________________________________________________________________________________________________________ © 2021 Government of Alberta Alberta Health Immunization Data Submission and Response Guidelines March 2021 Submission Type ..........................................................................................................................................