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| Electronic Data Transfer: ALERT Data Field List | |
Below is a complete list of ALERT data elements. | |
| Demographic Data Elements | |
| ID | |
| Demographic Record Flags | |
| Restrictions | |
| First Name | |
| Middle Name | |
| Last Name | |
| Suffix | |
| DOB | |
| DOB Date Status | |
| Date Deceased | |
| Date Deceased Status | |
| Child’s Gender | |
| Child’s State of Birth | |
| Mother’s First Name | |
| Mother’s Middle Name | |
| Mother’s Last Name | |
| Mother’s Name Suffix | |
| Mother’s Maiden Name | |
| Mother’s HbsAg Status | |
| Address1 – Line 1 | |
| Address1 – Line 2 | |
| Address1 – City | |
| Address1 – State | |
| Address1 – Zip | |
| Address1 Type | |
| Address2 – Line 1 | |
| Address2 – Line 2 | |
| Address2 – City | |
| Address2 – State | |
| Address2 – Zip | |
| Address2 Type | |
| First Phone Number | |
| First Phone Extension | |
| First Phone Type | |
| Second Phone Number | |
| Second Phone Extension | |
| Second Phone Type | |
| Child’s Race | |
| Ethnicity | |
| Language Written/Read | |
| Language Spoken | |
| SSN | |
| Medicaid Number | |
| Clinic Site | |
| Provider Name | |
| Date of Last Update | |
| Date deleted | |
| Delete Reason | |
| Vaccination Data Elements | |
| ID | |
| Record Type | |
| Record Identifier | |
| Vaccination Record Flags | |
| Vaccine | |
| Dose Number | |
| Dose Amount | |
| Manufacturer | |
| Lot Number | |
| Immunization Administration Site | |
| Immunization Administration Route | |
| Immunization Date | |
| Immunization Date Status | |
| VFC Eligibility | |
| Vaccine Given By | |
| Clinic Site | |
| Date of Last Update | |
| Date deleted | |
| Reason deleted | |
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Related Data Exchange Documentation: | |