Required Patient Data


Administrative Office (No services offered at this location)
111 Soledad, Suite 10000
San Antonio, TX 78205

See a complete listing of our Clinics & Locations.


HL7 Required Patient Data

Patient Demographics
  • First Name
  • Last Name
  • Middle Name (separate from first name field)
  • Date of Birth
  • Mother’s maiden name (last name before marriage)
  • Phone number (area code required)
  • Address (physical required, mailing optional)
    • County
  • Insurance company/Insurance ID
    • Used to help identify duplicate records only
    • Can put “other” if company is unknown
    • VFC providers must provide Medicaid information on eligible patients
  • VFC eligibility
    • Enrolled in Medicaid
    • Does not have Health Insurance
    • American Indian or Alaskan Native
    • Is underinsured (FQHCP)
    • Enrolled in CHIP
    • Not VFC Eligible
  • if EMR doesn’t capture info, will be “unknown” in SAIRS
  • if EMR does capture info, must be standard VFC codes
Vaccine Administration Data
  • Vaccine Type (CVX code preferred)
  • Lot Number
  • Manufacturer
  • Body Site
  • Route of Administration
  • Date of Administration

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