IMM Immunization Status Code

To provide the receiving school district or postsecondary institution with a notice of the immunization status of the student

Position
Element
Name
Type
Requirement
Min
Max
Repeat
IMM-01
Immunization Type Code
Identifier (ID)
Mandatory
3
6
-
The type of immunization a person received.
IMM-02
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format.
P0203: If either IMM-02 or IMM-03 is present, then the other is required
IMM-03
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times.
C0304: If IMM-03 is present, then IMM-04 is required
IMM03 gives the date of the immunization.
IMM-04
Immunization Status Code
Identifier (ID)
Conditional
1
2
-
Code indicating the status of an immunization conducted on a person.
IMM-05
Report Type Code
Identifier (ID)
Optional
2
2
-
Code indicating the title or contents of a document, report or supporting item

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