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
IMM01
Industry Code
String (AN)
Mandatory
1
30
1
Code indicating a code from a specific industry code list
IMM01 and IMM06 refer to Immunization Type.
IMM02
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
1
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
IMM03
Date Time Period
String (AN)
Conditional
1
35
1
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.
IMM04
Immunization Status Code
Identifier (ID)
Conditional
1
2
1
Code indicating the status of an immunization conducted on a person
IMM05
Report Type Code
Identifier (ID)
Optional
2
2
1
Code indicating the title or contents of a document, report or supporting item
IMM06
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
1
Code identifying a specific industry code list

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