| PatientPracticeGuid |
Guid |
Unique identifier representing a patient |
| ImmunizationGuid |
Guid |
Unique identifier for the immunization record |
| Type |
String |
Type of Immunization record (Administered, Historical or Refused) |
| Vaccine |
String |
Name of the vaccine |
| IsPartiallyAdministered |
Boolean |
True, if the vaccine was partially administered |
| VaccinationOrEffectiveDate |
DateField |
Date when the vaccination was administered or effective date if the vaccine was refused |
| VaccinationTime |
String |
Time when the vaccination was administered |
| SourceOfInformation |
String |
Source of information gathered for a Historical vaccine |
| OrderingProviderGuid |
Guid? |
Unique identifier representing the provider who ordered the vaccine |
| AdministeredByProviderGuid |
Guid? |
Unique identifier representing the provider who administered the vaccine |
| FacilityGuid |
Guid? |
Unique identifier representing the facility where the vaccine was administered |
| ManufacturerName |
String |
Name of the vaccine manufacturer |
| Ndc |
String |
National drug code related to the vaccine |
| Lot |
String |
Lot number assigned to the vaccine by the manufacturer |
| Quantity |
String |
Quantity of vaccine administered |
| Dose |
String |
Dose of vaccine administered |
| Units |
String |
Unit of measurement for the dose |
| ExpirationDate |
DateField |
Date of expiration of the vaccine |
| Route |
String |
Route used for the administered vaccine |
| BodySite |
String |
Part of the body where the vaccine was administered |
| VisConceptName |
String |
Vaccine Information Statement (VIS) document type description |
| EditionDate |
DateField |
Edition date associated to the VIS record |
| VisConceptCode |
String |
Concept code associated to the VIS record |
| Hl7Code |
String |
HL7 code associated to the VIS record |
| FundingSourceCode |
String |
Code representing the source of funding used for the vaccine |
| FundingSourceCodeSystem |
String |
Code system associated with source of funding code |
| FundingSourceName |
String |
Name associated with funding source code |
| VfcFinancialClass |
String |
Vaccine for children (VFC) eligibility category |
| SpecialIndication |
String |
Special group indication (optional) |
| Reaction |
String |
Any reaction recorded after vaccine administration |
| Comments |
String |
Comments associated with the immunization record |
| RejectionReason |
String |
Reason for vaccine rejection |
| RejectionReasonLoincCode |
String |
LOINC code associated with the reason for vaccine rejection |
| LastModifiedByProfileGuid |
Guid |
Unique identifier representing the profile who last modified this record |
| LastModifiedDateTimeUtc |
DateTime |
UTC Date and time when the record was last modified |
