Territories - Reporting (Additional Data Elements RUBELLA)

(NNDSS) Rubella (Data Elements)

Att 6 - Vaccine Data.xlsx

Territories - Reporting (Additional Data Elements RUBELLA)

OMB: 0920-0728

Document [xlsx]
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PHIN Variable ID Data Element Name Data Element Description
VAC101 Vaccine administered product type Indicates which product (vaccine) was administered
VAC103 Vaccine administered date Indicates the date that the vaccine was administered.
VAC120 Vaccine dose number Indicates the dose number in series
VAC107 Vaccine product manufacturer Indicates the company which manufactured the vaccine
VAC108 Vaccine Lot Number Indicates the lot number for the vaccine administered
VAC109 Vaccine Lot Expiration Date Indicates the expiry date for the vaccine administered
48766-0 Vaccine Event information source Indicates whether the vaccine was administered by the provider organization recording the immunization or obtained from a historical record
59779-9 Immunization Schedule used Identifies the schedule used for immunization evaluation and forecast.
71798-3 Exemption/refusal reason Indicates the reason the patient is either exempt from the immunization or refuses the immunization
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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