Territories - One time addition of diseases and data elements

National Notifiable Diseases Surveillance System (NNDSS)

Att 10 - Vaccine Data.xlsx

Territories - One time addition of diseases and data elements

OMB: 0920-0728

Document [xlsx]
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Data Element Name Data Element Description Value Set Code
Vaccine administered product type Indicates which product (vaccine) was administered
PHVS_VaccinesAdministered_VZ
Vaccine administered date Indicates the date that the vaccine was administered.
N/A
Vaccine dose number Indicates the dose number in series
N/A
Vaccine product manufacturer Indicates the company which manufactured the vaccine PHVS_ManufacturersOfVaccinesMVX_CDC_NIP
Vaccine Lot Number Indicates the lot number for the vaccine administered N/A
Vaccine Lot Expiration Date Indicates the expiry date for the vaccine administered N/A
Vaccine Event information source Indicates whether the vaccine was administered by the provider organization recording the immunization or obtained from a historical record PHVS_VaccineEventInformation Source_NND
Immunization Schedule used Identifies the schedule used for immunization evaluation and forecast. N/A
Exemption/refusal reason Indicates the reason the patient is either exempt from the immunization or refuses the immunization N/A
National Drug Code (NDC) NDC from the vaccine's bar code can be used to obtain vaccine brand name and manufacturer. N/A
Vaccination Record Identifier Vaccination record identifier N/A
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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