| 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 |