STANDARD DATA DICTIONARY #9000080.11 -- V IMMUNIZATION DELETED FILE 3/24/25 PAGE 1
STORED IN ^AUPDVIMM( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains entries that were deleted out of the V IMMUNIZATION file (#9000010.11). Immediately prior to deleting an entry
from the V IMMUNIZATION file, a copy of the record is made and filed here. The date/time of deletion and the user that deleted the
record will be recorded. Entries in this file should not be edited or deleted.
Note: Any time Data Dictionary (DD) changes are made to the V IMMUNIZATIION file, corresponding DD changes should be made to this
file as well.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: PATIENT NAME (#.02)[R], VISIT (#.03)[R]
CROSS
REFERENCED BY: VISIT(AD), VISIT(AV10), IMMUNIZATION(B), PATIENT NAME(C), DATE/TIME DELETED(DD)
INDEXED BY: DISCLOSURE DATE/TIME & AGENCY (ADA), DISCLOSURE DATE/TIME (ADP)
LAST MODIFIED: NOV 18,2016@17:22:31
9000080.11,.01IMMUNIZATION 0;1 POINTER TO IMMUNIZATION FILE (#9999999.14) (Required)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the name of the immunization given to the patient.
DESCRIPTION:
This is the type of immunization that was given to the patient at the encounter.
UNEDITABLE
CROSS-REFERENCE: 9000080.11^B
1)= S ^AUPDVIMM("B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM("B",$E(X,1,30),DA)
9000080.11,.02PATIENT NAME 0;2 POINTER TO PATIENT/IHS FILE (#9000001) (Required)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the patient who was given the immunization.
DESCRIPTION:
This is the patient who was given the immunization.
TECHNICAL DESCR: This is a pointer the Patient/IHS file (#9000001), which is dinumed to the PATIENT file (#2). This
field is always stuffed by the application. No editing is allowed.
UNEDITABLE
CROSS-REFERENCE: 9000080.11^C
1)= S ^AUPDVIMM("C",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM("C",$E(X,1,30),DA)
This cross reference provides a look-up of immunizations by patient name.
9000080.11,.03VISIT 0;3 POINTER TO VISIT FILE (#9000010) (Required)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the visit date/time for the encounter where the immunization was given.
DESCRIPTION: This is the encounter defined in the Visit file that represents when and where the immunization was
given.
TECHNICAL DESCR: This is a pointer to the Visit File (#9000010). This field is stuffed by the applications. No
editing is allowed.
UNEDITABLE
CROSS-REFERENCE: 9000080.11^AD
1)= S ^AUPDVIMM("AD",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM("AD",$E(X,1,30),DA)
This cross reference is used for searches by the visit pointer and internal entry number.
"AD",VISIT pointer, DA
CROSS-REFERENCE: 9000080.11^AV10^MUMPS
1)= D ADD^AUPNVSIT
2)= D SUB^AUPNVSIT
This cross-reference adds and subtracts from the dependent entry count in the VISIT file.
9000080.11,.04SERIES 0;4 SET
Series
'P' FOR PARTIALLY COMPLETE;
'C' FOR COMPLETE;
'B' FOR BOOSTER;
'1' FOR SERIES 1;
'2' FOR SERIES 2;
'3' FOR SERIES 3;
'4' FOR SERIES 4;
'5' FOR SERIES 5;
'6' FOR SERIES 6;
'7' FOR SERIES 7;
'8' FOR SERIES 8;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the series number, booster, partial or complete.
DESCRIPTION: This field allows the provider to specify which series of immunization type was given to the
patient.
UNEDITABLE
9000080.11,.05LOT 0;5 POINTER TO IMMUNIZATION LOT FILE (#9999999.41)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the lot of the immunization being administered.
DESCRIPTION:
This Indian Health Service field indicates the lot number associated with this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
APCDALVR Variable = APCDALVR("APCDTLOT")
UNEDITABLE
9000080.11,.06REACTION 0;6 SET
'1' FOR FEVER;
'2' FOR IRRITABILITY;
'3' FOR LOCAL REACTION OR SWELLING;
'4' FOR VOMITING;
'5' FOR RASH OR ITCHING;
'6' FOR LETHARGY;
'7' FOR CONVULSIONS;
'8' FOR ARTHRITIS OR ARTHRALGIAS;
'9' FOR ANAPHYLAXIS OR COLLAPSE;
'10' FOR RESPIRATORY DISTRESS;
'11' FOR OTHER;
'0' FOR NONE;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the number representing the patients reaction to the immunization.
DESCRIPTION: This is the reaction that may have been observed by the provider as a result of the immunization
given.
UNEDITABLE
9000080.11,.07CONTRAINDICATED 0;7 SET
'1' FOR YES (DO NOT REPEAT THIS VACCINE).;
'0' FOR NO (OK TO USE IN THE FUTURE);
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter 1 if this immunization should not be given to the patient in the future.
DESCRIPTION: This field allows the immunization to be recorded as contraindicated. Reminders will include a
check to see if the previous immunization was contraindicated before creating reminders.
UNEDITABLE
9000080.11,.08DOSE OVERRIDE 0;8 SET
'0' FOR @;
'1' FOR INVALID--BAD STORAGE;
'2' FOR INVALID--DEFECTIVE;
'3' FOR INVALID--EXPIRED;
'4' FOR INVALID--ADMIN ERROR;
'9' FOR FORCED VALID;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the reason for this dose override.
DESCRIPTION:
This Indian Health Service field indicates the dose override status of this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.09INJECTION SITE 0;9 SET
'LTI' FOR Left Thigh IM;
'LTS' FOR Left Thigh SQ;
'RTI' FOR Right Thigh IM;
'RTS' FOR Right Thigh SQ;
'BTI' FOR Both Thighs IM;
'LDI' FOR Left Delt IM;
'LAS' FOR Left Arm SQ;
'RDI' FOR Right Delt IM;
'RAS' FOR Right Arm SQ;
'O' FOR Oral;
'IN' FOR Nasal;
'LID' FOR Left Arm Intradermal;
'RID' FOR Right Arm Intradermal;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the body site where the injection was given.
DESCRIPTION:
This Indian Health Service field identifies the body site where the immunization was administered.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.11VOLUME 0;11 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>5)!(X<0)!(X?.E1"."3N.N) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Type a Number between 0 and 5, 2 Decimal Digits
DESCRIPTION: This Indian Health Service field indicates the volume of vaccine administered for this
immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.12DATE OF VAC INFO STATEMENT 0;12 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date the vaccine information statement for this vaccine was offered to the patient.
DESCRIPTION: This Indian Health Service field indicates the date the vaccine information statement associated
with this immunization was offered/given to the patient.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.13CREATED BY V CPT ENTRY 0;13 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the IEN of the V CPT entry that created this V Immunization.
DESCRIPTION: This Indian Health Service field identifies the V CPT entry, if any, that created this V
Immunization entry.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.14VAC ELIGIBILITY 0;14 POINTER ***** TO AN UNDEFINED FILE (#9002084.83), STORED IN ^BIELIG *******
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the patient's VFC Eligibility on this visit.
DESCRIPTION: This Indian Health Service field indicates the Vaccine for Children (VFC) Program eligibility for
this patient on this visit.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
This field points to Indian Health Service's BI TABLE ELIGIBILITY CODES file (#9002084.83) which is
not used by the Department of Veterans Affairs.
UNEDITABLE
9000080.11,.15IMPORT FROM OUTSIDE REGISTRY 0;15 SET
'1' FOR IMPORTED;
'0' FOR NOT IMPORTED;
'2' FOR EDITED AFTER IMPORT;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter 1 if this immunization was imported from an outside registry.
DESCRIPTION: This Indian Health Service field indicated the import status of this immunization from an outside
registry.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,.16NDC 0;16 POINTER ***** TO AN UNDEFINED FILE (#9002084.95), STORED IN ^BINDC *******
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the NDC Code for this immunization. Enter
DESCRIPTION:
This Indian Health Service field identifies the National Drug Code (NDC) for this vaccine.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
This field points to Indian Health Service's BI TABLE NDC CODES file (#9002084.95) which is not
used by the Department of Veterans Affairs.
UNEDITABLE
9000080.11,1 ADMINISTRATIVE NOTES 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>160!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 1-160 characters in length
DESCRIPTION: This Indian Health Service field is a free text field used to document administrative information
about this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,2 VIS OFFERED/GIVEN TO PATIENT 2;0 POINTER Multiple #9000080.112 (Add New Entry without Asking)
DESCRIPTION: This is the Vaccine Information Statement (VIS) that was offered to the patient prior to the
administration of the immunization, along with the date/time it was offered.
9000080.112,.01 VIS OFFERED/GIVEN TO PATIENT 0;1 POINTER TO VACCINE INFORMATION STATEMENT FILE (#920) (Multiply asked)
VIS Offered/Given to the Patient
OUTPUT TRANSFORM: NOT EXECUTABLE!! -- SPECIFIER NEEDS AN "O"!
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the VIS offered /given to the patient.
DESCRIPTION: This is the name of the Vaccine Information Statement offered to or given to the patient before
administration of the immunization.
UNEDITABLE
CROSS-REFERENCE: 9000080.112^B
1)= S ^AUPDVIMM(DA(1),2,"B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM(DA(1),2,"B",$E(X,1,30),DA)
9000080.112,.02 DATE VIS OFFERED/GIVEN 0;2 DATE
Date VIS Offered/Given
INPUT TRANSFORM: S %DT="EXP" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date the VIS was offered/given to the patient.
DESCRIPTION:
This is the date the Vaccine Information Statement was offered to or given to the patient.
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
9000080.11,3 OTHER DIAGNOSIS 3;0 POINTER Multiple #9000080.113
DESCRIPTION: This is a list of diagnoses for this immunization event, in addition to the Primary Diagnosis
selected for this event.
TECHNICAL DESCR: This is a multiple of diagnoses for this immunization event. They are in addition to the PRIMARY
DIAGNOSIS. They are selected from the ICD DIAGNOSIS file (#80).
9000080.113,.01 OTHER DIAGNOSIS 0;1 POINTER TO ICD DIAGNOSIS FILE (#80) (Multiply asked)
Other Diagnosis
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select a diagnosis for this immunization event.
DESCRIPTION: This is a diagnosis for this immunization event, in addition to the PRIMARY DIAGNOSIS. A primary
diagnosis should be selected before selecting one here.
TECHNICAL DESCR: This is a diagnosis for this immunization event. It is in addition to the PRIMARY DIAGNOSIS for
this event. This diagnosis is selected from the ICD DIAGNOSIS file (#80).
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 9000080.113^B
1)= S ^AUPDVIMM(DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM(DA(1),3,"B",$E(X,1,30),DA)
9000080.11,820DISCLOSED TO 820;0 POINTER Multiple #9000080.1182
DESCRIPTION:
A list of agencies this record has been disclosed to.
9000080.1182,.01AGENCY 0;1 POINTER TO IMM EXTERNAL AGENCY FILE (#920.71) (Multiply asked)
LAST EDITED: JUN 17, 2016
HELP-PROMPT: Select the agency this record has been disclosed to.
DESCRIPTION:
This is the agency this record has been disclosed to.
UNEDITABLE
CROSS-REFERENCE: 9000080.1182^B
1)= S ^AUPDVIMM(DA(1),820,"B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM(DA(1),820,"B",$E(X,1,30),DA)
RECORD INDEXES: ADA (#1402) (WHOLE FILE #9000080.11)
9000080.1182,.02DISCLOSURE DATE/TIME 0;2 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 22, 2016
HELP-PROMPT: Enter the date/time this record was disclosed to the agency.
DESCRIPTION:
This is the date/time this record was disclosed to the agency.
UNEDITABLE
RECORD INDEXES: ADA (#1402) (WHOLE FILE #9000080.11), ADP (#1403) (WHOLE FILE #9000080.11)
9000080.11,1101REMARKS 11;0 WORD-PROCESSING #9000080.1111
DESCRIPTION:
This is additional comments or remarks related to the immunization given to the patient.
LAST EDITED: OCT 07, 1986
HELP-PROMPT: Enter comments related to the immunization encounter with the patient.
DESCRIPTION:
This field can be used to enter comments related to the immunization encounter with the patient.
9000080.11,1201EVENT DATE AND TIME 12;1 DATE
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1!$$TIME^PXVUTL X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date and (optional) time the immunization was given.
DESCRIPTION: This is the date and time the immunization was given. This date and time may be different from the
visit date and time. For example, for clinic appointment visits, the visit date and time is the
date and time of the appointment, not the time the provider performed the clinical event.
The date may be an imprecise date such as for an historical immunization.
Date and time may be within 30 days before or after the visit date, with the restriction the date
cannot be a future date.
TECHNICAL DESCR: The PCE User Interface, which allows manual entry of data, will be the primary source of the
immunization date and time. The immunization date prompt defaults to the visit date and the time
is entered to reflect the actual time the immunization was given. The immunization date does not
have to be the visit date, but it must be within 30 days before or after the visit, and not be a
future date.
If the user wants to enter an historical immunization, the user should use the Historical Encounter
entry action to document the historical immunization. Historical entries will not be eligible for
credit.
PCE data sources for automatic (scanning) data capture will be blank unless the immunization date
and time are passed to PCE for filing.
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
9000080.11,1202ORDERING PROVIDER 12;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the provider who ordered this immunization.
DESCRIPTION:
The field can be used to document the provider who ordered the immunization.
UNEDITABLE
9000080.11,1203CLINIC 12;3 POINTER TO CLINIC STOP FILE (#40.7)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select a clinic stop for this Immunization event.
DESCRIPTION:
This Indian Health Service field indicates the clinic stop associated with this visit.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
APCDALVR Variable = APCDALVR("APCDTCLN")
UNEDITABLE
9000080.11,1204ENCOUNTER PROVIDER 12;4 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the provider who gave this immunization.
DESCRIPTION:
This is the provider who gave this immunization.
TECHNICAL DESCR:
This person can be any person in the new person file.
UNEDITABLE
9000080.11,1205DATE/TIME RECORDED 12;5 DATE
Date/Time Recorded
INPUT TRANSFORM: S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 29, 2016
HELP-PROMPT: Enter the date and time of documentation of the administration of the immunization.
DESCRIPTION: This timestamp field is the date and time of documentation of administration of the immunization.
This field is set automatically when the IMMUNIZATION is entered.
WRITE AUTHORITY: ^
UNEDITABLE
9000080.11,1206IMMUNIZATION DOCUMENTER 12;6 POINTER TO NEW PERSON FILE (#200)
Immunization Documenter
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the person who documented this immunization in the system.
DESCRIPTION: This is the person/provider who documented this immunization by entering the data into the system
by whatever means.
UNEDITABLE
9000080.11,1207LOT NUMBER 12;7 POINTER TO IMMUNIZATION LOT FILE (#9999999.41)
Lot Number
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the lot number for this immunization.
DESCRIPTION: This is the lot number of the immunization entered for this event. If historical event, enter lot
number (if known) in Comments.
UNEDITABLE
9000080.11,1208PARENT 12;8 POINTER TO V IMMUNIZATION DELETED FILE (#9000010.11)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the parent event to this one.
DESCRIPTION: This Indian Health Service field indicates the parent immunization, if any, associated with this
immunization, such as for immunizations given in series.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
APCDALVR Variable = APCDALVR("APCDTPNT")
UNEDITABLE
9000080.11,1209EXTERNAL KEY 12;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION: This Indian Health Service free text field identifies the external key associated with this
immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
APCDALVR Variable = APCDALVR("APCDTEXK")
UNEDITABLE
9000080.11,1210OUTSIDE PROVIDER NAME 12;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This Indian Health Service field contains the name of the outside provider associated with this
immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
APCDALVR Variable = APCDALVR("APCDTOPR")
UNEDITABLE
9000080.11,1213ANCILLARY POV 12;13 POINTER TO ICD DIAGNOSIS FILE (#80)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select an ancillary diagnosis for this event.
DESCRIPTION:
This Indian Health Service field indicated the ancillary diagnosis related to this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1214USER LAST UPDATE 12;14 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the user who last updated this immunization event.
DESCRIPTION: This Indian Health Service field indicates the user who last updated information for this
immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1215ORDERING LOCATION 12;15 POINTER TO HOSPITAL LOCATION FILE (#44)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the location within this medical center where this Immunization was ordered.
DESCRIPTION:
This Indian Health Service field indicated the hospital location ordering this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1216DATE/TIME ENTERED 12;16 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date and time this event was entered here.
DESCRIPTION: This Indian Health Service field indicates the date and time that this immunization information was
entered into this record.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1217ENTERED BY 12;17 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the user who first entered this event.
DESCRIPTION:
This Indian Health Service field indicates the user who entered this immunization record.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1218DATE/TIME LAST MODIFIED 12;18 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date and time this event was last modified.
DESCRIPTION: This Indian Health Service field indicates the date and time this immunization record was last
modified.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1219LAST MODIFIED BY 12;19 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the user who last modified this event.
DESCRIPTION:
This Indian Health Service field indicates the user who last modified this immunization record.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
9000080.11,1220WARNING ACKNOWLEDGED 12;20 SET
Warning Acknowledged
'1' FOR YES;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter YES to acknowledge a warning of contraindication/refusal events associated with this
immunization.
DESCRIPTION: This field indicates acknowledgement of a contraindication/refusal events warning for this
immunization with the decision to proceed with administration.
UNEDITABLE
9000080.11,1221TIMESTAMP 12;21 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
LAST EDITED: MAY 17, 2016
HELP-PROMPT: Enter the date/time the record was added or edited.
DESCRIPTION:
Indicates the date/time the record was added or edited.
UNEDITABLE
9000080.11,1301EVENT INFORMATION SOURCE 13;1 POINTER TO IMMUNIZATION INFO SOURCE FILE (#920.1) (Required)
Information Source
LAST EDITED: JUN 29, 2016
HELP-PROMPT: Select the source of this event's information.
DESCRIPTION:
This is the source of the information obtained for this immunization event.
TECHNICAL DESCR: This field is used to note the source of this immunization event. The options available for this
field come from the IMMUNIZATION INFO SOURCE file.
UNEDITABLE
9000080.11,1302ROUTE OF ADMINISTRATION 13;2 POINTER TO IMM ADMINISTRATION ROUTE FILE (#920.2)
Route of Administration
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the route of administration for this event.
DESCRIPTION:
This is the method this vaccine was administered. Select from the list provided.
TECHNICAL DESCR: This is the method by which the vaccine was administered. This is selected from a set of values in
the IMM ROUTE OF ADMINISTRATION file (#920.2).
UNEDITABLE
9000080.11,1303SITE OF ADMINISTRATION (BODY) 13;3 POINTER TO IMM ADMINISTRATION SITE (BODY) FILE (#920.3)
Site of Administration (Body)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the site the vaccine was administered.
DESCRIPTION:
This is the area of the patient's body through which the vaccine was administered.
TECHNICAL DESCR: This is the area of the patient's body through which the vaccine was administered. It is selected
from a list provided by the IMM ADMINISTRATION SITE (BODY) file (#920.3).
UNEDITABLE
9000080.11,1304PRIMARY DIAGNOSIS 13;4 POINTER TO ICD DIAGNOSIS FILE (#80)
Primary Diagnosis
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the primary (or initial) diagnosis for this immunization.
DESCRIPTION: This is the primary (or initial) diagnosis for this immunization event. It is selected from the ISC
DIAGNOSIS file.
TECHNICAL DESCR: This is the primary diagnosis for this immunization. This field is a pointer to the ICD DIAGNOSIS
file (#80). Selection is screened to make sure it's appropriate and active. An immunization event
can have more than one diagnosis - see the OTHER DIAGNOSIS field (#2).
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
9000080.11,1312DOSE 13;12 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."3N.N) X
OUTPUT TRANSFORM: S:Y Y=$FN(Y,",")
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Type a number between 0 and 999, 2 fractional digits.
DESCRIPTION: This is the amount of vaccine product administered for this immunization. The units are expressed
in the DOSE UNITS field (#1313).
UNEDITABLE
9000080.11,1312.5DOSAGE ; COMPUTED
MUMPS CODE: N DIT N DIT S X=$$DOSAGE^PXVUTIL(D0)
ALGORITHM: S X=$$DOSAGE^PXVUTIL(D0)
LAST EDITED: JUN 30, 2016
DESCRIPTION: A computed field that concatenates the DOSE (#1312) and DOSE UNITS (#1313) fields. The resulting
output will look something likes this: ".5 mL".
UNEDITABLE
9000080.11,1313DOSE UNITS 13;13 POINTER TO UCUM CODES FILE (#757.5)
OUTPUT TRANSFORM: S:Y Y=$P($$UCUMCODE^LEXMUCUM(Y),"^")
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the units that reflect the actual quantity of the vaccine product administered.
DESCRIPTION:
This is the units that reflect the actual quantity of the vaccine product administered.
UNEDITABLE
9000080.11,1401RESULTS 14;1 SET
Inoculation Results
'T' FOR TAKE;
'N' FOR NO TAKE;
'I' FOR INDETERMINATE;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter whether the results were Take, No Take or Indeterminate.
DESCRIPTION:
This is the interpretation of the inoculation result.
UNEDITABLE
9000080.11,1402READING 14;2 NUMBER
Reading in Millimeters (mm)
INPUT TRANSFORM: K:+X'=X!(X>40)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter a whole number between 0 and 40.
DESCRIPTION:
This is the objective, measurable reading following the inoculation.
UNEDITABLE
9000080.11,1403DATE/TIME READ 14;3 DATE
Reading Date/Time
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1!$$TIME^PXVUTL X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date and (optional) time the immunization was read.
DESCRIPTION: This is the date and time of the reading of the immunization results. Time entry is optional and
imprecise date is allowed for historical immunizations.
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
9000080.11,1404READER 14;4 POINTER TO NEW PERSON FILE (#200)
Reader of Inoculation Results
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the name of the person who read the inoculation results.
DESCRIPTION:
This is the name of the person who read and interpreted the results of the inoculation.
UNEDITABLE
9000080.11,1405READING RECORDED 14;5 DATE
Date/Time Reading is Recorded
INPUT TRANSFORM: S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the date and time of the reading of the inoculation results.
DESCRIPTION: This timestamp field is the date and time of documentation of reading of the inoculation results.
This field is set automatically when the DATE/TIME READ is entered.
WRITE AUTHORITY: ^
UNEDITABLE
9000080.11,1406HOURS READ POST-INOCULATION 14;6 NUMBER
Hours Between Inoculation and Reading
INPUT TRANSFORM: K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Type a number between 0 and 100, 0 decimal digits.
DESCRIPTION:
This is the number of hours between the inoculation and the reading of the results.
UNEDITABLE
9000080.11,1501READING COMMENT 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>245!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter a reading comment 1-245 characters in length.
DESCRIPTION: This is a comment related to the reading of the patient's inoculation. The provider may enter this
manually via the PCE User Interface.
UNEDITABLE
9000080.11,1601WARNING OVERRIDE REASON 16;1 FREE TEXT
Warning Override Justification
INPUT TRANSFORM: K:$L(X)>245!($L(X)<3) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 3-245 characters in length.
DESCRIPTION:
This is the reason for overriding the warning of existing contraindication and/or refusal reasons.
UNEDITABLE
9000080.11,2601SNOMED CT 26;0 Multiple #9000080.1126 (Add New Entry without Asking)
DESCRIPTION: This Indian Health Service field indicates the SNOMED Clinical Terms (CT) that describe this
immunization and their preferred terms.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
9000080.1126,.01SNOMED CT 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This Indian Health Service field indicates a SNOMED Clinical Term (CT) that describes this
immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
CROSS-REFERENCE: 9000080.1126^B
1)= S ^AUPDVIMM(DA(1),26,"B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM(DA(1),26,"B",$E(X,1,30),DA)
9000080.1126,.019SNOMED PREFERRED TERM ; COMPUTED
MUMPS CODE: N DIT N DIT S DIT(1)=$S($D(^AUPDVIMM(D0,26,D1,0)):^(0),1:"") S X=$P(DIT(1),U,1),X=$$CONCPT^AUPNVUTL
(X)
ALGORITHM: AUPNPT(#.01)
LAST EDITED: JUN 30, 2016
DESCRIPTION: This Indian Health Service field is a preferred term describing the associated SNOMED clinical
term.
TECHNICAL DESCR:This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
9000080.11,2701LOINC CODES 27;0 Multiple #9000080.1127 (Add New Entry without Asking)
DESCRIPTION: This Indian Health Service field is the LOINC codes that identifies this immunization, along with
their descriptions.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
9000080.1127,.01LOINC CODES 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
This Indian Health Service field is a LOINC code that identifies this immunization.
TECHNICAL DESCR: This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
UNEDITABLE
CROSS-REFERENCE: 9000080.1127^B
1)= S ^AUPDVIMM(DA(1),27,"B",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM(DA(1),27,"B",$E(X,1,30),DA)
9000080.1127,.019LOINC TEXT ; COMPUTED
MUMPS CODE: N DIT N DIT S DIT(1)=$S($D(^AUPDVIMM(D0,27,D1,0)):^(0),1:"") S X=$P(DIT(1),U,1),X=$$LOINCPT^AUPNVUT
L(X)
ALGORITHM: AUPNLOINCPT(#.01)
LAST EDITED: JUN 30, 2016
DESCRIPTION:
This Indian Health Service field is LOINC text describing the associated LOINC code.
TECHNICAL DESCR:This field is not used by the Department of Veterans Affairs. It is included for backward
compatibility with the Indian Health Service version of the file.
9000080.11,80101EDITED FLAG 801;1 SET
'1' FOR EDITED;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter 1 if the original immunization data is being edited.
DESCRIPTION: This field is automatically set to 1 if PCE detects that any original immunization data is being
edited.
TECHNICAL DESCR: PCE filing logic automatically compares the before and after pictures of the record to determine if
the edited flag should be set to "1".
UNEDITABLE
9000080.11,80102AUDIT TRAIL 801;2 FREE TEXT
Audit Trail
INPUT TRANSFORM: K:$L(X)>85!($L(X)<2) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Answer must be 2 to 85 characters.
DESCRIPTION: This field is populated automatically by the PCE filing logic. The format of the field is as
follows: Pointer to PCE data source file_"-"_A for Add or E for Edit_" "_DUZ of the person who
entered the data_";"...
TECHNICAL DESCR: The PCE filing logic requires a pointer to the PCE data source file. If this is not passed, the
PCE filing logic will not process the data.
If the record is a new record, then an "A" is used to specify the source that added the data. If
the record existed previously, PCE filing logic compares the old and new records of information.
An "E" will be automatically used if the filing logic finds the data has been edited. If "E" is
used, then the Edited Flag field is automatically set to 1.
The DUZ is stored in its internal format to represent the user who performed the adding or editing
of data for this record.
Iterations of editing will be concatenated to the previous data source value, up to 85 characters.
UNEDITABLE
9000080.11,81101COMMENTS 811;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>245!($L(X)<1) X
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter a comment 1-245 characters in length.
DESCRIPTION: This is a comment related to the patient's immunization. The provider may enter this manually via
the PCE User Interface.
UNEDITABLE
9000080.11,81201VERIFIED 812;1 SET
'1' FOR ELECTRONICALLY SIGNED;
'2' FOR VERIFIED BY PACKAGE;
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter 1 if verified by electronic signature or 2 if verified by package.
DESCRIPTION:
This is used to note how the event was verified and is automatically entered by the software.
TECHNICAL DESCR:
This is automatically entered by the software and is uneditable for users.
UNEDITABLE
9000080.11,81202PACKAGE 812;2 POINTER TO PACKAGE FILE (#9.4)
Package
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Enter the VistA package from which this record originated.
DESCRIPTION: This is the VistA package from which this immunization record originated through PCE.
This is automatically entered by the software and uneditable by users.
UNEDITABLE
9000080.11,81203DATA SOURCE 812;3 POINTER TO PCE DATA SOURCE FILE (#839.7)
LAST EDITED: MAY 16, 2016
HELP-PROMPT: Select the data source for this immunization entry through PCE.
DESCRIPTION: This is the data source for this immunization, automatically entered through the PCS software and
uneditable by users.
UNEDITABLE
9000080.11,88001DELETED BY 880;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUN 17, 2016
HELP-PROMPT: Enter the user that deleted this record from the V IMMUNIZATION file.
DESCRIPTION:
This is the user that deleted this record from the V IMMUNIZATION file.
UNEDITABLE
9000080.11,88002DATE/TIME DELETED 880;2 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 17, 2016
HELP-PROMPT: Enter the date and time this record was deleted from the V IMMUNIZATION file.
DESCRIPTION:
This is the date and time this record was deleted from the V IMMUNIZATION file.
UNEDITABLE
CROSS-REFERENCE: 9000080.11^DD
1)= S ^AUPDVIMM("DD",$E(X,1,30),DA)=""
2)= K ^AUPDVIMM("DD",$E(X,1,30),DA)
3)= Do not delete.
FILES POINTED TO FIELDS
CLINIC STOP (#40.7) CLINIC (#1203)
HOSPITAL LOCATION (#44) ORDERING LOCATION (#1215)
ICD DIAGNOSIS (#80) ANCILLARY POV (#1213)
PRIMARY DIAGNOSIS (#1304)
OTHER DIAGNOSIS:OTHER DIAGNOSIS (#.01)
IMM ADMINISTRATION ROUTE
(#920.2) ROUTE OF ADMINISTRATION (#1302)
IMM ADMINISTRATION SITE (BODY)
(#920.3) SITE OF ADMINISTRATION (BODY) (#1303)
IMM EXTERNAL AGENCY (#920.71) DISCLOSED TO:AGENCY (#.01)
IMMUNIZATION (#9999999.14) IMMUNIZATION (#.01)
IMMUNIZATION INFO SOURCE
(#920.1) EVENT INFORMATION SOURCE (#1301)
IMMUNIZATION LOT (#9999999.41) LOT (#.05)
LOT NUMBER (#1207)
NEW PERSON (#200) ORDERING PROVIDER (#1202)
ENCOUNTER PROVIDER (#1204)
IMMUNIZATION DOCUMENTER (#1206)
USER LAST UPDATE (#1214)
ENTERED BY (#1217)
LAST MODIFIED BY (#1219)
READER (#1404)
DELETED BY (#88001)
PACKAGE (#9.4) PACKAGE (#81202)
PATIENT/IHS (#9000001) PATIENT NAME (#.02)
PCE DATA SOURCE (#839.7) DATA SOURCE (#81203)
UCUM CODES (#757.5) DOSE UNITS (#1313)
V IMMUNIZATION DELETED (#9000010.11) PARENT (#1208)
VACCINE INFORMATION STATEMENT
(#920) VIS OFFERED/GIVEN TO PATIENT:VIS OFFERED/GIVEN TO PATIENT (#.01)
VISIT (#9000010) VISIT (#.03)
}UNDEFINED FILE (#9002084.83) VAC ELIGIBILITY (#.14)
}UNDEFINED FILE (#9002084.95) NDC (#.16)
Subfile #9000080.1182
Record Indexes:
ADA (#1402) RECORD REGULAR IR SORTING ONLY WHOLE FILE (#9000080.11)
Short Descr: Index by Disclosure Date/Time and Agency.
Description: This cross reference is used to search for disclosure records by the Disclosure Date/Time and Agency.
Set Logic: S ^AUPDVIMM("ADA",X(1),X(2),DA(1),DA)=""
Kill Logic: K ^AUPDVIMM("ADA",X(1),X(2),DA(1),DA)
Whole Kill: K ^AUPDVIMM("ADA")
X(1): DISCLOSURE DATE/TIME (9000080.1182,.02) (Subscr 1) (forwards)
X(2): AGENCY (9000080.1182,.01) (Subscr 2) (forwards)
ADP (#1403) RECORD REGULAR IR SORTING ONLY WHOLE FILE (#9000080.11)
Short Descr: Index by Disclosure Date/Time and Patient.
Description: This cross reference is used to search for disclosure records by the Disclosure Date/Time and Patient.
Set Logic: S ^AUPDVIMM("ADP",X(1),X(2),DA(1),DA)=""
Kill Logic: K ^AUPDVIMM("ADP",X(1),X(2),DA(1),DA)
Whole Kill: K ^AUPDVIMM("ADP")
X(1): DISCLOSURE DATE/TIME (9000080.1182,.02) (Subscr 1) (forwards)
X(2): Computed Code: S X=+$P($G(^AUPDVIMM(+$G(DA(1)),0)),U,2)
(Subscr 2)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):