STANDARD DATA DICTIONARY #920.4 -- IMM CONTRAINDICATION REASONS FILE 9/29/25 PAGE 1
STORED IN ^PXV(920.4, (18 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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Per VHA Directive, this file has been "locked down" by Data Standardization (DS). The file definition (i.e. data dictionary) shall
not be modified. All additions, changes and deletions to entries in the file shall be done by Enterprise Reference Terminology
(ERT) using the Master File Server (MFS), provided by the Common Services (CS). Creating and/or editing locally defined fields in
the file are not permitted. Use of locally defined fields that were created prior to the VHA Directive shall not be supported.
This is a table of contraindications regarding immunizations and skin tests. The data for this table is derived from the CDC table
Vaccinations Contraindications.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: CONCEPT CODE (#.02)
POINTED TO BY: CONTRA/REFUSAL field (#.01) of the CONTRA/REFUSAL sub-field (#920.052) of the IMM DEFAULT RESPONSES File (#920.05)
REPLACED BY VHA STANDARD TERM field (#99.97) of the IMM CONTRAINDICATION REASONS File (#920.4)
CONTRAINDICATION/REFUSAL field (#.01) of the V IMM CONTRA/REFUSAL EVENTS File (#9000010.707)
CROSS
REFERENCED BY: REPLACED BY VHA STANDARD TERM(AREPLACETERM), VUID(AVUID), NAME(B), CONCEPT CODE(C), IMMUNIZATIONS LIMITED TO(D)
INDEXED BY: VUID & MASTER ENTRY FOR VUID (AMASTERVUID)
LAST MODIFIED: NOV 18,2016@17:12:51
920.4,.01 NAME 0;1 FREE TEXT (audited)
VA SHORT NAME
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAR 11, 2015
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: This is the name of the specific situation in which an immunization, skin test or other procedure
should not be used because it may be harmful to the patient.
AUDIT: YES, ALWAYS
PRE-LOOKUP: I $G(DIC(0))["L",'$D(XUMF) K X D EN^DDIOL("Entries must be edited via the Master File Server (MFS).
","","!?5")
DELETE TEST: 1,0)= D:'$D(XUMF) EN^DDIOL("Entries must be inactivated via the Master File Server (MFS).","","!?5"
) I $D(XUMF)
LAYGO TEST: 1,0)= D:'$D(XUMF) EN^DDIOL("Entries must be added via the Master File Server (MFS).","","!?5") I $D
(XUMF)
WRITE AUTHORITY: ^
CROSS-REFERENCE: 920.4^B
1)= S ^PXV(920.4,"B",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,"B",$E(X,1,30),DA)
920.4,.02 CONCEPT CODE 0;2 FREE TEXT (audited)
CDC CONCEPT CODE
INPUT TRANSFORM: K:$L(X)>10!($L(X)<2)!'(X'?1P.E) X
LAST EDITED: MAR 12, 2015
HELP-PROMPT: Answer must be 2-10 characters in length.
DESCRIPTION:
The CONCEPT CODE as it came from the CDC.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
CROSS-REFERENCE: 920.4^C
1)= S ^PXV(920.4,"C",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,"C",$E(X,1,30),DA)
This provides lookup by CONCEPT CODE in addition to VA SHORT NAME.
920.4,.03 INACTIVE 0;3 SET (audited)
'0' FOR NO;
'1' FOR YES;
LAST EDITED: MAR 05, 2015
HELP-PROMPT: Enter YES if this is an inactive contraindication.
DESCRIPTION:
This field indicates if this contraindication is active or inactive.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,.04 NIP004 0;4 FREE TEXT (audited)
CDC V 2.3.1.VALUE NIP004
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2) X
LAST EDITED: MAR 05, 2015
HELP-PROMPT: Answer must be 2 characters in length.
DESCRIPTION: This is the National Immunization Program (NIP) defined table NIP004 value related to this
contraindication.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,.05 CONCEPT CODING SYSTEM VUID;4 FREE TEXT (audited)
CDC HL7 TABLE 0396 CODE
INPUT TRANSFORM: K:$L(X)>10!($L(X)<3) X
LAST EDITED: DEC 08, 2015
HELP-PROMPT: Answer must be 3-10 characters in length.
DESCRIPTION:
This is the HL7 Table 0396 code to describe the coding system used to represent this concept code.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,.06 CONTRAINDICATION/PRECAUTION 0;5 SET (Required) (audited)
'P' FOR PRECAUTION;
'C' FOR CONTRAINDICATION;
LAST EDITED: MAR 16, 2015
HELP-PROMPT: Enter 'C' if this is a Contraindication or enter 'P' is this is a Precaution.
DESCRIPTION: A value of 'C' indicates that this is a Contraindication, and a value of 'P' indicates that this is
merely a Precaution.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,1 CONCEPT NAME 1;1 FREE TEXT (audited)
CDC CONCEPT NAME
INPUT TRANSFORM: K:$L(X)>175!($L(X)<6) X
LAST EDITED: FEB 27, 2015
HELP-PROMPT: Answer must be 6-175 characters in length.
DESCRIPTION:
The CONCEPT NAME as it came from the CDC.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,2 CONCEPT DEFINITION 2;1 FREE TEXT (audited)
CDC CONCEPT DEFINTION
INPUT TRANSFORM: K:$L(X)>240!($L(X)<1) X
LAST EDITED: FEB 27, 2015
HELP-PROMPT: Answer must be 1-240 characters in length.
DESCRIPTION:
The CONCEPT DEFINITION as it came from the CDC.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
920.4,3 IMMUNIZATIONS LIMITED TO 3;0 POINTER Multiple #920.43 (Add New Entry without Asking)
DESCRIPTION: These are the Vaccines that apply to this Contraindication (or Precaution). If this list is empty,
then the Contraindication applies to all Vaccines.
WRITE AUTHORITY: ^
920.43,.01 IMMUNIZATIONS LIMITED TO 0;1 POINTER TO IMMUNIZATION FILE (#9999999.14) (Multiply asked) (audited)
LAST EDITED: MAR 16, 2015
HELP-PROMPT: Enter an immunization to which this contraindication applies or leave blank if it applies to all
immunizations.
DESCRIPTION:
This is an immunization that applies to this Contraindication or Precaution.
AUDIT: YES, ALWAYS
CROSS-REFERENCE: 920.43^B
1)= S ^PXV(920.4,DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,DA(1),3,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 920.4^D
1)= S ^PXV(920.4,"D",$E(X,1,30),DA(1),DA)=""
2)= K ^PXV(920.4,"D",$E(X,1,30),DA(1),DA)
This cross reference allows whole file lookups and sorting.
920.4,99.97 REPLACED BY VHA STANDARD TERM VUID;3 POINTER TO IMM CONTRAINDICATION REASONS FILE (#920.4) (audited)
LAST EDITED: MAR 27, 2015
HELP-PROMPT: Enter the Term/Concept that replaces this entry.
DESCRIPTION: This field is populated when one Term/Concept replaces another Term/Concept. This field is
controlled by standardization and should only be changed by standardization processes. This field
contains a pointer to a VHA standard term that replaces this entry.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
UNEDITABLE
CROSS-REFERENCE: 920.4^AREPLACETERM
1)= S ^PXV(920.4,"AREPLACETERM",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,"AREPLACETERM",$E(X,1,30),DA)
This cross-reference can be used to identify the replacement entries associated with a
Term/Concept.
920.4,99.98 MASTER ENTRY FOR VUID VUID;2 SET (Required) (audited)
'1' FOR YES;
'0' FOR NO;
LAST EDITED: JAN 27, 2015
HELP-PROMPT: Enter YES if this is the Master entry.
DESCRIPTION:
This field identifies the Master entry for a VUID associated with a Term/Concept.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
UNEDITABLE
RECORD INDEXES: AMASTERVUID (#424)
920.4,99.99 VUID VUID;1 FREE TEXT (Required) (audited)
INPUT TRANSFORM: S X=+X K:$L(X)>20!($L(X)<1)!'(X?1.20N) X
LAST EDITED: FEB 27, 2015
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION:
VHA Unique ID (VUID). A unique meaningless integer assigned to reference terms VHA wide.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 920.4^AVUID
1)= S ^PXV(920.4,"AVUID",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,"AVUID",$E(X,1,30),DA)
3)= XXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
This cross-reference is by VUID.
RECORD INDEXES: AMASTERVUID (#424)
920.4,99.991 EFFECTIVE DATE/TIME TERMSTATUS;0 DATE Multiple #920.499 (Add New Entry without Asking)
DESCRIPTION:
Describes the pair Status and Effective Date/Time for each reference term.
WRITE AUTHORITY: ^
920.499,.01 EFFECTIVE DATE/TIME 0;1 DATE (Required) (audited)
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 27, 2015
HELP-PROMPT: Enter the date/time when the Status of the reference term was established.
DESCRIPTION:
This is the date/time when the Status of the reference term was established.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
UNEDITABLE
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 920.499^B
1)= S ^PXV(920.4,DA(1),"TERMSTATUS","B",$E(X,1,30),DA)=""
2)= K ^PXV(920.4,DA(1),"TERMSTATUS","B",$E(X,1,30),DA)
920.499,.02 STATUS 0;2 SET (Required) (audited)
'1' FOR ACTIVE;
'0' FOR INACTIVE;
LAST EDITED: FEB 27, 2015
HELP-PROMPT: Enter the Status of reference term, ACTIVE or INACTIVE.
DESCRIPTION: The Status of a reference term is either 'ACTIVE' or 'INACTIVE'. If 'ACTIVE', then the term will
be accessible by end-users to document a particular patient event. If 'INACTIVE', then the term
will only be accessible by the application to display legacy data.
AUDIT: YES, ALWAYS
WRITE AUTHORITY: ^
UNEDITABLE
FILES POINTED TO FIELDS
IMM CONTRAINDICATION REASONS
(#920.4) REPLACED BY VHA STANDARD TERM (#99.97)
IMMUNIZATION (#9999999.14) IMMUNIZATIONS LIMITED TO:IMMUNIZATIONS LIMITED TO (#.01)
File #920.4
Record Indexes:
AMASTERVUID (#424) RECORD REGULAR IR SORTING ONLY
Short Descr: This cross-reference identifies the Master entry for a VUID.
Description: If multiple entries have the same VUID in the file, this cross-reference can be used to identify the Master
entry for a VUID associated with a Term/Concept.
Set Logic: S ^PXV(920.4,"AMASTERVUID",$E(X(1),1,30),X(2),DA)=""
Kill Logic: K ^PXV(920.4,"AMASTERVUID",$E(X(1),1,30),X(2),DA)
Whole Kill: K ^PXV(920.4,"AMASTERVUID")
X(1): VUID (920.4,99.99) (Subscr 1) (Len 30) (forwards)
X(2): MASTER ENTRY FOR VUID (920.4,99.98) (Subscr 2) (forwards)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):