STANDARD DATA DICTIONARY #920.4 -- IMM CONTRAINDICATION REASONS FILE                                              3/24/25    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
-----------------------------------------------------------------------------------------------------------------------------------
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):