Data Elements for Administering and Recording Vaccines

The table below provides the list of data elements used to test documentation of vaccine administration. The HL7 2.5.1 immunization implementation guide informed the list since the system subsequently transmits the data in a report to the public health immunization registry. [Each element is Required (R), Required if Exists (RE), Conditional (C), Optional (O).]

Administer And Record Vaccine

Concept Name Description R/RE/O
Entered by   RE
Ordering Provider   RE
Vaccine Event Information Source New or historical immunization (and source of history, e.g., patient reported, etc.) C (R – Vaccine is Completed or Partially Administered/O)
Entering Organization   RE
Vaccine Type Can be structured or equivalent text (i.e., narrative text with the expected information) R
Date/time Vaccine Administered   R
Dose Number in Series   O
Number of Doses in Primary Immunization Series   O
Vaccine Administered Can be structured or equivalent text (i.e., narrative text with the expected information) R
Vaccine Lot Number   R
Vaccine Expiration Date   R
Vaccine Manufacturer Name   R
Dose – Administered Amount of Vaccine   R
Administered Units (of Measure)   C
Administering Provider   R
Administered-at Location   R
Completion Status CP – Complete, RE – Refused, NA – Not administered, PA – Partially administered RE
Route of Administration   RE
Administration Site   RE
VFC/grantee program vaccine eligibility at dose level   R
VIS Type & Publication Date   C (R for certain vaccines)
VIS Date given to patient   C (R for certain vaccines)
Adverse Reaction From This Dose   O