Segment
X12 EDI Release 00401
To provide the receiving school district or postsecondary institution with a notice of the immunization status of the student
Elements
  • IMM011253Immunization Type Code
    ID
    M必须(Mandatory)
    Min 3 / Max 6

    The type of immunization a person received

  • IMM021250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format

    Codes (39)
  • IMM031251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times

  • IMM041254Immunization Status Code
    ID
    O可选(Optional)

    Code indicating the status of an immunization conducted on a person

    Codes (14)
  • IMM05755Report Type Code
    ID
    O可选(Optional)

    Code indicating the title or contents of a document, report or supporting item

    Codes (522)