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 | |