IMM Immunization Status Code

Opt

GT 1

To provide the receiving school district or postsecondary institution with a notice of the immunization status of the student

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	1253	Immunization Type Code	Mandatory	ID	3/6	Exact 1
2	1250	Date Time Period Format Qualifier	Rel	ID	2/3	Exact 1
3	1251	Date Time Period	Rel	Alphanumeric	1/35	Exact 1
4	1254	Immunization Status Code	Rel	ID	1/2	Exact 1
5	755	Report Type Code	Opt	ID	2/2	Exact 1

ID1253

NameImmunization Type Code

LengthMin 3 / Max 6

Position1

RequirementMandatory