IMM Immunization Status

Opt

AtMax 1000

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	1271	Industry Code	Mandatory	Alphanumeric	1/30	AtMax 1
2	1250	Date Time Period Format Qualifier	Rel	ID	2/3	AtMax 1
3	1251	Date Time Period	Rel	Alphanumeric	1/35	AtMax 1
4	1254	Immunization Status Code	Rel	ID	1/2	AtMax 1
5	755	Report Type Code	Opt	ID	2/2	AtMax 1
6	1270	Code List Qualifier Code	Mandatory	ID	1/3	AtMax 1

ID1271

NameIndustry Code

LengthMin 1 / Max 30

Position1

RequirementMandatory