Effective: August
1, 2015
Revised:
SPEEDE/ExPRESS Immunization Status (G99IMM)
1.
|
Record Type: G99 - This record would be sent with transactions that do not strictly
adhere to any of the three approved FASTER formats (Interdistrict,
Secondary, Postsecondary/Technical Center).
|
2.
|
National Record Type: IMM - This record is used to provide the receiving institution
with information concerning the immunization status of the student.
|
3.
|
The presence of LOW-VALUES in data fields causes significant problems for several
institutions in the receipt of student records. A transaction will be rejected if
non-displayable characters are sent in the data unless found in Filler Reserved
for Local Use. Please use some other appropriate character (e.g., SPACES) with which
to initialize your records before sending them.
|
4.
|
Special characters, tilde (~), caret (^), and grave accent (`), are used as delimiters
in the translation of FASTER to SPEEDE/ExPRESS. They are reserved symbols and as
such cannot be included in data sent through FASTER to a SPEEDE/ExPRESS institution.
|
Field Characteristics:
|
Format Characteristics:
Record Size: 1020 |
|||||||||||||||||||||||||||||||||
1
|
1-3
|
3
|
A/N
|
Record Type *
|
||||||||||||||||||||||||||||||
2
|
4-6
|
3
|
A/N
|
National Record Type *
|
||||||||||||||||||||||||||||||
3
|
7-12
|
6
|
A/N/L
|
Immunization Type Code *
Immunizations are identified by International Classification of Diseases (ICD) "V codes" in the range of V03 through V07.9 (Attachment 1). Also they are identified by Current Procedural Terminology (CPT) codes that range from 90701 through 90749 (Attachment 2 ). |
||||||||||||||||||||||||||||||
13-15
|
3
|
A/N
|
Format for Date of Immunization
This is a code which identifies the type of date being transmitted in the next field.
|
|||||||||||||||||||||||||||||||
5
|
16-23
|
8
|
A/N/L
|
Date of Immunization
The actual date that the immunization was administered. |
||||||||||||||||||||||||||||||
6
|
24-25
|
2
|
A/N
|
Immunization Status Code
|
||||||||||||||||||||||||||||||
7
|
26-27
|
2
|
A/N
|
Immunization Record Source
Code
|
||||||||||||||||||||||||||||||
8
|
28-1011
|
984
|
A/N
|
Filler
|
||||||||||||||||||||||||||||||
9
|
1012-1020
|
9
|
A/N
|
Filler Reserved for Local
Use
|