Field Characteristics:
A =
|
Alphabetic only
|
A/N =
|
Alphameric
|
N =
|
Numeric only
|
Z =
|
Zoned numeric
|
P =
|
Packed decimal
|
R =
|
Right justified with leading zeros
|
L =
|
Left justified
|
|
Format Characteristics:
Name:
|
Student Immunization Information
|
Number:
|
P08
|
Record Size: 1020
|
1
|
1-3
|
3
|
A/N
|
Record Type*
This is the record type for the transaction. The value will always be "P08".
|
2
|
4-13
|
10
|
A/N/L
|
Social Security Number*
List the student's social security number.
|
3
|
14-14
|
1
|
A/N/L
|
Source of Data*
Code
|
Definition
|
1
|
All data have been taken from an official electronic transmission from the previous
institution of enrollment and have not been modified by the sending postsecondary
institution.
|
2
|
All data have been taken from an official electronic transmission from the previous
institution of enrollment and have been kept up-to-date by the sending postsecondary
institution.
|
3
|
No data were received electronically from the previous institution of enrollment.
|
|
4
|
15-22
|
8
|
N
|
Last Update Date*
This is either the date of the original official electronic transmission from
which the immunization data were extracted or the date on which the last update
to this immunization data was made, whichever is more recent.
Format: CCYYMMDD
|
5
|
23-24
|
2
|
A/N
|
Qualifier for Previous Institution of Enrollment Code
This field indicates the code set being used in the following field to identify
the Previous Institution of Enrollment.
Code
|
Definition
|
FD
|
Florida Code Set for secondary institutions (7-digit district code followed by 4-digit
school code)
|
FP
|
Florida Code Set for postsecondary institutions (7-digit OPEID code followed by
4-digit campus code)
|
71
|
Integrated Postsecondary Education Data System (IPEDS) (7-digits)
|
72
|
The College Board's Admission Testing Program (ATP) for postsecondary institutions
(4-digits)
|
73
|
Office of Postsecondary Education Identification (OPEID) (6-digits)
|
74
|
American College Testing (ACT) Program for postsecondary institutions (6-digits)
|
77
|
NCES Common Core of Data (12-digits)
|
78
|
College Board/ACT Code Set for secondary institutions (6-digits)
|
CB
|
Canadian College Institution Codes
|
CS
|
Canadian University Codes
|
|
6
|
25-36
|
12
|
A/N/L
|
Previous Institution of Enrollment Code
|
7
|
37-37
|
1
|
A/N
|
Immunization Status
Certification that the student has complied with the immunization requirements by
filing the appropriate DH or HRS form with the school district.
Code
|
DH or HRS Form
|
Definition
|
1
|
DH or HRS-H3040
DH or HRS 680A
DH or HRS 680-1 or PD 137
or MCD 304-B or old HRS 680
|
Permanent Immunization Certificate
|
2
|
DH or HRS 680B
|
Temporary medical exemption requiring follow-up
|
3
|
DH or HRS 680 C,
HRS 682, PD 139-A
|
Permanent medical exemption
|
4
|
DH or HRS 681 or PD 138
|
Permanent religious exemption
|
0
|
None
|
Enrolled in this district fewer than 31 days.
|
|
|
Also use this code for students in virtual instruction programs who do not come
to a district school building for any activities and for whom none of the other
codes apply.
|
NOTE:
|
Some districts do allow the use of the 0 code. For districts which permit use of
the 0 code, if the student still has a code 0 after 30 days enrollment in the district,
the student should be sent home and not allowed to return to school until proper
documentation is presented.
|
NOTE:
|
Beginning with the 1998-99 school year, students entering or attending kindergarten
will be required to show proof of completing the hepatitis B vaccination series
which is a three dose series.
|
NOTE:
|
Beginning with the 2001-02 school year, students entering or attending public preschool
will be required to show proof of completion of varicella vaccination of documentation
of varicella disease.
|
NOTE:
|
Beginning with the 2001-02 school year, students entering or attending public preschool
will be required to show proof of completing the hepatitis B vaccination series
which is a three dose series.
|
Beginning in the 1993-94 school year, codes 5, 6, and 7 are not valid Immunization
Status codes for any new student entering Florida schools. Codes 5, 6, and 7 are
applicable for students who were given these codes prior to the 1993-1994 school
year.
Code
|
DH or HRS Form
|
Definition
|
5
|
DH or HRS 680
and Code 1
|
a) Permanent immunization certificate (680A), and
b) second dose of measles vaccine documentation or physician's note documenting
measles disease or laboratory evidence of measles immunity.
|
6
|
DH or HRS 680
and Code 2
|
a) Temporary medical certificate (680B) requiring follow-up, and
b) second dose of measles vaccine documentation or physician's note documenting
measles disease or laboratory evidence of measles immunity.
|
7
|
DH or HRS 680
and Code 3
|
a) Permanent medical exemption (680C), and
b) second dose of measles vaccine documentation or physician's note documenting
measles disease or laboratory evidence of measles immunity.
|
8
|
DH or HRS 680A-2
or DH or HRS 680A
|
Permanent Immunization Certificate documenting a) middle school requirements, and
b) general immunization requirements
|
NOTE:
|
Beginning with the 1997-98 School Year, immunizations required for students who
enter or attend the 7th grade are: tetanus diphtheria booster, hepatitis B vaccine
series, and second dose of measles vaccine.
|
NOTE:
|
Physician's note or laboratory evidence must be verified by the school health nurse.
|
|
8
|
38-45
|
8
|
N
|
Vaccine Certification Expiration Date
The year, month, and day the student's temporary medical exemption (HRS 680 - Part
B) expires. The date is 15 days after the student's next scheduled doctors appointment
to receive the next vaccination.
CCYYMMDD
|
Example: 19911110
|
Temporary medical exemption expires on November 10, 1991
|
|
Example: 00000000
|
No vaccine due
|
|
9
|
46-55
|
10
|
A/N/L
|
Vaccine Status, Date (1)
This is a ten character field which presents information about each of the vaccines
required for children. For most cases, the first digit tells the vaccine type, the
second denotes the dose in the series, and the remaining eight digits represent
the date the dose in a series was administered.
There are also two special cases which will indicate that dates are not required
for some individuals because:
1)
|
they have a medical or religious exemption, or
|
2)
|
they entered school prior to the time when individual vaccination dates were required
- these students have been immunized.
|
Special cases:
Ten-character Code
|
Meaning
|
8099999999
|
The student has been immunized, but dates are not available for the individual doses
(the student's proof of immunization was an eligible form which did not require
dates).
|
90EXEMPT
|
The student has either 1) a permanent medical exemption for all required vaccinations
or 2) a religious exemption (positions 9 and 10 will be blank).
|
All other vaccination information should be coded as follows:
First Character
|
Meaning
|
A
|
DTP (4-5 doses)
|
B
|
DT (3-5 doses)
|
C
|
Td (1-4 doses)
|
D
|
Polio (TOPV, 3-4 doses)
|
E
|
Hib (Haemophilus Influenza Type B,1-4 doses; required for public preschool, but
not required for school entry)
|
F
|
MMR (1-2 doses)
|
G
|
Measles (Rubeola, 1-2 doses)
|
H
|
Mumps (1-2 doses)
|
I
|
Rubella (1-2 doses)
|
J
|
Hepatitis B (3 doses)
|
K
|
Varicella (1-2 doses)
|
L
|
Varicella disease (year)
|
|
M
|
Hepatitis B (2 doses if the student is 11-15 years of age)
|
P
|
Tdap (Tetanus-Diphtheris-Pertussis) (1-3 doses)
|
Q
|
Td (Tetanus-Diphtheria) (1-3 dose)
|
V
|
Meningitis (1 dose)
|
|
Second Character
|
Dose in series.
Note:
|
0 should be used to indicate doses in special cases including exempt to indicate
no doses required (such as physician's note documenting measles disease or laboratory
evidence of measles immunity-this does not exempt the child from mumps and rubella
immunization).
|
|
|
|
Third-Tenth Characters
|
CCYYMMDD
|
Year, month, and day of the dose. Note: month and day may be zeroes if Vaccine Type
is L
|
EXEMPT
|
If specific requirement has been exempted
|
See Volume I: Automated Student Information System, Automated Student Data Elements
for a more detailed description of Vaccine Status, Date.
NOTE: Items 10-38 can be used to identify up to 29 additional vaccine status, dates
for each student. See item 9 for description. |
10
|
56-65
|
10
|
A/N/L
|
Vaccine Status, Date (2)
|
11
|
66-75
|
10
|
A/N/L
|
Vaccine Status, Date (3)
|
12
|
76-85
|
10
|
A/N/L
|
Vaccine Status, Date (4)
|
13
|
86-95
|
10
|
A/N/L
|
Vaccine Status, Date (5)
|
14
|
96-105
|
10
|
A/N/L
|
Vaccine Status, Date (6)
|
15
|
106-115
|
10
|
A/N/L
|
Vaccine Status, Date (7)
|
16
|
116-125
|
10
|
A/N/L
|
Vaccine Status, Date (8)
|
17
|
126-135
|
10
|
A/N/L
|
Vaccine Status, Date (9)
|
18
|
136-145
|
10
|
A/N/L
|
Vaccine Status, Date (10)
|
19
|
146-155
|
10
|
A/N/L
|
Vaccine Status, Date (11)
|
20
|
156-165
|
10
|
A/N/L
|
Vaccine Status, Date (12)
|
21
|
166-175
|
10
|
A/N/L
|
Vaccine Status, Date (13)
|
22
|
176-185
|
10
|
A/N/L
|
Vaccine Status, Date (14)
|
23
|
186-195
|
10
|
A/N/L
|
Vaccine Status, Date (15)
|
24
|
196-205
|
10
|
A/N/L
|
Vaccine Status, Date (16)
|
25
|
206-215
|
10
|
A/N/L
|
Vaccine Status, Date (17)
|
26
|
216-225
|
10
|
A/N/L
|
Vaccine Status, Date (18)
|
27
|
226-235
|
10
|
A/N/L
|
Vaccine Status, Date (19)
|
28
|
236-245
|
10
|
A/N/L
|
Vaccine Status, Date (20)
|
29
|
246-255
|
10
|
A/N/L
|
Vaccine Status, Date (21)
|
30
|
256-265
|
10
|
A/N/L
|
Vaccine Status, Date (22)
|
31
|
266-275
|
10
|
A/N/L
|
Vaccine Status, Date (23)
|
32
|
276-285
|
10
|
A/N/L
|
Vaccine Status, Date (24)
|
33
|
286-295
|
10
|
A/N/L
|
Vaccine Status, Date (25)
|
34
|
296-305
|
10
|
A/N/L
|
Vaccine Status, Date (26)
|
35
|
306-315
|
10
|
A/N/L
|
Vaccine Status, Date (27)
|
36
|
316-325
|
10
|
A/N/L
|
Vaccine Status, Date (28)
|
37
|
326-335
|
10
|
A/N/L
|
Vaccine Status, Date (29)
|
38
|
336-345
|
10
|
A/N/L
|
Vaccine Status, Date (30)
|
39
|
346-355
|
10
|
A/N/L
|
Vaccine Status, Date (31)
|
40
|
356-365
|
10
|
A/N/L
|
Vaccine Status, Date (32)
|
41
|
366-375
|
10
|
A/N/L
|
Vaccine Status, Date (33)
|
42
|
376-385
|
10
|
A/N/L
|
Vaccine Status, Date (34)
|
43
|
386-395
|
10
|
A/N/L
|
Vaccine Status, Date (35)
|
44
|
396-405
|
10
|
A/N/L
|
Vaccine Status, Date (36)
|
45
|
406-415
|
10
|
A/N/L
|
Vaccine Status, Date (37)
|
46
|
416-425
|
10
|
A/N/L
|
Vaccine Status, Date (38)
|
47
|
426-435
|
10
|
A/N/L
|
Vaccine Status, Date (39)
|
48
|
436-445
|
10
|
A/N/L
|
Vaccine Status, Date (40)
|
49
|
446-1011
|
566
|
A/N/L
|
Filler
|
50
|
1012-1020
|
9
|
A/N/L
|
Filler Reserved for Local Use
|