Chapter 8: Conversion Specification from ExPRESS TS130 to FASTER Interdistrict/Secondary Transcript Format - LX through HC Loop (segments LX through N4)
  ExPRESS Transaction Set 130
Student Educational Record (Transcript)
Source Segment Name, Position and Data Elements
(See SPEEDE/ExPRESS Manual)		   FASTER Elementary/Secondary Conversion Specifics
  LX - Assigned Number - at position 2/010

This segment marks the end of identifying and summary type information and the beginning of detailed health, session, and course records.

  
  LX01 - Assigned Number  
  HS - Health Screening - at position 2/020

Provides information about health screening activities.

  
  HS01 - Health Screening Type Code

Health screenings are identified by International Classification of Diseases (ICD-9-CM) "V Codes" in the range of V70 through V82.9. Also, when circumstances dictate that a procedure is for the purpose of screening, it is identified by the Current Procedural Terminology (CPT) code.

   G99 HS-03 Health Screening Type Code
  HS02 - Format for Date of Health Screening   G99 HS-04 Format for Date of Health Screening
 
CM = CCYYMM
CY = CCYY
D8 = CCYYMMDD
DB = MMDDCCYY
 
  HS03 - Date of Health Screening   G99 HS-05 Date of Health Screening
  HS04 - Results of Health Screening
ABN = Abnormal (not in the expected range of findings)
NOR = Normal (in the expected range of findings)
B33 = Unreported - information is not available in record
  G99 HS-06 Results of Health Screening
  IMM - Immunization Status - at position 2/030

This segment Provides notice of the student's immunization status.

 Ignore entire IMM segment if either IMM03 (Immunization Date) is blank -OR- if IMM04 is 11 (Personal Exemption), 13 (Had the Disease) or 14 (Hasn't had the Disease)
  IMM01 - Immunization Type Code
Ignore entire record if IMM04 was 11 (Personal Exemption), 13 (Had the Disease) or 14 (Hasn't had the Disease)
 		   IS02-09 through 48 - Vaccine Status, Date - first character
 
 
V04.01 = Polio Oral
 
àD - Polio (TOPV, 3-4 doses)
 
V04.2 = Measles
 
àG - Measles (Rubeola, 2 doses)
 
V04.3 = Rubella
 
àI - Rubella (2 doses)
 
V04.6 = Mumps
 
àH - Mumps (1 dose)
 
V04.8 = Infuenza
 
àE - Hib (Haemophilus Influenza Type B, 4 doses; required for public preschool, but not required for school entry)
 
V06.1 = Diphtheria-tetanus-pertussis, combined [DTP][DTaP]
 
àP - Tdap (Tetanus-Diphtheria-Pertussis) (1-3 doses)
 
V06.12 = TD
 
àC - Td (1-4 doses)
 
V06.4 = Measles-Mumps-Rubella
 
àF - MMR (2 doses)
 
V06.5 = Tetanus-diphtheria[Td][DT]
 
àQ - Td (Tetanus-Diphtheria) (1-3 doses)
 
90701 = DTP Immunization
 
àA - DTP (4-5 doses)
 
90702 = DT Immunization
 
àB - DT (3-5 doses)
 
90704 = Mumps Immunization
 
àH - Mumps (1-2 doses)
 
90705 = Measles Immunization
 
àG - Measles (Rubeola) (1-2 doses)
 
90706 = Rubella Immunization
 
àI - Rubella (1-2 doses)
 
90707 = MMR Virus Immunization
 
àF - MMR (1-2 doses)
 
90712 = Oral Polio Virus Immunization
 
àD - Polio (TOPV, 3-4 doses)
 
90716 = Varicella Virus Vaccine
 
àK - Varicella (1-2 doses)
 
90718 = TD Immunization
 
àC - Td (1-4 doses)
 
90733 = Meningitis Immunization
  
àM - Meningitis (1 dose)
 
90744 = Hepatitis B Immunization
 
àJ - Hepatitis B (3 doses or 2 doses if the student is 11-15 years of age)
 
90732 = Pneumococcal Vaccine
 
àN - Pneumococcal Conjugate (1 dose)
  All other codes  
à Generate G99IMM Record
 
     
  
Not used
L = Varicella disease (year)
NOTE: Code 052.9 (Varicella without mention of complication) in HC01 could be mapped to this code.
 
IMM02 - Date for Immunization Date - qualifier for IMM03
 
 
 
CM = CCYYMM
CY = CCYY
D8 = CCYYMMDD
DB = MMDDCCYY
 
 
  IMM01 yields direct map to FASTER  
à See IMM03
  else  
à G99 IMM-04 Format for Date of Immunization
  IMM03 - Immunization Date
 		  
  blank  
à ignore entire segment
  IMM01 yields direct map to FASTER  
à I/S02-09 through 48 - Vaccine Status, Date (YYYYMMDD) - last 8 characters
NOTE: incomplete formats default month and day to 01
  else  
à G99 IMM-05 Immunization Date
  IMM04 - Immunization Status Code
 		  
  IMM01 yields direct map to FASTER  
à I/S02-09 through 48 - Vaccine Status, Date - second character - Dose in series
 
1-9 = First through Ninth Inoculation
 
à 1 - 9
 
10 = Medical Exemption
 
à 0 and last 8 chars = EXEMPT
 
11 = Personal Exemption
 
à G99 IMM-03 Immunization Type Code
 
12 = Religious Exemption
 
à 0 and last 8 chars = EXEMPT
 
13  = Had the disease
 
à G99 IMM-03 Immunization Type Code
 
14 = Hasn't had the disease
 
 
à G99 IMM-03 Immunization Type Code
  IMM01 does not yield direct map to FASTER  
à G99 IMM-06 Immunization Status Code
  IMM05 - Immunization Record Source Code
 		   Ignored
 
CO = County Record
HC = Health Certificate
HR = Health Clinic Records
IR = State School Immunization Records
MG = MSRTS Record
PY = Physician's Report
 
  HC - Health Condition - at position 2/040

Provides information regarding the student's health condition status

  
  HC01 - Disease Condition Type Code

This code is taken from the International Classification of Diseases (ICD) code list.

   G99 HC-03 Disease Condition Type Code
 
052.9 = Varicella disease
  I/S02-09 through 48 - Vaccine Status, Date - first character
àL - Varicella without mention of commplication
 
    I/S02-09 through 48 - Vaccine Status, Date (YYYYMMDD) - last 8 characters
à Year of the disease (CCYY)
  HC02 - Medical Treatment Type Code

This code is taken from the Physician's Current Procedural Terminology (CPT) code list.

   G99 HC-04 Medical Treatment Type Code
  HC03 - Format for Date of First Encounter   G99 HC-05 Format for Date of First Encounter
 
CM = CCYYMM
CY = CCYY
D8 = CCYYMMDD
DB = MMDDCCYY
 
  HC04 - Date of First Encounter   G99 HC-06 Date of First Encounter
  HC05 - Resolution of Disease or Condition   G99 HC-07 Resolution of Disease or Condition
N = No, the condition or disease has not been resolved
U = It is unknown if the condition or disease has been resolved
Y = Yes, the condition or disease has been resolved
  N1 - Name (Health Service Provider) - at position 2/050

Provides information regarding the student's Health Service Provider

  
  N101 - Entity Identifier Code   Ignored
  N102 - Institution Name   Ignored
  N103 - Institution Identification Code Qualifier   Ignored
  N104 - Institution Identification Code   Ignored
  N105 - Entity Relationship Code   Not used in TS130
  N106 - Entity Identifier Code   Not used in TS130
  N2 - Additional Name Information (Health Care Provider) - at position 2/060

This segment can be used to extend the health care provider name in those cases where the free-form name exceeds 60 characters in length. This segment is not used in the postsecondary record

  
  N201 - Institution Name Continued 1   Ignored
  N202 - Institution Name Continued 2   Ignored
  PER - Administrative Communications Contact - at position 2/070

This segment is used to identify a person or office at either the sending institution or the entity identified in the N1 segment to whom administrative communications should be directed concerning the student's health condition. This segment is not used in the postsecondary record

  
  PER01 - Contact Function Code   Ignored
  PER02 - Name of Contact Person   Ignored
  PER03 - Communication Number Qualifier   Ignored
  PER05 - Communication Number   Ignored
  PER05 - Communication Number Qualifier   Ignored
  PER06 - Communication Number   Ignored
  PER07 - Communication Number Qualifier   Ignored
  PER08 - Communication Number   Ignored
  PER09 - Contact Inquiry Reference   Ignored
  N3 - Address Information - at position 2/080

This segment is used to specify the mailing address of the contact person concerning the student's health condition. This segment is not used in the postsecondary record.

  
  N301 - Street Address   Ignored
  N302 - Street Address Continued   Ignored
  N4 - Geographic Location - at position 2/090

This segment is used to specify the geographic location of the contact person concerning the student's health condition. This segment is not used in the postsecondary record.

  
  N401 - City Name   Ignored
  N402 - State or Province Code   Ignored
  N403 - Postal Code   Ignored
  N404 - Country Code   Ignored
  N405 - Location Qualifier   Ignored
  N406 - Location Identifier   Ignored

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