Effective: November 12, 2000
Revised: October 2, 2000
| 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, or Postsecondary). |
| 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 following modifications have been made to item 4, Format for Date of Immunization:
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Field Characteristics:
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Format Characteristics:
Effective Date: November 12, 2000 Record Size: 1020 |
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| 1 | 1-3 | 3 | A/N | Record Type *
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| 2 | 4-6 | 3 | A/N | National Record Type *
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| 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). |
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| 4 | 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.
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| 5 | 16-23 | 8 | A/N/L | Date of Immunization
The actual date that the immunization was administered. |
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| 6 | 24-25 | 2 | A/N | Immunization Status Code
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| 7 | 26-27 | 2 | A/N | Immunization Record Source Code
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| 8 | 28-1011 | 984 | A/N | Filler | ||||||||||||||||||||||||||||||
| 9 | 1012-1020 | 9 | A/N | Reserved Filler | ||||||||||||||||||||||||||||||