| Submitted By: Nedra Garrett / Centers for Disease Control and Prevention | |
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| Data Element Information | |
| Use Case Description(s) | |
| Use Case Description | Date of vaccination is extremely important to various health care communities, especially to providers who routinely use this information to determine patient care. Providers use this information to determine if their patients were vaccinated according to schedule, if their patients need booster vaccinations, and when their patients will need to be vaccinated next. In turn, this provides patients information about their healthcare needs. Additionally, this information could increase vaccination rates, a Healthy People 2030 goal, by ensuring patients are vaccinated on time. |
| Estimated number of stakeholders capturing, accessing using or exchanging | "There are multiple stakeholders that would capture, access, use or exchange this data element or data class including: • Electronic Health Records • Immunization information systems and local and state departments of public health • Providers • Research and academic institutions, especially those running clinical trials " |
| Link to use case project page | https://www.cdc.gov/vaccines/programs/iis/index.html |
| Use Case Description | In addition to helping clinical care, date of vaccination administration helps inform decision making in public health. Date of vaccination is routinely used to determine if a vaccine preventable disease case was vaccinated properly. In fact, vaccination events missing date of administration may not be collected by providers, as providers are given guidance that only vaccinations with dates of administration are considered evidence of vaccination. Thus, some vaccinations may not be included in patient’s electronic medical records, and then sent to public health. Further, during analyses, public health practitioners often exclude vaccination administrations missing date information. By not including vaccination administrations missing date information, results from analyses could be inaccurate, depending on the number of administrations excluded. Inaccurate results could be harmful, as results help to inform communication, planning, and vaccine supply logistics. |
| Estimated number of stakeholders capturing, accessing using or exchanging | "There are mulitple stakeholders that would capture, access, use or exhange this data element or data class including: • Electronic Health Records • Immunization information systems and local and state departments of public health • Vaccine Adverse Event Reporting System (VAERS) • Providers • Research and academic institutions, especially those running clinical trials " |
| Link to use case project page | https://www.immregistries.org/ Immunization Action Coalition: https://www.immunize.org/ |
| Healthcare Aims |
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| Maturity of Use and Technical Specifications for Data Element | |
| Applicable Standard(s) | LOINC:30952-6- Date and time of vaccination: https://loinc.org/30952-6/ https://loinc.org/30952-6/ |
| Additional Specifications | "Yes, this information is in various technical specifications including: • The HL7 2.5.1 Implementation Guide for Immunization Messaging and the HL7 2.8.2 Implementation Guide: Immunization Messaging (see RXA-3) • FHIR r4 (see immunization.occurrence) • Clinical Decision Support for Immunizations FHIR IG • CDC Nationally Notifiable Disease Surveillance System (NNDSS) Message Mapping Guides (MMGs) for Vaccine Preventable Diseases (VPDs)" |
| Current Use | This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders |
| Supporting Artifacts |
"HL7 v2.5.1 Implementation Guide for Immunization Messaging HL7 v2.8.2 Implementation Guide: Immunization Messaging NNDSS MMGs for VPDs Clinical Decision Support for Immunizations FHIR IG AIRA Functional Standards Document CDC Endorsed Data Elements " "HL7 v2.5.1 and v2.8.2 IGs: https://www.cdc.gov/vaccines/programs/iis/technical-guidance/hl7.html CDC NNDSS MMGs for VPDs: https://wwwn.cdc.gov/nndss/case-notification/message-mapping-guides.html Clinical Decision Support of Immunizations FHIR IG: http://hl7.org/fhir/uv/immds/" https://www.cdc.gov/vaccines/programs/iis/technical-guidance/hl7.html |
| Number of organizations/individuals with which this data element has been electronically exchanged | N/A |
| Potential Challenges | |
| Restrictions on Standardization (e.g. proprietary code) | N/A |
| Restrictions on Use (e.g. licensing, user fees) | None |
| Privacy and Security Concerns | There are privacy concerns with the use and exchange of these data elements, mainly mother’s maiden name. |
| Estimate of Overall Burden | There should be little burden to implement this data element, as all healthcare IT already stores and messages this information. |
| Other Implementation Challenges | N/A |
Immunizations
Record of an administration of a vaccination or a record of a vaccination as reported by a patient, a clinician, or another party.
Data Element |
Information from the submission form |
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Vaccination Administration Date
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The date the vaccination event occurred.
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Comment