About
Learn about the data elements that are needed by an IIS to record patient demographics and vaccination events to meet the IIS Functional Standards v4.0.
Introduction
The CDC endorsed data elements represent the data elements that are needed by an IIS to record patient demographics and vaccination events to meet the IIS Functional Standards v4.0. An IIS should store the CDC endorsed data elements listed below if the elements are sent from an external information system and meet the IIS’s data quality criteria. This list does not include all data elements external information systems such as EHRs, vital records, practice management or billing systems are expected to send to an IIS. The list may not include all data elements an IIS produces, stores or sends. Data elements may be derived and architectural solution may differ among IIS.
Definitions of the CDC endorsed data elements below can be found at:
CDC Endorsed Data Element Definitions
| Patient Demographic Data Elements | |
|---|---|
| Date of history of vaccine preventable disease Ethnicity History of disease/titer Mother’s name: first Mother’s name: middle Mother’s name: last Mother’s name: maiden last Patient address: county of residence Patient address: city Patient address: country Patient address: state Patient address: street Patient address: zip code Patient alias name: first Patient alias name: middle Patient alias name: last Patient birth order Patient birth state Patient date of birth Patient e-mail address Patient gender |
Patient ID Patient ID: type IIS Patient ID Patient multiple birth indicator Patient name: first Patient name: middle Patient name: last Patient primary language Patient status indicator-provider level Patient status-jurisdiction level Patient telephone number Patient telephone number type Protection Indicator1 Protection indicator effective date1 Reminder recall status1 Reminder recall status effective date1 Race Responsible person name: first Responsible person name: middle Responsible person name: last Responsible person relationship to patient |
| Vaccination Event Data Elements | |
| Vaccination Data Elements Contraindications/precautions Contraindications/precautions observation date Dose level eligibilityꞎ Exemptions/refusals date Exemptions/refusals reason Vaccination administration date Vaccine dose volume Vaccine dose volume units Vaccination event record type (administered/historical) Vaccine funding source (dose level public/private indicator)1ꞎꞎ Vaccine expiration date Vaccine lot number Vaccine manufacturer name Vaccine product Vaccine route of administration2 Vaccine site of administration2 IIS vaccination event ID1 Vaccination event ID1 Vaccine information statement2 Vaccine information statement given date2 |
Provider Data Elements Vaccine ordering provider (person) Vaccine administering provider suffix Vaccine administering provider (person)
Facility Identifier Data Elements |
1Data element is new for IIS Functional Standards v4.0.
2Data element should be captured in the IIS if the IIS is used as the primary vaccination event record (e.g., mass vaccination clinic).
ꞎDefinition: the program that should pay for a given immunization, based on the characteristics of the patient and the type of vaccine administered. Eligibility is captured for each dose.
ꞎꞎDefinition: the funding source of the vaccine administered. Identifies the administered vaccine as publically funded, privately funded, or with other jurisdiction specific funding.