Comments
Elements are not consistent with existing requirement for submission of immunization information to immunization registries in the US. Four specific elements should be considered: (1) multiple birth indicator, (2) birth order (for multiple births), (3) mother's maiden name, (4) Vaccine program and (5) reason for non-compliance with vaccine program. Items 1, 2, and 3 are used by immunization registries to identify patients (especially infants) for whom limited information was available from the hospital dischage - to match these patients when reports are sent from a pediatrician's office. Items 4 and 5 are used to identify if the vaccine given is part of a special guarantee program (e.g., Vaccines for Children - VFC) and also why the patient who is eligible received provate stock or why a VFC vaccine was given to a patient who does not qualify for the program.

Disposition Comment
Might be good to have a profile showing how this handled?

Against
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