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Segment
in
X12 Release 005040

IMM Immunization Status

To provide the receiving school district or postsecondary institution with a notice of the immunization status of the student
Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
1271
Industry Code
String (AN)
Mandatory
1
30
1
Code indicating a code from a specific industry code list
IMM01 and IMM06 refer to Immunization Type.
02
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
1
Code indicating the date format, time format, or date and time format
P0203
Codes (42)
03
Date Time Period
String (AN)
Conditional
1
35
1
Expression of a date, a time, or range of dates, times or dates and times
C0304
IMM03 gives the date of the immunization.
04
Immunization Status Code
Identifier (ID)
Conditional
1
2
1
Code indicating the status of an immunization conducted on a person
Codes (14)
05
Report Type Code
Identifier (ID)
Optional
2
2
1
Code indicating the title or contents of a document, report or supporting item
Codes (543)
06
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
1
Code identifying a specific industry code list
Codes (971)
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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.