Immunizations

Data Element

Additional Information

[Table]FieldName

Length

Used in These Reports

Enter thestudentsoverall Immunization Status

Choose the immunization status from the dialog box. The default is No Record.

[Students]Immune_Status

13

N/A

Diphtheria, Tetanus, Pertussis (DTaP, Tdap, DTP, TD, DT) Dates

Enter the dates(s) of the doses for any of the varieties of DTP. There are five fields for data.

Format is mm/dd/yyyy

[S_SC_STU_MED_IMM_X]DTP1

[S_SC_STU_MED_IMM_X]DTP2

[S_SC_STU_MED_IMM_X]DTP3

[S_SC_STU_MED_IMM_X]DTP4

[S_SC_STU_MED_IMM_X]DTP5

10

10

10

10

10

N/A

DTP Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]DPT

13

N/A

Td (Adult) Tetanus Diphtheria Dates

Enter the dates(s) of the doses for TdTetanus Diphtheria. There are 5 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]DTTD1

[S_SC_STU_MED_IMM_X]DTTD2

[S_SC_STU_MED_IMM_X]DTTD3

[S_SC_STU_MED_IMM_X]DTTD4

[S_SC_STU_MED_IMM_X]DTTD5

10

10

10

10

10

N/A

Td Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]TD

13

N/A

OPV Dates

Enter the dates(s) of the doses for OPV. There are 5 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]OPV1

[S_SC_STU_MED_IMM_X]OPV2

[S_SC_STU_MED_IMM_X]OPV3

[S_SC_STU_MED_IMM_X]OPV4

[S_SC_STU_MED_IMM_X]OPV5

10

10

10

10

10

N/A

OPV Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]OPV

13

N/A

IPV Dates

Enter the dates(s) of the doses for IPV. There are 5 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]IPV1

[S_SC_STU_MED_IMM_X]IPV2

[S_SC_STU_MED_IMM_X]IPV3

[S_SC_STU_MED_IMM_X]IPV4

[S_SC_STU_MED_IMM_X]IPV5

10

10

10

10

10

N/A

IPV Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]IPV

13

N/A

Measles, Mumps Rubella (MMR) Dates

Enter the dates(s) of the doses for MMR. There are 3 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]MMR1

[S_SC_STU_MED_IMM_X]MMR2

[S_SC_STU_MED_IMM_X]MMR3

10

10

10

N/A

MMR Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]MMR

13

N/A

Measles Only Dates

Enter the dates(s) of the doses for MMR. There are 2 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]Measles1

[S_SC_STU_MED_IMM_X]Measles2

10

10

N/A

Measles Only Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]RV

13

N/A

Mumps Only Dates

Enter the dates(s) of the doses for Mumps. There are 2 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]Mumps1

[S_SC_STU_MED_IMM_X]Mumps2

10

10

N/A

Mumps Only Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]mumps_status

13

N/A

HIB Dates

Enter the dates(s) of the doses for HIB. There are 4 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]HIB1

[S_SC_STU_MED_IMM_X]HIB2

[S_SC_STU_MED_IMM_X]HIB3

[S_SC_STU_MED_IMM_X]HIB4

10

10

10

10

N/A

HIB Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]HIB

13

N/A

Varicella (Chicken Pox) Dates

Enter the dates(s) of the doses for Varicella. There are 2 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]Var1

[S_SC_STU_MED_IMM_X]Var2

10

10

N/A

Varicella Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]Varicella

13

N/A

Hx of Varicella (Chicken Pox) Dates

Enter the dates(s) of the doses for Varicella. There are 2 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]HxVar1

[S_SC_STU_MED_IMM_X]HxVar2

10

10

N/A

Hx of Varicella Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]Varicella_hx

13

N/A

Hepatitis B PED Dates

Enter the dates(s) of the doses for Hepatitis B PED. There are 5 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]HepBPed1

[S_SC_STU_MED_IMM_X]HepBPed2

[S_SC_STU_MED_IMM_X]HepBPed3

[S_SC_STU_MED_IMM_X]HepBPed4

[S_SC_STU_MED_IMM_X]HepBPed5

10

10

10

10

10

N/A

Hepatitis B PED Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]Hepatitis_P

13

N/A

Hepatitis B Adult Dates

Enter the dates(s) of the doses for Hepatitis B Adult. There are 2 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]HepBAdult1

[S_SC_STU_MED_IMM_X]HepBAdult2

10

10

N/A

Hepatitis B Adult Status

Choose the immunization status from the dialog box. The default is No Record.

[S_SC_STU_MED_IMM_X]Hepatitis_A

13

N/A

Pneumococcal Dates

Enter the dates(s) of the doses for Pneumococcal. There are six fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]Pneumo1

[S_SC_STU_MED_IMM_X]Pneumo2

[S_SC_STU_MED_IMM_X]Pneumo3

[S_SC_STU_MED_IMM_X]Pneumo4

[S_SC_STU_MED_IMM_X]Pneumo5

[S_SC_STU_MED_IMM_X]Pneumo6

10

10

10

10

10

10

N/A

Other Optional Tests Dates

Enter the dates(s) of the other optional tests. There are 5 fields for data.

Format: mm/dd/yyyy

[S_SC_STU_MED_IMM_X]Med_Other1

[S_SC_STU_MED_IMM_X]Med_Other2

[S_SC_STU_MED_IMM_X]Med_Other3

[S_SC_STU_MED_IMM_X]Med_Other4

[S_SC_STU_MED_IMM_X]Med_Other5

10

10

10

10

10

N/A

Doctor

Enter the name of the student’s doctor.

[Students]Doctor_Name

39

N/A

Doctor Phone

Enter the phone number of the doctor.

[Students]Doctor_Phone

19

N/A

Dentist

Enter the name of the student’s dentist.

[Students]Dentist_Name

39

N/A

Dentist Phone

Enter the phone number of the dentist.

[Students]Dentist_Phone

19

N/A

Medical Alert Text

Enter any information needed for medical alerts.

[Students]Alert_Medical

N/A

N/A

Alert Expires (date)

Enter the date when the medical alert expires.

Format: mm/dd/yyyy

Leave the value at 0/0/0 if the alert never expires.

[Students]Alert_MedicalExpires

10

N/A

Allergies

Enter any information that applies to the student’s allergies.

[Students]allergies

N/A

N/A

Special Medical Considerations

Enter any other special medical considerations for the student.

[Students]medical_considerations

72

N/A

Hearing Test Data

Enter any information about the student’s hearing test.

[S_SC_STU_MED_IMM_X]Hearing_Data

72

N/A

Eye Exam Data

Enter any information about the student’s eye exam.

[S_SC_STU_MED_IMM_X]Eye_Data

72

N/A

Weight Data

Enter any information about the student’s weight.

[S_SC_STU_MED_IMM_X]Weight_Data

72

N/A

Height Data

Enter any information about the student’s height.

[S_SC_STU_MED_IMM_X]Height_Data

72

N/A