DD_DIALYSIS_VACCINATION_G

Description: |
This table contains data elements submitted for CMS ESRD patient vaccination form.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
REGISTRY_DATA_ID | 1 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | REGISTRY_DATA_ID | NUMERIC | No |
The unique identifier for the registry data record.
2 | DLYS_VACCINE_TYPE_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination type.
May contain organization-specific values: Yes
Category Entries:
Pneumococcal
Influenza
Hepatitis B
3 | DLYS_VACCINE_STATUS_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination received status.
May contain organization-specific values: Yes
Category Entries:
Facility
Another Facility
Not Received
4 | DLYS_VACCINE_SUBTYPE_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination name.
May contain organization-specific values: Yes
Category Entries:
Pneumococcal conjugate vaccine (Prevnar 13)
Vaxneuvance (Prevnar 15)
Pneumococcal conjugate vaccine (Prevnar 20)
Pneumococcal polysaccharide vaccine (Pneumovax23)
Fluarix (IIV4)
FluLaval (IIV4)
Flublok (RIV4)
Fluzone (IIV4)
Fluzone High-Dose Quad (IIV4-HD)
Afluria Quad (IIV4)
Fluad (aIIV3)
Fluad Quad (aIIV4)
Flucelvax (ccIIV4)
Heplisav-B
Recombivax HB
Engerix-B
Unknown
Fluarix (IIV3s)
Fluarix (RIV3)
FluLaval (IIV3s)
FluLaval (RIV3)
Fluzone (IIV3s)
Fluzone (RIV3)
Fluzone High-Dose (IIV3s)
Fluzone High-Dose (RIV3)
Afluria (IIV3s)
Afluria (RIV3)
Fluad (IIV3s)
Fluad (RIV3)
Flucelvax (IIV3s)
Flucelvax (RIV3)
FluMist (LAIV3)
Flublok (IIV3s)
Flublok (RIV3)
Pneumococcal conjugate vaccine (Capvaxive 21)
5 | RECEIVED_DATE | DATETIME | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination received date.
6 | RECEIVED_DATE_APPROX_YN | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient's vaccination received date is approximate.
May contain organization-specific values: No
Category Entries:
No
Yes
7 | ADVERSE_REACT_STATUS_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient had an adverse reaction from the vaccination.
May contain organization-specific values: No
Category Entries:
Yes
No
Unknown
8 | ADVERSE_REACT_COMMENT | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores comments about an adverse reaction that a dialysis patient had from the vaccination.
9 | ADVERSE_REACT_FDA_REPORTED_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient's vaccination adverse reaction was reported to the FDA.
The category values for this column were already listed for column: ADVERSE_REACT_STATUS_C_NAME
10 | DLYS_HEPB_DOSE_TYPE_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient's hepatitis B vaccination dose is part of a series or a booster.
May contain organization-specific values: Yes
Category Entries:
Series
Booster
Unknown
11 | DLYS_VACCIN_NT_RCV_RSN_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination not received reason.
May contain organization-specific values: Yes
Category Entries:
Medical Reason - Allergic or Adverse Reaction
Declined - Religious/Philosophical
Declined - Without Explanation
Other
Series Completed per Antibody Test Result
12 | VACCINE_NT_RCV_CMT | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's vaccination not received reason comments.
13 | OFFERED_DATE | DATETIME | No |
This item is used in dialysis regulatory reporting. It stores the date when the vaccination was offered to a dialysis patient.
14 | OFFERED_DATE_APPROX_YN | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient's vaccination offered date is approximate.
The category values for this column were already listed for column: RECEIVED_DATE_APPROX_YN
15 | HEPB_ANTIHBS_STATUS_C_NAME | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores whether a dialysis patient received a hepatitis B antibody test.
The category values for this column were already listed for column: ADVERSE_REACT_STATUS_C_NAME
16 | ANTIHBS_VALUE | VARCHAR | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's hepatitis B antibodies test result value.
17 | ANTIHBS_DATE | DATETIME | No |
This item is used in dialysis regulatory reporting. It stores a dialysis patient's hepatitis B antibodies test date.