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)
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.