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In: Nursing

You have been hired as an informatician at a state health department. The health department is...

You have been hired as an informatician at a state health department. The health department is developing systems to receive laboratory and clinical case reports from clinical settings, such as hospitals and doctor's offices. Your state has had an immunization registry in operation for several years and has been successful in getting cooperation from healthcare settings to send data to the system.

What standard vocabulary is used to code a vaccine name and how is this vocabulary different from the LOINC or SNOMED-CT vocabularies required for laboratory and clinical case reporting?

Solutions

Expert Solution

The CDC's National Center of Immunization and Respiratory Diseases developed and maintains the CVX (vaccine administered) code set. It includes both active and inactive vaccines available in the US. CVX codes for inactive vaccines allow transmission of historical immunization records. When a MVX (manufacturer) code is paired with a CVX (vaccine administered) code, the specific trade named vaccine may be activated.

The Status column indicates if the vaccine is currently available in the United States.

  • Active: A currently available administrable vaccine
  • Inactive: An administrable vaccine formulation that is no longer available for patient administration, but can be found in historical patient records.
                   OR A historical record of a vaccine administered where the exact formulation is unknown
  • Pending: A vaccine that is expected to become active in the future
  • Non-US: A vaccine that available outside the US only
  • Never Active: A vaccine that was never available and is not in the pipeline of new vaccines

PHIN Vocabulary Services strives to enable the consistent and accurate representation of information by encouraging and supporting the use of Vocabulary Standards to promote semantic interoperability among public health systems. Working with Standard Development Organization (SDOs) terminology experts and other subject matter experts, PHIN Services actively participates in the development and identification of vocabularies important to the public health arena. SDOs include Systematized Nomenclature for Medicine (SNOMED), Logical Observation Identifiers Names and Codes (LOINC).


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