Vaccine Information Statement (VIS) Lookup Table

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CDC has added two-dimensional (2D) “data matrix” barcodes to Vaccine Information Statements (VIS). This technology is designed primarily to help immunization providers record information about the VIS as is required by the National Childhood Vaccine Injury Act (NCVIA). The 2D barcoded VIS allows providers to scan the name and edition date of a VIS into an electronic medical record (EMR), IIS, or other electronic database. Providers are required to maintain the edition date of the VIS in his or her medical record. The VIS barcode does not contain any data that is not currently on the VIS, and there is no requirement that immunizers supply VIS data to IIS.

There are two fields contained within the 2D barcode on the VIS. The first field is a code that identifies the VIS document type (MMR, seasonal influenza, anthrax, etc.). The second field is the edition date of the VIS. The VIS Lookup table contains codes for these fields that EMRs and IISs may need to add to their applications to accommodate this information and associates each code with its human readable equivalent. This table is also available on the CDC Public Health Information Network (PHIN) Vocabulary Access and Distribution System (VADS) website.

EMR and IIS vendors may need to add fields to the EMR to record the VIS document type and edition date. Currently, the VIS document type may not be recorded; the actual vaccine administered may be used by providers as a proxy. CDC suggests the addition of a field for VIS document type.

Note: The VIS Fully-Encoded Text String is used for electronic reporting purposes.  The VIS Lookup Table allows users to link the VIS Fully-Encoded Text String to the corresponding Global Document Type Identifier (GDTI).

VIS Lookup Table

Version Date: July 7, 2017

• PDF version of table [2 pages]
• Excel version of table [2 pages] (Click on a column heading to sort table accordingly)
• XML version of table
• Flat File version of table

Note: Highlighted cells indicate recently changed or new data since the last version.

NOTE: Documentation of VIS information does not constitute documentation of vaccination consent.

Questions regarding this table should be directed to the IIS Technical Assistance Team (or use IIS mailing address).

Find more information about barcodes on VIS statements.

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