| 59779-9 | Immunization schedule used | required |
| 30956-7 | Type Vaccine | required |
| 38890-0 | Vaccine Component Type | required |
| 59780-7 | Immunization series | optional |
| 30973-2 | Dose # | required |
| 59781-5 | Dose validity | optional |
| 59782-3 | # doses primary immunization series | optional |
| 59783-1 | Status in immunization series | optional |
| 30981-5 | Earliest date to give | required |
| 30980-7 | Date vaccine due | required |
| 59777-3 | Latest date to give immunization | required |
| 59778-1 | Date when overdue for immunization | required |
| 30982-3 | Reason applied to project this vaccine | optional |
| 60484-3 | CDC Immunization pnl | |