HISTORICAL INFORMATION - FROM PATIENT'S WRITTEN RECORD (4)    IMMUNIZATION INFO SOURCE (920.1)

Name Value
SOURCE HISTORICAL INFORMATION - FROM PATIENT'S WRITTEN RECORD
HL7 CODE 03
INACTIVE FLAG ACTIVE
MASTER ENTRY FOR VUID YES
VUID 5197422
EFFECTIVE DATE/TIME
  • 2015-11-02 13:56:56
    STATUS:   ACTIVE