HISTORICAL INFORMATION - FROM PATIENT'S RECALL (5) IMMUNIZATION INFO SOURCE (920.1)
Name
Value
SOURCE
HISTORICAL INFORMATION - FROM PATIENT'S RECALL
HL7 CODE
04
INACTIVE FLAG
ACTIVE
MASTER ENTRY FOR VUID
YES
VUID
5197423
EFFECTIVE DATE/TIME
2015-11-02 13:56:56
STATUS: ACTIVE