HL7 Version 1 Implementation Guide for Immunization Messaging Page Intentionally Blank Last Reviewed Feb 2016


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Document Outline

  • HL7 Version 2.5.1  
    • Publication History of Previous Versions
    • Table of Contents 
    • Table of Figures 
    • 1. Introduction
      • Intended Audience 
      • Scope  
      • Organization and Flow 
    • 2. Actors, Goals, and Messaging Transact
      • Actors and Goals 
      • High-Level View of Use Cases 
      • Use Case Descriptions 
        • Use Case 1—Send Immunization History  
        • Use Case 2—Receive Immunization History 
        • Use Case 3—Request Immunization History 
        • Use Case 4—Return Immunization History 
        • Use Case 4A—Find Candidate Clients  
        • Request Identity Resolution Prior to Req
        • Use Case 5--Accept requested history: 
        • Use Case 6—Send Demographic Data  
        • Use Case 7—Accept Demographic Data  
        • Use Case 8--Acknowledge Receipt  
        • Use Case 9—Report Error  
      • Messaging in the Context of the Business
      • Core Data Elements of an Immunization Hi
      • Key Technical Decisions 
        • Pre-Adoption Of Some Features Of HL7 Ver
        • Use Of Vocabulary Standards 
        • Snapshot Mode 
        • Field Length And Truncation 
        • Conventions 
    • 3. HL7 Messaging Infrastructure
      • Keywords 
      • HL7 definitions 
      • Basic Message Construction Rules 
        • Encoding Rules for Sending 
        • Encoding Rules for Receiving 
        • Implications of the Encoding Rules 
        • Determining Usage of Segments, Fields an
      • USAGE CONFORMANCE TESTING RECOMMENDATION
        • Usage 
        • Definition Of Conditional Usage 
        • Sending And Receiving Application Confor
      • Message Element Attributes  
    • 4. HL7 Data Types
      • Data Types for IIS Use 
        • CE -- Coded Element (most uses) 
        • CE_TX -- Coded Element (text only in RXA
        • CQ -- Composite Quantity with Units  
        • CWE -- Coded With Exceptions  
        • CX -- Extended Composite ID With Check D
        • DT -- Date  
        • DTM -- Date/Time  
        • EI -- Entity Identifier  
        • ERL -- Error Location 
        • FN -- Family Name  
        • FT – Formatted Text 
        • HD -- Hierarchic Designator  
        • ID -- Coded Values for HL7 Tables  
        • IS -- Coded Values for User Defined Tabl
        • LA2 -- Location with Address Variation 2
        • MSG -- Message Type  
        • NM -- Numeric  
        • PT -- Processing Type  
        • SAD -- Street Address  
        • SI -- Sequence Id  
        • ST – String 
        • TS -- Time Stamp  
        • VID -- Version Id  
        • XAD -- Extended Address  
        • XCN - Extended Composite ID Number and N
        • XON - Extended Composite Name and ID Num
        • Extended Person Name (XPN) 
        • XTN - Extended Telecommunication Number 
    • 5. Segments and Message Details
      • BHS—Batch Header Segment 
      • BTS—Batch Trailer Segment 
        • BTS field definitions 
      • ERR—Error Segment 
        • ERR field definitions: 
      • EVN - Event Type Segment 
        • EVN field definitions 
      • FHS—File Header Segment 
        • FHS field definitions 
      • FTS—File Trailer Segment 
      • IN1—Insurance Segment (IN2, IN3) 
      • MSA—Message Acknowledgement Segment 
        • MSA field definitions 
      • MSH—Message Header Segment 
        • MSH field definitions 
      • NK1—Next of Kin Segment 
        • NK1 field definitions 
      • NTE—Note Segment 
        • NTE field definitions 
      • OBX—Observation Result Segment 
        • OBX field definitions 
      • ORC—Order Request Segment 
        • Conformance Statement: 
        • ORC field definitions 
      • PD1—Patient Demographic Segment 
        • PD1 field definitions 
      • PID—Patient Identifier Segment 
        • PID field definitions 
      • PV1—Patient Visit Segment 
      • QAK—Query Acknowledgement Segment 
        • QAK field definitions 
      • QPD – Query Parameter Definition 
        • QPD field definitions 
      • RCP – Response Control Parameter Segment
        • Conformance Statement: 
        • RCP field definitions 
      • RXA-- Pharmacy/Treatment Administration 
        • RXA field definitions 
      • RXR-- Pharmacy/Treatment Route Segment 
        • RXR field definitions 
    • 6. Messages for Transmitting Immunizatio
      • Introduction 
      • Send Immunization History--VXU 
      • Requesting Information (Immunization His
      • Respond to Request for Information– RSP 
      • Requesting An Immunization History from 
      • Acknowledging a Message--ACK 
      • Sending Demographic Information – VXU or
      • Sending Messages in a Batch 
    • 7. Query and Response Profile (QBP/RSP)
      • Request Immunization History Query Profi
      • Return a List of Candidates Profile -- Z
        • Introduction: 
        • Use Case: 
        • Static Definition 
        • Segment Level Profile 
        • Field Level Profile 
        • Dynamic Definition 
        • Acknowledgement Responsibilities 
      • Return an Immunization History – Z32^CDC
        • Introduction: 
        • Use Case: 
        • Static Definition 
        • Segment Level Profile 
        • Field Level Profile 
      • Dynamic Definition 
    • Change History Details
    • APPENDIX A:
      • User-defined Table 0001 - Sex  
      • HL7-defined Table 0003 - Event type  
      • User-defined Table 0004 - Patient class 
      • User-defined Table 0005 – Race 
      • HL7-defined Table 0008 - Acknowledgment 
      • User-defined Table 0010 - Physician ID  
      • HL7-defined Table 0061 - Check digit sch
      • User-defined Table 0063 – Relationship 
      • User-defined Table 0064 - Financial clas
      • HL7-defined Table 0076 - Message type  
      • HL7-defined Table 0078 - Abnormal flags 
      • HL7-defined Table 0085 - Observation res
      • HL7-defined Table 0091 - Query priority 
      • HL7-defined Table 0102 - Delayed acknowl
      • HL7-defined Table 0103 - Processing ID  
      • HL7-defined Table 0104 - Version ID 
      • HL7-defined Table 0105 - Source of comme
      • HL7-defined Table 0119 – Order Control C
      • HL7-defined Table 0126 - Quantity limite
      • HL7-defined Table 0136 - Yes/No indicato
      • HL7-defined Table 0155 - Accept/Applicat
      • HL7-defined Table 0162 - Route of admini
      • User-defined Table 0189 - Ethnic Group  
      • HL7-defined Table 0190 - Address type  
      • HL7-defined Table 0202 - Telecommunicati
      • User-defined Table 0203 - Identifier typ
      • User-defined Table 0204 - Organizational
      • HL7-defined Table 0207 - Processing mode
      • User-defined Table 0208 - Query response
      • HL7-defined Table 0211 - Alternate chara
      • User-defined Table 0215 - Publicity code
      • User-defined Table 0220 - Living arrange
      • HL7-defined Table 0227 - Manufacturers o
    • alphabetized by manufacturer name
      • User-defined Table 0288 - Census tract  
      • User-defined Table 0289 - County/parish 
      • HL7-defined Table 0292 - Codes for Vacci
    • CVX – Vaccines Administered
      • User-defined Table 0296 - Language  
      • User-defined Table 0297 - CN ID source 
      • User-defined Table 0300 - Namespace ID 
      • HL7-defined Table 0301 - Universal ID ty
      • HL7-defined Table 0322 - Completion stat
      • HL7-defined Table 0323 - Action code 
      • HL7-defined Table 0354 - Message structu
      • HL7-defined Table 0356 - Alternate chara
      • HL7-defined Table 0357 - Message error s
      • User-defined Table 0360 – Degree 
      • User-defined Table 0361 – Application 
      • User-defined Table 0362 – Facility 
      • User-defined Table 0363 – Assigning Auth
      • User-defined Table 0396 – Coding system 
      • User-defined Table 0441 - Immunization r
      • User-defined Table 0471 – Query Name 
      • HL7 Table 0516  - Error Severity (use in
      • User-defined Table 0533 – Application Er
      • CDC-defined NIP001 - Immunization inform
      • CDC-defined NIP002 - Substance refusal r
      • CDC-defined NIP003 - Observation identif
      • CDC-defined NIP004 - Contraindications, 
      • Value Set Name – Immunization Funding So
      • Value Set Name – Vaccination Contraindic
      • Value Set Name – Vaccination Reaction - 
      • Value Set Name – Vaccination Special Ind
      • Value Set Name – Immunization Profile Id
      • Value Set Name – Immunization Schedule I
      • Value Set Name – Evidence of Immunity - 
      • Value Set Code: PHVS_VISBarcodes_IIS 
      • Value Set Name – Funding Eligibility Obs
      • Value Set Name – VIS Vaccines (IIS) 
    • Appendix B 
      • Core Data Elements for an Immunization H
      • Send Immunization History (VXU) 
      • Supported Message Segments 
      • Example VXU # 1-Basic message: 
      • Example VXU #2 - Indicate client eligibi
        • Patient Eligibility Status: 
      • Example VXU #3 - Include immunization hi
        • Indicating the Schedule that was used: 
        • Indicating Vaccine Group associated: 
        • Reporting The Ordinal Position In A Seri
        • Reporting the Number of Doses in a Serie
        • Reporting Next Dose Recommendation Dates
        • Reporting Recommendation Reasons: 
        • Complete Example Of Evaluation And Forec
        • Using The NTE Segment Associated With An
      • Example VXU #4 - Send client specific co
        • Evidence of immunity: 
        • Contraindications to immunization: 
        • Factors which indicate the need for an i
      • Example VXU #5 – Send immunizations asso
      • Example VXU #6 –Delete an Immunization R
      • VXU Example #7--Send Information About V
      • VXU Example #8—Send Information About Im
      • VXU Example #9—Send Two Lot Numbers in R
      • VXU Example #10—Recording Birth Informat
      • VXU Example #11—Recording an incompletel
      • Send Acknowledgement ACK In Response To 
      • Send acknowledgement of success in ACK 
        • Send Error in ACK 
      • Send Request for Vaccine History (QBP/RS
        • Process for requesting Immunization Hist
        • Description of the VXQ/VXX/VXR Process F
        • Using QBP query to replicate VXQ/VXX/VXR
        • Returning a list of candidate clients in
        • Returning an immunization history in res
        • Acknowledging a Query that finds no cand
        • Acknowledging a query that finds more ca
        • Using a Two-step process to request an i
        • Returning a list of candidate clients in
      • Receiving system determines that message
      • Malformed message 
      • No Match Is Found 

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