Webiz immunization Information System hl7 1 Local Implementation Guide



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WebIZ Immunization Information System

HL7 2.5.1

Local Implementation Guide

Document Version 3.1

January 2016



Table of Contents


Change Log 3

Definitions 4

Jurisdictions 4

The System Name of the Immunization Information 4

The two character Jurisdiction IDs 4

The Immunization System Information Facility Codes 4

Overview 6

Introduction 6

Intended Audience 7

Scope 7


Organization and Flow 8

Actors, Goals, and Messaging Transactions 9

HL7 Messaging Infrastructure 11

HL7 Data Types 14

Segments and Message Details 15

HL7 2.5.1 Message Segments 15

BHS – Batch Header Segment 20

BTS – Batch Trailer Segment 21

DSC – Continuation Pointer Segment 22

ERR – Error Segment 22

EVN – Event Type Segment 23

FHS – File Header Segment 24

FTS – File Trailer Segment 25

GT1 – Guarantor Segment 25

IN1 – Insurance Segment 25

IN2 – Insurance Segment 25

IN3 – Insurance Segment 25

MSA – Message Acknowledgement Segment 26

MSH – Message Header Segment 26

NK1 – Next of Kin Segment 40

NTE – Note Segment 59

OBX – Observation Result Segment 60

ORC – Order Request Segment 71

PD1 – Patient Demographic Segment 87

PID – Patient Identifier Segment 98

PV1 – Patient Visit Segment 117

PV2 – Patient Visit Segment 130

QAK – Query Acknowledgement Segment 130

QPD – Query Parameter Definition 131

RCP – Response Control Parameter Segment 132

RXA – Pharmacy/Treatment Administration Segment 134

RXR – Pharmacy/Treatment Route Segment 144

SFT – Software Segment 147

TQ1 – Timing/Quality Segment 147

TQ2 – Timing/Quality Segment 147

Messages for Transmitting Immunization Information 148

VXU – Send Immunization History 149

Additional Business Rules for Incoming VXU messages 151

VXU Patient Matching/Update Algorithm 151

VXU Vaccine Matching/Update Algorithm 153

PID-3 (PatientIdentifierList) and MSH-22. 154

BRs for Identifying the Administering Clinic for the Vaccine 155

BRs for Identifying the Patient’s Default Clinic 156

BRs for Identifying the Appropriate Audit Information 157

ACK – Acknowledging a Message 157

Examples of Error Messages: 157

QBP – Query for Immunization History 158

QBP Patient Matching Algorithm 158

RSP – Respond to Request for Information 160

ADT – Admission Discharge Treatment 163

Message Logging 164

Appendix A: Code Tables 165

User Defined Table 0001 – Sex 165

User Defined Table 0005 – Race 165


HL7 Defined Table 0008 – Acknowledgement Code 166

User Defined Table 0063 – Relationship 166

User Defined Table 0064 – Financial Class 167

HL7 Table 0162 – Route of Administration 168

HL7 Table 0163 –Administrative Site 168

CDREC –Ethnic Group 168

HL7 Table 0190 – Address Type 169

HL7 Table 0200 – Name Type 170

HL7 Table 0201 – Telecommunication Use Code 170

HL7 Table 0203 – Identifier Type 171

User-Defined Table 0227 – Manufacturer of Vaccines (Code = MVX) 171

User-defined Table 0289 - County/parish 172

User-defined Table 0292 - Codes for Vaccines Administered (Code=CVX) 172

User-defined Table 0296 – Language 172

HL7 Defined Table 0322 – Completion Status 172

HL7 Defined Table 0323 – Action Code 172

User-Defined Table 0362 – Facility 173

HL7 Table 0396 – Substance Refusal Reason 173

User-Defined Table 0441 – Immunization Information Status 173

CDC Defined NIP003 – Observation Identifiers (LOINC) 174

Value Set Name – Immunization Funding Source 175

Value Set Name – Vaccination Contraindications –see pg 239 from CDC Implementation Guide 176

Value Set Name – Vaccination Reaction –see pg 240 from CDC Implementation Guide 176

Appendix B: Example Messages 177

Vaccine refusal 177

Vaccine not administered 177

VIS examples 177

VIS for Single Antigen Vaccine by VIS Bar Code 177

VIS for Single Antigen Vaccine by CVX 177

VIS for Multi Antigen Vaccine by CVX 178

VIS for Multi Antigen Vaccine by VIS Bar Code 178




Change Log


The following table captures the progression of this document over time.

Version

Date

Description

Author

1.0

06/26/2012

Initial version of document

Ray Seggelke

1.1

3/11/2013

Updates made during implementation and to match 13.2 upgrade release.

Nichole Lambrecht

1.2

5/14/2013

Updates made during implementation and to match 13.5 upgrade release.

Nichole Lambrecht

1.3

11/4/2013

Updates made during implementation to match 13.8 upgrade release.

Nichole Lambrecht

1.4

3/13/2014

Updates made to reflect updates since the 13.8 release.

Claire Murchie

1.5

4/18/2014

Clarify text for ORC3, ORC10

Claire Murchie

1.6

6/02/2014

More corrections to clarify intent and reflect updates to match the 13.8.3 release

Claire Murchie

1.7

7/24/2014

Updates made to reflect the v14.4 release

Claire Murchie

1.8

9/18/2014

Updates made to reflect the v14.8 release

Nichole Lambrecht, Kevin Snow, Claire Murchie

1.9

10/24/2014

Updates made after IG review with Rob Savage.

Kevin Snow

2.0

12/10/2014

Updates made to reflect the v14.11 release

Claire Murchie

2.1

02/24/2015

Updates to new company standard

Nicole Bumgardner

2.2

07/09/2015

Updates to LOINC table

Nicole Bumgardner

3.0

09/23/2015

Updates made to reflect the v15.7 release (updates are highlighted)

Lucía Lapaz

3.1

1/13/2016

Update the length of MSH-10 field and added New Mexico to the document

Claire Murchie



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