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4.14.3 VXR - vaccination record response

MSH|...
MSA|...
QRD|...
QRF|...
PID|...
NK1|1|JONES^MARY^SUE|M^MOTHER^HL70063||||||||||||||||||||||||||||||898666725^^^^SS<CR>
NK1|2|JONES^MATHEW^LEE|F^FATHER^HL70063||||||||||||||||||||||||||||||822546618^^^^SS<CR>
ORC|RE||V43^AZVAC<CR>
RXA|0|4|19910607||01^DTP^CVX|.5|MG^^ISO+|||1234567891^GOLDSTEIN^HAROLD^A^^DR|
    &&&CHILD HEALTHCARE CLINIC^101 MAIN STREET&&METROPOLIS&AZ||||W46932777|19910813|
    SKB^SMITHKLINE^MVX<CR>
ORC|RE||V44^AZVAC<CR>
RXA|0|1|19910607||03^MMR^CVX|.5|MG^^ISO+|||1234567891^GOLDSTEIN^HAROLD^A^^DR|
    &&&CHILD HEALTHCARE CLINIC^101 MAIN STREET&&METROPOLIS&AZ||||W23487909876456|
    19910725|MSD^MERCK^MVX<CR>
ORC|RE||V87^AZVAC<CR>
RXA|0|5|19950520||01^DTP^CVX|.5|MG^^ISO+|||1234567891^GOLDSTEIN^HAROLD^A^^DR|
    &&&CHILD HEALTHCARE CLINIC^101 MAIN STREET&&METROPOLIS&AZ||||W22532806|19950705|
    SKB^SMITHKLINE^MVX<CR>
ORC|RE||V88^AZVAC<CR>
RXA|0|2|19950520||03^MMR^CVX|.5|MG^^ISO+|||1234567891^GOLDSTEIN^HAROLD^A^^DR|
    &&&CHILD HEALTHCARE CLINIC^101 MAIN STREET&&METROPOLIS&AZ||||W2341234567|19950630|
    MSD^MERCK^MVX<CR>

The example reflects a vaccination record return as might be expected by a public health agency reporting from an Immunization Information System in one state to another state system. It shows repeating RXA segments reporting the first and second doses of MMR and the fourth and fifth doses of DTP, including the manufacturer, lot number, and expiration date. If the vaccination had been refused by the patient or guardian, RXA-18-substance refusal reason would record the vaccine refusal reason, utilizing a user-defined table.

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