MSH|^~\&||GAVACREC||AZVACREC|199505221605||VXQ^V01|950522GA40|T|2.3|||AL<CR>
QRD|199505221605|R|I|950522GA40|||1000^RD|JONES^JOHN^RICHARD|VXI|SIIS<CR>
QRF|AZVACREC||||256946789~19900607~CA~CA99999999~88888888~JONES^MARY^SUE~SMITH~
898666725~JONES^MATHEW^LEE~822546618<CR>
In this query, Georgia Vaccine Records is sending a request to Arizona Vaccine Records for an immunization record. The request is being sent on May 22, 1995, at 4:05 p.m.. Identifiers other than patient name are defined in the query by giving positional meaning to the repeat delimiters in the QRF-5 segment, as specified in 4.11. The responding system is expected to return all query items in their response. The QRD segment, at QRD-8-who subject filter, identifies the patient name. QRD-9-what subject filter reflects the new VXI category of Vaccination Information. QRD-10-what department data code shows SIIS.
In our example, we are sending a query for the record of John Richard Jones. The patients Social Security number is 256-94-6789; the patient birth date is June 7, 1990; the patient birth state is CA; the patient birth registration number is CA99999999; and the patient Medicaid number is 88888888. The patients mother is Mary Sue Jones, whose maiden name is Smith. Her Social Security number is 898-66-6725. The patients father is Mathew Lee Jones, and the fathers Social Security number is 822-54-6618.