Sample Immunization HL7

back: Immunization_Reporting

MSH|^~\&|VW IMMUNIZATION|WorldVistA EHR 3-09|CDC IMMUNIZATION REG|CDC|20110621121530-0400||VXU^V04^VXU_V04|123|P|2.5.1|||AL|AL|USA|
PID|1||82^^^DFN^MR||HAENA^MARY^^^^^L||19791122|F||2076-8^NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER^HL70005|6778 Kaulula Road^""^HONOLULU^HI^96805^USA^P^""^003~^^""^""^^^N||^PRN^^^^808^7278755|||||||||N^NOT HISPANIC OR LATINO^HL70189|||||||||
ORC|RE||600|||||||||63-VASTANUM^KING^MATTHEW^MICHAEL^^DR^MD^99VA4|
RXA|0|1|201007101030-0400|201007101030-0400|52^Hepatitis A Adult^CVX|1|ML^ML^HL70396||||||||LOT4||SKB^GLAXOSMITHKLINE^MVX||||A|