1. EHR System Function and Information Model (EHR-S FIM is based on EHR-S FM R2.0) CP.1.6 Manage Immunization List aka DC in EHR-S FM R1.1
, facilitator
January 14, 2012, Original
February 24, 2012, Last Updated
Call for Participation
This work is being done by the HL7 EHR Interoperability Work-group,
meeting every Tuesday at 4PM ET, dial-in: , Passcode: #
 The most current artifacts are at:
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2. CP. 1. 6 Manage Immunization List based on EHR-S FM CP. 1
CP.1.6 Manage Immunization List based on EHR-S FM CP.1.6 Statement and Description
Statement: The purpose of this function is to create and maintain patient-specific and health care delivery organization administered immunization lists.
Description: Immunization lists are managed over time through a range of encounters (e.g., a visit or hospital stay) over the lifetime of a patient. Details of immunizations administered are captured as discrete data elements including date, type, manufacturer and lot number. The entire immunization history is viewable.
Example: (Notional Scenario) During an encounter, a health care professional might view a patient’s immunization history and should manage a patient’s immunization list when an immunization event, denial-of-immunization or required booster schedule needs to be added to the immunization list, according to scope of practice, organizational policy and/or jurisdictional law.
RED: delete, Blue: insert
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3. CP.1.6 Manage Immunization List Activities Mapped-to System-Components
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CP.1.6 Manage Immunization List Conceptual Information Model (CIM) Mapped to EHR-S Functions
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5. CP.1.6 Manage Immunization List Conceptual Data Model (CDM)
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6. CP.1.6 Manage Immunization List CDM Requirements-Traceability
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7. CP.1.6 Manage Immunization List Dependencies
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8. Action Verb Hierarches
Manage (Data)
Capture
Maintain
Render
Exchange
Determine
Manage- Data- Visibility
Auto-Populate
Enter
Import
Receive
Store
Update
Remove
Extract
Present
Transmit
Export
Analyze
Decide
De-Identify
Hide
Mask
Re-Identify
Unhide
Unmask
Archive
Backup
Decrypt
Encrypt
Recover
Restore
Save
Annotate
Attest
Edit
Harmonize
Integrate
Link
Tag
Delete
Purge
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Archive
Older slides
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CP.1.6 Immunization List Requirements based on EHR-S FM CP.1.6 Statement and Description
The system SHALL provide the ability to manage all immunizations associated with a patient.
The system SHALL provide the ability to manage, as discrete data elements, data associated with any immunization given including date and time of administration, immunization type and series, lot number and manufacturer, dose and administration site or route, and administering provider.
The system SHALL provide the ability to manage, as discrete elements, data associated with any immunization withheld (including date and time, immunization type, series, exception reason and immunization-withholding provider).
The system SHOULD provide the ability to render a report of a patient's immunization history (e.g., for appropriate authorities such as schools, day-care centers or public health immunization registries) according to scope of practice, organizational policy and/or jurisdictional law.
The system SHALL provide the ability to capture the currently recommended date for an immunization booster dose with each immunization, if needed.
RECOMMENDATION: group all SHALLs together.
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11. CP.1.6 Manage Immunization List Dependencies
CP.3.3 Manage Clinical Documents and Notes (DC.1.8.5)
CP.6.2 Manage Immunization Administration (DC.1.8.2)
OVERARCHING:
Trust Infrastructure
Record Infrastructure

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CP.1.6 Manage Immunization List (Notional Scenario) based on EHR-S FM CP.1.6 Example
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