Immunization use case at the local or regional scale with a national immunization register

Scenario context: 

 There is a central (national/regional) location where the immunization reporting is monitored and updated. The immunization history are also known in the patient General Practitioner’EHR 

Actors: 
HP EHR System (HealthCare Provider)
Immunization On-demand Document Source
Immunization Summary Content Consumer
Immunization Document repository (national (Public Health) or regional repository (HIE)
HIE clinical repository
Immunization Information Repository
Transactions: 
Report Immunization
Update immunization
Query existing data
Retrieve on demand immunization documents
Query immunization information
Technical Process Flow: 
  1. Patient visits HP
  2. HP EHR System selects the patient
  3. HP EHR System requests the current immunization and/or the immunization history
  4. HP checks the immunization serology from a lab report
  5. HP EHR System imports the list of current immunization and/or history into the HP EHR System
  6. HP views the generated list of current immunization and/or history from his / her own HP EHR System
  7. HP Updates the current immunization
  8. HP send the immunization report to the immunization registry (regional/national) 
Possible issues: 
  • Accessibility to immunization information
  • Accessibility of the lab report on serology of the patient
  • Accessibility on the immunization history of the patient (Use of immunization card)
  • De-identification of the patient when the report is uploaded to the national registry
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