Stream: implementers
Topic: Immunization reaction
Paco Novillo (Jun 17 2021 at 09:44):
Hi all,
shouldn't Immunization.reaction have a reference to AllergyIntolerance?
Actually, in R4 specs, it only have a reference to Observation, however, it states that: "Immunization.reaction may be an indication of an allergy or intolerance. If this is deemed to be the case, a separate AllergyIntolerance resource instance should be created to indicate it, as most systems will not query against past Immunization.reaction."
How can I relate the Immunization.reaction with its AllergyIntolerance if we do not have such reference?
Thanks in advance
Craig Newman (Jun 17 2021 at 13:31):
I'd like some clinician input, but I don't think that the allergy is the same as a reaction to a vaccine. We do have a Jira ticket (https://jira.hl7.org/browse/FHIR-28093) to change reaction to a CodeableConcept to allow a coded value but we weren't planning on adding a reference to AllergyIntolerance. There are notes in the Jira ticket from discussions with the Patient Care WG and if I recall, we drew some similarities between AllergyIntolerance.reaction and Immunization.reaction.
Paco Novillo (Jun 17 2021 at 15:05):
Thank you very much @Craig Newman
Last updated: Apr 12 2022 at 19:14 UTC
