Stream: implementers
Topic: VaccinationProtocol
Grahame Grieve (Jan 20 2018 at 19:52):
what happened to the protocol part of Immunization?
Jose Costa Teixeira (Jan 22 2018 at 09:38):
http://build.fhir.org/immunizationrecommendation.html ?
Grahame Grieve (Jan 22 2018 at 12:47):
that's a different thing. When you give someone a vaccination, you frequently record just the doe sequence
Jose Costa Teixeira (Jan 22 2018 at 12:53):
ah i thought you meant the plan for vaccination.
Lloyd McKenzie (Jan 22 2018 at 15:38):
ImmunizationEvaluation
Lloyd McKenzie (Jan 22 2018 at 15:40):
"dose sequence" is an evaluative assertion and relates to whether the dose "counts" with respect to producing immunity. Evaluations can be (and often are) done long after the immunization was performed. And there can be different evaluations based on the rules of different jurisdictions or at different time-points. That's the reason for splitting it into a separate resource.
Grahame Grieve (Jan 22 2018 at 18:52):
so this is extremely painful for at least Australia, where all the content models for immunization I've ever seen include just the details in Immunization, + a doseSequence. How is that supposed to work?
Lloyd McKenzie (Jan 22 2018 at 22:20):
@Joginder Madra @Craig Newman ?
Joginder Madra (Jan 22 2018 at 22:44):
I'm not sure I 100% understand the question, but the structure you are looking for is VaccinationProtocol. That's were we capture the doseSequence in the immunization resource.
Grahame Grieve (Jan 22 2018 at 22:45):
It's gone in the current buidl
Joginder Madra (Jan 22 2018 at 22:49):
ah OK...it's coming back to me. Lloyd is correct..there was a decision to pull the protocol info out of the immunization resource and move it to ImmunizationEvaluation.
Joginder Madra (Jan 22 2018 at 22:50):
ImmunizationEvalution is basically just the protocol info with linkages back to immunization
Joginder Madra (Jan 22 2018 at 22:52):
this was related to gforge item #8406
Grahame Grieve (Jan 22 2018 at 22:54):
so now you need an extra resource, and you can't record an immunization without specifying at least one target disease?
Joginder Madra (Jan 22 2018 at 22:56):
Yes. Target Disease was something that needed to be specified before.
Grahame Grieve (Jan 22 2018 at 22:56):
my name is all over the task, I see. I agree with moving protocol to it's own resource, but doseSequence should be left in immunization, since that's ubiquitious practive
Joginder Madra (Jan 22 2018 at 23:04):
my suggestion would be to raise a tracker item, and let's find time to discuss at the WGM
Grahame Grieve (Jan 22 2018 at 23:05):
ok
Grahame Grieve (Jan 22 2018 at 23:08):
Hans Buitendijk (Jun 26 2018 at 18:11):
Is anybody aware of a profile that is in progress or already defined (just not yet published) for a vaccination/immunization schedule by country?
Lloyd McKenzie (Jun 26 2018 at 18:15):
There's a Canadian one that's published and in production: https://www.ehealthontario.on.ca/en/standards/view/digital-health-immunization-repository-specification-fhir
Hans Buitendijk (Jun 26 2018 at 18:43):
Thank you for the link! After going through it, I don't think that includes what I am looking for. It is not the set of vaccinations/immunization recommendations for a particular patient, or the patient's current/expired vaccinations/immunizations I'm looking for, but rather what for a country the suggested vaccinations/immunizations are, i.e., patient independent, that you then can compare to what a patient actually has, taking into account their estimated travel period. ImmunizationRecommendation.patient is 1..1 so would not work. Clearly, once compared, the the ImmunizationRecommendation can convey that. Similarly, ImmunizationEvaluation is covering another part of the process, so would not work either. One could use PlanDefinition.jurisdiction = destination and PlanDefinition.action.definition into ActivityDefinition, etc., but wanted to see what profiles had done to date. Maybe @Craig Newman has seen something.
Igor Sirkovich (Jun 26 2018 at 19:24):
You are right, this IG is for Ontario registry of patient immunizations, but not for the definition of the vaccination schedule.
Lloyd McKenzie (Jun 26 2018 at 19:26):
That sort of thing would need to be done using PlanDefinition. I'm not aware of anyone doing that for Immunization yet. @Bryn Rhodes, heard anything?
Craig Newman (Jun 26 2018 at 19:27):
There is nothing that I'm aware of. In the the US, the CDS for immunizations (CDSi) project has done some work on defining recommendations for "at risk" individuals, but it's definitely not FHIR and covers a lot more than just travel plans. The ImmunizationEvaluation and ImmunizationRecommendation both point back to a series and an authority but nothing very specific.
Igor Sirkovich (Jun 26 2018 at 19:28):
In Ontario, the schedule is available at http://www.health.gov.on.ca/en/public/programs/immunization/static/immunization_tool.html but it's not FHIR either.
Igor Sirkovich (Jun 26 2018 at 19:30):
This is what we use as a foundation for our "digital yellow card" (record of immunizations): http://www.health.gov.on.ca/en/pro/programs/immunization/docs/immunization_schedule.pdf
Hans Buitendijk (Jun 26 2018 at 22:08):
Thank you! Sounds like green field.
Last updated: Apr 12 2022 at 19:14 UTC
