FHIR Chat · Flu vaccines · smart/scheduling-links

Stream: smart/scheduling-links

Topic: Flu vaccines

Josh Mandel (Jul 21 2021 at 21:20):

Sounds like there is interest in expanding support for vaccine schedules beyond COVID-19 -- I think it's a great idea.

Have folks worked through example data for how to represent flu vaccination schedules and slots? @Hemalatha Ravishankar I understand your team might have? Are there additional examples or clarifications we might want to include in the implementation guide for this?

Rob Brackett (Jul 27 2021 at 23:24):

PrepMod's implementation of the API supports all vaccine types (but I think all customers are only using it for COVID right now). We weren't sure what to do for this, so at the moment the only difference from COVID-themed data is that the schedules only have the "Immunization" serviceType and not the "COVID-19 Immunization Appointment" one. We didn’t dig too deeply into this, though, so would love to know more about what might be good practices here.

Rob Brackett (Jul 27 2021 at 23:25):

e.g. you can can see a non-COVID vaccination schedule in the state of Washington’s test site right now: https://test-prepmod.doh.wa.gov/api/smart-scheduling-links/$bulk-publish

{
  "id": "010de281a01621f46132e135d6d4bcc8-115",
  "actor": [
    {
      "reference": "Location/010de281a01621f46132e135d6d4bcc8"
    }
  ],
  "resourceType": "Schedule",
  "serviceType": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/service-type",
          "code": "57",
          "display": "Immunization"
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://fhir-registry.smarthealthit.org/StructureDefinition/vaccine-product",
      "valueCoding": {
        "system": "http://hl7.org/fhir/sid/cvx",
        "code": "115",
        "display": "BOOSTRIX"
      }
    }
  ]
}

Josh Mandel (Jul 29 2021 at 16:19):

Thanks! Combination of immunization appointment type + schedule-level CVX codes in a product extension fits well with our current spec. And is unambiguous. (In a world where vaccine supplies are unlimited, it'd probably be better to have a combined "any kind of immunization you want" schedule -- but I think it's fine not to go there just yet.)

We might want more specific guidance about publishing "busy" slots (for communicating: someone's booked on this schedule) vs removing slots from the published set (for communicating: this slot no longer apples, perhaps because no vaccine is available or no staff available, perhaps because this same time slot was booked on another Schedule, etc)

Last updated: Apr 12 2022 at 19:14 UTC