Stream: smart/scheduling-links
Topic: Pediatric vaccines
sophia golden (Oct 14 2021 at 16:00):
Hi all - with the pediatric vaccines coming soon, any expected changes from providers publishing appointment availability to vaccines.gov? Should we expect any differentiation between a pediatric vaccine slot and adult?
CC: @Ryan Owens , @Madhura Chinthala
Rob Brackett (Oct 22 2021 at 21:52):
FWIW, we would also love to have something along these lines! Folks we've been working with in Alaska (Anchorage) & New Jersey (state) have been asking about differentiation for boosters, too. Less of a big deal than pediatrics, though.
Rob Brackett (Oct 29 2021 at 16:22):
I just want to re-up on this ask — we’re starting to see pediatric vaccines show up in some places (e.g. CDC open data portal), and have multiple state & local gov partners asking about having clear pediatric vs. adult data.
I’d love to know what other folks here implementing the SMART Scheduling Links standard are planning. For now, I’m writing code anticipating different CVX codes for this (based on this CDC doc: https://www.cdc.gov/vaccines/programs/iis/COVID-19-related-codes.html). But I know most of the live implementations don’t include CVX codes!
Rob Brackett (Nov 04 2021 at 15:16):
@Ryan Owens @Hemalatha Ravishankar @Patrick Stuart do any of you have plans to add pediatric vaccine info to your implementations? I am currently supporting governments in three states (NJ, AK, WA) who are asking for ways to distinguish where pediatric shots are offered.
PrepMod’s SMART Scheduling Links API shows it, but so far I think they’re the only one.
Josh Mandel (Nov 04 2021 at 16:04):
Just want to underscore how important this is for @everyone subscribed here -- our spec provides the ability to list CVX codes associated with a schedule, and knowing availability of pediatric appointments is important for end-users who are looking to schedule vaccines for children.
Amy Quispe (Nov 04 2021 at 18:35):
speaking for the vaccines.gov team, we really want all providers to use this part of the spec esp now that pediatric vaccines are rolling out
Ryan Owens (Nov 04 2021 at 20:58):
@Kyle Boroff would be the best person to answer for Kroger. He is the Product Manager responsible for our availability API. At this point personally, I am not aware of any planned enhancements to add this level of detail, but Kyle can confirm.
Rob Brackett (Nov 05 2021 at 21:03):
FWIW, this is super important to the state of New Jersey and the Municipality of Anchorage, both of whom have made really strong asks to us about it at USDR and are experiencing some crunch and urgency around pediatric shots.
Right now we’re making rough assumptions by combining data from SMART Scheduling Links APIs with CDC’s stocking info (which can tell us whether pediatric vaccines have been sent to a pharmacy), but the CDC data is often a day or more out of date, and is about stock rather than appointments, and we’ve seen that those were quite different in earlier crunch times this year. We’re doing our best with that data, but know that we are likely to be wrong sometimes because of the above issues. It would be super helpful to have data directly in your APIs about it.
Hemalatha Ravishankar (Nov 09 2021 at 21:31):
Rob Brackett said:
Ryan Owens Hemalatha Ravishankar Patrick Stuart do any of you have plans to add pediatric vaccine info to your implementations? I am currently supporting governments in three states (NJ, AK, WA) who are asking for ways to distinguish where pediatric shots are offered.
PrepMod’s SMART Scheduling Links API shows it, but so far I think they’re the only one.
Hello, We are currently discussing about this. Will keep you all posted with updates.
Josh Mandel (Feb 15 2022 at 21:58):
https://github.com/smart-on-fhir/smart-scheduling-links/blob/master/specification.md#schedule-file has the relevant documentation. You can decorate your schedule with a list of vaccine products by describing the CVX codes of those products. There are existing CVX codes for the pediatric approved products.
Josh Mandel (Feb 15 2022 at 22:02):
So for example @Hemalatha Ravishankar
{
"resourceType": "Schedule",
"id": "456",
"extension": [{
"url": "http://fhir-registry.smarthealthit.org/StructureDefinition/vaccine-product",
"valueCoding": {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "218",
"display": "COVID-19 Pfizer BioNTech Pediatric 5 – 11 years"
}
}],
"serviceType": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/service-type",
"code": "57",
"display": "Immunization"
},
{
"system": "http://fhir-registry.smarthealthit.org/CodeSystem/service-type",
"code": "covid19-immunization",
"display": "COVID-19 Immunization Appointment"
}
]
}
],
"actor": [
{
"reference": "Location/123"
}
]
}
Last updated: Apr 12 2022 at 19:14 UTC
