Stream: smart/health-cards
Topic: Can lab & vax be in same QR
Brian Agnes (May 19 2021 at 20:28):
If I have lab tests and vaccination records for a patient would I create 1 or 2 QR codes? I know that if JWT gets too large that it will auto span multiple QR code. What I am asking is: should a single JWT be created with all the info?
Josh Mandel (May 19 2021 at 20:31):
Our general advice is to only bundle information if an IG (and the use case the IG is based on) needs this information presented together. That's a non-answer, but a framework for thinking about it.
Josh Mandel (May 19 2021 at 20:32):
The best recommendation right now is to keep things separate (other than doses of vaccine, which are combined; or observations associated with a given diagnostic report, which are combined)
Brian Agnes (May 19 2021 at 22:33):
thanks for the answer
Max Masnick (May 20 2021 at 00:18):
The FHIR IG also currently doesn't allow for lab results and immunizations to be mixed into the same Bundle. The reason for this is we wanted a closed slice so that other unexpected resources couldn't be included in a conforming Bundle. This is important to make sure data isn't unexpectedly added to a SHC by an Issuer that patient-facing applications can't display.
Max Masnick (May 20 2021 at 00:20):
We could technically add a bundle that includes both lab results and immunizations, but our sense is that this may hit up against payload limits.
Also, patients may want to present just their immunizations but not their lab test, so there may be some benefits in keeping them separate.
Last updated: Apr 12 2022 at 19:14 UTC
