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  1. FHIR Specification Feedback
  2. FHIR-15124

Add Immunization guidance around capturing reactions

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: High High
    • FHIR Core (FHIR)
    • STU3
    • Public Health
    • STU
    • Immunization
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      Per discussions with the Patient Care WG (see comments below) and the Public Health WG, the use of AdverseEvent to document an adverse reaction to an immunization is not the appropriate workflow. The current Immunization.reaction backbone element should be used to document the reaction itself. The suggestion to add guidance on the use of AdverseEvent will not be added.

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      Per discussions with the Patient Care WG (see comments below) and the Public Health WG, the use of AdverseEvent to document an adverse reaction to an immunization is not the appropriate workflow. The current Immunization.reaction backbone element should be used to document the reaction itself. The suggestion to add guidance on the use of AdverseEvent will not be added.
    • Craig Newman/Nathan Bunker: 32-0-0

    Description

      + During the Jan 2018 WGM Thurs Q3 (PC, BRR, and FHIR-I attendees) +

      Add a 'notes' section that indicates the preferred way to convey the immunization reaction is to have a standalone AdverseEvent resource, which uses AdverseEvent.suspectEntity.instance to reference the Immunization (approved with GF#14238). As an FYI, the resource created first (Immunization) is referenced from the resource created subsequently (AdverseEvent).

      The 'notes' section should also advise that those systems that capture the reaction as part of the immunization record, itself, can use a contained AdverseEvent. Please add an Immunization example that shows the AdverseEvent as a contained resource and link to it from the 'notes' guidance.

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            Unassigned Unassigned
            michelle.m.miller Michelle Miller
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