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  1. FHIR Specification Feedback
  2. FHIR-40298

Change Immunization action

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • Clinical Guidelines (FHIR)
    • 0.1 [deprecated]
    • Clinical Decision Support
    • (many)
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      Agreed, deprecate the ImmunizationRecommendation activity in favor of an ImmunizationRequest profile that uses the recommend-immunization activity code as a category for the MedicationRequest

      For the event, an Immunization is still used, so the CPGImmunization profile is still valid, the basedOn in this event would reference the MedicationRequest.

      This means for the Immunization activity, the flow is:

      ActivityDefinition (kind = MedicationRequest) -> MedicationRequest (CPGImmunizationRequest) -> Immunization

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      Agreed, deprecate the ImmunizationRecommendation activity in favor of an ImmunizationRequest profile that uses the recommend-immunization activity code as a category for the MedicationRequest For the event, an Immunization is still used, so the CPGImmunization profile is still valid, the basedOn in this event would reference the MedicationRequest. This means for the Immunization activity, the flow is: ActivityDefinition (kind = MedicationRequest) -> MedicationRequest (CPGImmunizationRequest) -> Immunization
    • Greg White/Chris Schuler: 11-0-1
    • Enhancement
    • Non-compatible
    • Yes

    Description

      The Immunization and ImmunizationRecommendation resources are represented from the perspective of an immunization tracking system, rather than a clinical system, and the intent is that they would drive Medication related resources to model the actual ordering and administration of immunizations within a clinical workflow. As such, the use of Immunization and ImmunizationRecommendation resources in the CPG is mis-aligned with the intent of those resources. We should change the modeling of the immunization activity within CPG to use medication-related resources for the clinical workflow.

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            Unassigned Unassigned
            bryn.rhodes Bryn Rhodes
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              Updated:
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