Cerner Immunization missing the vaccine

[dhf0820]

this is returned from the cerner sandbox:

{
"resourceType": "Bundle",
"id": "04eeda50-049a-459e-8818-0c57df0eff24",
"type": "searchset",
"base": "https://fhir-open.sandboxcernerpowerchart.com/may2015/d075cf8b-3261-481d-97e5-ba6c48d3b41f",
"total": 1,
"link": [
{
"relation": "self",
"url": "https://fhir-open.sandboxcernerpowerchart.com/may2015/d075cf8b-3261-481d-97e5-ba6c48d3b41f/Immunization?patient=2744010"
}
],
"entry": [
{
"resource": {
"resourceType": "Immunization",
"id": "M3869433",
"text": {
"status": "generated",
"div": "

Immunization

Date: 2014-09-25T21:00:00.000Z

Given: Yes

Administered by: Kolm, Margaret

Site: left arm

Route: IM

"
},
"date": "2014-09-25T21:00:00.000Z",
"vaccineType": {
"coding": [
{
"system": "http:https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx",
"code": "88"
}
],
"text": "Fluzone"
},
"patient": {
"reference": "Patient/2744010"
},
"wasNotGiven": false,
"reported": false,
"performer": {
"reference": "Practitioner/2770007",
"display": "Kolm, Margaret"
},
"encounter": {
"reference": "Encounter/2457918"
},
"manufacturer": {
"reference": "Organization/661540",
"display": "SANOFI WINTHROP PHARMACEUTICALS"
},
"lotNumber": "4264a",
"expirationDate": "2015-09-25",
"site": {
"coding": [
{
"system": "http:https://hl7.org/fhir/v3/ActSite",
"code": "LA",
"display": "left arm"
}
],
"text": "left arm"
},
"route": {
"text": "IM"
},
"doseQuantity": {
"value": 0.1,
"units": "mL"
}
}
}
]
}

this is what is parsed in to immunization:

<FHIR::Immunization:0x007fa8ac9eea38

@contained=[],
@Date="2014-09-25T21:00:00.000Z",
@doseQuantity=
#<FHIR::Quantity:0x007fa8ac9ff108
@code=nil,
@comparator=nil,
@extension=[],
@id=nil,
@System=nil,
@Unit=nil,
@value=0.1>,
@encounter=
#<FHIR::Reference:0x007fa8ac98cdb0
@display=nil,
@extension=[],
@id=nil,
@reference="Encounter/2457918">,
@expirationDate="2015-09-25",
@explanation=nil,
@extension=[],
@id="M3869433",
@Identifier=[],
@implicitRules=nil,
@language=nil,
@location=nil,
@lotNumber="4264a",
@Manufacturer=
#<FHIR::Reference:0x007fa8ac98ca18
@display="SANOFI WINTHROP PHARMACEUTICALS",
@extension=[],
@id=nil,
@reference="Organization/661540">,
@meta=nil,
@modifierExtension=[],
@note=[],
@patient=
#<FHIR::Reference:0x007fa8ac98e728
@display=nil,
@extension=[],
@id=nil,
@reference="Patient/2744010">,
@Performer=
#<FHIR::Reference:0x007fa8ac98d7b0
@display="Kolm, Margaret",
@extension=[],
@id=nil,
@reference="Practitioner/2770007">,
@reaction=[],
@Reported=false,
@requester=nil,
@route=
#<FHIR::CodeableConcept:0x007fa8ac9ff590
@coding=[],
@extension=[],
@id=nil,
@text="IM">,
@site=
#<FHIR::CodeableConcept:0x007fa8ac98c270
@coding=
[#<FHIR::Coding:0x007fa8ac98c220
@code="LA",
@display="left arm",
@extension=[],
@id=nil,
@System="http:https://hl7.org/fhir/v3/ActSite",
@userSelected=nil,
@Version=nil>],
@extension=[],
@id=nil,
@text="left arm">,
@status=nil,
@text=
#<FHIR::Narrative:0x007fa8ac98f920
@div=
"

Immunization

Date: 2014-09-25T21:00:00.000Z

Given: Yes

Administered by: Kolm, Margaret

Site: left arm

Route: IM

",
@extension=[],
@id=nil,
@status="generated">,
@vaccinationProtocol=[],
@vaccineCode=nil,
@wasNotGiven=false>

The vaccineCode is nil because they use vaccineType. THey use the final ballot 1.02. Is there an easy way to get access to the vaccineType they use?

[jawalonoski]

Final ballot of 1.0.2 (DSTU2) is also supposed to be vaccineCode (see http:https://hl7.org/fhir/DSTU2/immunization.html), so if that is the correct version number then they have a bug.

Against DSTU2 servers, you should use the DSTU2 branch of fhir_client here: https://github.com/fhir-crucible/fhir_client/tree/dstu2

But to answer your question -- no, there is no way easy way to access the vaccineType they include.

[dhf0820]

Their sandbox is 1.0.2 their production is 0.5

[jawalonoski]

Regarding the version numbers, that makes sense.

The only way to access vaccineType will be from parsing the response and accessing it manually... something like:

reply = client.read(FHIR::Immunization, id, FHIR::Formats::ResourceFormat::RESOURCE_JSON)
json = JSON.parse(reply.response)
raw_vaccineType = json['vaccineType']
vaccineType = FHIR::CodeableConcept.new(raw_vaccineType)

[dhf0820]

Thank you for the reply. This can be closed

From: jawalonoski [email protected]
Reply-To: fhir-crucible/fhir_client [email protected]
Date: Monday, August 1, 2016 at 9:19 AM
To: fhir-crucible/fhir_client [email protected]
Cc: Donald French [email protected], Author [email protected]
Subject: Re: [fhir-crucible/fhir_client] Cerner Immunization missing the vaccine (#35)

Regarding the version numbers, that makes sense.

The only way to access vaccineType will be from parsing the response and accessing it manually... something like:

reply = client.read(FHIR::Immunization, id, FHIR::Formats::ResourceFormat::RESOURCE_JSON)
json = JSON.parse(reply.response)
raw_vaccineType = json['vaccineType']
vaccineType = FHIR::CodeableConcept.new(raw_vaccineType)
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