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The ICE service has an option for displaying vaccines that are included in a request but not supported by the default ICE Immunization Schedule in an “Other” vaccine group. This feature may be enabled by modifying a configuration file and restarting the ICE service. 

Description

For any administered shot with a vaccine included in a request to ICE that: (1) is not supported by the configured immunization schedule; and (2) has a concept specified for it in ICE’s OpenCDS concepts configuration (cdm.xml) file, ICE will:

  • Evaluate the shot as NOT_EVALUATED with the reason code of VACCINE_NOT_SUPPPORTED.  In the XML response, the shot is specified to be in the Other Vaccine Group as specified through the ObservationFocus element of its encompassing SubstanceAdministrationEvent element.

  • Output a SubstanceAdministrationProposal for the Other Vaccine Group with a recommendation code of NOT_AVAILABLE and reason code of NOT_SUPPORTED.

If the shots administered meet the above conditions, the Other Vaccine Group is not included in the output.

Example

The below screenshot depicts what this looks like in HLN’s sample web client. In this example, yellow fever and anthrax vaccines were administered to the patient, neither of which are supported by the default immunization schedule.

Screenshot from the ICE Client showing the Other Vaccine Group, with anthrax and yellow fever.

Below is a snippet of the XML for the evaluated yellow fever shot for this example:

And the corresponding SubstanceAdministrationProposal:

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