Clinical Decision Support – HLN Consulting, LLC

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

by Noam Arzton August 28, 2019

On August 28, 2019, HLN released a new version (v1.20.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.

This version includes important updates to the DTP Vaccine Group including:

Updated the Adolescent Tdap Recommendation and Evaluation rules as per the latest Tdap guidance included in the 2019 CDC Immunization Schedule.
Added a rule requiring that in order for the primary series to be complete via the DTP 3-dose series, at least one of the doses administered must be a pertussis-containing vaccine.

The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads. A revised ICE Implementation Guide is also available.

See the feature article about ICE in Open Health News.

HLN Attends AIRA 2019 Annual Meeting and Anniversary Celebration!

by Noam Arzton July 1, 2019

HLN attended the American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Over 400 individuals from a wide variety of organizations attended, visited our booth (as a Gold Sponsor), and attend one of the many presentation delivered. This year AIRA celebrating its twentieth anniversary and HLN is proud to be among its founding members.

Presentations included:

HLN Attends CSTE 2019 Annual Conference

by Noam Arzton June 5, 2019

HLN attended the Council of State and Territorial Epidemiologists (CSTE) 2019 Annual Conference in Raleigh, NC on June 2-5. Bringing together over 1,600 epidemiologists, public health professionals, and associated non-profits and vendors, the conference provided sessions, roundtables, and engagement in a number of areas important to its members. For the second year HLN is a Bronze sponsor of the conference. “Given our work on Electronic Case Reporting (eCR) we feel it’s critically important to support this event,” commented Dr. Noam Arzt, president of HLN who will attend the meeting along with Janet Hui, “This is an energized community, and the opportunity to exchange ideas and insights is beneficial to everyone.”

This year, Dr. Arzt delivered a talk as part of the program:

“Cloud Computing Tutorial: Driving Solutions in Public Health“

In addition, HLN participated in the presentation of this talk on RCKMS:

“Reportable Conditions Knowledge Management System (RCKMS): Real-Life Implementation Progress and Our Future“

In preparation for the meeting, Open Health News has published a feature article written by HLN, Clinical Decision Support Strategies for Electronic Case Reporting and its Open Source Connection.

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

by Noam Arzton May 31, 2019

On May 31, 2019, HLN released a new version (v1.17.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.

This version includes:

Improvements to handling of duplicate shots. Duplicate shots typically represent “bad data” that has been passed into the ICE service. For two or more duplicate shots on the same day, ICE will select the vaccine that makes the most sense for the circumstance. See Two Shots, Same Vaccine Group, Same Day Exception Rules for the specifics on how this is handled for each vaccine group.
Logic updates to DTP, HPV, and Zoster vaccine groups. See Release Notes for details.
Pneumococcal interval fix in the Adult Series where (under certain circumstances) the PPSV to PPSV 5 year recommended interval is not being applied when there is a valid PCV shot in between the PPSV shots.

The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads. A revised ICE Implementation Guide is also available.

See the feature article about ICE in Open Health News.

Ready or Not: New Report on Protecting the Public’s Health

by Noam Arzton May 5, 2019

The Trust for America’s Health (TFAH) released its 2019 edition of what it hopes will be an annual report, Ready or Not: Protecting the Public’s Health from Diseases, Disasters and Bioterrorism last February. The ground-breaking report warns about key global challenges ahead, like the risk of a flu pandemic; the impact of weather pattern changes due to climate change; the dangers of antimicrobial resistance, and others, and tries to offer advice on how to prepare for them.

In Section 1 of the report, titled Health Threats: A Review of 2018, the authors review a litany of disease outbreaks, and severe weather and natural disaster events. They note the incidents, actions, and corresponding research findings, meetings, and events related to each. On the policy front, they note the September 2018 release by the White House of its National Biodefense Strategy (see earlier article on this topic). The Centers for Disease Control and Prevention (CDC) released another report, Public Health Emergency Preparedness and Response Capabilities, in October 2018 (updated in January 2019). This section of the TFAH report also reviews the various activities of the Blue Ribbon Study Panel on Biodefense.