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HLN to Attend AIRA 2019 Annual Meeting and Anniversary Celebration!

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HLN to Attend AIRA 2019 Annual Meeting and Anniversary Celebration!

Join HLN at the upcoming American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Visit our booth (as a Gold Sponsor) and attend one o ...

Join HLN at the upcoming American Immunization Registry Association National Meeting on August 13-15, 2019 in Indianapolis, IN. Visit our booth (as a Gold Sponsor) and attend one of the many presentation we will be delivering with our colleagues and on our own! This year AIRA will be celebrating its twentieth anniversary and HLN is proud to be among its founding members.

Presentations will include:

  • CT Onboarding: Starting All Over Again After a Migration (Tuesday, August 13)
  • Improving IIS HL7 Web Service Performance in New York City (Tuesday, August 13)
  • Open Source for Immunization Information Systems (Tuesday, August 13)
  • IIS of the Future: Where Might All This Be Going (Wednesday, August 14)
  • Using Business Intelligence to Improve HPV Up-to-Date Rates [Denver Public Health] (Wednesday, August 14)
  • Methodology for Implementing Health Factors with Immunization Forecasting (Wednesday, August 14)
  • Procurement Projects: Yes, they really are projects! [CDC IIS Technical Assistance Collaborative] (Wednesday, August 14)
  • Transitioning and Expanding Rhode Island’s Childhood Algorithm to ICE (Wednesday, August 14)
  • CT’s IIS Migration Project: The Real Untold Story (Thursday, August 15)

Come join us for all the fun!

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

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HLN Releases Update to its Award Winning Open Source Immunization Forecaster

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 dec ...

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 DTPHPV, 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.

ONC Gets It Mostly Right with TEFCA 2.0 [Updated]

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ONC Gets It Mostly Right with TEFCA 2.0 [Updated]

See our final comments on the TEFCA v2 Draft On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft ...

See our final comments on the TEFCA v2 Draft

On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21st Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around):

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

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HLN Releases Update to its Award Winning Open Source Immunization Forecaster

On March 7, 2019, HLN released a new version (v1.16.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical de ...

On March 7, 2019, HLN released a new version (v1.16.1) 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:

HLN recently demonstrated ICE integrated into two EHRs at the HIMSS19 Interoperability Showcase starting in February in Orlando, FL.

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.

ONC Releases New NPRM on Interoperability: How Might it Affect Public Health? [Updated]

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ONC Releases New NPRM on Interoperability: How Might it Affect Public Health? [Updated]

See our final comments on the ONC NPRM and the CMS NPRM Patient Matching RFI On February 11, 2019 the Office of the National Coordinator for Health Information Technol ...

See our final comments on the ONC NPRM and the CMS NPRM Patient Matching RFI

On February 11, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released its latest Notice of Proposed Rulemaking (NPRM) to Improve the Interoperability of Health Information. Referred to by some people as the “Information Blocking NPRM,” since this was the primary topic anticipated, the document actually covers a host of other topics related to interoperability driven primarily by requirements of the 21st Century Cures Act. Besides the initial text of the NPRM, ONC also released a set of summary slides and fact sheets to help explain the document.

Given the relatively minimal mention of core public health reporting certification criteria in this NPRM, there is still a fairly large potential impact on public health. Topics, descriptions, issues, impacts, and potential opportunities discussed in this article and associated documents are based on our careful read of the NPRM and related material. But please note that this information is voluminous and at times confusing. Ongoing discussion and review will attempt to clarify (and if necessary correct) initial ideas presented here.

In order to help focus the reader, I have prepared a detailed table of Public Health Issues, Impacts, and Opportunities (currently at Version 15) which will be updated periodically, as well as a separate detailed response to the ONC Patient Matching RFI and CMS Patient Matching RFI.