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HLN Attends August ONC 2017 Technical Interoperability Forum

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HLN Attends August ONC 2017 Technical Interoperability Forum

Last week I attended with my colleague Mike Berry the ONC 2017 Technical Interoperability Forum. This meeting was convened under the 21st Century Cures Act passed by Congress in la ...

Last week I attended with my colleague Mike Berry the ONC 2017 Technical Interoperability Forum. This meeting was convened under the 21st Century Cures Act passed by Congress in late 2016. Several hundred attended a series of panel presentations and discussions over one and a half days covering a variety of topics related to interoperability, including discussion of the business case for interoperability, semantics, national networks, and application programming interfaces (APIs). In many ways the speakers were “the usual suspects” involved in national networks, standards development, and HIE planning and implementation.

Nearly two years ago I wrote an essay, The Interoperability of Things, based on the collection of comments received by ONC on the draft Nationwide Interoperability Roadmap. Though I asked the new National Coordinator for Health Information Technology, Dr. Don Rucker, in a previous meeting if the Roadmap was still relevant and he said it was, there was absolutely no mention of this document at the Forum and it did not seem like the Roadmap was the operative guide for ONC activities or thinking. My own essay drew out a number of themes in interoperability I perceived at the time, including: lack of consensus on definition and scope; ambiguity over the role of HIEs, especially at the state level; disagreement over whether the pace of change was too fast or too slow, too general or too specific; and the complex state of consent and privacy laws across the country that really put a crimp in cross-state data sharing.

New Version of HLN’s Award Winning Open Source Immunization Forecaster Released

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New Version of HLN’s Award Winning Open Source Immunization Forecaster Released

A new release (v1.8.1.0) of the Immunization Calculation Engine (ICE) is now available. (Download ICE 1.8.2.0). ICE is a state-of-the-art open-source software system that provides ...

A new release (v1.8.1.0) of the Immunization Calculation Engine (ICE) is now available. (Download ICE 1.8.2.0). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations (CDSi) for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.

The release includes the following changes:

  • Updates to the Polio Vaccine Group and the Meningococcal ACWY Vaccine Group to better reflect latest guidelines, and addition of Influenza vaccine (CVX 185 and 186) to the Influenza Vaccine Group.
  • Combines PCV and PPSV vaccine groups into one, new vaccine group for Pneumococcal. This change was made to better account for shots administered across the patient’s lifetime. (To support this new Pneumococcal vaccine group, implementers may need to make adjustments to stop looking for the old PCV and PPSV vaccine group codes (700 and 720), and start looking for the new vaccine group code (750). Child and adult pneumococcal vaccinations are now evaluated and forecast under this new vaccine group. The PCV and PPSV vaccine groups are no longer supported.)
  • Release notes which describe the above changes to the vaccine group logic in more detail.

Implementers should refer to the new ICE Implementation Guide (v2r15) when making adjustments to be compatible with this latest release, including the new Pneumococcal vaccine group as well as a few other vaccine and evaluation reason codes that have been added. (A “track changes” version of the guide is also available to make it easy to see what has changed since the last release.)

You can determine which release of ICE you are using by viewing the README.HISTORY file that is included with each distribution.

Please feel free to e-mail us at ice@hln.com if you have any questions.

See press release.

Consumer Access to Health Care Data: Still a Challenge

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Consumer Access to Health Care Data: Still a Challenge

Consumers continue to be frustrated with lack of access to their healthcare data, even as wearables and other consumer-targeted devices and services continue to sprout. Recently, O ...

Consumers continue to be frustrated with lack of access to their healthcare data, even as wearables and other consumer-targeted devices and services continue to sprout. Recently, ONC launched a Consumer Health Data Aggregator Challenge to spur the development of new applications and partnerships to provide aggregated health data to patients. While the financial “prize” for this effort is meager, recognition by ONC might be the real brass ring. This challenge focuses on the use of FHIR exclusively to support interoperability between systems and present data to consumers. I suspect that applicants will have some trouble meeting the requirements of the challenge effectively, and this is indicative of the broader challenge in supporting this type of data access.

New ONC Report: Key Considerations for HIE-based Personal Health Records

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New ONC Report: Key Considerations for HIE-based Personal Health Records

In September 2015 ONC released a new report based on the activities of the HIE Personal Health Record (PHR) Community of Practice. The information is interesting and relevant to II ...

In September 2015 ONC released a new report based on the activities of the HIE Personal Health Record (PHR) Community of Practice. The information is interesting and relevant to IIS as they contemplate patient/consumer access to their systems.

HLN has also done some work in this area (see bottom of this page).