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New Article on Cloud Computing and CDS in OpenHealthNews

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New Article on Cloud Computing and CDS in OpenHealthNews

Noam Arzt, president of HLN, has published a new article, "Why Cloud-Based Public Health Solutions are a Good Option for Clinical Decision Support" in OpenHealthNews. Cloud computi ...

Noam Arzt, president of HLN, has published a new article, “Why Cloud-Based Public Health Solutions are a Good Option for Clinical Decision Support” in OpenHealthNews. Cloud computing is one of the most powerful technology deployment strategies in use today. In this article Dr. Arzt examines some of the key reasons to host public health clinical decision support (CDS) solutions in the cloud. The article goes on to explain the difference between cloud computing and traditional computing. It then goes on to define Clinical Decision Support for Immunizations, or CDSi, and HLN’s Open Source Immunization Calculation Engine (ICE) and related tools and utilities. Finally, the article concludes with a discussion of how externally hosted services may provide some distinct advantages for organizations that deploy CDS tools such as these.

Version 1.9.1.0 of HLN’s Award Winning Open Source Immunization Forecaster Released

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Version 1.9.1.0 of HLN’s Award Winning Open Source Immunization Forecaster Released

A new release (v 1.9.1.0) of the Immunization Calculation Engine (ICE) is now available (download ICE v 1.9.1.0). ICE is a state-of-the-art open-source software system that provide ...

A new release (v 1.9.1.0) of the Immunization Calculation Engine (ICE) is now available (download ICE v 1.9.1.0). 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:

  • Added support for Meningococcal B.
    • Support for Meningococcal B has been added as a new vaccine group, separate from the existing Meningococcal ACWY vaccine group. Meningococcal ACWY will continue to be returned as its own vaccine group.
    • Implementers may need to modify their software to start looking for the new Meningococcal B vaccine group code (835).
  • Logic fixes for HPV and Hep B vaccine groups.
  • Addition of non-U.S. vaccine DTaP-IPV-Hib (CVX 170)
  • Release notes that describe the latest changes in more detail

Please refer to the updated ICE Implementation Guide (v2r17) for information on how to make the appropriate adjustments to your software to be compatible with this release. The guide provides details about the new Meningococcal B vaccine group implementation as well as a few other vaccines and reason codes that have been added. In addition, a “tracked changes version” of this same guide is also available. The tracked changes are intended to make it easier to see what has changed since the prior release (v 1.8.2.0).

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.

HLN Attends Patient Centered CDS Learning Network 2017 Annual Conference

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HLN Attends Patient Centered CDS Learning Network 2017 Annual Conference

On October 3, 2017 Noam Arzt and Daryl Chertcoff from HLN attended the Patient Centered Clinical Decision Support Learning Network (PCCDS-LN) 2017 Annual Conference in Crystal City ...

On October 3, 2017 Noam Arzt and Daryl Chertcoff from HLN attended the Patient Centered Clinical Decision Support Learning Network (PCCDS-LN) 2017 Annual Conference in Crystal City, VA. HLN was also a Bronze-level Sponsor of this event, which brought together clinicians, informaticists, and health policy advocates to discuss  current trends in clinical decision support leveraging information from Patient Centered Outcomes Research (PCOR) findings and patient-specific information. The conference featured national experts in CDS and patient-centered research in the morning, and a participative set of breakout sessions in the afternoon developing an idealized design of the patient-centered CDS process through four different perspectives.

Must of this conference focused on patient-centered CDS. But it seems that this term absorbs a number of somewhat different concepts and is used by different people to mean different things. “Patient centered” to some people means “patient-facing” – that is, it refers to an application (in this case a CDS-enabled application) that is used or accessed by a patient directly. To others, patient-centered is synonymous with “patient-empowered” which implies support for more patient control of his or her care and records. Many uses of CDS support do not directly involve patients in real time while still impacting patients and their care.

For HLN’s work in clinical decision support, this conference presented a number of useful themes and raised a number of important issues. While there was a lot of focus at this conference on user interface, it is important for HLN to maintain its focus on the back-end services we are developing (like our ICE Open Source Immunization Forecaster). But it is equally important that we continue to develop a rich set of application programming interfaces (APIs) to our services, including our traditional SOAP-based Web Services, supplemented by various RESTful services (including FHIR, SMART, and CDS Hooks). And all of this work should support and use accepted standards embraced by the healthcare industry.

See article in OpenHealthNews

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.

HLN Presents at 2017 OSEHRA Summit

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HLN Presents at 2017 OSEHRA Summit

On June 13, 2017, Michael Suralik, project manager at HLN, co-presented with Department of Veterans Affairs (VA) colleagues in a session titled "Update on the Immunization Project ...

On June 13, 2017, Michael Suralik, project manager at HLN, co-presented with Department of Veterans Affairs (VA) colleagues in a session titled “Update on the Immunization Project Workgroup” at the 2017 Open Source Electronic Health Record Alliance (OSEHRA) Summit. Mike discussed HLN’s continuing work with VA on implementing our ICE Open Source Forecaster with VistA, the current EHR system used by VA.