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HLN Updates the Immunization Calculation Engine and Launches CDS Insight, a New Testing Tool

BY Erin Roche and Daryl Chertcoff ON March 30, 2026
Immunization Calculation Engine (ICE) | AIRA | CDC | Clinical Decision Support (CDS) | EHR/PHR | Immunization Information System (IIS) | Open Source

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On March 28, 2026, HLN released a new version of the open-source Immunization Calculation Engine (ICE) software with several clinical logic and technical enhancements. HLN is also pleased to introduce CDS Insight, a new platform designed to streamline the demonstration and testing of the ICE service. Register for a free account today to explore the latest ICE logic updates firsthand.

 

What’s New in ICE

Clinical logic updates

  • Hepatitis A and Hepatitis B: Added support for Twinrix series. Added cross vaccine group coordination to align Hepatitis A and Hepatitis B series recommendations if appropriate.
  • Polio: Improved support for adult polio immunization. Added supplemental text to the evaluation of unspecified polio (CVX 89) to indicate that depending on the administered product, additional protection may be needed.
  • COVID-19 Pandemic: For shots prior to 9/12/2023 only, relaxed the evaluation logic for select vaccinations to potentially be marked Valid.

Technical improvements

  • Reduced service start-up time and improved response times for initial requests.
  • Converted supporting data from XML to YAML, allowing runtime values to be modified via start-up parameters, offering additional flexibility in deployment.

Enhanced traceability to clinical guidelines

  • The ICE wiki now features expanded documentation on rule alignment with clinical guidelines from schedule authorities (e.g., ACIP/CDC, AAP, AAFP) across all vaccine groups. Read more on the Clinical Guidelines page.

Please see the Release Notes for additional details and download ICE v2.55.1 today. 

 

Introducing CDS Insight: Test ICE Logic in Real-Time

cds insight logo 2026 scaledCDS Insight provides a live, interactive environment where you can see the ICE logic in action. Whether you are a developer testing a specific use case or clinician validating a recommendation, CDS Insight simplifies the process. Register for a free account today to interact directly with an HLN-hosted instance of the Immunization Calculation Engine service.

Questions? Please reach out to the ICE team at ice@hln.com.

 

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