HL7 Immunization User Group Monthly Meeting April 9, 2020 2:00 PM - - PowerPoint PPT Presentation

HL7 Immunization User Group

Monthly Meeting April 9, 2020 2:00 PM ET

Agenda

• Welcome - Which perspective do you primarily identify yourself with?
• Updates
• SISC
• FHIR
• COVID-19
• Interoperability Hurdles

SISC Update

Heather Patrick

FHIR Update

Nathan Bunker

FHIR Update

• Cancellations:
• May 2020 HL7 WGM
• June 2020 HL7 FHIR Dev-Days – Virtual event being planned
• HL7 COVID-19 Response
• Situational Awareness for Novel Epidemic Response (SANER)
• https://audaciousinquiry.github.io/saner-ig/overview.html
• Logica Health and SIMI WG putting together reporting lab results

and patient/condition data

• https://covid-19-ig.logicahealth.org/index.html
• HL7 HIMSS20 Presentations
• CDS Hooks Webinar – Next Thursday – See HL7 main website

COVID-19 Discussion

Kim Salisbury-Keith

Mentimeter

• Go to www.menti.com and use code 94 43 19

Interoperability Hurdles

Nathan Bunker

AIRA Onboarding Recommendations

https://repository.immregistries.org/resource/onboarding-consensus-based-recommendations/

Observations on Current Hurdles

• Identifying problems is the first step to improving
• It is natural to see problems and not notice when things work
• “A complaint is a gift”
• Assume good will from others
• Common goals
• Support clinicians who give vaccinations
• Improve user experience
• Improve data quality
• Solutions will require input from all perspectives

Discussion continues on Mentimeter…

HL7 FAQ

Nathan Bunker

Why doesn’t IG support full list of route codes for HL7?

• IG only selected the values that support

Immunization related test cases.

• IGs can constrain codes
• Also done with NDC
• Recommendation
• Clinician should only see limited list
• EHR should only send the limited list to IIS
• If not, EHR should send data anyways
• If the IIS needs this corrected it will signal

in the ACK message with E or W

Sending AR in an Acknowledgement

• Some IIS send AR in MSA-1 to indicate a severe issue or a

problem that prevented any data from being accepted

• Current IG specifies use of AR to very specific scenarios:
• Unsupported Message Type, Event Code, or Processing ID
• Unable to process for reasons unrelated to format or contact
• Acknowledgement Guidance document defines how to

message severe problems:

• https://repository.immregistries.org/resource/guidance-for-hl7-

acknowledgement-messages-to-support-interoperability/

Sending AR in an Acknowledgement

• ACK Guidance defines how to indicate a severe problem:
• Send AE in MSA-1
• Send E in ERR-4
• IIS who currently use AR off-standard:
• Will need to support ACK Guidance to meet Assessment measures
• Need to communicate these changes to their partners
• EHR systems may need to make adjustments
• Hoping for reduced complexity and confusion by having all IIS use

the same standard

Messaging CDS Evaluations and Recommendations

• IIS should send recommendations for all vaccinations in

standard schedule, including…

• Future vaccinations (HPV)
• Too old to give vaccinations (Rotavirus)
• Receivers are expected to filter for relevant data
• IIS should send evaluation status for all standard

vaccinations administered

• Should indicate which doses are valid

Next Meeting

May 14, 2020 2:00 pm ET / 11:00 am PT

More Information

• Web Links
• Subscribe to immunization group

http://www.hl7.org/participate/UserGroups.cfm?UserGroup=Immunization

• Public User Group Wiki

http://www.hl7.org/special/committees/iug/index.cfm

• Private User Group Wiki

http://iugwiki.hl7.org/

• HL7 Press Release

http://www.hl7.org/documentcenter/public_temp_F760602A-1C23-BA17- 0C0D326E635471F9/pressreleases/HL7_PRESS_20140402.pdf

• AIRA Press Release

http://www.immregistries.org/events/2014/04/10/hl7-immunization-user-group

Contact Information

If you have any questions or comments:

• Kim Salisbury-Keith Kim.SalisburyKeith@health.ri.gov
• Nathan Bunker nbunker@immregistries.org
• Kevin Snow ksnow@envisiontechnology.com
• Danny Wise Danny.Wise@allscripts.com

Thank you!