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!
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