HL7 Immunization User Group Monthly Meeting June 11, 2020 2:00 PM - - PowerPoint PPT Presentation

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HL7 Immunization User Group Monthly Meeting June 11, 2020 2:00 PM - - PowerPoint PPT Presentation

HL7 Immunization User Group Monthly Meeting June 11, 2020 2:00 PM ET Agenda Welcome - Which perspective do you primarily identify yourself with? Updates SISC FHIR COVID-19 AIRA Technical Responses Report back on


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SLIDE 1

HL7 Immunization User Group

Monthly Meeting June 11, 2020 2:00 PM ET

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SLIDE 2

Agenda

  • Welcome - Which perspective do you primarily identify yourself with?
  • Updates
  • SISC
  • FHIR
  • COVID-19
  • AIRA Technical Responses
  • Report back on Immunity Codes
  • Questions IIS need answered
  • Integration of IIS with other public health systems
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SLIDE 3

SISC Update

Mary Woinarowicz

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SLIDE 4

FHIR Update

Nathan Bunker

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SLIDE 5

FHIR Update

  • Virtual FHIR Meetings
  • June 15-18, 2020 HL7 FHIR Dev-Days
  • Immunization DS Connectathon: Scheduled for July
  • September HL7 WGM & Connectathon will be virtual
  • FHIR releases
  • Looking to do interim release of R4 – Q2 2021
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SLIDE 6

Preparing for COVID-19

Nathan Bunker

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SLIDE 7

Preparing for COVID-19

  • IIS need to ensure they are ready
  • PBS Frontline Coronavirus Pandemic,

April 21, 2020

  • Lesson Learned: Preparation is key to

an effective response

  • https://www.pbs.org/wgbh/frontline/film/coronavirus-pandemic/
  • Preparing for COVID-19 Vaccine One Sheet
  • Interim suggestions for IIS to prepare now
  • https://repository.immregistries.org/resource/preparing-for-a-covid-

19-vaccine-one-sheet/

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SLIDE 8

1) Onboard Immunizing Partners

  • Swiftly onboard any providers waiting in a testing queue.
  • Identify and contact potential immunizing providers to

initiate onboarding now.

  • Automate and streamline onboarding functions.
  • Review and implement AIRA’s Onboarding Consensus-Based

Recommendations.

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

recommendations/

  • Allow for online registration and electronic signatures; auto-

generate provider site IDs or PINs.

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SLIDE 9

2) Align With Standards

  • Verify that all messaging practices are standards-based
  • HL7 Messaging
  • SOAP/Web Services and the CDC WSDL
  • Clinical Decision Support (CDS)
  • Use the Aggregate Analysis Reporting Tool (AART) to assess

your IIS alignment with standards

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SLIDE 10

3) Eliminate Data Exchange Limitations

  • Familiarize yourself with local laws or policies impacting IIS:
  • Consent (opt-in vs. opt-out)
  • Vaccine reporting mandates
  • Data sharing (across borders and with federal agencies)
  • Provider types permitted to administer vaccines
  • Explore jurisdictional emergency orders to relax laws and/or

policies, as needed.

  • Ensure that interjurisdictional data exchange is possible:
  • Advocate for signing of the Memorandum of Understanding for IIS

Interjurisdictional Exchange.

  • Connect with the Immunization (IZ) Gateway to support IIS to IIS exchange
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SLIDE 11

4) Expand Consumer Access

  • If IIS web access is available to consumers, test and validate

process for authentication

  • Expand query/response capabilities with EHRs to enable

consumers to access immunization records in EHR portals

  • If records are only available through Help Desks or provider
  • ffices, develop a strategy for adequate staffing to

manage increased volume of record requests

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SLIDE 12

IIS Support for COVID-19 Related Concepts

Nathan Bunker

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IIS Support for History of Disease

MSH|^~\&|||||20200219102500-0600||VXU^V04^VXU_V04 |rhB-SA.9.2.1-D|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS PID|1||X48O3469^^^AIRA^MR||LinnAIRA^MatsuAIRA^Charley^^^^L|WaschingAIRA^Pol

  • naAIRA^^^^^M|20190207|F||2106-3^White^CDCREC|1088 Bisterwijk

Pl^^Ellsworth^MI^49729^USA^P||^PRN^PH^^^231^5703745|||||||||2186-5^not Hispanic or Latino^CDCREC||N||||||N PD1|||||||||||02^Reminder/Recall - any method^HL70215|N|20200219|||A|20200219|20200219 NK1|1|LinnAIRA^WaschingAIRA^Marion^^^^L|MTH^Mother^HL70063|1088 Bisterwijk Pl^^Ellsworth^MI^49729^USA^P|^PRN^PH^^^231^5703745 ORC|RE||9999^AIRA| RXA|0|1|20200219||998^No Vaccine Administered^CVX|999|||||^^^SIISCLIENT10543|||||||||NA|A RXR|C28161^Intramuscular^NCIT| OBX|1|CE|59784-9^Disease with presumed immunity^LN|1|38907003^History of Varicella infection^SCT||||||F|||20200219

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IIS Support for History of Disease

5 10 15 20 25 30 35 40 45 Accepted Not Accepted Unknown IIS Response

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IIS Support for Evidence of Immunity

MSH|^~\&|||||20200219102500-0600||VXU^V04^VXU_V04|rhB-SA.9.3.1- D|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS PID|1||T83Y3477^^^AIRA^MR||BonnevilleAIRA^FairleyAIRA^Ames^^^^L|AlpineAIRA^ AnnAIRA^^^^^M|20190207|F||2106-3^White^CDCREC|1111 Goerden Ln^^Riga^MI^49276^USA^P||^PRN^PH^^^517^5557615|||||||||2186-5^not Hispanic or Latino^CDCREC||N||||||N PD1|||||||||||02^Reminder/Recall - any method^HL70215|N|20200219|||A|20200219|20200219 NK1|1|BonnevilleAIRA^AlpineAIRA^Marion^^^^L|MTH^Mother^HL70063|1111 Goerden Ln^^Riga^MI^49276^USA^P|^PRN^PH^^^517^5557615 ORC|RE||9999^AIRA| RXA|0|1|20200219||998^No Vaccine Administered^CVX|999|||||^^^SIISCLIENT10543|||||||||NA|A RXR|C28161^Intramuscular^NCIT| OBX|1|CE|75505-8^Disease with serological evidence of immunity^LN|1|271511000^Serology confirmed Hepatitis B^SCT||||||F|||20200219

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IIS Support for Evidence of Immunity

5 10 15 20 25 30 35 40 45 Accepted Not Accepted Unknown IIS Response

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IIS Support for Adverse Event

MSH|^~\&|||||20200219102500-0600||VXU^V04^VXU_V04|rhB-SA.8.1.2- D|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS PID|1||J52S3444^^^AIRA^MR||ConnorAIRA^GaiAIRA^Keara^^^^L|OlsonAIRA^ArashelA IRA^^^^^M|20160208|F||2106-3^White^CDCREC|1058 Oinsum Ave^^Saint Clr Shores^MI^48081^USA^P||^PRN^PH^^^586^8222890|||||||||2186-5^not Hispanic

  • r Latino^CDCREC||N||||||N

PD1|||||||||||02^Reminder/Recall - any method^HL70215|N|20200219|||A|20200219|20200219 NK1|1|ConnorAIRA^OlsonAIRA^Marion^^^^L|MTH^Mother^HL70063|1058 Oinsum Ave^^Saint Clr Shores^MI^48081^USA^P|^PRN^PH^^^586^8222890 ORC|RE||9999^AIRA| RXA|0|1|20170218||998^No Vaccine Administered^CVX|999|||||^^^SIISCLIENT10543|||||||||NA|A RXR|C28161^Intramuscular^NCIT| OBX|1|CE|31044-1^Reaction^LN|1|39579001^Anaphylaxis^SCT||||||F|||20170218|

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SLIDE 18

IIS Support for Adverse Event

5 10 15 20 25 30 35 40 45 Accepted Not Accepted Unknown IIS Response

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IIS Support for Contraindication

MSH|^~\&|||||20200219102500-0600||VXU^V04^VXU_V04|rhB-SA.9.1.1- D|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS PID|1||N45O3461^^^AIRA^MR||NorthumberlandAIRA^SunAIRA^Pier^^^^L|CruzAIRA^Ce rdwinAIRA^^^^^M|19940207|F||2106-3^White^CDCREC|1850 Ptichtse Vecht Ave^^Cross Village^MI^49723^USA^P||^PRN^PH^^^616^6748817|||||||||2186- 5^not Hispanic or Latino^CDCREC||N||||||N NK1|1|NorthumberlandAIRA^CruzAIRA^Marion^^^^L|MTH^Mother^HL70063|1850 Ptichtse Vecht Ave^^Cross Village^MI^49723^USA^P|^PRN^PH^^^616^6748817 ORC|RE||9999^AIRA| RXA|0|1|20200219||998^No Vaccine Administered^CVX|999|||||^^^SIISCLIENT10543|||||||||NA|A RXR|C28161^Intramuscular^NCIT| OBX|1|CE|30945-0^Vaccination contraindication^LN|1|77386006^Patient Currently Pregnant^SCT||||||F|||20200219 OBX|2|DT|30946-8^Vaccination contraindication effective date^LN|1|20160605||||||F|||20200219

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IIS Support for Contraindication

5 10 15 20 25 30 35 40 Accepted Not Accepted Unknown IIS Response

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IIS Support for Immune Globulin (IgIV)

MSH|^~\&||GU2017||GU0000|20190728140619-0400||VXU^V04^VXU_V04|Q5u-CV-CVX- 87|P|2.5.1|||ER|AL|||||Z22^CDCPHINVS PID|1||R81Q34752^^^AIRA- TEST^MR||Barry^Anitra^Mamta^^^^L|Westport^Eva^^^^^M|20190328|F||2106- 3^White^CDCREC|42 Peterson Pl^^Saint Heights^MI^48312^USA^P||^PRN^PH^^^586^4549852|||||||||2186-5^not Hispanic or Latino^HL70005 PD1|||||||||||02^Reminder/Recall - any method^HL70215|||||A|20190728|20190728 NK1|1|Barry^Westport^^^^^L|MTH^Mother^HL70063|42 Peterson Pl^^Saint Heights^MI^48312^USA^P|^PRN^PH^^^586^4549852 ORC|RE||BR81Q34752.1^AIRA|||||||I-23432^Burden^Donna^A^^^^^NIST-AA-1 RXA|0|1|20190528||87^IGIV^CVX|999|||01^Historical information - source unspecified^NIP001|||||||||||CP|A

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IIS Support for Immune Globulin (IgIV)

5 10 15 20 25 30 35 40 45 50 Accepted Not Accepted Unknown IIS Response

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Next Meeting

July 9, 2020 2:00 pm ET / 11:00 am PT

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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

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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!