Immunization Calculation Engine (ICE)

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AIRA 2018: Is Open Source the Key to Immunization Software Sustainability?

On August 14-16, 2018 the American Immunization Registry Association (AIRA) held its 2018 National Meeting. This meeting brought together more than 350 informatics professionals, public health officials, EHR vendors, and other stakeholders who all care passionately about Immunization Information Systems (IIS) and their role in the healthcare community. IIS projects leverage interoperability with EHRs, PHRs, and other systems to promote clinical practice at the point of care; enable public health surveillance, and reduce cost by assisting in preventing both under and over immunization.

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Anatomy of a Public Health Open Source Project: HLN's Immunization Calculation Engine (ICE)

An immunization information system (IIS) aggregates immunization information for children (and some adults) living or receiving immunization services in a jurisdiction. One of the core components of an IIS is its immunization evaluation and forecasting system: the computerized algorithm that is used to determine if vaccine doses that were administered to the patient are clinically valid (evaluation) and to project what doses are due now and in the future (forecasting). These algorithms are used to support clinical decision support (CDS) at the point of care and also to help public health agencies understand and manage the immunization status of whole populations.

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Are Open Source Clinical Decision Support (CDS) Services Subject to HIPAA Regulations?

Clinical Decision Support (CDS) services such as HLN’s Immunization Calculation Engine (ICE) are modular, loosely-coupled components of larger systems accessed via web services in a service-oriented architecture (SOA). Under HIPAA, services provided to Covered Entities (CE) which involve protected health information (PHI) as defined in the statute are subject to the regulation. But are CDS services such as ICE subject to this regulation?

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Dr. Noam Arzt named Fellow of the American Medical Informatics Association

Press Release | HLN Consulting | November 1, 2018

Dr. Noam H. Arzt, president ofHLN Consulting, LLC, has been named a Fellow of the American Medical Informatics Association (AMIA). Dr. Arzt joins 129 of his colleagues in the inaugural class of fellows. The fellowship was created to recognize AMIA members who apply informatics skills and knowledge within their professional setting, who have demonstrated professional achievement and leadership, and who have contributed to the betterment of the organization. A member of AMIA since 1998, Dr. Arzt has been a leader in public health informatics for many years. He has been active in various AMIA task forces and workgroups, and has been a speaker at AMIA conferences, events, and webinars.

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DSS and HLN Consulting Partner to Offer Enhanced Immunization Forecasting Solution

Press Release | Document Storage Systems, Inc., HLN Consulting | July 17, 2018

Document Storage Systems, Inc. (DSS), a leading provider of health information technology (HIT) solutions for federal, private and public healthcare organizations, announced that it has partnered with HLN Consulting to offer an enhanced forecasting solution that provides clinical decision support (CDS) for immunizations. HLN Consulting’s open source Immunization Calculation Engine (ICE) is now interfaced with the DSS Immunization Dashboard (iDB), to bring patient-specific immunization forecasting to the provider without an interface to a registry. iDB provides a visualization of the patient’s historical record from the treating facility, as well as information from the Immunization Registry.

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HLN Consulting

For more than twenty years HLN Consulting has been a leading public health informatics consulting company focused on developing and supporting robust technical solutions addressing pressing public health needs. Founded in 1997, HLN Consulting, LLC brings together an academic heritage and technology perspective in a collaborative approach to health information technology. We learn through partnerships with our clients to bring insight into pressing informatics issues with regard to public health policy and practice.

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HLN Releases New Version of Award Winning Open Source Immunization Forecaster

Press Release | HLN Consulting | March 15, 2018

HLN released a new version (v1.11.1) of the Immunization Calculation Engine (ICE) on March 9, 2018. ICE is a state-of-the-art open-source software system that provides clinical decision support (CDS) for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems. The release includes support for Earliest Date and Overdue Date for immunizations that are forecasted. If enabled, ICE will output two additional forecast dates along with the existing Recommendation Date...

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HLN Releases New Version of Open Source Immunization Forecaster

Press Release | HLN Consulting | August 2, 2017

HLN Consulting has released a new version of the award winning Immunization Calculation Engine (ICE). ICE is a service-oriented, standards-based immunization forecasting software system that evaluates a patient's immunization history and generates the appropriate immunization recommendations. ICE can be used in Immunization Information Systems (IIS), Electronic Health Records (EHR), Health Information Exchanges (HIEs), and Personal Health Record (PHR) Systems. The release includes changes to the rules for several vaccine series, including Polio, Meningococcal ACWY, and Influenza.

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HLN Releases Roadmap for Open Source Immunization Forecaster

Press Release | HLN Consulting | September 18, 2017

On September 7, 2017 HLN Consulting released a product Roadmap for its award winning Immunization Calculation Engine (ICE). ICE is an open source service-oriented, standards-based immunization forecasting software system that evaluates a patient's immunization history and generates the appropriate immunization recommendations. The Roadmap describes modifications that have already been scheduled for inclusion in new releases of ICE in the near future, in addition to ongoing changes that may be required to maintain compliance with Advisory Committee on Immunization Practices (ACIP) recommendations...

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HLN Releases v 1.9.1.0 of its Open Source Immunization Forecaster

Press Release | HLN Consulting | October 11, 2017

HLN Consulting has released a new version of the award winning Immunization Calculation Engine (ICE). ICE is a service-oriented, standards-based immunization forecasting software system that evaluates a patient's immunization history and generates the appropriate immunization recommendations. ICE can be used in Immunization Information Systems (IIS), Electronic Health Records (EHR), Health Information Exchanges (HIEs), and Personal Health Record (PHR) Systems...

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HLN's Open Source Immunization Forecaster Receives 2017 Upshot Award

Press Release | HLN Consulting | June 12, 2017

On June 6, 2017, HLN was awarded the 2017 Upshot Award for Excellence in Vaccine Supply, Access, and Use by the US Department of Health and Human Services National Vaccine Program Office (NVPO) for its ICE Open Source Immunization Forecaster. In the letter of award, Dr. Jewel Mullen, Principal Deputy Assistant Secretary for Health commented that, "HLN Consulting's efforts on the Immunization Calculation Engine (ICE) are impressive. This powerful tool-including its open-source nature and seamless integration into clinical workflows-holds great promise for improving clinical decision-support and ultimately vaccination rates. Thank you for daring to innovate, collaborate, and lead in an area that is not only complex, but constantly evolving."

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How are Clinical Decision Support Artifacts Tested Today?

In October 2018 the Centers for Disease Control and Prevention (CDC) issued a Request for Information (RFI) for a Natural Test Collaborative (NTC). Through a series of questions, the RFI seeks opinions and information about "The development of a national testbed (notionally called the National Test Collaborative (NTC)) for real-world testing of health information technology (IT)" and "Approaches for creating a sustainable infrastructure" to achieve it. The scope of this RFI is daunting. It might be useful, rather than to try to tackle this whole topic broadly but superficially, to take just one Clinical Decision Support (CDS) domain and show as completely as possible how testing is currently done.

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Immunization Calculation Engine (ICE)

The Immunization Calculation Engine (ICE) is a state-of-the-art open-source software system that provides clinical decision support for immunizations (CDSi), commonly referred to as “immunization forecasting.” ICE has two major components: The ICE Web Service evaluates a patient’s immunization history and generates the appropriate immunization recommendations for the patient. The Clinical Decision Support Administration Tool (CAT) is a web-based GUI tool that enables subject matter experts to manage ICE rules and configuration without the intervention of software developers.

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Major Upgrade to Innovative Open Source Immunization Forecaster Released

Press Release | HLN Consulting | August 12, 2018

Innovative open source software, originally developed for public health, is freely available to EHR and PHR systems to support clinical decision support for immunizations...ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems...HLN will be presenting this new version this week at the annual meeting of the American Immunization Registry Association (AIRA) and week of August 20 at the CDC Public Health Informatics Conference Read More »

Michael J. Suralik

Mike Suralik is an accomplished information technology professional with experience in project management, business analysis, and application development. As a Senior Project Manager since 2002, Mike has managed HLN projects for the health departments of New York City, Philadelphia, Los Angeles County, Kentucky, and Oklahoma. Read More »