EHR Immunization Functional Profile

The HL7 Electronic Health Record (EHR) Immunization Functional Profile Project is an activity of the HL7 EHR Work Group, with contributions from other interested parties. (See project contributor list for further details.) The project will develop a Functional Profile of ISO/HL7 10781 EHR System Functional Model Release 2, focused on the immunization domain and derived from exemplary use cases.

Please subscribe to the HL7 EHR Work Group listserver for meeting announcements, agendas and updates on current work.

Note: DRAFT documents may be incomplete and are posted for Team review and discourse. Please take care to note their draft (tentative) status if referencing or sharing with others.

The Immunization Functional Profile Project (IFP) Team meets every Monday at 11AM ET. GoToMeeting: https://global.gotomeeting.com/join/597758325 Dial-in (US): +1 (571) 317-3122 Access Code: 597-758-325

Key Project Contributions

• List of Contributors, Contributions and Readiness, revised 22 August 2016

Project Overview

• Immunization Functional Profile - Project Overview, dated 8 Aug 2016

Use Case Templates and Patterns

• Immunization Use Case Scenario Worksheet (for this project), revised 8 Aug 2016
• S&I Framework - Full Use Case Template
• S&I Simplification Core Matrix Version 3.4, dated 28 Dec 2015; See in particular Scenario/Event tab for scenario pattern: Event Step, Actor, Event (Description), Inputs and Outputs.

Key References

• HL7 Immunization Domain Analysis Model, Release 1
• HL7 Immunization History Conformance Profile
• CDC Implementation Guidance for HL7 v2 Immunization Messages
• CDC Immunization Information System (IIS) Functional Standards
• Immunization Integration Program, a partnership of Chickasaw Nation Industries (CNI), HIMSS Innovation Center and ICSA Labs.
• Immunization Information System (IIS) Introduction and Overview, Noam Arzt, HLN Consulting
• MU 2015 Edition Test Methods and Test Procedures; See in particular Section §170.315(f)(1), Transmission to Immunization Registries

HL7 EHR/PHR System Functional Models and Profiles

• ISO/HL7 10781 EHR System Functional Model (EHR-S FM) Release 2; See in particular Section CP.6.2, Manage Immunization Administration, and Section CPS.6.2, Support for Immunization Administration
• ISO/HL7 16527 Personal Health Record System Functional Model (PHR-S FM) Release 1
• HL7 EHR Public Health Functional Profiles, including: Vital Records; Early Hearing Detection and Intervention; Chronic Diseases (Cancer Surveillance); Public Health Laboratory Interactions (Orders and Results); Occupational Disease, Injury, and Fatality; Health Statistics; Deep Vein Thrombosis and Pulmonary Embolism; Birth Defects; and Adverse Events
• HL7 EHR-S Functional Profiles
• DRAFT Meaningful Use 2015 Edition Functional Profile (based on ISO/HL7 10781 EHR-S FM), dated 27 July 2016; See in particular Section §170.315(f)(1), Transmission to Immunization Registries

Federal Health Information Model (FHIM)

• FHIM Main Page
• FHIM Immunization Domain, Galen Mulrooney, dated July 2016
• FHIM Immunization Data Element Spreadsheet, Galen Mulrooney, dated 26 July 2016

Tools

• CDC/NIST Immunization Testing Tool
• HL7 Conformance Testing (AEGIS, HL7 Testing Partner)
• Sparx Systems Enterprise Architect - Use Case Extensions
• Prometheus Beacon Use Case Editor

FHIR Fulfills EHR-S FM Requirements

• FHIR Record Lifecycle Event Implementation Guide, based on EHR-S FM Record Infrastructure Section, published as part of FHIR DSTU-2, Sep 2015
• FHIR Record Lifecycle Event - AuditEvent Profile, published as part of the FHIR STU-3 ballot, Aug 2016
• FHIR Record Lifecycle Event - Provenance Profile, published as part of the FHIR STU-3 ballot, Aug 2016

Meeting Notes and Slides

• Kickoff Notes - 1 Aug 2016
• Immunization Functional Profile - Project Overview, Kickoff Slide Set, dated 1 Aug 2016
• Notes - 8 Aug 2016