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Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

HL7 FHIR® Implementation Guide: Clinical Decision Support for Immunizations, Release 1 - US Realm

2. Standards Material/Document


3. Date of Request

Jul 09, 2020

4. Use Period

Two year period

5. Reason for extension, timeline, and actions

6. Original Publication Date

7. End date of the current STU period

8. Length of the requested extension

9. Review Process

10. HL7 Work Group making this request and date

Public Health

10a. Requesting WG Date

Jul 09, 2020

11. URL of approval minutes

12. HL7 Product Management Group


12a. Management Group Date of Approval

Jul 15, 2020

13. URL of approval minutes

14. Is the artifact ready for final publication?


15. If not ready, please describe remaining steps.

16. Tool name used to produce the machine processable artifacts in the IG

FHIR Shorthand

17. The name of the “IG artifact” within the context of the above mentioned tool.


18. Balloted Name of the standard for which request is being made

HL7 FHIR® Implementation Guide: Clinical Decision Support for Immunizations, Release 1 - US Realm

19. Requested name for published standard

HL7 FHIR® Implementation Guide: Clinical Decision Support for Immunizations, Release 1 - US Realm

20. If CMET, list IDs balloted

21. Project Insight Number


22. Document Realm


23. Ballot cycle in which the document was successfully balloted


24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative


26. Negative


27. Abstentions


28. Not Returned


29. Total in ballot pool


30. Date on which final document/standards material was supplied to HQ

31. URL of publication material/ SVN repository

32. Publishing Facilitator

Nathan Bunker

33. Special Publication Instructions

34. URL of ballot reconciliation document

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?


36. Substantive Changes Since Last Ballot?


37. Product Brief Reviewed By

Public Health WG

38. Date Product Brief Reviewed

Jul 09, 2020

39. Has the Product Brief changed?

Product Brief

Product Brief

40. Family


41. Section

Clinical and Administrative Domains, Implementation Guides

42. Topic

Decision Support Public Health

43. Please Describe the Topic

This implementation guide provides specifications for exchanging data between clinical or registry systems and a clinical decision support engine for immunization evaluation and forecasting.

44. Product Type

Implementation Guide

45. Parent standard


46. Parent Standard Status


47. Update/replace standard

n/a - first publication

48. Common name/search keyword

Immunization, decision support, forecasting, recommendations, evaluation

49. Description

Clinical Decision Support for Immunizations is increasingly being used in health information systems to indicate which vaccinations a patient is due for next. Many of these expert systems are built as stand-alone systems that respond to web service requests. While these independent systems have similar requirements and outputs they use different web service standards. This FHIR implementation guide can be used by these expert systems may use to provide a consistent and interchangeable interface.



These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:

50. Stakeholders

Clinical and Public Health Laboratories, Immunization Registries

51. Vendors

EHR, PHR, Clinical Decision Support Systems

52. Providers

Local and State Departments of Health Healthcare Institutions (hospitals, long term care, home care, mental health)

53. Benefits

Creates a standard interface between clinical and registry systems and immunization clinical decision support engines
Enables more rapid on boarding to CDS engines
Enables easier testing of CDS engine capabilities by certifying organizations
Supports enhanced patient care by ensuring up-to-date immunization recommendations are available to registry and clinical care staff

54. Implementations/Case Studies

NIST in conjunction with AIRA to promote CDS capability testing

55. Development Background

The initiating system in this exchange is typically a system being used (either directly or indirectly) by a clinician to provide care to the patient. This can be a jurisdictional level Immunization Information System (IIS) which collates the patient’s immunization history from a variety of sources or an EHR which is being used to provide point of care support for clinicians. However other systems such as HIEs, school medical records, etc may also play this role.
As described by the individual uses cases in the document, this exchange is often part of a larger workflow which is out of scope for this implementation guide.