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:
Clinical and Public Health Laboratories, Immunization Registries
EHR, PHR, Clinical Decision Support Systems
Local and State Departments of HealthHealthcare Institutions (hospitals, long term care, home care, mental health)
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.