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Immunization-Related Capabilities and Guidance

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Immunization-Related Capabilities and Guidance Centers for Disease Control and Prevention (CDC) Office of Infectious Diseases (OID) National Center for Immunization and Respiratory Diseases (NCIRD) Office of the Director Contract No: 200-2017-95860 I MMUNIZATION I NTEGRATION P ROGRAM : I MMUNIZATION -R E L A T E D C APABILITIES AND G UIDANCE UPDATE – S E P T E M B E R 14, 2 0 2 0 EHR Certification Process, Immunization-Related Guidance Formal Deliverable, September 14, 2020 VERSION HISTORY CHC will update Deliverable 10a to reflect changes that incorporate CDC’s review and feedback, as well as any new requirements or changes to the business environment in which the project exists. The table below tracks these changes and updates to the document. Version Implemented Revision Description Approved Approval Date # by Date by Draft CNI Advantage September 1st Draft F Eisenberg September 20, v.01 20, 2015 2015 1 CNI Advantage Version 1 CDC October 30, 2015 1.01 CNI Advantage October 6, Update based on public and CDC January 23, 2016 Technical Advisory Panel 2017 Feedback during Phase 3: 1. Remove unidirectional exchange test script; retain bidirectional exchange test script (page 1 and Section 5.41, page 14) 2. Section 5.2 (page 12) – add protection indicator to patient demographics 3. Section 5.81 (page 17) – Remove the term “audit” 4. Section 5.91 (page 17) – Discuss IIS acceptance of update from provider post- immunization reconciliation 5. Section 5.10.1 (page 18) – Saving post-reconciliation forecast 6. Section 5.29 (page 33) – Address vaccine series 7. Section 5.38 (page 39) – Patient’s preferred methods for notification 8. Section 5.41.1 (page 42) Adverse event terminology 2 CNI Advantage November Add capability examples and CDC January 23, and HIMSS 27, 2016 update for publication in 2017 HIMSS Immunization Integration Program. 1. Change test references to direct readers to the testing tool where the script can be downloaded. Formal Deliverable Page i September 14, 2020 EHR Certification Process, Immunization-Related Guidance Formal Deliverable, September 14, 2020 2. Add capability examples to publish as a single capability and guidance document. 3 CNI Advantage December Update with input from and HIMSS 21, 2016 Technical Advisory Panel to address guidance and capabilities. 4 Chickasaw October 23, Update based on input from Health 2017 public comments, Consulting and implementation testing and the HIMSS Technical Advisory Panel to address guidance and capabilities. 5 Chickasaw March 26, Update based on input from CDC March 26, 2018 Health 2018 the Technical Advisory Panel Consulting and and findings from HIMSS IIP HIMSS Testing Program to address guidance and capabilities. Added Change Log (Appendix C) 6 Chickasaw September Update based on input from September 30, Health 2018 testing, program feedback and 2018 Consulting and the Technical Advisory Panel HIMSS to address guidance and capabilities. 7 Chickasaw October Update based on input from October 15, Health 2019 testing, program feedback and 2019 Consulting and the Technical Advisory Panel HIMSS to address guidance and capabilities. 8 Chickasaw March 2020 Update based on quality CDC May 4, 2020 Health review and update of test plan. Consulting and HIMSS 9 Chickasaw May 2020 Removal of test pursuant to Health guidance from CDC received Consulting and on April 29, 2020 and HIMSS discussed April 30, 2020 10 Chickasaw September Update based on input and September 14, Health 2020 agreed upon recommendations 2020 Consulting and from the Technical Advisory HIMSS Panel to address guidance and capabilities. Details to Methods in Section 5. Formal Deliverable Page ii September 14, 2020 EHR Certification Process, Immunization-Related Guidance Formal Deliverable, September 14, 2020 TABLE OF CONTENTS VERSION HISTORY ...................................................................................................................... i 1 Overview ................................................................................................................................. 1 1.1 Project Overview .............................................................................................................. 1 1.2 The Link Between Immunization-Related Capabilities Within EHRs and Improved Immunization Rates ..................................................................................................................... 1 1.3 Other Types of Value Derived from Immunization-Related Capabilities in EHRs ......... 4 1.3.1 Other Types of Value for Providers ..............................................................................4 1.3.2 Other Types of Value for IIS’ .......................................................................................5 1.3.3 Other Types of Value for EHR and Other Clinical Software Developers ....................5 1.3.4 Other Types of Value for Those Who Pay for Health Care ..........................................5 1.3.5 Other Types of Value for Individuals ...........................................................................6 2 Background.............................................................................................................................. 6 2.1 Literature Review and Requirement Definition ............................................................... 6 2.2 Evaluating EHR Software and Piloting a Testing Process ............................................... 8 2.3 Launch of the IIP and the Technical Advisory Panel ....................................................... 8 2.4 Updates for 2020 .............................................................................................................. 9 3 Overview of Conceptual Model for Requirements: General User Workflows ..................... 11 4 Functional Test Development ................................................................................................ 13 4.1 Use of NIST Tool for Test Development and Processing .............................................. 14 5 General Description of User Workflow 1: Register and Identify a Patient ........................... 15 5.1 Who Performs User Workflow 1: Register and Identify a Patient ................................. 15 5.2 Examples of Work in This Area ..................................................................................... 15 5.3 Requirement 1.1 Register New Patients ......................................................................... 16 5.3.1 Example of Scenario “Register New Patients” ...........................................................16 5.3.2 Guidance .....................................................................................................................16 5.3.3 Test ..............................................................................................................................19 5.4 Requirement 1.2 Select New Patient .............................................................................. 20 5.4.1 Example of Scenario “Select New Patient” ................................................................20 5.4.2 Guidance .....................................................................................................................20 5.4.3 Test ..............................................................................................................................20 5.5 Requirement 1.3 Select One or More Patients ............................................................... 20 5.5.1 Example of Scenario “Select One or More Patients” ..................................................21 5.5.2 Guidance .....................................................................................................................21 5.5.3 Test ..............................................................................................................................21 Formal Deliverable Page iii September 14, 2020 EHR Certification Process, Immunization-Related Guidance Formal Deliverable, September 14, 2020 6 General Description of User Workflow 2: “Manage External Query, Response, and Reconciliation” ............................................................................................................................. 21 6.1 Who Performs User Workflow 2: Manage External Query, Response, and Reconciliation ............................................................................................................................ 21 6.1.1 Examples of Work in This Area ..................................................................................22 6.2 Requirement 2.1 Batch Request / Receive Patient Immunization History .................... 22 6.3 Requirement 2.2 Request / Receipt of Patient Immunization History ........................... 22 6.3.1 Example of Scenario “Request / Receipt of Patient Immunization History” ..............22 6.3.2 Guidance .....................................................................................................................23 6.3.3 Test ..............................................................................................................................23 6.4 Requirement 2.3 Compare Public Health Immunization Registry (IIS) Immunization History to EHR Immunization History ..................................................................................... 23 6.4.1 Example of Scenario “Compare Public Health Immunization Registry (IIS) Immunization History to EHR Immunization History” .........................................................24 6.4.2 Guidance .....................................................................................................................24
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