Immunization Focus Group

Meeting

Date

Friday, August 14, 2026

Time

11:00 AM America/New_York

Status Closed

Meeting Information

All Immunization Focus Group Meetings

Meets every other Friday at 11 am US Eastern Time. Meeting open for all who are interested.

Chair: Nathan Bunker

Attendance

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Topic / Time	Agenda	Presenter(s)
Welcome and Introductions Current topic 11:00 AM–11:05 AM 5 min	Welcome Introductions Notes Welcome
New InteropHub Space Current topic 11:05 AM–11:25 AM 20 min	Walk through of new InteropHub space with community. Notes New look and feel Creating a system to allow people to follow topics of interest See decisions that were made InteropHub > Topic Spaces > Topics > Meetings and Agenda Demonstration of new system Engage in topics or meetings Topics Use "Follow" button to get emails when topic will be discussed 70+ topics managed using InteropHub Meetings Coming soon - registration See agendas Current meetings: ImmDS + HALO, IFG, IVC	Nathan Bunker
FHIR Open Tickets Current topic 19 following · 8 here today 11:25 AM–11:35 AM 10 min	Review current open tickets. Notes Skipped today Will make a regular topic later	Nathan Bunker
CDS Shared Decision Support (SCDM) Current topic 16 following · 9 here today 11:35 AM–11:45 AM 10 min	Review CDSi draft proposal for support "Vaccine Recommendation Category" and also look at HLN's approach. Start discussion on best model for this concept for use later in FHIR and HL7 v2. Notes Working Consensus sufficiently agreed upon to use as the basis for continued work Document and treated as settled unless new information, implementation experience or a substantive issue gives us a reason to visit it. Good enough to proceed? SCDM (shared clinical decision making) Proposed something - want to confirm Different types of recommendations - all, high-risk, or shared clinical decision making Need to indicate which one Recommendation Category No current mechanism in HL7 v2 LOINC Request - still pending (been six months) General support as a concept to move forward with HLN Perspective Category tied to schedule authority to support CDS Anticipate more discussions Next Steps Follow up about LONIC Develop guidance for identify code set values Incorporate this into FHIR improvements Outcomes General support as a concept to move forward with	Nathan Bunker Erin Roche
CDS Schedule Source Current topic 24 following · 8 here today 11:45 AM–11:55 AM 10 min	Start discussion on a universal system for identifying schedule source. This is the identification of expert groups at the international, country, or sub-country level that define immunization schedules for use in practice. Notes Knowledge Base Defined - an identifiable, executable set of immunization decision support rules that a CDS engine selects and applies as a single coherent unit for a forecast request. When selected, that specific set is executed and can be identified in the response as the set actually used. A CDS engine may support multiple Knowledge Bases, and each may incorporate guidance from multiple Schedule Authorities and local adaptations, but each single forecast execution uses only one Knowledge Base. Rule authorship, governance, documentation, and provenance are outside the scope of this concept. what's sitting in the software Example - AL school immunization requirements One coherent set of values "Decision support knowledge base" Actual vaccine rules Example - "cool hep. B predictor" Based upon one or more schedule authorities Schedule authority Who is making the language Where the knowledge base came from Defined - an organization or body that publishes immunization guidance intended to inform vaccination recommendations. A Schedule Authority may be associated with a federal or state government, a professional organization, an international organization, or another recognized source of guidance. This concept does not define who may serve as a Schedule Authority or assess the validity, authority, or jurisdiction of its guidance; it provides a way to identify the source whose guidance a recommendation is intended to follow. Examples: ACIP, AAP More discussion September 11th Outcomes Knowledge Base Definition - an identifiable, executable set of immunization decision support rules that a CDS engine selects and applies as a single coherent unit for a forecast request. When selected, that specific set is executed and can be identified in the response as the set actually used. A CDS engine may support multiple Knowledge Bases, and each may incorporate guidance from multiple Schedule Authorities and local adaptations, but each single forecast execution uses only one Knowledge Base. Rule authorship, governance, documentation, and provenance are outside the scope of this concept.	Nathan Bunker
Wrap Up Current topic 11:55 AM–12:00 PM 5 min	Next steps Next topics