1. Service Oriented Architecture Baltimore 2012
Cross-Paradigm Interoperability Implementation Guide for Immunizations (“X Paradigm”)
Service Oriented Architecture
Baltimore 2012

2. Open Issues
How to deal with realm-specific variations? E.g. VIS statements
Whether to include VIS and adverse event reporting (may flesh out as other artefacts considered).
Link to IZ DAM is to ballot version, not published version (which requires login)
What is the standard interface when an IIS calls a remote decision support service to fill in forecast fields of RSP?

3. Open Issues cont Path to consolidate IC and C-CDA
Which Common Information model to use?
FHIM
FHIR
CIMI
Figure out which is currently closest?
Solution architecture:
MDMI might be an excellent fit
At the end, recap the process in order to make recommendations to those doing this exercise for other domains
“bookends” approach – pick straightline case then outliers

4. Open Issues 3
V2 Referral msgs may be a V2 candidate for decision support
An issue with V2 msgs and decision support is that patient name etc is required but not needed for decision support; also, all decision support info ends up in OBX
Interest in looking at CCD
vMR is a possible common information model format

5. CDS Follow-ups
Darrell to supply vMR cross-reference with field mappings
Clayton to investigate Arden/GELLO implementation of immunization decision support