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. 2017 Aug 10;17:119. doi: 10.1186/s12911-017-0521-6

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© The Author(s). 2017

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Technical architecture for how the CHICA clinical decision support system (CDSS) intervention communicates with the electronic health record (EHR) system at the clinic and immunization information system (IIS) at the state health department. Images used under license from Shutterstock.com with the Regenstrief Institute, Inc. ADT = Admission, Discharge and Transfer