This page outlines the data exchange process necessary for fulfilling the meaningful use objective for submission of immunization data with the Wisconsin Immunization Registry (WIR).
Meaningful use objective: Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice.
Measure to receive incentive: Performed at least one test of certified the Electronic Health Records (EHR) technology's capacity to submit electronic data to immunization registries and follow up submission if the test is successful.
WIR data exchange process
- Healthcare providers or EHR vendors should contact the
WIR Manager, Matthew Verdon 608-261-4948, to initiate the data exchange process.
- WIR staff will discuss WIR specifications, required fields, transport options, and testing protocol via conference call or live meeting.
- Test files will need to be created by vendor/healthcare entity and provided to WIR staff. Layout and data will be checked to determine if appropriate with feedback provided as necessary.
- Once layout and data are deemed to be appropriate, access to the WIR test server will be granted to appropriate provider/vendor personnel along with the web address and the key for data transport.
- Typically 2 weeks to 1 month is required for testing.
- Once the healthcare provider/vendor is ready to go live, a production web address and key are provided. For the first 60 days, all data goes through a pre-processor to ensure data integrity and any issues seen are relayed back to the healthcare provider.
- After 60 days, the need for preprocessing is removed and the interface is deemed live.
Guides and Specifications
The Final Rule for Health Information Technology (July, 2010) identified HL7 2.5.1 and HL7 2.3.1 as data exchange standards for submission to immunization registries and HL7 Standard Code Set CVX Vaccines Administered as the vocabulary standard for submission to immunization registries. While both HL7 2.5.1 and HL7 2.3.1 are supported by WIR, HL7 2.5.1 is recommended. Relevant links to the standards follow:
- WIR HL7 specifications: 2.5.1 (PDF, 2.7 MB) / 2.3.1 (PDF, 1.8 MB)
- Immunization Information Systems (IIS) standards Health Level Seven (HL7)
- HL7 Version 2.3.1 (PDF, 2.1 MB) of the HL7 Standard protocol implementation guide (6/2006)
- HL7 Version 2.5.1 (PDF, 4.6 MB) Implementation guide for immunization messaging, Release 1.2 (2/15/2011)
- HL7 Standard code set CVX - Vaccines administered