If you are already registered with CIR and intend to submit immunization data to fulfill Meaningful Use (MU) requirements, please go to the Health Commerce System Website to register your intent.
In July 2010, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) published final rules under the American Recovery and Reinvestment Act of 2009 (ARRA) and HITECH Act of 2009, which authorizes incentive payments to healthcare providers and hospitals that demonstrate meaningful use of certified electronic health records (EHRs).
Eligible professionals (EPs) and eligible hospitals were able to begin the incentive program in January 2011.
On 10/16/2015, CMS published a final rule for MU Stage 3 and modifications to MU for 2015-2017. For more information about these changes, please see the official CMS document or the Meaningful Use Public Health Reporting website.
Stage 1 ended in year 2015. For current requirements please see Modified Stage 2 Process, below.
Modified Stage 2 Process:
On 10/16/2015, CMS published modifications to MU Stage 2 for 2015-2017. 2015 was the last year that a provider could attest for MU Stage 1. In 2016, all providers will attest for Modified Stage 2. As part of Modified Stage 2 in 2016, the EHR reporting period for EPs demonstrating MU for the first time will be any continuous 90-day period within the calendar year. For Eligible Providers who have previously demonstrated MU, the EHR reporting period in 2016 will be the full calendar year. Providers will be able to attest for MU Stage 3 starting in 2017.
Submission of electronic data to immunization registries using Health Level 7 (HL7) standards satisfies the Immunization Registry Reporting Measure, and counts towards meeting the Public Health Reporting Objective for Modified Stage 2. The best way for an immunizing provider to maintain compliance is by submitting immunization data using the HL7 2.5.1 standard on an ongoing basis throughout their EHR reporting period.
For instructions on the Modified Stage 2 submission process and how to actively engage with the CIR, please see the Information for NYC Providers section.
An HL7 interface with the CIR involves a real-time connection to the CIR over a communication framework called a SOAP Web Service. Rather than exchanging immunization information through files, information is exchanged in real time through HL7 messages—discrete packets of information containing immunization information for one patient.
EHR vendors have the ability to establish either a unidirectional or a bidirectional interface with the CIR’s HL7 Web Service. A unidirectional interface allows providers to report immunizations only; a bidirectional interface allows providers to report immunizations, query the CIR for patients’ immunization histories and clinical decision support, and to store the returned information in their EHR system.
In addition, the HL7 Web Service is the only way for Eligible Professionals (EPs) and Eligible Hospitals (EHs) to report to the CIR in a way that complies with MU requirements. .
Benefits of reporting to the CIR via an HL7 interface include the following:
The implementation process can take anywhere from one to six months depending on the level of resources a vendor is able to devote to the project.
Other Useful Materials and Links:
If you are interested in establishing an HL7 interface from your EHR to the CIR, you can check to find out whether your EHR vendor has an established HL7 interface with the CIR. If not, you will need to put in a request to your EHR vendor. You can also contact the CIR (email@example.com) indicating that you have put in a request to your vendor for the interface, and including your vendor contact person and contact information. The CIR will follow up with the vendor and provide them with all the necessary information for development of the interface.
Modified Stage 2 Process:
In order to comply with the Meaningful Use Modified Stage 2 Immunization Registry Reporting Measure, a provider must actively engage with the CIR during their EHR reporting period.
After registering intent to submit immunization data via the Meaningful Use Registration for Public Health on the Health Commerce System Health Commerce System website, CIR staff will receive the registration data and reach out to providers with one of these requests:
|EZVAC (Columbia Presbyterian Network)||Office Practicum Connexin|
|AdvancedMD||Iron Bridge Integration|
|Allscripts (Sunrise Clinical Manager, Enterprise, Pro, Eclypsis)||Jackson Key|
|Enable Healthcare, Inc.||Practice Fusion|
|GE (Centricity and Healthcare)||Qvera|
|Hello Health||Virtual Officeware|
EHRs that have recently connected to the CIR may not be on this list. If you would like to implement an HL7 interface with the CIR, you will need to contact your EHR vendor and put in a request with them. The vendor will need to work with the CIR to implement a connection with the CIR’s HL7 Web Service. You can also contact the CIR (firstname.lastname@example.org), indicating that you have put in a request with your vendor. Please include your CIR facility code and vendor contact information. The CIR will follow up with the vendor and provide them with all the necessary information for development of the interface.