How to Report
There are two ways providers can report:
Electronic
Online
Electronic
Information is extracted from an encounter, billing or clinical management
system and sent via a secure electronic file transfer to the Web File
Repository (WFR), or downloaded onto a diskette and mailed to the
CIR. The Universal Provider Interface Format (UPIF) defines the format
that the information must be in to be accepted by the Registry. See
the UPIF
Specifications (PDF file: 614 KB, 47 pages) and Web
File Repository Guide (WFR) (PDF file: 269 KB, 3 pages) for uploading
data. For more information call (212) 676-2323.
Online
(Now with Lead Test Results!)
Accessing immunization
and lead test histories is easier than ever! Online access to your
patients' records is available if you are registered
with us. You may use the Online Registry to report immunizations
to assess the immunization status and lead test histories of your
patients, and to generate official printed immunization and blood
lead test records for providers and parents. The provider printable
report includes:
- a history of the child's immunization with recommendations of
vaccines due
- blood lead status with recommendations for lead testing and
follow-up of your patients
The parent (public) printable report lists only the immunizations
and dates they were administered to the child, and the date of the
last blood lead test with a message for parents to contact their
doctor for further details.
The Online Registry also saves you time by making available the official WIC Medical Referral Form for Infants and Children and the Child and Adolescent Health Examination Form (CH205), the official form that is accepted by day care programs, schools, and summer camps.
The forms come completed with patient demographics, provider contact information and immunization history. The immunizations displayed include only events which are considered valid according to the New York City Childhood Immunization Schedule. The highlighted areas on the form are editable.
Online Access to the CIR
To access the Online Registry, each health care facility or practice designates a Security Administrator (User Manager). The Security Administrator must read, sign, then mail or fax:
- the Security Administrator (User Manager User/ID Password Request Form, and
- the Acceptable Use Protocol and Security Administrator (User Manager) Confidentiality Statement for Online Access.
Next, the Online Registry assigns a User ID and Password to the Security Administrator (User Manager). The Security Administrator (User Manager) can then set up User IDs and Passwords for additional users. He or she must have each additional user read and sign a User Confidentiality Statement for Online Access and keep those on file at the site.
For Private Practices:
For Facilities (such as hospitals and clinics):
Mail:
New York City Department of Health and Mental Hygiene
Citywide Immunization Registry
125 Worth Street, CN #64R
NY, NY 10013-4089
Phone: (212)
676-2323
FAX: (212) 676-2314