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Meaningful Use FAQs

Re: Citywide Immunization Registry
  1. Does the CIR support meaningful use testing?
  2. I already report to the CIR electronically through my Electronic Health Record (EHR). Does this mean I have fulfilled the meaningful use objective to send data to the immunization registry?
  3. What is HL7?
  4. What version(s) of HL7 does the CIR support?
  5. What options does the CIR support for HL7 message transport?
  6. Does the CIR support HL7 batch file transmissions?
  7. What are the requirements for an HL7 interface with the CIR?
  8. Can I import CIR data into my EHR?
  9. I am a provider that serves adults. Can I send data to the CIR?
  10. Which EHR vendors have implemented an HL7 interface with the CIR?
  11. My EHR vendor does not currently have an HL7 interface with the CIR. How can I get one?
  12. I do not currently use an EHR but I am interested in using one. Where can I get more information?
  1. Does the CIR support meaningful use testing?
    Yes, the CIR is supporting providers who would like to send data to the registry to fulfill their meaningful use requirement. Visit the details on the testing process described in the Information for NYC Providers section.

  2. I already report to the CIR electronically through my Electronic Health Record (EHR). Does this mean I have fulfilled the meaningful use objective to send data to the immunization registry?
    This depends on the format which you are using to send data to the CIR. Many providers have been reporting from their EHR for several years using an automatic file upload in a CIR-designed format called UPIF (Universal Provider Interface Format). Providers reporting via a UPIF file do not qualify for meaningful use. Meaningful use requires immunizations to be reported in HL7 format. If you are not sure which format you are currently using to report, you can contact your EHR vendor or contact the CIR at nycimmunize@health.nyc.gov.

  3. What is HL7?
    HL7 stands for Health Level 7. It is an international organization that develops standard formats for the electronic exchange of health information. Meaningful use requires the exchange of immunization information in HL7 format (either version 2.3.1 or 2.5.1). For more information about HL7, please visit the HL7 Web site.

  4. What version(s) of HL7 does the CIR support?
    The CIR currently supports HL7 version 2.3.1 and 2.5.1.

  5. What options does the CIR support for HL7 message transport?
    The CIR has a SOAP Web Service that allows for real-time bi-directional exchange of immunization data.

  6. Does the CIR support HL7 batch file transmissions?
    No, the CIR does not accept HL7 batch files.

  7. What are the requirements for an HL7 interface with the CIR?
  8. Can I import CIR data into my EHR?
    Yes, the CIR’s HL7 Web Service supports real-time queries for patient immunization histories. The EHR will send a query for a specific patient to the CIR over the Web Service. If that patient is found, the CIR will return the patient’s entire immunization history along with clinical decision support that indicates which immunizations are past due or next due. This process takes approximately 1-2 seconds. This information can be stored within the patient’s record in the EHR.

  9. I am a provider that serves adults. Can I send data to the CIR?
    The CIR encourages the reporting of adult immunizations, but consent (verbal or written) from the patient is required (consent is not required for patients under 19). View CIR Fact Sheet for Health Care Providers for adults (PDF) and a sample consent form for adults. (PDF)

  10. Which EHR vendors have implemented an HL7 interface with the CIR?
    Please visit the list of vendors that have established unidirectional and bi-directional interfaces with the CIR.

  11. My EHR vendor does not currently have an HL7 interface with the CIR. How can I get one?
    You will need to put in a request to your EHR vendor for an HL7 interface with the CIR. The vendor will need to do some development in order to establish a connection with the CIR’s HL7 Web Service. You can also contact the CIR, 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.

  12. I do not currently use an EHR but I am interested in using one. Where can I get more information?
    NYC REACH is the regional extension center for New York City. Their objective is to help NYC providers through the process of adopting and implementing an EHR and to help providers achieve meaningful use. For more information please visit NYC REACH or contact them via e-mail at pcip@health.nyc.gov.

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