Eligible Professional Meaningful Use Core Measures Measure 16 of 17, Stage 2, Immunization Registries Data Submission

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Stage 2

Eligible Professional

Meaningful Use Core Measures

Measure 16 of 17

Date issued: October, 2012

Immunization Registries Data Submission

Objective

Capability to submit electronic data to immunization registries or immunization

information systems except where prohibited, and in accordance with applicable law

and practice.

Measure

Successful ongoing submission of electronic immunization data from CEHRT to an

immunization registry or immunization information system for the entire EHR

reporting period.

Exclusion

Any EP that meets one or more of the following criteria may be excluded from this

objective:

(1) the EP does not administer any of the immunizations to any of the

populations for which data is collected by their jurisdiction's immunization

registry or immunization information system during the EHR reporting period;

(2) the EP operates in a jurisdiction for which no immunization registry or

immunization information system is capable of accepting the specific

standards required for CEHRT at the start of their EHR reporting period;

(3) the EP operates in a jurisdiction where no immunization registry or

immunization information system provides information timely on capability

to receive immunization data; or

(4) the EP operates in a jurisdiction for which no immunization registry or

immunization information system that is capable of accepting the specific

standards required by CEHRT at the start of their EHR reporting period can

enroll additional EPs.

Table of Contents

Definition of Terms

Attestation Requirements

Additional Information

Certification and Standards Criteria

Definition of Terms

None.

Attestation Requirements

YES/NO

The EP must attest YES to meeting one of the following criteria under the umbrella of ongoing

submission.

Ongoing submission was already achieved for an EHR reporting period in a prior year and

continues throughout the current EHR reporting period using either the current standard at 45

CFR 170.314(f)(1) and (f)(2) or the standards included in the 2011 Edition EHR certification

Immunization Registries Data Submission

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criteria adopted by ONC during the prior EHR reporting period when ongoing submission was

achieved.

Registration with the PHA or other body to whom the information is being submitted of intent

to initiate ongoing submission was made by the deadline (within 60 days of the start of the EHR

reporting period) and ongoing submission was achieved.

Registration of intent to initiate ongoing submission was made by the deadline and the EP or

hospital is still engaged in testing and validation of ongoing electronic submission.

Registration of intent to initiate ongoing submission was made by the deadline and the EP or

hospital is awaiting invitation to begin testing and validation.

EXCLUSIONS: Any EP that meets one or more of the following criteria may be excluded from this

objective:

(1) Does not administer any of the immunizations to any of the populations for which data is

collected by their jurisdiction's immunization registry or immunization information system

during the EHR reporting period;

(2) Operates in a jurisdiction for which no immunization registry or immunization information

system is capable of accepting the specific standards required for CEHRT at the start of their EHR

reporting period

(3) Operates in a jurisdiction where no immunization registry or immunization information system

provides information timely on capability to receive immunization data; or

(4) Operates in a jurisdiction for which no immunization registry or immunization information

system that is capable of accepting the specific standards required by CEHRT at the start of their

EHR reporting period can enroll additional EPs.

Additional Information

In determining whether the PHA has the capacity, CMS anticipates developing a centralized

repository for this information, including a deadline for the PHA to submit information. If the

PHA fails to provide information to this centralized repository by the deadline, the provider

could claim the exclusion. In the event, that we are unable to develop a centralized repository,

providers will make the determination of PHA capacity by working directly with the PHA as is

currently the case for Stage 1 of meaningful use.

The second exclusion does not apply if an entity designated by the immunization registry or

immunization information system can receive electronic immunization data submissions. For

example, if the immunization registry cannot accept the data directly or in the standards

required by CEHRT, but if it has designated a Health Information Exchange to do so on their

behalf and the Health Information Exchange is capable of accepting the information in the

standards required by CEHRT, the provider could not claim the second exclusion.

In order to meet this objective and measure, an EP must use the capabilities and standards of

CEHRT at 45 CFR 170.314(f)(1) and (f)(2). However, if EPs prior to CY 2014 have achieved

successful ongoing submission using EHR technology certified to the 2011 Edition EHR

certification criteria (HL7 2.3.1 only), it is acceptable to continue this ongoing submission and

meet the Stage 2 measure for as long as HL7 2.3.1 continues to be accepted by the

immunizations information system or immunization registry.

Certification and Standards Criteria

Below is the corresponding certification and standards criteria for electronic health record technology

that supports achieving the meaningful use of this objective.

Certification Criteria

§ 170.314(f)(1)

Immunization

information

Enable a user to electronically record, change, and access immunization

information.

§ 170.314(f)(2)

Transmission to

immunization

registries

EHR technology must be able to electronically create immunization information for

electronic transmission in accordance with:

(i) The standard and applicable implementation specifications specified in §

170.205(e)(3); and

(ii) At a minimum, the version of the standard specified in § 170.207(e)(2).

Standards Criteria

§ 170.205(e)(3)

HL7 2.5.1 (incorporated by reference in § 170.299). Implementation specifications.

HL7 2.5.1 Implementation Guide for Immunization Messaging, Release 1.4,

(incorporated by reference in § 170.299).

§ 170.207(e)(2)

Immunizations

HL7 Standard Code Set CVX -- Vaccines Administered, updates through July

11, 2012 (incorporated by reference in § 170.299).

Certification Criteria