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Immunization Message Submissions for Meaningful Use 

 

The Oklahoma State Immunization Information Service will be receiving submissions of immunization data from eligible hospitals and providers using the latest HL7 v2.5.1 VXU messaging specification which can be found at the following link: http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7guide-1-4-2012-08.pdf.  Additional information is available at http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7-clarification-R6.pdf

 

Process for Submitting Test Messages to OSDH

 

1. To begin the process of submitting messages for immunizations, please click on the link provided below. 

 

Immunization Registration Form

 

2. Once the registration form is received and processed, your registration will be placed in the queue with other registrations. You will be contacted by an OSDH representative to schedule the kickoff meeting.  The kickoff meeting will be held via teleconference and you are required to include your vendor in the teleconference.  Failing to include your vendor will require placing your registration back into the queue and the kickoff meeting will be rescheduled at a later date..

 

3. Communication during the testing period is conducted via email with occasional phone calls. If you have any additional questions, please refer to the FAQs or send an email to OSDH Meaningful Use. 

Stage 2 alert:  If you are participating in Stage 2, you are required to respond to any communication from the public health agency within 30 days.  Failure to respond within two 30-day periods will result in failure of Stage 2 requirements. 

 

Stage 1 vs. Stage 2

The following tables contain immunization requirements for stages 1 and 2. 

Eligible Professionals (EPs)
Menu Objectives Stage 1 Meaningful Use Measures Stage 2 Meaningful Use Measures
Immunization Registries Capability to submit electronic data to immunization registries immunization information systems and actual submission according to applicable law and practice. Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system for the entire EHR reporting period (unless no registries are capable)
Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs)
Menu Objectives Stage 1 Meaningful Use Measures Stage 2 Meaningful Use Measures
Immunization Registries Performed at least one test certified EHR technology’s capacity to submit electronic data to immunization registries and follow up submission, if the test is successful, (unless none of the immunization registries to which the EP submits such information has the capacity to receive the information electronically, or where is it prohibited.) Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system for the entire EHR reporting period (unless no registries are capable)

 

Stage 2

 

The following tables detail the Public Health Stage 2 Immunization Objective: 

 

Immunization Measure and Exclusions for Eligible Professionals (EPs) and Eligible Hospitals (EHs) and CAHs
Objective Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice
Core Measure Successful ongoing submission of electronic immunizations data from certified EHR technology (CHERT) to an immunization registry or immunization information system for entire EHR reporting period (unless new registries are capable)
Exclusions
  1. The EP, EH or CAH 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, EH or CAH 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 the reporting period.
  3. The EP, EH or CAH operates in a jurisdiction where no immunization registry or immunization information system provides information timely on capability to receive immunization data.
  4. The EP, EH or CAH operates in a jurisdiction for which no immunization registry or immunization information system that is capable of accepting specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs, EHs or CAHs.

(The second exclusion will not apply if an entity designated by the immunization registry or immunization information system can receive electronic immunizations data submissions.)

Immunization Stage 2 Standard Requirements
Stage 2 Public Health MU Objectives Stage 2 MU Exchange Standard Stage 2 MU Vocabulary Standard
Immunization Registries (IIS)

Standard-HL7 2.5.1

  • HL7 2.5.1 implementation guide for immunization messaging release
  • HL7 standard code set CVX-Vaccines administered, July 30, 2009 version
  • HL7 standard code set CVX-Vaccines administered updates through July 11, 2012

 

For Providers Resending Second Stage 1 Meaningful Use Test Message for Failure.

The Oklahoma State Department of Health (OSDH) is encouraging all providers who have submitted a Meaningful Use (MU) Stage 1 test immunization or reportable disease laboratory result messages failing OSDH message validation to make the necessary system modifications and resubmit.  With successful MU Stage 1 test message validation and secure messages transport capabilities, Oklahoma providers will be better prepared to meet attestation requirements for MU Stage 2. 

If system modifications are not possible following a failed Stage 1 test message submission, the OSDH understands, for the purpose of meeting MU Stage 1 attestation requirements, a second message failure will occur.  In the event that a provider has submitted one failed test message, makes no modifications to their system, and intends to submit a second test message for MU Stage 1 that will also fail, there is no need to submit the second test message to OSDH for validation. 

 

Additional Information

Should you have any questions regarding attestation requirements for the EHR Incentive Program, please contact the appropriate agency below: 

Medicare: contact information for CMS Region VI can be found at: http://www.cms.gov/RegionalOffices/Downloads/DallasRegionalOffice.pdf. 

Medicaid: www.okhca.org/EHR-Incentive

 

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