1. Immunization Registry
Unity Healthcare is a multi-specialty healthcare with 100+ physicians and ~28 specialty areas. We currently have ~50 providers using EMR.
Alicia Medley, EMR Analyst
10+ years ER and Med-Surg

2. Region Registry Rules

3. Region Registry Rules
Allscripts’ permanent Clinical questions

4. Region Registry Rules

5. Region Registry Rules

6. Region Registry Rules
**Immunization Information Source should not be removed**

7. Org Setup

8. Orderable Item Immunization

9. Orderable Item Immunization CVX
The CVX code is a numeric string which identifies the type of vaccine product used.
Website for CVX codes:

10. Orderable Item Immunization MVX
The MVX code is an alphabetic string that identifies the manufacturer of that vaccine.
Website for MVX codes:

11. Orderable Item Immunization
Allscripts’ Internal system
Unity’s system search return search return

12. Orderable Item Immunization

13. Active vs Historical Historical Active Medispan database
Immunization Hx will contain things that have been inactive and discontinued for up to 48 months, allows you to document allergies (same dictionary), medication Hx or Immunization Hx to things that are no longer available
No access to that database, control over them
Active
Can inactivate entries
Add When to Charge, Admin Initial Charge code, CPT4 Code and description

14. Orderable Item Immunization

15. Preferences
Pulling a report is easier when using the specific vaccine code

16. Queue Admin-Message Queue
All immunizations sent to the IR have a message populated in the
Message Queue - Outbound

17. Queue Admin-Message Queue
Published Accepted by HUB
Validated Accepted by Registry, validation message sent back
Transport Error/ Failed Issue getting message to HUB
Application Error Error within application
Resubmitted Failed message was resubmitted
Acknowledged Accepted by Registry, no validation message sent back

18. Outbound Message Errors

19. Outbound Message Errors

20. Outbound Message Errors
ACI Immunization Viewer
Immunization Details

21. Opening a ticket for Support
Ask for HL7 acknowledgement message to be attached to ticket, the HUB only holds 15 days
Attach message information from queue
State the exact error that occurred
Attach screen shots from the Record Administration page
If the error includes when it is transmitted to the state IR, attach screen shots from the registry
Message Details

22. Record Administration

23. Issues Along the Way
Registry Information

24. Issues Along the Way

25. Issues Along the Way

26. Federal and State Requirements
Vaccine name, date of administration, name of manufacturer, lot number, expiration date, name and title of person who administered vaccine, name and address of where vaccine was given, date that vaccine information sheet was given, publication date of vaccination sheet that was given
State:
Patient identification number, Patient first and last name, Patient date of birth, Patient address, Patient race, Patient gender, Vaccine for Children program eligibility, if the patient is eligible for the Vaccine for Children program, Dose at the administration level under the Vaccine for Children program, if the patient is eligible for the Vaccine for Children program, Vaccination presentation or vaccination code using approved Immunization Information System (IIS) code type.
Find out your state requirements in addition to federal requirements.