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Step 5: Achieve Meaningful Use Stage 1

Immunization Registries Data Submission


Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice.


Performed at least one test of 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 eligible professional submits such information has the capacity to receive the information electronically).

Changes as of August 2012:

Beginning in 2013, all of the Stage 1 public health objectives (submitting data to an immunization registry, submitting data to a syndromic surveillance database, or submitting reportable lab results to a public health agency) will require that providers perform at least one test of their Certified EHR Technology’s capability to send data to public health agencies, except where prohibited. The intent of this modification is to encourage all EPs, eligible hospitals, and CAHs to submit public health data, even when not required by State/local law. Therefore, if providers are authorized to submit the data, they should do so even if it is not required by either law or practice. If the test of submission is successful, provider should institute regular reporting with the entity with whom the successful test was conducted.

Clinical Importance

Submitting data to immunization registries makes information easily available for other providers and institutions, such as schools. When done throughout the community, it gives providers and colleagues historical immunization data for queries meant to help keep patient vaccinations up to date. This ultimately contributes to the improvement of public health by reducing vaccine-preventable diseases and over-vaccination.

See CDC’s list of contacts in your state.

CMS Resources

The following resource is available to help meet the Immunization Registries Data Submission meaningful use menu measure:

Related CMS EHR Incentive Program Frequently Asked Questions

Lessons from the Field

"It is important to understand the public health reporting infrastructure and requirements in your state to ensure your practice has the ability to submit the meaningful use standards for immunization registries data submission."

Lori Bergman, Senior Consultant, Comprehensive Healthcare Advisors, LLC in partnership with the Central Ohio Health Information Exchange (COHIE) External Links Disclaimer

The methods and processes used to submit public health information, such as immunization status, differ across EHR vendors and states. To meet meaningful use requirements, each practice needs to work with its vendor as well as understand its respective state registry to determine how best to submit the required information. Some questions a practice might ask include:

  • Does my vendor require our practice to purchase a separate interface to submit this data?
  • Is the data submitted through a batch submission from the vendor or can it be submitted through a health information exchange (HIE)?
  • Does my state have an electronic immunization registry?
  • If so, does my EHR have the capability to submit immunization status electronically?
  • If not, what is my state's preferred methodology for submission of immunization status?

National Learning Consortium Resources

The NLC resources are examples of tools that are used in the field today, and that are recommended by “boots-on-the-ground” professionals. The NLC, in partnership with HealthIT.gov, shares this collective EHR implementation knowledge and resources throughout this site.

National Learning Consortium Resources
Resource NameDescriptionSource

Immunization Information Systems (IIS)


[PDF - 572 KB]

Information from CDC regarding immunization information systems (IIS), including contact information for state registry staff and technical contacts.

Centers for Disease Control and Prevention (CDC)

Submitting Immunization Data to Public Health (HIE scenario, workflow, and specifications)


[DOCX - 1.2 MB]

A series of health information exchange (HIE) scenarios intended to provide a straightforward view into the standards, services and policies behind HIE solutions related to this Meaningful Use Measure.

ONC Office of Science and Technology

The material in these guides and tools represents the collective EHR implementation experiences and knowledge gained directly from the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research Center (HITRC) Communities of Practice (CoPs) in their performance of technical support and EHR implementation assistance to primary care providers. The information contained in these resources is not intended to serve as legal advice nor should it substitute for legal counsel. The resource list is not exhaustive, and readers are encouraged to seek additional detailed technical guidance to supplement the information contained herein.

Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.

Related CMS EHR Incentive Program Frequently Asked Questions

For additional questions around meaningful use, visit the CMS EHR Incentive Program Frequently Asked Questions (FAQs).


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