New York State Immunization Information System (NYSIIS)

The New York State Immunization Information System (NYSIIS) participates with Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) outside the five boroughs of New York City.

NYSIIS collects data from any EP, EH, or CAH that administers immunizations to patients. All EPs, EHs, and CAHs, are required to report immunizations administered to patients 18 years of age or younger. In order to report immunizations administered to patients age 19 or older, verbal or written consent is needed.

Note: For additional information on determining if you are required to report to an immunization registry please see Public Health FAQ #3.2 and Public Health FAQ #3.3.

  • Meaningful Use Stage 1 (2011 – 2014): Immunization Registry Reporting
  • Meaningful Use Stage 2 (2014): Immunization Registry Reporting
  • Meaningful Use Modified Stage 2 (2015–2017): Immunization Registry Reporting
  • Meaningful Use Stage 3 (2017–2021): Immunization Registry Reporting

Phone: (518) 473–2839

Email: nysiis@health.ny.gov

Meaningful Use Stage 3 – 2015 Edition CEHRT

On July 15, 2016, NYSIIS declared they will be capable of accepting electronic immunization data from EPs and EHs located outside the five boroughs of NYC, according to the standards required to meet the 2015 Edition CEHRT definition on or before January 1, 2017.

Meaningful Use Stage 2 & Modified Stage 2 – 2014 Edition CEHRT

As of June 2012, NYSIIS was accepting and continued to accept electronic immunization data from EPs and EHs located outside the five boroughs NYC, according to the standards required to meet the 2014 Edition CEHRT definition.

Meaningful Use Stage 1 – 2011 Edition CEHRT

As of January 1, 2008, NYSIIS was accepting and continued to accept electronic immunization data from EPs and EHs located outside the five boroughs NYC according to the standards required to meet the 2011 Edition CEHRT definition.

EPs and EHs must register their intent to submit data for a given Public Health Reporting measure, before or within 60 days of the start of their EHR Reporting Period, using the Meaningful Use Registration for Public Health (MURPH) System. MURPH is the statewide system hosted on the Health Commerce System (HCS) that accepts registrations, is used by the registries, and used by the EHR Incentive Program to manage onboarding and program compliance. A registration must be completed for each EP and EH. When an EP or EH formally submit a registration, an e–mail confirmation will be sent to the Registration Contact´s e–mail from the MURPH System. Please see Public Health FAQ #4.1 regarding keeping the Registration Confirmations for post–payment audit purposes.

Please be aware that only one registration is needed if the EP or EH is choosing to achieve multiple Public Health Reporting measures in the same Public Health jurisdiction. If the provider spans both jurisdictions, inside the 5 boroughs of NYC and outside the 5 boroughs of NYC, then a separate registration is needed for each jurisdiction.

How to Access the Registration System:

  1. Log into HCS: https://commerce.health.state.ny.us*
  2. Click on the "My Content" on the top navigation bar
  3. Click on "All Application" in the drop down
  4. Click on the letter "M"
  5. Click on "Meaningful Use Registration for Public Health"

*An HCS account is required to submit a registration on the MURPH system. Account sign–up can be initiated from the HCS Login screen.

Note: Please see the Eligible Professional MURPH Registration Guide or Eligible Hospital MURPH Registration Guide for additional details.

Step 1 Status

An EP or EH who has submitted a registration through the MURPH System within 60 days of the start of their EHR Reporting Period has achieved Active Engagement Option 1 – Completed Registration to Submit Data and may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Once a registration is received, the Public Health Agencies (PHAs) will triage new registrants and prioritize EPs and EHs based on staff/resource availability, volume of data, practice size, reporting periods, and other criteria. If the registry chooses not to onboard the EP or EH immediately following registration, the EP or EH´s status will be recorded as Active Engagement Option 1 – Completed Registration to Submit Data. When the PHA staff is ready to work with the EP or EH, an e–mail invitation will be sent to the registration and alternate contacts listed in the MURPH registration. At this time, the registry staff will change the EP or EH´s status to ´´Invited to Test.´´ As soon as a timely response is received from the EP or EH, PHA staff will change the status to Active Engagement Option 2 – Testing and Validation.

The measure may not be met if an EP or EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP or EH fails to respond to two requests for action before each 30–day time limit expires, the EP or EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT.

Step 2 Status

An EP or EH that has achieved Active Engagement Option 2 – Testing and Validation may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Now that a PHA has invited the EP or EH to begin testing, the PHA will dedicate a representative to work closely with the EP or EH to initiate the exchange and testing of data. The PHA will verify submitted test data for valid structure, content, and completeness. If any issues arise, the PHA may request EHR vendor/IT attention for troubleshooting, implementation of corrections, and continued testing.

The measure may not be met if an EP or EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP or EH fails to respond to two requests for action before each 30–day time limit expires, the EP or EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT. See Public Health FAQ #4.3 for additional information.

NYSIIS reporting will be accepted from EHR software certified by an Office of the National Coordinator for Health Information Technology (ONC)–Authorized Testing and Certification Body and will be in accordance to the NYSIIS HL7 Specifications Sheet. EPs and EHs can submit immunization data to NYSIIS using the batch HL7 upload function on the NYSIIS application or via a New York State Regional Health Information Organization (RHIO).

Testing and Validation Process

  1. Submit a test message using the Message Conformance Application* – NYSIIS on the Health Commerce System.
  2. Continue submitting test messages until you have passed the validations. A failed message report must be followed by a new test message within 30 days.
  3. Once you have passed the validations, a Meaningful Use analyst at NYSIIS will work with you to test a sample batch file and meet a successful batch upload.
  4. A NYSIIS data exchange analyst will be assigned to work with you to complete full file testing within the NYSIIS-Test environment and then move into production.

How to Access the Message Conformance Application

  1. Log into HCS: https://commerce.health.state.ny.us*
  2. Click on the "My Content" on the top navigation bar
  3. Click on "All Application" in the drop down
  4. Click on the letter "M"
  5. Click on "Message Conformance Application – NYSIIS"

* An HCS account is required to access the Message Conformance Application. Account sign-up can be initiated from the HCS Login screen.

Step 3 Status

An EP or EH that has achieved Active Engagement Option 2 – Testing and Validation may attest "Yes" to the Public Health Reporting measure in an EHR Incentive Program attestation.

The NY Medicaid EHR Incentive Program defines submission of production data as an EP or EH who continually and successfully submits structured, production–level data from a Certified EHR Technology to the appropriate PHA when the data is made available by the Certified EHR Technology and according to the timing and frequency determined by Public Health Law or registry policies. See Public Health FAQ #4.5 for additional information.

Submission of production data is initially achieved when the EP or EH completes testing and validation and the PHA staff determines the EP or EH´s live data is being received by the PHA and is correct in structure and content. When submission of production data is achieved, the EP or EH´s status will be changed from Active Engagement Option 2 – Testing and Validation to Active Engagement, to Option 3 – Production. E–mail communications between the PHA and the EP or EH indicating that submission of production data has been achieved is considered the EP or EH´s acknowledgment of this status and should be saved for EHR Incentive Program audit purposes.

For additional information on audits please see Post–Payment Audit Guidance.

Step 4 Status

An EP or EH that has achieved Active Engagement Option 3 – Production may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.