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VITL is working with the Vermont Department of Health to develop HL7 interfaces for the Vermont Immunization Registry. This will enable physician practices and hospitals with electronic health records systems to submit data to the Vermont Immunization Registry directly from the EHR system via the interface.
The benefits of submitting data to the Vermont Immunization Registry via an interface include:
- Reduced data entry
- Improved data accuracy
- Faster data delivery
- Fulfill data reporting requirements
- Improved patient care
For information about Public Health Meaningful Use requirements in Vermont, please refer to this page: http://healthvermont.gov/hc/meaningful_use.aspx
Stage 1 MU Public Health Immunization Submission Process for Attestation
VITL is accepting HL7 message submissions via MyVITL, our secure ticketing tool, for VXU stage 1 MU on behalf of the Vermont Department of Health and the Vermont Immunization Registry. Please follow these directions:
• HL7 messages can be production grade or test messages from the EHRs immunization interface
• Messages should be coming from an EHR that is HL7 v. 2.5.1 capable
-- Organizations whose EHR is on HL7 v. 2.3.1 must take an exclusion if you qualify
• Messages can be submitted via MyVITL if your interface with VITL is not already connected and sending data
Please submit data to https://vitl.zendesk.com/home
If you already have a MyVITL account, log in. If you don't have an account, click on "sign up" in the upper right corner. A welcome email will be sent to you containing a verification link that enables you to log in. You will need to enter a password and verify your email address.
Once logged into MyVITL, click on "submit a request" to submit your two messages. Please provide the information as follows:
Subject - VXU| MU Stage 1 submission | Please assign to Craig Hill and CC Karen Clark
Request Type - Testing
Request For – Immunization Interfaces
Priority – Normal
-- Name of organization/s submitting
-- Who is your EHR
-- What EHR Product are you using
-- What EHR version are you on
-- Sample message 1 in HL7
-- Sample message 2 in HL7
If you have any questions regarding this process please open a ticket in MyVITL with the subject:
VXU| MU Stage 1 submission questions | Please assign to Craig Hill and CC Karen
VITL is live with the submission of immunizations using HL7 to the Vermont Immunization Registry via the Vermont Health Information Exchange.
See vendor statuses below. If you would like to request an interface or have questions about your vendor's status, please submit a request at www.myvitl.net.
Requirements: The immunization interface project requires that you install the following:
- Patient demographics (ADT) interface (preferred but not required)
- Immunization (VXU) interface
Immunization project status (as of 8/2/13):
Athenahealth: We are in the process of connecting the first site and will consider more sites once this site has gone live.
Physician’s Computer Company (PCC): Four practices are live.
Immunization project status (as of 5/22/13):
Allscripts: If you are an Allscripts customer, you must upgrade to the version of Allscripts Enterprise or Professional that supports a connection to the Allscripts immunization hub in order to be eligible to start this project. If you are not sure if you are on the right version, you should talk to your vendor. VITL is currently working with Allscripts on connectivity between the hub and Medicity (dates are TBD as some development is required by Medicity and/or Allscripts).
- Allscripts Enterprise - Version 11.2 or greater supports an immunization hub connection
- Allscripts Professional - Version 9.3 or greater supports an immunization hub connection
- Allscripts MyWay - VITL will most likely wait for MyWay clients to migrate to Professional as recommended by Allscripts.
Cerner: Cerner and VITL have begun immunization project work for some hospital sites. Additional sites will be considered once those sites are live.
CPSI: CPSI and VITL have begun immunization project work for some sites. Additional sites will be considered once those sites are live.
eClinicalWorks: eClinicalWorks and VITL have begun some project work for a pilot practice. Additional practices will be considered by VITL once that pilot site is live. eClinicalWorks is planning to use an immunization hub model.
GE Centricity: GE Centricity does not currently support the HL7 version (2.5.1) required by the Vermont Immunization Registry. VITL encourages GE Centricity practices to contact their vendor to determine when the required HL7 version support will be available.
Greenway: Some Greenway practices are live with HL7 immunization messaging with VITL. VITL is working with Greenway to roll out additional interfaces.
Medent: Medent and VITL have begun immunization project work for some sites. Additional sites will be considered once those sites are live.
Physician’s Computer Company (PCC): Two pilot practices are live. VITL has been working on additional PCC practices.
McKesson Practice Partner: Initial analysis work has begun. Practices will be considered once the vendor is ready.
Not listed: VITL has not yet engaged with your vendor or your vendor does not yet support HL7 messaging for immunizations. Please refer your vendor to the technical specifications links below.
No new incentives are available at this time. The cost of EHR interfaces can be reimbursed with pre-approval by VITL.
- Technical specifications: Please refer to our specifications site for all currently available VITL interface specifications.
- Historical immunizations: Historical immunizations can be accepted as long as your vendor can send them. Vendor capabilities for loading historical immunizations and logistics of switching over from a monthly batch file will be discussed with your vendor when VITL initiates an immunization project with your site.
- Loading data from the Registry into your EHR: The Immunization Registry can provide batch files for one time historical loads into your EHR. This info generally only includes immunizations performed at your practice. We expect to be able to support this in an automated fashion in the future (AKA "bi-directional"), but no timelines have been committed yet.