Connecting with the Texas
Immunization Registry via HL7 Format
Understand How to send HL7 Immunization
Information to the Texas Immunization Registry
Agenda
• Team Introductions
• Overview
– Why do this?
– What is HL7?
• Getting Started
– Review key documentation
• Next Steps
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Introductions – Key Staff
State Program Staff
ImmTrac Manager – Lori Ashford
Provider Relationship
Management (PRM) Team
 Bill Carswell - Lead
 Marc Heymann – PRM
 Susan Keeler – Registration
 Rachelle Zani - Test
3
Your Team
Key Contact:
Provider Contact(s):
Technical Contact(s):
Registration Contact:
Why Do This?
 State’s Objective - Improve the well-being of Texans
 Enhance the accuracy and timeliness of Immunization reporting
by:


Increasing the number of Providers submitting electronically
Increase the number/proportion of reported events recorded
in ImmTrac within 30 days
 What is in it for you?
 No need to enter data in both your EHR software and the State’s
Immunization Registry Tool Immtrac
 Meaningful Use Incentives
4
Steps in HL7 On-Boarding Process
Steps
•
Discovery
•
Registration
•
Testing/Live File Submission
•
File Processing and Maintenance
Purpose
5

Introduction to the process on the whole
and received high-level explanation of
what is required to Complete Stage 1 and
move forward with Stage 2 Meaningful
Use.

Add first time registrants to ImmTrac, or
update site agreement in the system;
Determine Parent/Child Relationship;
update site contacts; request Import Code

Submit FTP requests; walk-through HL7
Validation Process with Provider/EHR;
review submitted test files until promoted
to live; address formatting questions and
submission issues.

Discover and process all incoming test
and live HL7 files
Who is involved?
Steps
People
From HL7 Team
From Your Team
Discovery
Marc Heymann
HL7 Coordinator
Technical Resource(s)
Provider Resource(s)
Registration
Susan Keeler
Registration Contact
Testing/Live File
Submission
Rachelle Zani
HL7 Coordinator
Technical Resource(s)
Provider Resource(s)
File Processing and
Maintenance
Rachelle Zani
Bill Carswell
Provider Resource(s) with
support from Technical
Resource(s)
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The HL7 File Format
MSH
MSH Message Header Things
about your clinic and your EHR.
PID = Patient Information
Things about your patient
OPTIONAL
NK1 = Next of kin
PV1 = Patient Visit
Things about the
Things about the visit
patient’s parents
RXA = Pharmacy
Treatment Administration
Things about the treatment
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Next Steps
Discuss any questions you may have of the HL7 2.5.1
Implementation Guide
 File Format
 Data fields
Web Attest, Registration, Test, and Going Live
Processes
Note: Schedule for uploading live data files is weekly, however during
test feel free to submit as many files as possible to get the most
feedback and get promoted to live faster!
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Appendix A – Documentation
HL7 2.5.1 Implementation Guide (This guide details all the
requirements and technical information for the HL7
Onboarding Process and HL7 file information)
Secure FTP Connection Information & Registration
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