© eClinicalWorks, 2014. All rights reserved

IMMUNIZATION, SYNDROMIC SURVEILLANCE, AND SPECIALIZED

REGISTRY WORKSHEET Once you Register for Intent and receive an invitation to begin testing for immunizations, open a case.

For the most recent information, refer to the state websites.

Immunizations If you have any questions regarding immunizations, e-mail immunizations@eclinicalworks.com with your name, practice name, the state that

you are sending data to, the Meaningful Use Stage you are in, and any other relevant information (case number, state documentation, etc.).

Location EP How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent AK Yes E-mail the Registry of Intent form to hss.hitinfo@alaska.gov before the 60th day of the identified

EHR Reporting Period. Once the registration has been received, the Eligible Provider (EP) will

receive further instructions.

No

AL Yes Register at https://dph.state.al.us/adphsec/Login.aspx.

AR Yes Register at

http://www.healthy.arkansas.gov/programsServices/MeaningfulUse/Pages/default.aspx.

Yes. Contact your SAM.

AZ Yes Register at https://app.azdhs.gov/phs/asiis/ehrinteroperability/Attestation.aspx. Yes. Contact your SAM.

CA Yes Register at http://hie.cdph.ca.gov/lhj-matrix.html. No

CO Yes Register at http://www.costage2mu.dphe.state.co.us. No

Immunizations

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 2

Location EP How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent CT No Download the exclusion letter.

DC Yes Register at https://octo.quickbase.com/db/bh254cgqc?a=nwr. No

DE Yes

FL Yes Register at https://www.epicomfl.net/MerlinCaseReporting/Meaningfuluse/Meaningful_

Registration_dtl.aspx.

No

GA No Register at https://sendss.state.ga.us/sendss/!dynamicsurvey.surveypublicprompt?pQA

TemplateId=1537. The state is currently not accepting data in 2.5.1 format, which is what eCW

generates. You must register with the state registry.

No

HI Yes Register at http://health.hawaii.gov/docd/dib/immunization-meaningful-use.

IA Yes Register at http://www.idph.state.ia.us/IDPHChannelsService/file.ashx?file=7462D22C-D6FD-4975-

B930-D97DA0450A55 and e-mail the registration form to imm.meaningfuluse@idph.iowa.gov.

No

IL Yes Register at https://murs.illinois.gov. The provider will receive a confirmation message, be placed in

an on-boarding queue, and will then await invitation from the Illinois Department of Public Health

to begin testing and validation.

No

IN Yes Register at https://gateway.isdh.in.gov/MUSSE/Guidance.aspx?program=elr. No

KS Yes Register by e-mailing meaningfuluse@kdheks.gov. No

KY Yes Register at http://chfs.ky.gov/dms/ehr.htm. No

LA Yes Register at https://linksweb.oph.dhh.louisiana.gov/linksweb/LINKS_DCNTR.html.

Fill out the enrollment agreement and e-mail it to the region representative.

MA Yes Register at www.contactmiis.info. EPs must have MIIS account. No

MD Yes Register at https://mmcp.dhmh.maryland.gov/ehr/SitePages/PublicHealthObjectives_main.aspx. No

ME Yes Register the provider at http://www.maine.gov/hit/public-health/index.shtml. Install the Register

Practice Wizard (Windows only) to complete the registration

No

MI Yes Register at https://mimu.michiganhealthit.org. No

Immunizations

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 3

Location EP How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent MN Yes Register at http://www.health.state.mn.us/e-health/edatareg.html. When the MDH program

receives the registration information, further details regarding the on-boarding process will be sent

by e-mail.

No

MO Yes Register at http://health.mo.gov/atoz/mophie/form.php. The Department of Health and Senior

Services (DHSS) staff will contact providers with follow-up questions. The DHSS will invite providers

to begin the on-boarding process when the DHSS is ready to initiate.

No

MS Yes Register at https://www.surveymonkey.com/s/MSDH_MUStage2_Registration. No

MT Yes Register at http://www.dphhs.mt.gov/publichealth/meaningfuluse/application.shtml. No

NC No NCIR currently is not accepting any data through a data exchange.

ND Yes Register at http://www.ndhealth.gov/Immunize/Documents/Interop/Registration%20of%20Intent

%20form.pdf.

No

NE Yes Register at https://www.surveymonkey.com/s.aspx?sm=sJFRrsYFwoPOgFg%2fc6%2fefqwilPLi7p3

WdcMuaQDxDD0%3d. Providers will then receive a verification e-mail and an invitation to begin the

on-boarding process.

No

NH No

NJ Yes Register at https://njiis.nj.gov/njiis/index.htm. Yes. Contact your SAM.

NM Yes Register at https://www.nmhit.org/Registration.

NV Yes

NY Yes Provider must have a Health Commerce System account.

Register at https://apps.health.ny.gov/pub/usertop.html.

Log into HCS at https://commerce.health.state.ny.us, click the Applications tab, click the letter M,

and then click Meaningful Use Registration for Public Health.

No

NYC Yes Provider must have a Health Commerce System account.

Register at https://apps.health.ny.gov/pub/usertop.html.

Log into HCS at https://commerce.health.state.ny.us, click the Applications tab, click the letter M,

and then click Meaningful Use Registration for Public Health.

No

Immunizations

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 4

Location EP How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent OH Yes Register at https://www.ohiopublichealthreporting.info/Enrollment/Wizard/Account. No

OK Yes Register at https://www.ok.gov/triton/modules/formbuilder/form.php?form_id=36579f7acfea01dd

020a15acd9261e12eece30eb9ca0b8b124a08231d9167c4b.

No

OR Yes Register at https://ophdmu.health.oregon.gov/Default.aspx. No

PA Yes Register at www.health.state.pa.us/pasiis. No

PHIL Yes Register at http://kids.phila.gov/wp-content/uploads/KIDS-Clinic-Enrollment-Form-03-2014.pdf. No

RI Yes Register at http://www.health.ri.gov/medicalrecords/about/meaningfuluse/immunizations

and e-mail it to`jeff.goggin@health.ri.gov.

No

SC Yes

SD Yes Register at https://www.sdhealthlink.org/registerintent.

TN Yes Register at https://twis.tn.gov/twisprod/register/registration1.asp.

TX Yes Register at https://www.immtrac.tdh.state.tx.us/Outreach/Login/Login.aspx.

Log into the system, select Meaningful Use Stage 2: Register Intent, and complete the form.

Submit an HL7 2.5.1

formatted file to

ImmTrac within 30 days

of registration of intent.

UT Yes Register at http://health.utah.gov/meaningfuluse/register.php. No

VA Yes Register at https://www.vdh.virginia.gov/meaningfuluse/MU2/Login/Login.aspx. No

VT Yes Register at http://healthvermont.gov/hc/documents/MU_Stage2_registrationform_EP.pdf.

Submit the registration form to the Department of Health at ahs.vdhphmeaningfuluse@state.vt.us

and then wait for an invitation from VDH to start the onboarding process.

No

WA Yes Register at https://fortress.wa.gov/doh/opinio/s?s=mureg.

WI No No

WV Yes Register at http://www.dhs.wisconsin.gov/ehealth/PHMU/phmuimmunizations.htm.

WY Yes Register at http://health.wyo.gov/familyhealth/immunization/WyIR.html.

PR Yes

Syndromic Surveillance

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 5

Syndromic Surveillance If you have any questions regarding immunizations, e-mail syndromicsurveillance@eclinicalworks.com with your name, practice name,

the state that you are sending data to, the Meaningful Use Stage you are in, and any other relevant information (case number, state

documentation, etc.).

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent AK No Register at http://dhss.alaska.gov/HIT/Meaningfuluse/Pages/Default.aspx.

AL No N/A N/A

AR Yes Register at https://adhmurcs.arkansas.gov/MeaningfulUse/RegistrationContent/

ShowRegistrationContentHome.aspx.

Yes. Open a case.

AZ No N/A

CA Check with the county at http://hie.cdph.ca.gov/lhj-matrix.html.

CO No CDPHE does not accept SS at this time. Denver Public Health and Tri-County Health

Department support SS for facilities in their jurisdictions.

No

CT No Download the exclusion letter.

DC No

DE No The Department of Public Health is currently not able to receive SS data from EPs.

FL Yes Register at https://www.epicomfl.net/MerlinCaseReporting/Meaningfuluse/

Meaningful_Registration_dtl.aspx. Only urgent care facilities can register.

No

GA Yes Register at https://sendss.state.ga.us/sendss/!dynamicsurvey.surveypublicprompt?

pQATemplateId=1537.

No

HI Yes Register at http://health.hawaii.gov/docd/dib/syndromic-meaningful-use.

Only urgent care facilities can register.

IA No

IL Yes Register at https://murs.illinois.gov. No

IN No

Syndromic Surveillance

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 6

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent KS No

KY Yes Register at http://chfs.ky.gov/dms/ehr.htm. No

LA

MA No

MD No

ME Yes Register at http://www.maine.gov/hit/public-health/index.shtml. Install the Register

Practice Wizard (Windows only) to complete the registration.

No

MI Yes Register at https://mimu.michiganhealthit.org. No

MN No N/A

MO Yes Only urgent care clinics can register.

MS No

MT No Provides MU exemptions for eligible professionals, and facilities or clinics without

emergency departments.

NC No

ND Yes Register at http://www.ndhealth.gov/Immunize/Interop. No

NE No NDHHS is not able to receive SS data from EPs.

NH No

NJ No NJDOH is only accepting SS data from Hospital Emergency Departments.

NM Yes Register at https://www.nmhit.org/Registration.

NV No

NY No This option is not available for EPs outside of NYC. No

Syndromic Surveillance

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 7

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent NYC Yes Providers must have a Health Commerce System account.

Register at https://apps.health.ny.gov/pub/usertop.html.

Log into HCS at https://commerce.health.state.ny.us, click the Applications tab,

click the letter M, and then click Meaningful Use Registration for Public Health.

No

OH Yes Register at https://www.ohiopublichealthreporting.info/Enrollment/Wizard/Account. No

OK No

OR No

PA Yes Register at http://webserver.health.state.pa.us/health/syndromic. No

PHIL

RI No

SC Yes Only urgent care facilities can register.

SD Yes Register at https://www.sdhealthlink.org/registerintent.

TN No The Tennessee Department of Health is not testing SS messages or other registry

reporting for Meaningful Use.

TX No Plans for a statewide SS system are under development. Some LHDs may support SS.

UT Yes Register at http://health.utah.gov/meaningfuluse/register.php. No

VT No

VA Yes Register at https://www.vdh.virginia.gov/meaningfuluse/MU2/Login/Login.aspx. No

WA Yes Register at https://fortress.wa.gov/doh/opinio/s?s=mureg. SS for EPs is supported on a case-by-case basis. For more information, refer to: http://www.aphl.org/aphlprograms/informatics/Pages/MU2PHAReadiness.aspx

WI Yes Register at http://www.dhs.wisconsin.gov/ehealth/PHMU/phmusyndromic.htm. No

WV No

WY

PR

Specialized Registry

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 8

Specialized Registry Sentence about Specialized Registry

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent AK No

AL No N/A N/A N/A

AR No

AZ No N/A

CA No

CO No N/A

CT No

DC No

DE No

FL No

GA No

HI

IA No

IL No Register at https://murs.illinois.gov. Yes

IN No

KS Yes E-mail Registry of Intent to meaningfuluse@kdheks.gov. No

KY No

LA

MA Yes Will be implementing electronic infectious disease case report data into a

specialized registry. Contact sita.c.smith@state.ma.us.

MD No

Specialized Registry

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 9

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent ME No For more information, refer to: http://www.aphl.org/aphlprograms/informatics/

Pages/MU2PHAReadiness.aspx

MI Yes Register at https://mimu.michiganhealthit.org. No

MN No N/A

MO No For more information, refer to:

http://www.aphl.org/aphlprograms/informatics/Pages/MU2PHAReadiness.aspx

MS No

MT No MU exemptions for SS EPs.

NC No

ND No

NE No

NH No

NJ No

NM No

NV No

NY No This option is not available for EPs outside of NYC. No

NYC No Provider must have a Health Commerce System account.

Register at https://apps.health.ny.gov/pub/usertop.html.

Log into HCS at https://commerce.health.state.ny.us, click the Applications tab,

click the letter M, and then click Meaningful Use Registration for Public Health.

No

OH Yes Register at https://www.ohiopublichealthreporting.info/Enrollment/Wizard/Account. No

OK No

OR Yes Register at https://ophdmu.health.oregon.gov/Default.aspx. No

PA No

Specialized Registry

©Copyright eClinicalWorks, September 2014 - Immunization, Syndromic Surveillance, and Specialized Registry Worksheet 10

Location EP Live eCW Interface

How to Register Intent for Stage 2 Upload HL7 at the

Time of Intent PHIL

RI No

SC No

SD

TN No

TX No

UT No

VT No

VA No

WA Yes Register at http://www.wapmp.org.

WI No No

WV No

WY

PR