Resource Repository

This report shares results of IIS who participated in Validation as the third stage of the voluntary, phased Measurement and Improvement process. This report provides results for the basic level of Data Quality Incoming/Ongoing Validation

This report shares results of IIS who participated in Validation as the third stage of the voluntary, phased Measurement and Improvement process. This report provides results for the basic level of Transport Validation

Each quarter, AIRA publishes 12-15 Measurement & Improvement (M&I) initiative reports encompassing 160 pages of background and results of IIS progress within the content areas in Assessment and Validation. This summary is intended to be a brief snapshot of key...

Final IIS assessment measures and tests related to query and response. Developed by the Measurement for Assessment and Certification Workgroup (MACAW) as part of the IIS measurement and improvement process.

AIRA's newsletter about the progress, best practices, and accomplishments of IIS across the country

Objective This on-demand eLearning is designed to strengthen the IIS community’s knowledge and skills in using ACK messages to facilitate immunization data interoperability across systems, in alignment with the National IG. Learning Objectives Upon...

National Meeting Presentation | Illuminating IIS Engagement in Puerto Rico (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the accompanying oral commentary ...

National Meeting Presentation | Back to School: Driving Advancements in School-Based IIS Access (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the accompan...

National Meeting Presentation | Managing Patient IIS Status: The Benefits of Mass Patient Inactivation (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the a...

National Meeting Presentation | Duplicate Patients via Data Exchange: Strategic Remediation on Core Issues (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without t...

National Meeting Presentation | Python, Power BI, Tableau – Oh My! Generating Automated Data Quality Reports (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete witho...

National Meeting Presentation | Contact Data Enrichment to Support Improved IIS Public Portal Accessibility (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without ...

National Meeting Presentation | DAR DQ Report Assessment and Distribution Through the AZ Report Suite (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the ac...

National Meeting Presentation | Use of AIRA’s DAR Tool for Targeted Data Quality Outreach (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the accompanying...

National Meeting Presentation | Diagnosing Clinic Reporting Issues Using an Influenza Vaccine Checkpoint (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the...

One-page overview of the International Vaccine Codes initiative, jointly coordinated by SYADEM and HL7 International.

Objective This on-demand eLearning is designed to enhance the knowledge and skills of the IIS community in using VXU messages to support the interoperability of immunization information between systems in alignment with the National IG. Learning Object...

National Meeting Presentation | COVID-19 Unauthorized Vaccine Doses Cleanout Project (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete without the accompanying oral c...

National Meeting Presentation | Effectively Onboarding Providers Through Data Quality Analysis, Ensuring Interoperability Readiness (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and...

National Meeting Presentation | Guardians of Immunization Adherence: Cosmic Reminder/Recall (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2024 National Meeting and are incomplete without the accompanying...

This Standards & Interoperability Steering Committee (SISC) document contains recommendations for eligibility and funding codes for COVID-19 Bridge Access Program Vaccine, as approved by SISC on August 2, 2023.

National Meeting Presentation | 2022 TennIIS Open: Returning Aggregate Data to the Electronic Submitter (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without the ...

National Meeting Presentation | COVID-19 Co-vaccination of Pediatrics in CA: Successes & Missed Opportunities (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete withou...

Outlines the terms between AIRA and an IIS that participates in the community address cleansing service. This agreement must be reviewed, signed and returned to AIRA for an IIS to enroll in the program. (Please note: the attached agreement is the version that ...

The purpose of this guidance document is to share considerations and data sharing methods that may be helpful in facilitating the exchange of data between clinical trial sites and their respective jurisdictional IIS

In late January 2022, Senate Health, Education, Labor, and Pensions (HELP) Committee Chair, Senator Patty Murray (D-WA), and Ranking Member, Senator Richard Burr (R-NC), released a discussion draft of the Prepare for and Respond to Existing Viruses, Emerging N...

Describes the process of summarizing acknowledgement messages (ACKs) in aggregate reports produced by IIS, EHRs and third-parties. ACKs are most helpful when they are summarized, reviewed and acted upon. The information contained within acknowledgment reports ...

SMART Health Cards are a simple and secure way for people to maintain, own, and share their health information as they see fit. AIRA developed a one-page resource on SMART Health Cards that defines what they are (and are not), how they can empower individuals ...

AIRA and its members strongly encourage Immunization Programs and Immunization Information Systems (IIS) to explore and, where allowed by local law and policy, adopt SMART Health Cards for providing consumer access to vaccination records

Vaccine credentials are a hot topic across the IIS community right now. On this AIRA Discovery Session, several experts will share some of the latest efforts being implemented and under development within the US, and key aspects to consider as IIS contemplate ...

A Discovery Session webinar focused on the programmatic aspects of vaccine credentialing solutions

A Discovery Session webinar focused on topic areas relevant for all IIS Managers but specifically target new(er) IIS Managers, staff, and those new to the IIS community

The Immunization Integration Program (IIP) Collaborative, comprised of leaders representing clinicians, electronic health record (EHR) developers, health information exchanges (HIEs), immunization information systems (IISs), and other public health agencies, g...

Select AIRA 2020 National Meeting Presentations: Learn about how electronic immunization registries are used all over the globe to track and improve immunization rates worldwide

A Discovery Session webinar focusing on how data analytics can help IIS prepare for the challenges ahead such as a COVID vaccine, expanded flu season and catchup of routine immunizations

AIRA-AIM joint Education Steering Committee webinar regarding supporting high levels of immunization coverage during the COVID-19 pandemic

A 3-part webinar series hosted by AIRA and researchers at the University of Colorado describes a toolkit on conducting centralized reminder/recall. Several IIS also share their experiences with implementing and sustaining reminder/recall using their IIS. Centr...

The main purpose of the guide is to bridge the gap between currently published guidance on patient status and its actual implementation by IIS. This guide offers practical guidelines for providers, public health entities, and IIS to use in implementing and man...

Series of one-sheet resources to communicate the role and value of immunization information systems (IIS) for use by the IIS community. Add your logo to this version of the one-sheet resources

National Meeting Presentation | Colorado's Implementation of an IIS In-Application Training Tool

National Meeting Presentation | A Matter of Life and Death - Data Sharing Between IIS and Vital Records

National Meeting Presentation | Improving Clinical Decision Support Systems by Means of Tools and Testing

National Meeting Presentation | Improving IIS HL7 Web Service Performance in New York City

This guide will help you implement centralized IIS-based reminder/recall, and is primarily designed for people working in public health departments (state and local) or IIS.

AIRA leveraged a community-informed approach to examine current methodologies for the collection of legacy data, as well as data gap monitoring and resolution processes to inform the development of best practice guidance for standardizing and improving data ba...

The IIS Functional Guide series is a new resource within the IIS community that defines the capabilities and requirements an IIS will need in order to enable business functions needed by their end users. The first volume of the IIS Functional Guide focuses on ...

The purpose of this AIRA guide is to improve and standardize onboarding. This document is intended for both technical and programmatic staff that make up IIS onboarding teams and program administrators responsible for the allocation of onboarding resources. EH...

Tools and documents to support the Message Quality Evaluation (MQE) Tool

This document explores how to use small area analysis to find pockets of need and provides strategies for responding to pockets of need

National Meeting Presentation | The Citizen-Centered Smart Vaccination Record of MesVaccins.net

National Meeting Presentation | Leveraging Immunization Information Data to Improve Lead Screening Rates in Philadelphia, Pennsylvania

This document contains best practice recommendations from AIRA’s SISC and the CDC on how to structure and populate VXU and RSP messages using specific LOINC codes to include observations such as patient immunity, refusals, indications/contraindications and a...

The first volume of the new IIS Functional Guide on Query and Response was introduced by Eric Larson, AIRA Senior Technical Project Manager and Kevin Snow, Technical Developer at Envision Technology Partners. The longer-term vision will be additional functiona...

This course builds on HL7 Basics to dive deeper into how HL7 works. Learners will explore conformance, constraints, and message profiles. We'll also cover how the Implementation Guide constrains the HL7 standard, how local specifications are set up, and how co...

Webinar | AIRA's Education Steering Committee hosted this webinar to introduce the AIRA resource, Comparing & Communicating Vaccination Coverage Estimates from Immunization Information Systems (IIS), the National Immunization Survey (NIS), and Related Assessme...

Webinar | The Measurement for Assessment and Certification Advisory Workgroup (MACAW) held a community wide town hall meeting to introduce Validation and measures for Transport

This resource for the IIS community focuses on the ongoing data monitoring and evaluation process for incoming data submissions

In early 2017, the AIRA Education Steering Committee assessed the educational needs of the IIS community. This report includes an analysis of the results, which will be used to guide the development of new resources and educational opportunities

This guide provides practical tips that can be used to help explain vaccination coverage assessment results to decision makers, such as senior public health leadership, legislators, and the media

MIROW | Full Guide and Mini-Guide

Article | This study evaluates the impact of using IIS data to identify unmet vaccination needs in adults seeking the influenza vaccine. The study found a 41.4% increase in the number of vaccines administered, and significant improvements in routinely recomme...

This document explores the various issues that impact IIS security and provides guidance on industry standards and best practices for addressing common security concerns. This guidance is intended to assist IIS administrators in engaging their IT staff and ven...

How an IIS can use and integrate the SmartyStreets address cleansing and geocoding service into its organization. Interested IIS can find more information about the service and how to enroll in it on the Address Cleansing Service webpage.

This guide provides recommendations on the data validation process within onboarding. This is the first resource of a multi-year project that will look at different aspects of IIS data quality

This blog discusses how a comprehensive legal framework for cross-jurisdictional data sharing could provide greater impact related to immunizations as well as other areas affecting public health

This document assists IIS as they develop policies and procedures to meet legal requirements for protecting the privacy of individuals and the confidentiality of information in IIS. This describes the impact of major federal laws on IIS including HIPPA and FER...

Article | A comparison of the quality of data reported through a real-time HL7 Web Service with data submitted through other methods

MIROW | Full Guide, Mini-Guide and AIRA 2016 National Meeting Presentation

National Meeting Presentation | Improving Private Providers Participation in IIS Through a Data Quality Plan

National Meeting Presentation | Communicating and Training IIS Users: Washington’s Story

National Meeting Presentation | IIS-EHR Partnerships: Providing and Displaying Immunizations and Clinical Decision Support in EHRs

Webinar | The AIRA Education Steering Committee hosted a webinar to provide an introduction to the ExIS Usability Best Practices Catalog, which documents best practices for vaccine ordering and inventory management. Participants learned about usability, saw a ...

This guide describes practical considerations and key decision points in designing a population-based assessment using an IIS

Clarification on implementation methods in an effort to point all IIS towards common, standardized ACK messaging

This guide provides operational and technical guidance for additional report components of AFIX assessment and feedback functionality. The Phase II document is intended as a resource for those who have already implemented or are in the process of implementing ...

This document provides CDC’s requirements and recommendations for incorporating AFIX assessment functionality in IIS

Survey and summary report prepared by AIRA's Provider Training Workgroup

This guide has been retired and replaced by the 2022 MIROW Data Quality Assurance in Immunization Information Systems guide. Please email info@immregistries.org to request the archived document

MIROW | Full Guide, Mini-Guide

MIROW | Full Guide and Mini-Guides in English, Spanish and French

MIROW | Full Guide and Mini-Guides in English, Spanish and French This guide addresses the three phases of vaccination level de-duplication: selection, evaluation and resolution. The content related to the resolution phase was replaced by Consolidating Demo...

During this Discovery Session, Wisconsin and Louisiana explored how data and research can help improve vaccine coverage from childhood through adulthood. The presenters shared insights on identifying barriers, leveraging data systems, and advancing access to v...

National Meeting Presentation | Improving Data Completeness and Quality Via the Data at Rest Measurement (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2025 National Meeting and are incomplete without the...

National Meeting Presentation | The Family Educational Rights Privacy Act and Access to Student Information (Please note: The presentation slides shared provided an outline of presentations given at the AIRA 2023 National Meeting and are incomplete without ...

This Discovery Session is an opportunity to learn more about electronic health records (EHRs) from the experts. On this Discovery Session, AIRA is partnering with the HIMSS EHR Association to hear more about the EHR perspective and how IIS can best collaborate...

Select AIRA 2020 National Meeting Presentations: CDC leadership shares their vision for advancing IIS together, with Q&A after the panel discussion

This document provides a fillable form for a Memorandum of Understanding (MOU) for secure, electronic exchange of immunization information among governmental entities that operate a population-based immunization information system (IIS)

This document combines the original HL7 2.5.1 Release 1.5 Implementation Guide and Release 1.5 Addendum, as well as additional guidance published by AIRA. The purpose of this document is to provide a single document containing essential HL7 information, so tha...

Webinar | AIRA’s Education Steering Committee hosted this webinar on IIS helpdesk functionality. Speakers from Minnesota, California, and New Jersey shared their IIS helpdesk experiences and best practices and highlights from Washington and New York City wer...