Emerging Standards Topics

Supports exchanging summarized or population-level data rather than individual patient records. This is defined through IHE pro...

Supports sending large volumes of immunization updates in a single transaction rather than individual HL7 v2 VXU messages. This...

Supports displaying immunization recommendations within an EHR workflow using the CDS Hooks standard. This is primarily an EHR-...

This idea builds on the existing Data-at-Rest (DAR) extract format already used by IIS for AIRA reporting, where data is export...

Explores capturing and transmitting original digital vaccination records to IIS as supporting documentation for historical dose...

Supports exporting IIS data using a standardized flat file format. While HL7 v2 and FHIR are preferred for interoperability, fl...

Supports importing immunization data into IIS using structured flat files rather than real-time messaging. This is often used f...

Supports identifying patients due or overdue for vaccinations using IIS data. This could be exposed to external systems through...

Explores how SMART on FHIR applications could interact with IIS to provide user-facing tools or enhanced workflows. This could ...

Explores providing direct, on-demand access to IIS aggregate metrics currently reported through IISAR. This would allow systems...

Supports analysis of immunization data for public health insights, reporting, and decision-making. This is not a specific inter...

Supports keeping immunization records synchronized between IIS and external systems. This goes beyond one-time exchange to main...

Enables systems to receive updates when data changes, rather than polling IIS with repeated queries. This uses FHIR Subscriptio...

Enables large-scale retrieval of patient immunization data using FHIR APIs rather than individual QBP queries. This supports po...

The Fact of Death Exchange topic focuses on the standardized electronic exchange of verified patient death information between ...

Explores integration between IIS and Homeless Management Information Systems (HMIS). This is not a core IIS function but may su...

Supports querying IIS for lead blood level data in jurisdictions that collect it. This is not a core IIS function but reflects ...

Supports submitting lead blood level data to IIS in jurisdictions that collect it. This is not a core IIS function and would li...

The NANI Profile describes the content needed to communicate a timely newborn admission 135 notification to public health to be...

Social Determinants of Health play a large role in healthcare, but what is their role within IIS?

Exploring FHIR for astronaut health records and immunizations in spaceflight scenarios (SHIG)

Explores capturing and exchanging tuberculosis screening data within IIS. This is not a core IIS function but may be required b...

HL7 v2.5.1 messaging between a school information system and an IIS, to support the exchange of student roster information.

Supports sharing immunization data with school systems for compliance and reporting purposes. This is a common programmatic nee...

Supports displaying immunization recommendations within an EHR workflow using the CDS Hooks standard. This is primarily an EHR-...

IIS querying EHR for non-IIS Data via FHIR. Overlaps with CDS. Would IIS even want this?

Explores improving authentication for the CDC WSDL interface used by IIS for HL7 v2 exchange. Current implementations often rel...

Defines how EHR and IIS systems can exchange patient-specific Contextual Conditions through HL7 v2 and use them in immunization...

Explores how an EHR can submit patient-specific Contextual Conditions as coded observations within an HL7 v2 immunization updat...

Expands immunization decision support by including additional patient contextual conditions such as medical conditions, occupat...

Supports communicating which schedule authority (such as ACIP or others) produced a given immunization recommendation. This all...

Supports indicating when a vaccine recommendation is classified as Shared Clinical Decision Making by the schedule authority. T...

Defines how an EHR can include patient-specific Contextual Conditions as coded observations within an HL7 v2 QBP query. The IIS...

Defines a structured approach for requesting and returning immunization evaluations and recommendations, including contextual f...

Focuses on improving how immunization evaluations and recommendations are conveyed in HL7 v2 RSP messages. This includes tighte...

Defines a standard approach for requesting and returning immunization forecasts from CDS engines. It focuses on structured eval...

Explores whether IIS could support or integrate with vaccination appointment scheduling systems. This emerged during COVID-19, ...

Supports identifying and authenticating individuals to access their immunization records. This may involve identity verificatio...

Supports allowing authenticated individuals to request corrections to their immunization records. This could include submitting...

Supports issuing verifiable digital vaccination records using SMART Health Cards, originally implemented for COVID-19 vaccines....

General topic about improving matching, including how patients are identified and how these identities are resolved between sys...

Query by Parameter (QBP) allows for querying systems to retrieve immunization histories, immunization evaluations, and immuniza...

Explores providing services to help individuals locate available vaccines, often based on inventory or provider location. This ...

Enables individuals to access their immunization records directly from IIS. This may use FHIR APIs, patient portals, or digital...

Provides a standardized way to issue verifiable digital vaccination records to individuals. Developed during the COVID-19 pande...

Supports sharing a standardized summary of patient health data, including immunizations, across countries or systems. This uses...

Supports generating official immunization records in PDF format for patients or providers. This is a common output requirement ...

When obtaining historical information from patients about when they received vaccines, sometimes the exact dates of the vaccine...

The Fact of Death Exchange topic focuses on the standardized electronic exchange of verified patient death information between ...

Vaccinations are sometimes administered but considered to not count for calculating immunity because of a cold chain break (vac...

Supports providing submitters with insight into how IIS processes incoming data, including which patient or vaccination records...

Captures information about the source and history of immunization data within IIS. This can support trust, auditing, and data q...

Supports notifying submitters or users when data quality issues are detected. This may occur during HL7 v2 processing or throug...

Supports providing standardized reports that summarize data quality issues over time for submitting systems. This could include...

The Message Quality Evaluation Tool, or MQE, is an open-source application developed to help Immunization Information Systems (...

Automation in the protocol and processes to establish exchange with IIS.

Public health query to healthcare for demographic/other updates.

Supports displaying immunization recommendations within an EHR workflow using the CDS Hooks standard. This is primarily an EHR-...

Supports issuing verifiable digital vaccination records using SMART Health Cards, originally implemented for COVID-19 vaccines....

When obtaining historical information from patients about when they received vaccines, sometimes the exact dates of the vaccine...

Translation of HL7 v2.5.1 to FHIR and/or FHIR to v2.5.1.

IIS querying EHR for non-IIS Data via FHIR. Overlaps with CDS. Would IIS even want this?

Explores the security architecture used by immunization information systems and their external interfaces for HL7 v2, FHIR, SOA...

General topic about improving matching, including how patients are identified and how these identities are resolved between sys...

Addresses how IIS integrate with or standardize patient matching processes. All IIS perform matching, but there is no common st...

Identification of specific products with serialized identification codes.

Explores how SMART on FHIR applications could interact with IIS to provide user-facing tools or enhanced workflows. This could ...

Addresses tracking and reporting of vaccine inventory levels within IIS or connected systems. This is a programmatic need that ...

Supports publishing the set of codes used by an IIS, including standard codes such as CVX and local codes like organization ide...

Supports analysis of immunization data for public health insights, reporting, and decision-making. This is not a specific inter...

Provides a standardized way to issue verifiable digital vaccination records to individuals. Developed during the COVID-19 pande...

Enables systems to receive updates when data changes, rather than polling IIS with repeated queries. This uses FHIR Subscriptio...

Supports sharing a standardized summary of patient health data, including immunizations, across countries or systems. This uses...

Query/response with public health/IIS via FHIR. This is a discussion on the alternative FHIR solution(s) HL7 v2 QBP/RSP. The al...

Update/acknowledgement with public health/IIS via FHIR. This means providing an alternative FHIR method to the HL7 v2 VXU and A...

Expands immunization decision support by including additional patient contextual conditions such as medical conditions, occupat...

Review of open tickets in JIRA for FHIR relating to immunizations.

Defines a structured approach for requesting and returning immunization evaluations and recommendations, including contextual f...

Supports the CDC in maintaining and expanding the CVX code system to represent any vaccination, given at any time, to any perso...

Enables large-scale retrieval of patient immunization data using FHIR APIs rather than individual QBP queries. This supports po...

HL7 meeting that operates under the HL7 Public Health Work Group to hold discussions about new and emerging standards, in parti...

FHIR DevDays is the world’s leading international conference dedicated to HL7 FHIR (Fast Healthcare Interoperability Resources)...

Defines a standard approach for requesting and returning immunization forecasts from CDS engines. It focuses on structured eval...

Supports reporting of vaccinations from pharmacies to IIS and potential bidirectional exchange. Pharmacies are a major source o...

Explores whether IIS could capture and manage data related to antiviral medications alongside immunizations. This is not a core...

Explores whether IIS should collect and manage disability-related information as part of immunization records. This is not a co...

When obtaining historical information from patients about when they received vaccines, sometimes the exact dates of the vaccine...

Translation of HL7 v2.5.1 to FHIR and/or FHIR to v2.5.1.

IIS do not typically collect Insurance information, but some IIS have explored storing insurance information via HL7 on Provide...

Explores the security architecture used by immunization information systems and their external interfaces for HL7 v2, FHIR, SOA...

Allow providers who operate across multiple jurisidictions (e.g. VHA or DOD) to query more than one IIS at the same time.

General topic about improving matching, including how patients are identified and how these identities are resolved between sys...

Addresses how IIS integrate with or standardize patient matching processes. All IIS perform matching, but there is no common st...

Supports identifying patients as part of defined priority groups, such as those used during pandemic response. This was impleme...

Query by Parameter (QBP) allows for querying systems to retrieve immunization histories, immunization evaluations, and immuniza...

Explores capturing and exchanging serology (antibody) test results related to immunization status. This was discussed during th...

Explores capturing and communicating vaccine exemptions or deferrals within IIS. This became more visible during COVID-19 but i...

The Immunization Integration Program (IIP) strives to improve the way immunization data is shared, managed, and used to promote...

FDA is transitioning NDC from 10-digit to 12-digit. It's a major transformation that will take years to complete.

Addresses challenges with temporary or changing names for newborn patients in IIS. This impacts patient matching and record acc...

Uses HL7 v2 ADT messages to communicate patient demographic updates to IIS. This can improve data quality by keeping patient re...

Recording of race and ethnicity in the US is going through a transition. Some changes to HL7 v2 may be needed.

Explores improving authentication for the CDC WSDL interface used by IIS for HL7 v2 exchange. Current implementations often rel...

The HL7 Immunization User Group provides education, implementation support, and a forum for discussion for immunization informa...

HL7 v2.5.1 messaging between a school information system and an IIS, to support the exchange of student roster information.

Refers to the next version of the CDC HL7 v2.5.1 Implementation Guide, developed through the IGEG process. This will update and...

Expands immunization decision support by including additional patient contextual conditions such as medical conditions, occupat...

Supports communicating which schedule authority (such as ACIP or others) produced a given immunization recommendation. This all...

Supports indicating when a vaccine recommendation is classified as Shared Clinical Decision Making by the schedule authority. T...

Defines how IIS confirm receipt and processing of HL7 v2 VXU messages. This is a core and widely implemented capability, formin...

Refers to the CDC-published HL7 v2.5.1 Implementation Guide used nationally for IIS data exchange. It standardizes VXU/ACK and ...

Focuses on improving how immunization evaluations and recommendations are conveyed in HL7 v2 RSP messages. This includes tighte...

Describes data exchange between IIS jurisdictions to support patient mobility and record consolidation. This is standardized th...

Defines how LOINC codes are used within HL7 v2 OBX segments for immunization data. This supports consistent representation of o...

Provides guidance on transmitting a patient’s preferred name alongside their legal name in HL7 v2 messages. This supports more ...

Refines how errors are communicated in HL7 v2 ACK messages, specifically using the ERR-5 field. This has been incorporated into...

Supports reporting of vaccinations from pharmacies to IIS and potential bidirectional exchange. Pharmacies are a major source o...

Significant resources are needed for every site involved in the immunization ecosystem to identify themselves as an immunizing ...

Explores synchronizing vaccine inventory between IIS and EHR systems to maintain a consistent view of available doses. This add...

Addresses tracking and reporting of vaccine inventory levels within IIS or connected systems. This is a programmatic need that ...

Explores standardizing vaccine ordering workflows between EHR systems and IIS or related systems. This could allow providers to...

Explores whether IIS could support tracking vaccine storage conditions and temperature monitoring. This extends beyond immuniza...

VTrckS (Vaccine Tracking System) is a secure, web-based system developed by the CDC to manage publicly-funded vaccine supply ch...

Supports aligning vaccine inventory counts between IIS and provider systems to reflect actual stock levels. This addresses gaps...

FDA is transitioning NDC from 10-digit to 12-digit. It's a major transformation that will take years to complete.

Enables validation of vaccine lot numbers against reference data to improve data quality and safety tracking. This can support ...

Supports capture of vaccine information using barcode scanning at the point of care. This improves accuracy of product, lot, an...

Focuses on matching and deduplicating immunization records within IIS. This is distinct from patient matching and addresses dup...

Addresses how IIS integrate with or standardize patient matching processes. All IIS perform matching, but there is no common st...

Supports validating individual data elements such as names, phone numbers, email addresses, or lot numbers through a common ser...

Focuses on validating and interpreting codes received by IIS, such as CVX or MVX values. This ensures consistency and correctne...

Enables validation of vaccine lot numbers against reference data to improve data quality and safety tracking. This can support ...

Defines a standard approach for requesting and returning immunization forecasts from CDS engines. It focuses on structured eval...

The Message Quality Evaluation Tool, or MQE, is an open-source application developed to help Immunization Information Systems (...

Refers to reporting vaccine adverse events to the national VAERS system. This is not a core IIS function and is typically handl...

Developed during the COVID-19 pandemic to support reporting of vaccination and related data to CDC. This includes specialized r...

Supports standardized reporting of vaccinations to CDC during public health emergencies, replacing ad hoc flat-file approaches ...

A national initiative to enable standardized health information exchange across networks. It is not an IIS-specific standard bu...

HL7 meeting that operates under the HL7 Public Health Work Group to hold discussions about new and emerging standards, in parti...

HL7 v2.5.1 messaging between a school information system and an IIS, to support the exchange of student roster information.

Supports sharing immunization data with school systems for compliance and reporting purposes. This is a common programmatic nee...

Clinical Quality Language (CQL) is a high-level, domain-specific language focused on clinical quality and targeted at measure a...

Privacy-Enhancing Health Record Locator Service (PEHRLS) Ecosystem is developing a new Standard to support a voluntary nationwi...

Focuses on matching and deduplicating immunization records within IIS. This is distinct from patient matching and addresses dup...

These are multidisciplinary groups of national experts (scientists, doctors, health specialists) that provide independent, evid...

Addresses how IIS integrate with or standardize patient matching processes. All IIS perform matching, but there is no common st...

Creating data that can be used for demonstrations and testing.

Supports validating individual data elements such as names, phone numbers, email addresses, or lot numbers through a common ser...

Defines a structured approach for requesting and returning immunization evaluations and recommendations, including contextual f...

Defines a standard approach for requesting and returning immunization forecasts from CDS engines. It focuses on structured eval...

Machine learning, artificial intelligence, large language models

Automation in the protocol and processes to establish exchange with IIS.

Public health query to healthcare for demographic/other updates.

Translation of HL7 v2.5.1 to FHIR and/or FHIR to v2.5.1.

IIS querying EHR for non-IIS Data via FHIR. Overlaps with CDS. Would IIS even want this?

Supports automating provider enrollment into IIS using standardized APIs. This could allow EHR systems to submit required infor...

Query/response with public health/IIS via FHIR. This is a discussion on the alternative FHIR solution(s) HL7 v2 QBP/RSP. The al...

Update/acknowledgement with public health/IIS via FHIR. This means providing an alternative FHIR method to the HL7 v2 VXU and A...

International standard for the unique identification of regulated medicinal products.

Supports publishing the set of codes used by an IIS, including standard codes such as CVX and local codes like organization ide...

Supports automating provider enrollment into IIS using standardized APIs. This could allow EHR systems to submit required infor...

Focuses on validating and interpreting codes received by IIS, such as CVX or MVX values. This ensures consistency and correctne...

Supports the CDC in maintaining and expanding the CVX code system to represent any vaccination, given at any time, to any perso...

The Unified Nomenclature of Vaccines (NUVA) is designed to compile comprehensive vaccination histories from both digital and ph...

This topic coordinates the renewal of the Conformance Work Group around practical learning, project engagement, and focused tec...

The Conformance Work Group meets to discuss practical questions about implementation requirements, validation, testing, and con...

This topic examines how HL7 exchanges communicate receipt, acceptance, rejection, errors, and processing outcomes. The group di...

This topic tracks the rewrite of HL7 v2 Chapter 2 conformance content for HL7 v2+. The group reviews proposed structure and lan...

This topic covers the business needed to maintain and operate the Conformance Work Group, including Project Scope Statement rev...

This topic follows tools and approaches for validating implementations against HL7 specifications and implementation guides. Th...

Document immunization data collection and exchange practices in the Philippines and identify opportunities for collaboration. E...

Review Australia's national immunization systems and standards environment. Australia has an active immunization community and ...

ECDC is highly relevant to European vaccination programs and appears in IVC contact and roster material, but the reviewed files...

Study Finland's national health information infrastructure and vaccine information systems. Finland's strong public health and ...

Identification of Medicinal Products standards intersect with vaccine coding through WHODrug, product definitions, regulatory i...

Examine Mexico's immunization information systems, coding practices, and data exchange approaches. Existing language skills and...

Investigate Norway's health information infrastructure and immunization data practices. Norway's mature digital health systems ...

Explores how immunization information systems, IIS vendors, state IT organizations, hosting providers, and exchange partners is...

The Standards & Interoperability Steering Committee (SISC) provides technical support and guidance to AIRA members and the immu...

IIS routinely receive registered live-birth information from jurisdictional Vital Records systems so newborns can be establishe...

Examine Dubai’s immunization information systems, coding practices, and health information exchange approaches, with an initial...

IVC and Bordeaux materials identify GTIN and related product identifiers as important links between manufacturer information an...

Investigate NHS Scotland's immunization systems and standards practices. Previous presentations and the United Kingdom's experi...

Manufacturer engagement is important for aligning vaccine code systems with product identifiers, market information, electronic...

Brazilian participants provided an IVC update about the Brazilian International Patient Summary FHIR implementation and identif...

National Health Service (NHS) England is a quango that organizes and manages the care for everyone in England. (Care for other ...

IVC held structured discussions with experts connected to India's Centre for Development of Advanced Computing and National Res...

Explore New Zealand's immunization systems, coding approaches, and standards activities. Because New Zealand often collaborates...

The healthcare team previously associated with NIST has moved to Prometheus Computing as NIST exits healthcare. This topic pres...

Swiss participation and use-case material have appeared in IVC planning and presentations, including joint discussion of NUVA u...

The World Health Organization is connected to IVC through vaccine coding, ICD-11, SMART Guidelines, the International Certifica...

Explore how Canada organizes immunization programs and exchanges information across provinces and territories. Particular areas...

Canada Health Infoway representatives have participated in IVC and presented Canada's transition from earlier vaccine-catalogue...

Participants from DHIS2 and the HISP Centre at the University of Oslo have joined IVC and IVC en Español. DHIS2 is used in immu...

Representatives connected with HaDEA and EU4Health have presented European interoperability perspectives to IVC, and European C...

EUVABECO has developed and piloted tools that include clinical decision support, data linkage, electronic product information, ...

Study France's immunization ecosystem, including national recommendations, coding practices, and interoperability approaches. E...

IVC participants have used HL7 work group meetings to build international relationships, discuss FHIR and the International Pat...

Irish experts have participated repeatedly in IVC and attended the Bordeaux summit. Ireland has been developing a national medi...

Luxembourg presented its national vaccination-card and registry experience at the Bordeaux summit, including collection of popu...

Examine the Netherlands' approach to digital health and immunization interoperability. Participation from Dutch experts in rece...

Nictiz participants joined early IVC discussions and contributed information about Dutch terminology and interoperability pract...

PATH and Digital Square participants have discussed global digital goods, licensing, SMART Guidelines, FHIR training, and vacci...

Explore Spain's immunization systems and governance structure, including how regional and national organizations coordinate dat...

Uppsala Monitoring Centre is a WHO collaborating centre that maintains WHODrug and supports international pharmacovigilance. It...

Vaccines Europe representatives participated in the Bordeaux summit and presented work involving electronic product information...

The European Vaccination Card uses NUVA-linked content and a compact format intended to carry a vaccination history across syst...

MITRE participated in early IVC meetings and presented the SMART Health Cards terminology approach. The Vaccine Credential Init...

The Unified Nomenclature of Vaccines (NUVA) represents vaccines, valences, target diseases, and relationships to national and i...

Explore the role of the Pan American Health Organization in supporting immunization programs and health information systems thr...

SNOMED International representatives have participated in IVC meetings and the Bordeaux summit and have worked with the NUVA ef...

STChealth participants have joined recurring IVC and Spanish-language meetings and presented the U.S. vaccine-coding experience...

Système de l'Aide à la Décision Médicale (SYADEM) created NUVA, contributed recurring technical and clinical expertise to IVC, ...

U.S. immunization programs, IIS, vendors, CDC-maintained code systems, and AIRA expertise are foundational to IVC. This topic p...

Interviews and relationship-building with countries, regional organizations, terminology authorities, and other partners to und...

The Centro Nacional en Sistemas de Información en Salud (CENS) participated directly in IVC en Español. This topic tracks the r...