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An immunization registry or immunization information system (IIS) is an
information system An information system (IS) is a formal, sociotechnical, organizational system designed to collect, process, store, and distribute information. From a sociotechnical perspective, information systems are composed by four components: task, people ...
that collects
vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
data about all persons within a geographic area. It consolidates the
immunization Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the immunogen). When this system is exposed to molecules that are foreign to the body, called ''non-se ...
records from multiple sources for each person living in its jurisdiction. __TOC__


Introduction

Immunization information systems (IIS) are an important tool to increase and sustain high vaccination coverage by consolidating vaccination records of children and adults from multiple providers, forecasting next doses past due, due, and next due to support generating reminder and recall vaccination notices for each individual, and providing official vaccination forms and vaccination coverage assessments. One of the national health
objective Objective may refer to: * Objective (optics), an element in a camera or microscope * ''The Objective'', a 2008 science fiction horror film * Objective pronoun, a personal pronoun that is used as a grammatical object * Objective Productions, a Brit ...
s is to increase to 95% the proportion of children aged <6 years who participate in fully operational population-based IIS. A "fully operational" IIS includes 95% enrollment or higher of all
catchment area In human geography, a catchment area is the area from which a location, such as a city, service or institution, attracts a population that uses its services and economic opportunities. Catchment areas may be defined based on from where people are ...
children less than 6 years of age with 2 or more immunization encounters administered according to ACIP recommendations. In a population-based IIS, children are entered into the IIS at birth, often through a linkage with electronic birth records. An IIS record also can be initiated by a
health care provider A health care provider is an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services including medication, surgery and medical devices. Health care providers often receive ...
at the time of a child's first immunization. If an IIS includes all children in a given
geographical area The geographic coordinate system (GCS) is a spherical or ellipsoidal coordinate system for measuring and communicating positions directly on the Earth as latitude and longitude. It is the simplest, oldest and most widely used of the various ...
and all providers are reporting immunization information, it can provide a single data source for all community immunization partners. Such a population-based IIS can make it easier to carry out the demonstrably effective immunization strategies (e.g., reminder/recall, AFIX, and
WIC The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is an American federal assistance program of the Food and Nutrition Service (FNS) of the United States Department of Agriculture (USDA) for healthcare and nutritio ...
linkages) and thereby decrease the resources needed to achieve and maintain high levels of coverage. IIS can also be used to enhance adult immunization services and coverage. Pharmacy immunizations are reported to state IIS, allowing for a complete lifetime immunization history. The concept of IIS is not new. Many individual practices and health plans administer immunizations to their patients. Records of these immunizations often are based on computerized information systems designed for other purposes, such as billing. There is also a growing movement toward the development of totally computerized patient
medical records The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdict ...
. Although an IIS includes all immunizations administered by health care providers participating in it, only population-based IIS are capable of providing information on all children and all adult doses of
vaccine A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. The safety and effectiveness of vaccines has been widely studied and verified.
s administered by all providers.


See also

*
Vaccination schedule A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence. A vaccine is an antigenic preparation used to produce active immunity to ...


References

{{Reflist
CDC entryAmerican Immunization Registry Association (AIRA)
Electronic health record software Vaccination