American Immunization Registry Association Immunization Information Systems for a New Era


AIRA resources are made freely available to all in immunization and public health. We encourage health care providers, IIS vendors, EHR/EMR vendors, policy makers, funders and others interested in the advancement of immunization information systems (IIS) to use the many valuable resources you will find here. Documents housed here include AIRA’s newsletter SnapShots, MIROW best practices, functional and technical standards, and many others. Browse available resources by topic, or use the search feature to search for what you need.


  • PHII recently released a planning toolkit that provides guidance on preparing to work with Medicaid on securing federal matching funds. Those funds can be used to support IIS readiness for Meaningful Use and Health Information Exchange. The toolkit includes tip sheets and work sheets to support preliminary planning in working with Medicaid.
  • AIRA's Assessment Steering Committee (ASC) has just released a new resource, Practical Examples of IIS Population-Based Coverage Assessments. This resource is an addendum to the Analytic Guide for Assessing Vaccination Coverage Using an IIS. This addendum describes examples of population-based coverage practices from select IIS: New York City, Colorado, Oregon, Minnesota and Washington state. The examples are intended to provide practical and replicable information that programs can utilize in planning and implementing similar assessments using their IIS data. 
  • AIRA's Standards and Interoperability Committee (SISC) published a notice to the IIS community about vaccine serial numbers being newly embedded into 2D barcode data. The goal of this notice is to raise other critical data elements within barcoded data. 
  • AIRA's SISC has published a position statement focused on the IIS community moving toward sunsetting HL7 2.3.1 interfaces. This document is meant to serve as a tool for IIS working with EHRs to communicate the consensus recommendation on dates by which HL7 2.3.1 interfaces will no longer be supported across the community.
  • AIRA is proud to announce the release of the Data Validation Guide. 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.
  • PHII and CDC have recently written a white paper on using business rule analysis in public health leveraging IIS as an example. The resource is entitled Systematic Collaborative Approach to Improve Public Health Programs.
  • The American Pharmacists Association (APhA) recently created a poster and flyer encouraging patients to "protect yourself, your family, and your community by keeping your immunization record up-to-date." Visit APhA's website for more information about this resource.
  • The Public Health Informatics Institute partnered with members of the IIS community including AIRA to develop IIS workforce sample role descriptions. These role descriptions are meant to offer sample language and a comprehensive list of potential desired responsibilities with corresponding knowledge, skills and abilities.
  • In October 2015, the AIRA team, in partnership with the Standards and Interoperability Steering Committee (SISC) and CDC partners, drafted and released a guidance document titled Guidance for HL7 Acknowledgement (ACK) Messages to Support Interoperability. The guidance document was developed in large part because analyzed ACK messages were found to have considerable variation and limited alignment with the National Implementation Guide (IG). The newly released document provides clarification on implementation methods in an effort to point all IIS towards common, standardized ACK messaging.
  • The Analytic Guide for Assessing Vaccination Coverage Using an IIS is available. The purpose of the Analytic Guide for Assessing Vaccination Coverage Using an IIS is to assist IIS staff and other interested parties in using IIS data to do population-based coverage assessments. The guide describes practical considerations and key decision points in designing a population-based assessment using an IIS.
  • Over 150 members of the IIS community attended a roundtable discussion at the 2015 AIRA National Meeting in April to discuss IIS assessment and certification. A summary of their feedback and input is now available.
  • IISSB has been conducting its CDSi project for several years to clearly capture the ACIP recommendations and provide uniform representation of vaccine decision guidelines. Historically, the CDSi Logic Specification and supporting resources have focused exclusively on childhood and adolescent vaccines. However, recently IISSB published the Logic Specification and Supporting Data Version 2.0, which now includes routine vaccines for healthy adults.  
  • The Summary and Environmental Scan of Assessment and Certification Models is now available. This paper provides a review of the relevant assessment and certification models in use across public health and health care in addition to a reflection on how components of these models might be useful in the IIS community.                                                                                                                        
  • The MIROW Evaluation Final Report is available. Learn how MIROW best practices are being implemented across the country.