Following the stages of Testing and Discovery and IIS Assessment, Validation is a summary step to acknowledge IIS that are progressing toward or achieving alignment with community-selected measures and tests. A Validation designation is automatically achieved when an IIS meets the designated measures and tests in a specific phase (e.g., Transport), as specified in the Aggregate Analysis Reporting Tool (AART).

Measures for each phase of Validation will be drawn from published IIS Assessment measures and tests, where results are already available to individual IIS via AART. No new measures or tests will be introduced in the Validation stage that are not already measured and visible in the IIS Assessment stage. All measures and tests throughout the Measurement and Improvement Initiative have been and will continue to be developed by the Measurement for Assessment and Certification Advisory Workgroup (MACAW), vetted for comment with the full IIS community via a Town Hall meeting format, and reviewed and approved by the AIRA Board prior to implementation.

As mentioned above, a “Validation” designation is automatically achieved when an IIS meets the designated measures and tests in a specific phase (e.g., Transport, Submission, Query, etc.), but interim steps/statuses toward Validation are also recognized. Statuses include:

  • Validated
  • Validated with Minor Differences
  • Major Differences
  • Participating But Not Measured
  • Opted Out


In keeping with Validation’s focus on transparency, the business rules for moving forward in the measurement process have also been simplified. MACAW assumes that IIS connecting with the Measurement and Improvement Initiative have a desire to participate and share results, unless an IIS states otherwise.

AART’s original settings of “opt-in” required users to declare their participation at each new stage and phase of measurement, raising questions from end-users who felt confused by having to say “yes” repeatedly. MACAW recommended - and the AIRA Board approved - a change to an “opt-out” approach with the rollout of Validation, where users will be automatically rolled forward to the next phase or stage. Admin users can modify their participation and sharing settings at any time. Click here for more information on participation and sharing settings.

Certain phases may be split into Basic or Complete measures. This graduated approach allows for more nuanced results and makes it easier to show both success and improvement. The Basic level includes essential measures an IIS would be expected to pass to minimally meet a specific functional area or phase, while the Complete level includes more comprehensive sets of measures for a given functional area or phase.

MACAW has proposed - and the AIRA board has approved - the measures for Transport as the first phase of Validation. MACAW will be proposing Submission and Acknowledgement, Query and Response, and Clinical Decision Support later in 2018. See below for the proposed timeline for rollout.


Additional Resources

AIRA Town Hall Webinar: Introducing Validation, and Measures for Transport

IIS Validation Measures and Tests – Transport

Immunization Information System (IIS) Measurement and Improvement: Testing and Discovery, Assessment and Validation Overview

Information on Participation and Sharing Settings