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Immunization Information Systems (IIS)








MIROW: Modeling of Immunization Registry Operations Workgroup						Print
																Related Pages
										The Immunization Information Systems Support Branch (IISSB) in partnership with the American Immunization Registry Association (AIRA) is working on an initiative directed at the analysis and improvement of immunization information system (IIS) operations and processes. The Modeling of Immunization Registry Operations Workgroup (MIROW) was formed to develop best practice operational guidelines for IISs. MIROW guidelines support strategic CDC/IISSB initiatives, such as IIS Data Quality Blueprint [1 page], with detailed operational recommendations. In October of 2022, MIROW has been transformed into the IIS Best Practices Community of Practice.
MIROW work provides a basis for aligning IIS practices with recommended guidelines in order to promote uniformity of IIS operations and processes, and, ultimately, consistency and comparability of public health data. The recommendations are developed at the programmatic/operational level, independent from specific implementations and technology solutions, and can support a wide variety of IIS implementation strategies across different technological platforms.
MIROW guidelines can be used to drive requirements for information technology projects and provide materials for educational and training purposes. The National Vaccine Advisory Committee (NVAC) recommended to “Promote the adoption of best practices for IIS by the CDC and AIRA MIROW workgroup to adopt uniform operational guidance and quality control procedures that ensure good data quality.”
MIROW Approach
MIROW uses a collaborative approach, based on modern business analysis and facilitation techniques, to identify and analyze current IIS practices and in a focused, structured process reaches consensus on best practices. MIROW and the Best Practice Development Process offer additional information about the MIROW process to develop best practice recommendations.
Operational Best Practice Guidelines & Related Resources
The following table contains links to MIROW guides and mini-guides, which condense and present content from the guide in a pamphlet format.
complete MIROW guideline chapters, presentations, and “Mini Guides”
Year
Guide
Status2022
Data Quality Assurance in Immunization Information Systems
Active2019
Business Continuity Planning for Immunization Information System Programs
Active2019
Management of Patient Status in Immunization Information Systems
Active2017
Consolidating Demographic Records and Vaccination Event Records
Active2016
Decrementing Inventory via Electronic Data Exchange
Active2015
Management of Patient Active/Inactive Status in Immunization Information Systems
Retired: In 2019, replaced by Management of Patient Status in Immunization Information Systems2015
Micro-Guide: Lot Number Patterns by Manufacturer and Vaccine Table
Retired: In 2018, replaced by Vaccine Lot Number Patterns: Unit of Sale/Unit of Use Guidance2014
Micro-Guide: Lot Number Validation Best Practices
Retired: In 2022, replaced by Data Quality Assurance in Immunization Information Systems2013
Data Quality Assurance in Immunization Information Systems: Selected Aspects
Retired: In 2022, replaced by Data Quality Assurance in Immunization Information Systems2012
Immunization Information System Inventory Management Operations
Active2011
Immunization Information System Collaboration with Vaccines for Children Program and Grantee Immunization Programs
Active2009
Reminder/Recall in Immunization Information Systems
Active2008
Data Quality Assurance in IIS: Incoming Data
Retired: In 2022, replaced by Data Quality Assurance in Immunization Information Systems2006
Vaccination Level Deduplication in Immunization Information Systems
Active2005
Moved or Gone Elsewhere (MOGE) Status and other Patient Designations in Immunization Information Systems
Retired: In 2015, replaced by Management of Patient Active/Inactive Status in Immunization Information Systems2005
IIS-VAERS Collaboration for Vaccine Adverse Events Reporting
Retired: This was a pilot project for MIROW.Show More
Resources
Williams W, Lowery NE, Lyalin D, Lambrecht N, Riddick S, Sutliff C, Papadouka V. *Development and utilization of best practice operational guidelines for immunization information systems*. J Public Health Manag Pract. 2011 Sep-Oct; 17(5):449-56.
The MIROW Evaluation Final Report [76 pages] and Evaluation Slides [25 pages] describe how MIROW best practices have been implemented across the country and the impact of three of the MIROW guides on IIS operations.
The MIROW Common Vocabulary has been developed by consolidating the terms found in each of the MIROW guides and then applying a concise definition of each term.
MIROW Principles and Business Rules Reports was developed to provide the ability to search for information across all MIROW guides via a consolidated report on principles and business rules.Who to Contact?
For additional information on MIROW, contact David Lyalin at dil8@cdc.gov.
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							Last Reviewed:  September 29, 2022						Source: 	National Center for Immunization and Respiratory Diseases
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About IIS
Functional Standardsplus icon
Version 4.1
Core Data Elementsplus icon
Core Data Elements For IIS Functional Standards v4.0
Historical Core Data Elements
Data Code Setsplus icon
CVX
CVX Mapped to Vaccine Groups
CVX Mapped to VIS
MVX
Product Name Mapped to CVX/MVX
NDC Crosswalk Tables
VIS Barcode Lookup Table
VIS URL Table
CPT Mapped to CVX
Fall Season Respiratory Vaccine Codes
IIS Technical Guidanceplus icon
HL7
Transport (SOAP)
Deduplication
Clinical Decision Support for Immunization (CDSi)plus icon
CDSi Training Material
IZ Gatewayplus icon
Overview
Information Sheet
Awardee Forum Q&As
Meaningful Use
Vaccine 2D Barcodesplus icon
Vaccine 2D Barcoding for Manufacturers
Vaccines Shipping with 2D Barcodes
Vaccine 2D Barcode Scanning for Vendors
Vaccine 2D Barcode Scanning Initiatives
Vaccine 2D Barcode Scanning Implementation Toolkit
CDC IIS Activitiesplus icon
MIROW
NIS-IIS Collaboration
Sentinel Sites
IIS Strategic Planplus icon
2018-2020
2014-2017
Contacts for IIS Immunization Records
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Overview
Participation Rates and Maps
MMWR Articles on Annual Report Data
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Functional Standards Resource Guide
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Sustainability Resources National Center for Immunization and Respiratory Diseases
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1600 Clifton Road NE, Building 24
Mailstop A-19
Atlanta, GA 30333
iisinfo@cdc.gov
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