Local Implementation Guide, Onboarding Resources and FAQs
This Local Implementation Guide provides specifications for the submission of vaccination record updates, VXUs, and query by parameter QBPs to the North Carolina Immunization Registry (NCIR). For an additional onboarding resource, see the NIST 2015 Edition ONC Health IT Certification Test Tools.
Acronym Reference
See a list of helpful acronyms in the Immunization Information System (IIS) community.
Frequently Asked Questions
Provider Registration
Yes, if you administer immunizations and intend to submit immunization information electronically.
There is no need to re-register if you have already registered.
Registration notification is provided for those who have completed registration. To confirm if you have completed your registration, log into the registration portal.
The onboarding order is based on technical readiness.
Technical Readiness
The provider and clinical staff do not participate in technical testing. But, it is useful to know your organization's stage in the process and the work done toward onboarding completion.
The nature of immunization information being exchanged falls under HIPAA. Therefore, we require an agreement that complies with HIPAA and the proper use of NCIR.
Two options are available:
- Direct connection, in which you will work with an NCIR Onboarding Analyst to test your EHR to send and receive HL7 immunization data.
- The other connection is through North Carolina Health Information Exchange Authority (NC HIEA) in which you will connect to the NC HIEA, which is a pass-through to the NCIR.
Provider Onboarding
This MOU is between NCIR and the provider to ensure onboarding is completed by a determined timeline.
The kick-off call should include those involved in testing. This includes the vendor and technical staff, and the providers doing the testing. Also, include those in charge of project management and go-live monitoring.
The testing manual has two areas. They cover different functions and scenarios.
VXU clinical testing shows that clinicians can:
- Record new and historical immunizations.
- Record client comments and contraindications.
- Submit relevant demographic and eligibility info
QBP clinical testing lets clinicians query the NCIR for patient info. They can also update their records and verify info sent from the NCIR.
Clinical staff test the interface and new workflow. They train users on its updated features. The goal is to help them use only their EHR to place and administer immunizations, without logging into the NCIR.
The average time to pass all VXU and QBP test scenarios is two weeks.
This page was last modified on 04/21/2025