Immunization Registry (IMMTRAC2)

The San Antonio Immunization Repository System (SAIRS) is being replaced by the ImmTrac2 Immunization Information System (IIS).  ImmTrac2 is the Texas Department of State Health Services (DSHS) Immunization Registry provided at no cost to all Texans. The registry is secure and confidential, and safely consolidates and stores immunization records from multiple sources in one centralized system.

Access to the registry records is for those who have authorization. Authorized organizations include health care providers, schools, and public health departments. The registry is part of a DSHS initiative to increase vaccine coverage across Texas.

Texas law requires written consent by individuals to participate in the registry.  Parents, guardians and adult clients need to sign-up (“opt-in”) before any immunizations can be added or stored for a client. Use the ImmTrac2 consent form to opt-in if you are not already in ImmTrac2. You can obtain the consent form from the links below or directly from DSHS.

Over the last decade or so, most of the children born in Texas hospitals are consented to ImmTrac2 through the birth registration process and parents/guardians are encouraged to sign-up newborn at hospital. However, most adults, teenagers and older children do not have recorded consent for ImmTrac2, so it is very important to be sure you “opt-in” to ImmTrac2 to be sure you can access your immunization record. 

How to Sign Up

Please use the following links to access General Public ImmTrac2 information from the DSHS public site.

Use the attached forms or contact your healthcare provider to request the ImmTrac2 consent form. The forms can also be downloaded directly from the ImmTrac2 website.

You may deliver completed consent forms to your healthcare provider, or fax to 210-207-0751 (Attention: ImmTrac2 Team), or mail to:

Immunization Program
Attn: ImmTrac2 Team
210 N. Mel Waiters Way
San Antonio, TX  78202

Provider Resources

Please use the link below to access ImmTrac2 Provider Resources including forms and manuals, user training and electronic data exchange. Also, San Antonio Metropolitan Health District Immunization Division staff can provide user training at your office. If you are interested in having your staff trained in person at your office, please call 210-207-5071 to ask about scheduling a training for your staff.

Meaningful Use of Information

In July 2010, the Centers for Medicaid and Medicare Services’ (CMS) final rule on the Electronic Health Record Incentive Program defined measures for eligible professionals and hospitals in order to receive incentive payments. Submission of immunization data to an immunization registry meets one of the public health objectives.

Beginner's Guide to Meaningful Use(PDF, 2MB)

Meaningful Use Stage 2

Declaration of Readiness: The City of San Antonio Metropolitan Health District supports the Meaningful Use Stage 2 Core Objective #16: Capability to submit electronic data to the San Antonio Immunization Registry System (SAIRS) for all eligible providers and hospitals located in Bexar County.

Step 1: Meet SAIRS Requirements

  1. Complete all program requirements with CMS.
  2. Complete a SAIRS Facility Enrollment Form(PDF, 46KB) if your clinic is not already enrolled.
    • Only needs to be completed once and must be completed for every clinic site.
  3. Facility must administer immunizations in Bexar County and surrounding areas.

Step 2: Registration of Intent

Eligible providers that intend to meet the Meaningful Use Stage 2 public health core objective #16 must:

The reporting period is the time frame that a provider seeking incentive payments must demonstrate meaningful use of their EHR/EMR. The earliest reporting period start date is January 1, 2014 for eligible providers. For most providers, the reporting period is three months long and fixed to the quarters of the calendar year.

Step 3: On-Boarding

On-boarding refers to the testing and validation process for providers and their EHR vendors to work with SAIRS staff to collaboratively implement an electronic interface between the EHR system and the immunization registry system. This process ensures that the message formatting and the electronic connection are compatible and will allow the provider to achieve ongoing submission.

After you submit your Registration of Intent Form, you will receive an email with your current on-boarding status.

Waiting for an On-Boarding Invitation from SAIRS
This means that SAIRS is not ready to begin on-boarding with you right now. You may be placed on a waiting list with an estimated time frame for an invitation to on-board.
Invited to On-Board
This means that you and your EMR vendor have not been working with SAIRS and have not started the testing and validation process for the immunization interface. You will need to get in touch with your EMR vendor to discuss next steps towards implementation.
Currently On-Boarding
This means that SAIRS is already working with you and your EMR vendor on implementation. Be sure to check your email account frequently to stay on top of the testing and validation status, especially if it requires action on your part.
Ongoing Submission

This means that your facility has completed the testing and validation process and is already “live” with ongoing submission of immunization data via your EMR system.

Ongoing submission is described by the Federal Register as:

“electronic submission of reportable data during the normal course of a provider’s operations. This is not to say all data that is reportable is sent to the PHA. A provider who is submitting any reportable data during their normal course of their operations is engaged in ongoing submission. A provider that can only submit reportable data in a test environment or other circumstance that is not part of their normal operations would not be engaged in ongoing submission."

Step 4: Acknowledgement

SAIRS will provide an acknowledgement of achieving successful ongoing submission via email. Please note that SAIRS will only acknowledge that a provider submitted the relevant public health data to SAIRS and will not state that a provider has achieved meaningful use or met the public health objective. Determinations regarding attestation will be made by CMS. All questions regarding attestation and incentive payments should be directed to CMS.

An eligible provider can meet meaningful use stage 2 requirements through any of the following four criteria:

  1. Ongoing submission was already achieved for a reporting period in a prior year and continues throughout the current reporting period using either the 2014 Edition EHR certification standards or the standards included in the 2011 Edition EHR certification criteria adopted by ONC during the prior EHR reporting period when ongoing submission was achieved.
  2. Registration of Intent and Ongoing Submission
  3. Registration of Intent and Currently On-Boarding (active testing and validation)
  4. Registration of Intent and Waiting for On-Boarding Invitation from SAIRS

The measure will not be met if either of the following is true:

  • The provider fails to register their intent by the deadline.
  • The provider fails to participate in the on-boarding process as demonstrated by failure to respond to the SAIRS written requests for action within 30 days on two separate occasions.