State IIS Registration
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      Pennsylvania - Philadelphia

      How to enroll your pharmacy with the Philadelphia (PHI-PhilaVax) Registry

      Step 1: Registration

      If you are a new user, please complete the below forms:

      1. User Confidentiality Form

      HL7 Integration Steps

      2. Clinic Enrollment Form

      • To help you complete the form, please review the below Q&As:
        • IV. What method of reporting to PhilaVax is your clinic interested in?
          • Select - HL7 Messaging
            • HL7 Version: 2.5.1
            • Method: Real-time Bidirectional messaging through SOAP Web Services
        • VIII. ELECTRONIC HEALTH RECORD (EHR) SYSTEM DETAILS
          • EHR Vendor Name: Outcomes SMP
          • EHR Product Name: Outcomes SMP
          • EHR Product Version: 2.0
          • Date of Clinics Last EHR Upgrade = N/A
          • Date of Next Upgrade (if scheduled) = N/A
          • EHR Contact Person Name: Katheryn Hernandez
          • EHR Contact Person Title: Pharmacy Integration Manager
          • EHR Contact Person Phone Number: (949) 313-6479
          • EHR Contact Person Email Address: khernandez@prescribewellness.com

        Once your registration is complete, please send an email to iisforms@prescribewellness.com with the completed Clinic Enrollment Form and User Confidentiality Form attached and the following subject line: [Pharmacy Name] | PhilVax | Clinic Enrollment Form Completed.

        Step 2: Document Immunizations

          • Please continue to document immunizations in your registry portal and the Vaccinations tool while Outcomes works on your pharmacy’s integration.

          Step 3: Final Integration Steps

          Once the state registry approves your location to move forward into Production, the Outcomes team will send you a confirmation email with your go-live date. From then on, your pharmacy can start reporting to PhilaVax with your Vaccinations tool.