Hawaii Immunization Registry (HIR)

On June 17, 2023 the Hawaii Immunization Registry (HIR) was upgraded to the latest version of Health Level Seven – HL7 2.5.1 r1.5. to meet interoperability standards endorsed by CDC for message content, format, and transport. Click here to view Issues/Resolutions.

As a Healthcare provider participating in the Hawaii Immunization Registry (HIR), you have two methods to submit data to the HIR:

  • Data Exchange via the HIR User Interface (UI). This method is where a user logs into the HIR and uploads a HL7 patient immunization record file.
    If you are a provider using this method, the UI is up and running and you can begin uploading your backlog and current patient immunization records now.
  • Web services using an EMR/EHR or SOAP UI application to submit real-time patient immunization records outside of utilizing the HIR UI.
    If you are utilizing web services to submit patient immunization records, it will be necessary to schedule onboarding meetings with our HIR vendor to provide you with web services login credentials.


As of November 15, 2022, all participating providers must now complete and submit their annual HIR enrollment online. For instructions on how to submit your Online Facility Agreement, please refer to this document

How does the Hawaii Immunization Registry Work?

Doctors and nurses can store information in the registry. The information is used to make sure your immunization records are up to date. At minimum, this information will include:

  • Your name
  • Date of birth
  • Mailing address
  • Immunization record

How does the Hawaii Immunization Registry help you and your family?

The registry helps make sure you:

  • Don’t miss any immunizations or get too many
  • Have all of the immunizations needed to:
    • Start day care, school, or college
    • Sign-up for camp or sports programs
    • Travel to other countries
    • Prepare for hospital stays or long-term care

How does the Hawaii Immunization Registry help doctors and nurses?

The registry will help your doctor or nurse:

  • Keep track of immunizations given by your other doctors and nurses
  • Check which immunizations you need at each visit
  • Print out an immunization record for you

In times of emergency or disaster, the Hawaii Immunization Registry can give important immunization information to healthcare workers. For more information about the Hawaii Immunization Registry, talk to your doctor or contact the Department of Health at:

Phone: 586-4665 (Oahu) or 1-888-447-1023 (Neighbor Islands)
Email: [email protected]

How do I learn how to use HIR?

We will publish the information here on this website. You can check out our HIR Overview video by clicking on the following link.

Medicare Promoting Interoperability Program

To meet requirements, eligible professionals and eligible hospitals and/or critical access hospitals must be in active engagement with an immunization registry or other type of Public Health agency to submit electronic public health data in a meaningful way using Certified Electronic Health Record Technology. Active engagement can be in the form of registration of intent, testing and validation, and ongoing electronic submission of data to the registry.

View the 2022 Promoting Interoperability Program Requirements.

For more information, visit CMS Medicare and Medicaid Promoting Interoperability Program Basics.

Last reviewed September 2023