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Evaluating Washington State's immunization information system as a research tool.

Michael L Jackson1, Nora B Henrikson1, David C Grossman1

  • 1Group Health Research Institute, Seattle, Wash.

Academic Pediatrics
|December 28, 2013
PubMed
Summary

Washington State Immunization Information System (IIS) data are highly accurate for required fields, making them valuable for public health research. Optional data fields, however, require additional validation before use.

Keywords:
immunizationimmunization programs/statistics and numerical datainformation systems

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Area of Science:

  • Public Health
  • Health Informatics
  • Vaccinology

Background:

  • Immunization Information Systems (IISs) are crucial public health tools.
  • Limited understanding of IIS data accuracy has restricted their research application.
  • The Washington State IIS (WAIIS) data quality needed evaluation for research potential.

Purpose of the Study:

  • To evaluate the completeness and accuracy of WAIIS data.
  • To assess the suitability of WAIIS data elements for public health research.
  • To identify data quality limitations for specific research needs.

Main Methods:

  • Analyzed WAIIS records for children born 2006-2010.
  • Assessed data completeness for all variables.
  • Tested internal validity and external validity by comparing WAIIS data with Group Health records.

Main Results:

  • WAIIS contained 486,265 children and 8,670,234 vaccinations.
  • Required variables (e.g., vaccination date) were highly complete.
  • Optional variables (e.g., route, site) were often missing.
  • High agreement (96-99%) between WAIIS and Group Health data for complete fields.

Conclusions:

  • Required WAIIS data elements demonstrate high completeness and validity for research.
  • These validated data are suitable for public health research applications.
  • Research utilizing non-required WAIIS data necessitates further validity checks.