Opt-Out Edit Immunization Screen

Purpose

The Opt-Out Edit Immunization screen is used to update information on or delete an immunization that was previously recorded on an immunization history record for a client that has opted-out of the registry.

Information Provided

Client Information

Edit Immunization Form

Functionality

Back to Opt-Out Immunization History

Information Provided

The Opt-Out Edit Immunization screen displays the information held in the registry database for the immunization selected from the Opt-Out Immunization History screen.

Client Information

The Edit Immunization screen displays a client information header titled Client Information at the top of the page. Since the client has opted-out of the registry, no demographic information is displayed.

Edit Immunization Form

This form will be displayed when the current user who selected the immunization to edit belongs to the provider organization that originally entered the immunization. The Edit Immunization form contains the following information.

Field Name

Description

Vaccine Group

This field displays the vaccine group of the selected immunization and is a non-editable field.

Vaccine Display Name

This field displays the vaccine group code of the selected immunization and is a non-editable field.

Trade Name

This field gives the trade name of the immunization received and is a non-editable field.

Vaccine Lot Number

This field displays the vaccine lot number from the site where the vaccine was taken from. The funding source of the vaccine is also displayed within this field. This is a non-editable field.

Client Date of Birth

This field displays the client date of birth and is an editable field. Update this field by typing in a new date in the text box in the format MM/DD/CCYY, or click on the calendar icon to set the date.

Eligibility

This field displays the client eligibility for state supplied vaccines at the time the vaccine was administered and is an editable field. Update this field by selecting an eligibility from the corresponding pick list.

Partial, half and multiple doses

You can now edit a "new" shot that is drawn from inventory to reflect if the dose was a partial (i.e. a client jumped when the immunization was given), half (i.e. using half of an adult formulation for a child) or multiple (i.e. doubling a pediatric formulation for an adult.) Once you've entered the new shot, click on the Edit field for that shot. You will then see a Dosage From Inventory pick list below the Vaccine Lot Number. The default is Full, with Half, 2, 3, 4 and 5 as other choices. Below the pick list, is a box marked Partial Dose. Check this box if the dose was only partially administered.

Date Administered

This field displays the date which the selected immunization was given to the client and is an editable field. Update this field by typing in a new date in the text box in the format MM/DD/CCYY, or click on the calendar icon to set the date.

Ordering Authority

This field names the clinician who had the ordering authority to let the client have the selected immunization and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.

Administered By

This field names the clinician who actually gave the selected immunization to the client and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.

Body Site

This field represents the clients body site where he or she was given the immunization and is an editable field. Update this field by selecting a new body site from the pick list.

Administered Route

This field represents the route with which the vaccine given takes effect and is an editable field. Update this field by selecting a new administered route from the pick list.

VIS Date For:

This field is used to display the VIS date of the form given to the client or parent by the provider organization. The system now allows the VIS date to be editable only on the day the immunization was administered. The appropriate VIS date for each antigen of a combination shot are also editable via the pick-list of VIS dates displayed. Only shots administered from inventory will display and have an editable VIS Date.

Entered For Site

This field denotes the site where the vaccine inventory came from for the selected immunization and is a non-editable field.

Source of Record

This field will indicate if the shot was entered in the system via user interface or batch load.

Reactions

The reactions field displays a table listing a CDC-specified list of possible reactions to the selected immunization. Previously selected reactions will be denoted by having bold red font, and the check box in the 'Select' column will be checked. Update the reactions table by checking or un-checking the appropriate check boxes.

Functionality

Button

Description

When the Save button is clicked, all updates made to any of the editable information fields will be saved in the database for the selected immunization. After the edited information is saved, you will be returned to the Opt-out Immunization History screen.

When the Cancel button is clicked, any changes made to the selected immunization will be lost, and you will be returned to the Opt-Out Immunization History screen.

When the Delete button is clicked, you will be prompted to make sure you definitely want to delete the selected immunization. Click the Ok button to continue with the delete or click the Cancel button to stop this process. After the registry deletes the selected immunization from the clients history record, you will be returned to the Opt-Out Immunization History screen.

A new immunization can only be deleted if the user trying delete the selected immunization belongs to the provider organization that originally entered the selected new immunization. For all other users, the Delete button will be disabled.

When the Data Exchange button is clicked, the pop-up window Immunization/Data Exchange Information will appear. The button does not save immunization data changes to the database. The pop-up window displays all data exchange jobs that have either inserted or updated the immunization in the Registry. The Job ID, Start Date and Organization Name are displayed for the data exchange jobs.

Field Name	Description
Vaccine Group	This field displays the vaccine group of the selected immunization and is a non-editable field.
Vaccine Display Name	This field displays the vaccine group code of the selected immunization and is a non-editable field.
Trade Name	This field gives the trade name of the immunization received and is a non-editable field.
Vaccine Lot Number	This field displays the vaccine lot number from the site where the vaccine was taken from. The funding source of the vaccine is also displayed within this field. This is a non-editable field.
Client Date of Birth	This field displays the client date of birth and is an editable field. Update this field by typing in a new date in the text box in the format MM/DD/CCYY, or click on the calendar icon to set the date.
Eligibility	This field displays the client eligibility for state supplied vaccines at the time the vaccine was administered and is an editable field. Update this field by selecting an eligibility from the corresponding pick list.
Partial, half and multiple doses	You can now edit a "new" shot that is drawn from inventory to reflect if the dose was a partial (i.e. a client jumped when the immunization was given), half (i.e. using half of an adult formulation for a child) or multiple (i.e. doubling a pediatric formulation for an adult.) Once you've entered the new shot, click on the Edit field for that shot. You will then see a Dosage From Inventory pick list below the Vaccine Lot Number. The default is Full, with Half, 2, 3, 4 and 5 as other choices. Below the pick list, is a box marked Partial Dose. Check this box if the dose was only partially administered.
Date Administered	This field displays the date which the selected immunization was given to the client and is an editable field. Update this field by typing in a new date in the text box in the format MM/DD/CCYY, or click on the calendar icon to set the date.
Ordering Authority	This field names the clinician who had the ordering authority to let the client have the selected immunization and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.
Administered By	This field names the clinician who actually gave the selected immunization to the client and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.
Body Site	This field represents the clients body site where he or she was given the immunization and is an editable field. Update this field by selecting a new body site from the pick list.
Administered Route	This field represents the route with which the vaccine given takes effect and is an editable field. Update this field by selecting a new administered route from the pick list.
VIS Date For:	This field is used to display the VIS date of the form given to the client or parent by the provider organization. The system now allows the VIS date to be editable only on the day the immunization was administered. The appropriate VIS date for each antigen of a combination shot are also editable via the pick-list of VIS dates displayed. Only shots administered from inventory will display and have an editable VIS Date.
Entered For Site	This field denotes the site where the vaccine inventory came from for the selected immunization and is a non-editable field.
Source of Record	This field will indicate if the shot was entered in the system via user interface or batch load.
Reactions	The reactions field displays a table listing a CDC-specified list of possible reactions to the selected immunization. Previously selected reactions will be denoted by having bold red font, and the check box in the 'Select' column will be checked. Update the reactions table by checking or un-checking the appropriate check boxes.

Button	Description
	When the Save button is clicked, all updates made to any of the editable information fields will be saved in the database for the selected immunization. After the edited information is saved, you will be returned to the Opt-out Immunization History screen.
	When the Cancel button is clicked, any changes made to the selected immunization will be lost, and you will be returned to the Opt-Out Immunization History screen.
	When the Delete button is clicked, you will be prompted to make sure you definitely want to delete the selected immunization. Click the Ok button to continue with the delete or click the Cancel button to stop this process. After the registry deletes the selected immunization from the clients history record, you will be returned to the Opt-Out Immunization History screen. A new immunization can only be deleted if the user trying delete the selected immunization belongs to the provider organization that originally entered the selected new immunization. For all other users, the Delete button will be disabled.
	When the Data Exchange button is clicked, the pop-up window Immunization/Data Exchange Information will appear. The button does not save immunization data changes to the database. The pop-up window displays all data exchange jobs that have either inserted or updated the immunization in the Registry. The Job ID, Start Date and Organization Name are displayed for the data exchange jobs.