Opt-Out Record Immunizations

Opt-Out Record Immunizations Screen

Purpose

The Opt-Out Record Immunizations screen is used to individually finalize the information that will be recorded for each new immunization selected.

Information Provided

Client Information

New Immunizations

VIS Dates For New Immunizations

Functionality

Information Provided

This screen provides a separate layout for customizing the information on each individual new immunization.

Client Information

The Opt-Out Record Immunizations 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.

New Immunizations

The 'New Immunizations' section holds separate information on each new immunization selected. The information listed for each immunization is described below.

Field Name

Description

  Client Date of Birth

This field allows you to enter the client's date of birth . Set 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 allows you to indicate the client's eligibility for state-supplied vaccine at the time the immunization was administered. To change the eligibility code, select the desired name from the pick list.

  Date Administered

This field allows you to set the date when the immunization was given to the client. Set 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 allows you to change the ordering authority. To change the ordering authority, select the desired name from pick list.

Save

This field allows you to select/unselect immunizations to be saved to the database.

Immunization

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

Trade Name-Lot

This field gives the trade name, vaccine lot number, and funding source of the immunization received. Choose a combination of the above three fields by selecting the appropriate grouping from the pick list.

Administered By

This field allows you to change the administering clinician for each individual immunization. To change the clinician, select the desired name from pick list.

Body Site

This field denotes where on the clients body the immunization was given. This is a CDC-specified list. Choose a body location by selecting the desired name from the pick list.

Route

This field allows you to select the route of the immunization from a CDC-specified list. Choose a route by selecting the desired route name from the pick list.

*Note*

VIS Dates For New Immunizations

To accurately reflect the VIS date of the form given to the client/parent, this section displays to the user the current VIS to be saved with the immunization record for each antigen. Based upon your selection of 'Trade Name-Lot' the VIS Dates For New Immunizations section will be populated with the corresponding VIS information for the antigen chosen. If the VIS you are giving is not the current VIS, you need to edit the VIS date on the Opt-Out Edit Immunization screen.

Functionality

When entering immunizations the Ok and Cancel buttons at the top and bottom of the screen can be used.

Button

Description

After all information has been entered for each individual immunization selected to record, click on the Ok button to save the immunizations to the database. The registry will perform minimal data checks to ensure enough relevant information was entered for each immunization before saving. If critical information is missing or invalid, you will be prompted to fix the error before continuing. In the event that you encounter a duplicate immunization or have preselected more immunizations than you want to enter, unselect the Save check box for each unwanted immunization and it will not be saved to the database.

If the Cancel button is clicked, any changes or updates made to the information on the Opt-Out Record Immunizations screen will be lost, and you will be returned to the Opt-Out Pre-select Immunizations screen.

Adding a New Immunization - Note

Upon Trade Name/Lot/Funding Source selection, a message displays the number of doses to be deducted from inventory. In the event the client's age is outside the recommended age range for the selected vaccination, a second informational message will appear.

Field Name	Description
Client Date of Birth	This field allows you to enter the client's date of birth . Set 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 allows you to indicate the client's eligibility for state-supplied vaccine at the time the immunization was administered. To change the eligibility code, select the desired name from the pick list.
Date Administered	This field allows you to set the date when the immunization was given to the client. Set 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 allows you to change the ordering authority. To change the ordering authority, select the desired name from pick list.
Save	This field allows you to select/unselect immunizations to be saved to the database.
Immunization	This field displays the vaccine group code of the selected immunization and is a non-editable field.
Trade Name-Lot	This field gives the trade name, vaccine lot number, and funding source of the immunization received. Choose a combination of the above three fields by selecting the appropriate grouping from the pick list.
Administered By	This field allows you to change the administering clinician for each individual immunization. To change the clinician, select the desired name from pick list.
Body Site	This field denotes where on the clients body the immunization was given. This is a CDC-specified list. Choose a body location by selecting the desired name from the pick list.
Route	This field allows you to select the route of the immunization from a CDC-specified list. Choose a route by selecting the desired route name from the pick list.

Button	Description
	After all information has been entered for each individual immunization selected to record, click on the Ok button to save the immunizations to the database. The registry will perform minimal data checks to ensure enough relevant information was entered for each immunization before saving. If critical information is missing or invalid, you will be prompted to fix the error before continuing. In the event that you encounter a duplicate immunization or have preselected more immunizations than you want to enter, unselect the Save check box for each unwanted immunization and it will not be saved to the database.
	If the Cancel button is clicked, any changes or updates made to the information on the Opt-Out Record Immunizations screen will be lost, and you will be returned to the Opt-Out Pre-select Immunizations screen.