|
Immunization History Screen |
|
Purpose |
The Immunization History screen displays a patients immunization history and provides immunization recommendations based on the assigned tracking schedule. From this screen, you are also able to edit a patients immunizations, and/or pre-select immunizations to record for the patient.
|
Information Provided |
The Immunization History screen displays a very large portion of the information held in the system database for the selected patient. It is possible, and can be useful, to print this screen.
Patient Information
The Immunization History screen displays a patient information header titled Patient Information at the top of the page. This header includes patient demographics, selected tracking schedule, a scrolling list of patient comments, as well as other patient-distinct information.
The information contained in the header can also be used to confirm that you have located the correct patient if you were brought to the Immunization History screen directly following a patient search on the manage patient/immunizations screen.
Patient comments
The patient comments are visible at the top of the screen when you edit an immunization or when you add an immunization. When there is more than 1 comment just click on the up and down arrows to scroll through any available comments. When using the Print button on the immunization history page, the comments are displayed on separate lines in the Comments box.
Patient Notes
The patient notes can be viewed by selecting the "View or Update Notes" link. Note: Please do not include confidential information in the patient notes. Patient Notes can be viewed by any provider organization with access to the system.
Incomplete Address Warning message
The below warning message will be displayed after Patient Notes when the patient's address on file has missing Zip code and patient’s country is United States or one of the US Territories. After the Zip code is updated by editing the patient, this message will not be displayed.
Immunization History
The Immunization History table lists all vaccinations the selected patient has received to date. Immunizations listed in the table are ordered alphabetically first, then by 'Date Administered'. The table columns are defined as follows:
|
Column Name |
Description |
|
Vaccine Group |
This column lists the vaccine group name for each immunization received. |
|
Date Administered |
This column gives the actual day the patient was given the vaccine. Click on the date hyperlink Oct-15-2001 to view the "Explanation of Dose Status" pop-up for that particular immunization. This pop-up window displays the tracking schedule rule applied to the selected dose for that vaccine series. |
|
Series |
This column denotes the sequence number within the immunization series. |
|
Trade Name |
This column displays the trade name of the vaccination received. |
|
Dose |
This column displays the number of doses administered for each immunization. This is called the dose magnitude. Dose magnitude is a IRIS-specific term. The dose magnitude reflects how many doses, as defined in inventory, were administered to the patient. This number is not dose size as measured in milliliters. Here are some examples:
The system will also use this data to determine the validity of the vaccination provided. For example a 'Full' pediatric dose being given to an adult would result in a not valid in the series column, because the dose magnitude needs to be '2'. |
|
Owned?
|
This column will display whether or not this shot was entered by your organization. If it is not owned there will be a hyperlink that says "No". You can click on the hyperlink to view which organization entered the shot as well as the contact information. Note: If there is a question about an immunization entered by another organization we urge you to contact that provider with the supplied contact information. |
|
Reaction |
This column reports any reactions the patient had after receiving a vaccine. A 'Yes' in this column indicates there was a reaction. To view the reaction, click the "Yes" hyperlink and a small information window will open, displaying the explanation of the selected reaction. |
|
Hist? |
This column reports whether the recorded immunization was historical or not. A 'Yes' in this column indicates the immunization was recorded as being historical. If there is no 'Yes' then the immunization is new (out of inventory). |
|
Edit |
This column contains icons which, when clicked on, will allow you to edit the recorded immunization using the Edit Immunization screen. |
*Note*
Patients Age on Immunization History and Reports
The patients age displays in a solid blue field between the immunization history and before the recommendations, and also displays when you use the Print button on the immunization history page to print the history. The age is included as well on the Vaccine Administration Report in the box to the right of the patients name.
Recommended Vaccinations
The recommended vaccinations and corresponding dates for the selected patient reside in a table titled Vaccines Recommended By Selected Tracking Schedule at the top of the table. The vaccine group list appearing in this table represents all vaccinations included in the tracking schedule assigned to this patient. The table columns are defined as follows:
|
Column Name |
Description |
|
Select |
This column contains check boxes which can be used to pre-select any of the tracking schedule's immunizations when adding immunizations to the selected patient. The check box will be disabled if the tracking schedule's recommended vaccination is contraindicated, or if all required immunizations for that vaccine group have been received. |
|
Vaccine Group |
This column gives the recommended vaccine group name. Click on the vaccine hyperlink DTaP to view the "Explanation of Dose Status" popup for that particular vaccine recommendation. This popup window displays the tracking schedule rule applied to the selected recommendation for that series. |
|
Vaccine |
This column displays a vaccine name if a specific vaccine is recommended. The IRIS System Manager can choose to hide or display vaccine recommendations in a schedule |
|
Earliest Date |
This column displays dates which note the earliest date the selected patient could receive the corresponding immunization. |
|
Recommended Date |
This column displays dates which note the date that the selected patient is recommended to have the corresponding immunization. |
|
Past Due Date |
This column displays dates which note the date that the patient is past due for the corresponding immunization. |
The dates found in the Vaccines Recommended by Selected Tracking Schedule table can be shaded with color for emphasis. The colors applied to the dates within the columns are defined as follows:
|
Color |
Description |
|
|
The color green will highlight dates in the Earliest Date, Recommended Date or Past Due Date column. Green shading indicates the at today’s date is equal to or past the highlighted date, and is before the next date milestone. Therefore the immunization is recommended to be administered now. |
|
|
The recommendations for vaccines now reflects whether a patient has exceeded the maximum age or maximum doses for a specific vaccine. For instance, if a patient has already reached the age of 5 and hasn't received any pneumococcal conjugate vaccine (Prevnar 13), then the recommendation for Pneumococcal at the bottom of the immunization history will show "Maximum Age Exceeded" and the patient will not show on reminder reports as needing that immunization. |
|
|
The 'Max Doses' label indicates the maximum number of doses has be given for the specified series. |
|
|
The 'Immunity Recorded for Vaccine Group' label specifies the patient comments include an indication that the patient has is verified immunity for the disease. If a patient has an immunity recorded, the vaccine does not need to be given. |
|
|
The 'Contraindicated' label specifies the patient comments include a condition that contraindicates the vaccine. If a patient has been contraindicated, then the vaccine should not be given. |
|
|
The 'Complete' label specifies the patient is complete for the corresponding vaccine. This means the patient will not display on reminder reports for this specific vaccine. |
|
Functionality |
For the most part, the Immunization History screen is for display purposes only. The functionality it does contain deals with linking to other pieces of the system.
|
Button |
Description |
|
|
When the Add Immunizations button is clicked, the Pre-select Immunizations screen is displayed, allowing you to verify and select which vaccines you are adding into the system for the patient. |
|
|
When the Edit Patient button is clicked, the Edit Patient screen is displayed containing the selected patients information so that updates can be made. |
|
|
When the Reports button is clicked, the Reports Available for Patient screen is displayed so that you may generate and/or print reports for the selected patient. |
|
|
When the Print button is clicked, the user will be taken to a screen where only the patients history and demographics are displayed. The menu on the left and top will not appear, and this is ideal for printing purposes. Follow these steps to print: Simply click the Print button, and the patients immunization history information will appear in a new window. Click on the printer icon in your browser or File>Print>All to print the page. Hit the Back button in your browser to return to the patients record. |
|
|
When the Print Confidential button is clicked, the user will be taken to a screen where only the patients history is displayed. Patient name, and date of birth will also display but no address will ever display. The menu on the left and top will not appear, and again this is ideal for printing purposes. Follow these steps to print: Simply click the Print Confidential button, and the patients immunization information will generate in a new window. Click on the printer icon in your browser or File>Print>All to print the page. Hit the Back button in your browser to return to the patients record. |
|
|
When the Edit Immunizations icon is clicked inside the 'Immunization History' screen, the Edit Immunizations screen is displayed containing information on the selected vaccination so that updates can be made. |
|
|
Please see Pre-selecting Tracking Schedule Immunizations for functionality on the Add Selected button. |
|
Pre-selecting Tracking Schedule Immunizations |
The Vaccines Recommended By Selected Tracking Schedule table can be used to pre-select any immunizations included within the selected tracking schedule that the patient has received when recording these immunizations into the system.
Pre-selecting Tracking Schedule Immunizations
Select or un-select the desired immunizations to record by checking or un-checking the appropriate check boxes next to the desired vaccine groups within the table.
Click on the Add Selected button.
The Pre-select Immunizations screen will be displayed taking into account any vaccine groups checked from step one. Note: Only vaccine that you have available in inventory will become selected. If you are lacking some vaccine or you do not have inventory entered at all then you will notice not everything will be checked on this screen.
Continue as you would, following the Pre-select Immunizations screen steps.
|
Viewing the Schedule Explanation Screen |
The Schedule Explanation Screen is used to display the vaccination rule applied to a specific dose selected. This can aid in explaining why a dose was not valid or why a recommendation displays a particular date as examples. The window displays the table view of the schedule for the dose that was selected. For example, you are wondering why a dose of DTaP is marked as Not Valid. When you click on the vaccination date for that dose, a window pops up displaying the series for DTaP and includes a comment "Greater than the Maximum Age required for this dose" if this were the reason for being Not Valid. The selected dose in the series will be highlighted in yellow.
Viewing the Schedule Explanation for an Immunization
For a specific dose in the history click on the date administered hyperlink in blue. (Oct-15-2001).
A window will open displaying the series associated with the selected dose.
If the selected dose is part of a series, it will be highlighted in yellow.
If it is Not Valid, the reason for being Not Valid will be displayed.
If the dose is not part of a series in this schedule, a message indicating that the dose is not part of a series in this schedule will appear. Note: If this is the first dose given for a vaccine group and it is recorded prior to the minimum age, it will also give this message.
When done viewing the information in the window, click on the 'X' in the upper right hand corner to close the window and return to the system.
Viewing the Schedule Explanation for a Recommendation
In the Vaccines Recommended by Selected Tracking Schedule section on the history page, click on the vaccine group name, such as DTP/aP.
The window will open displaying the schedule for the vaccine group.
The selected dose in the series will be highlighted in yellow. Note: If a patient had no immunizations in the series and was too old to complete, the first dose in the series would be highlighted.
When done viewing the information in the window, click on the 'X' in the upper right hand corner to close the window and return to the system.
|
Notes |
Immunization History Table Note
Any immunization record (row) that appears in the Immunization History table in all Red font indicates the patient had a reaction to the corresponding immunization.
