PrognoCIS Help: Vaccination

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Introduction : A list of Vaccinations is defined from the Vaccination screen. A doctor can vaccinate a patient immediately, or schedule a vaccination at a later date. The doctor decides if a person needs a vaccination depending on various factors like patient's age, job, likely travel destinations, prevailing ailments in the region. The Vaccination screen tracks all the vaccination shots taken by the patient.

Field Description :

Schedule tab

No known Vaccination history: This checkbox is enabled only if there are no Vaccination records present for that Patient.

Registry: Click on this button to view the Immunization history and forecast details for the Patient present in the Registry. A click on import hist. button on the Evaluated Immunization History and Forecast popup would import the latest Immunization details for that Patient present with the Registry. By clicking on the Print

button the Immunization history and forecast details for the Patient gets printed.

Note: Displaying of Registry button is dependent on the newly added property, vaccination.show.historyandforecast. Only if the property is set to ON, the Registry button would be available on the Vaccination screen else it will not be displayed.

Response Log: Click on this button to view the log of HL7 messages for Import and Export done with the Registry.

Schedule tab: The Vaccination Scheduled and Constituents administered in number of Encounters in case of combo vaccines for the Patient is displayed in this tab. Each and every constituent administered are traced, dose count is also displayed on this tab.

Note: When the property encounter.schedule.vaccination is turned ON then the Child vaccine is auto scheduled for a Patient on the start of the encounter whereas for Adult the vaccine is auto scheduled on adding the first dosage in an encounter manually from the Vaccination screen. If the property encounter.schedule.vaccination is turned OFF, the Adult Vaccines is auto scheduled for a Patient only when the User adds the first dosage in an encounter manually from the Vaccination screen.

Del: Select the Del checkbox of the respective vaccination and click save to delete the vaccination record.

Vaccine: Display the name of the added vaccine. To add vaccine click on the + icon which invokes the vaccine search popup. Select the vaccine from the search list and add it to the Vaccination screen. On selecting vaccinations, it assigns the Dose number in the Dose column.

Button: click to invoke the list of Vaccinations for selection. On selecting a Vaccination it assigns the dose number.

Dose: This field displays the vaccine dosage. The information under this field is auto populated once vaccine is added.

Note: Incase of combo vaccine, each and every Constituents administered in number of Encounters are traced and the dose count is displayed on the Scheduled tab on the Vaccination screen.

Age Range: Age Range applicable for that dose number.

Status: As soon as the vaccine is added for a Patient then by default the status is displayed as upcoming. The user can change the status as required by clicking on Administer button. The Administer Vaccine popup consists of the following statuses:

Administered: If a vaccine is administered to the patient on the same visit.

Not In Visit: If the Patient has multiple dosage and administered its previous dose in another clinic.

Not Tracked: If a multiple dosage are attached with the vaccine and not administered due to any reason.

Patient Refused: If a Patient has refused a particular dose of vaccine.

Clinic Refused: If a Clinic refused a particular dose of vaccine for a patient

Note:

1) NOT TRACKED records of Vaccination can be hidden from view in PrognoCIS depending on the value set (Y/N) in the property, facesheet.vacrecord.hide.nottracked a Clinic can decide either to hide the trace of NOT TRACKED vaccination record details from the Face sheet cell as well as from the Records Tab on the Vaccination screen OR display them as before.

2) In case of a Combo vaccine has been ‘unadministered’ i.e. the status of an administered vaccine is forcibly changed to upcoming (by removing the Adm. When date value and saving the record) then the associated Constituent(s) is removed from the system while the Combo vaccine remains with its status as ‘Upcoming’.

To be Administered: If the doctor wants he can flag a vaccination as "To be administered". Based on this an urgent message is generated and sent to the Vaccination staff. The Recipient can be the Attending Nurse Or All Nurses Assigned to the Attending Doc OR all users playing the role defined in Vaccination property vaccination.tobegiven.mailto

Sch Date: It is the scheduled date on which the vaccination is due.

Adm When: This is the free text field i.e. User can enter date which need not be an exact date, Jan 2000 is alright. Alternately User may click on the Calendar Icon, to select a valid date. If the CVX Code is blank for a Vaccine, then this field will be disabled for a User to restrict administering such vaccines and a tooltip, ‘CVX code is missing’ would be displayed.

Administer: Click Administer to proceed with administering the vaccine, the 'Administer Vaccine' popup is invoked - enter the required details here.

Records tab

The Record of Vaccinations administered in previous encounters is displayed in the Records tab. Vaccinations are shown and listed by Due Date in descending order. Overdue vaccinations are shown in a different color on Facesheet, to highlight them.

Note: The display of Combo Vaccine on Records tab and on the Face sheet cell of Vaccination is governed by the facesheet.vaccination.status property.

Edit button: Click on the Edit button to invoke Administer Vaccine popup and update Vaccination details. The Administer Vaccine popup invoked from Edit button displays the options for Vaccination on this visit, Vaccination not associated with this visit, Not Tracked, Refused by Patient and Refused by Clinic. None of the fields on the Administer Vaccine popup are mandatory even if the Priority Group Code dropdown is configured or property vaccination.admin.mandatory is set. Exception for this is the CVX Code field that remains mandatory and is displayed with a red asterisk all the time. When there are records with multiple doses and different Administered When Dates have been set for those records on the Administer Vaccine popup through the Edit button, then on clicking the ok button on the Vaccination screen, the Vaccination Dosage count is automatically changed as per Adm When.

Action Buttons

ok: Click on the ok button to save the details

Cancel: Click on the cancel button to cancel any changes done before saving.

history...: Click on the history… button to invoke Current Vaccination History popup listing out the column details fetched from the Administer Vaccine popup.

print: Click on the print button to print the Vaccination screen details.

Hint:

1. A HL7 property, vaccination.export.by ensures that a correct sequence of CVX and CPT codes of vaccination is followed at the time of vaccination export. In the absence of both CVX and associated CPT codes, system does not export any information.

2. Depending upon the property, vaccination.schedule.for.maxyears a maximum number scheduled vaccines is displayed on the Vaccination screen. In the property, if a value (in years) is SET in the property then system calculates considering Patient's current age and the value set in property and displays patient's vaccination details accordingly. For example, if the Patient's age is 2 years and the property has the value set as 10 then on the vaccination screen, Patient's vaccination up to the age of 12 is displayed. The property takes a maximum of 25 years.

3. If the property, export.vacc.createHL7Message is set to Y and the property, export.vacc.MUVersion is set to MU3 then the Vaccination messages are exported as per 2015 MU version. But if the property, export.vacc.MUVersion is kept as blank then the Vaccination messages are exported as per 2014 MU version.