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 the patient's age, job, likely travel destinations, and prevailing ailments in the region. The Vaccination Screen tracks all the vaccination shots taken by the patient.

Field Description:

Properties: This button is exclusively visible to users with read access to the Properties Master Screen. Access to this button is strategically granted to enhance user functionality. Clicking the Properties button triggers a popup, presenting a list of properties from the Properties Master Screen in PrognoCIS that cater to Immunization/Vaccination.

Schedule Tab

No Known Vaccination History: This checkbox is enabled only if there are no vaccination records present for that patient.

Registry: Click this button to view the immunization history and forecast details for the patient present in the Registry. Clicking the Import Hist. button on the Evaluated Immunization History and Forecast popup imports the latest immunization details for that patient present with the Registry. By clicking the Print

button, the immunization history and forecast details for the patient are printed.

Note: The display of the Registry button is dependent on the newly added property, vaccination.show.historyandforecast. Only if the property is set to ON, the Registry button is available on the Vaccination Screen; otherwise, it will not be displayed.

Response Log: Click this button to view the log of HL7 messages for imports and exports done with the Registry.

Schedule Tab: The vaccinations scheduled and constituents administered across multiple encounters in the case of combo vaccines for the patient are displayed on this tab. Each and every constituent administered is traced, and the 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 at the start of the encounter, whereas for an adult, the vaccine is auto-scheduled upon manually adding the first dosage in an encounter from the Vaccination Screen. If the property encounter.schedule.vaccination is turned OFF, the adult vaccine is auto-scheduled for a patient only when the user manually adds the first dosage in an encounter from the Vaccination Screen.

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

Vaccine: Displays the name of the added vaccine. To add a vaccine, click the + icon, which invokes the vaccine search popup. Select the vaccine from the search list and add it to the Vaccination Screen. On selecting a vaccination, the system 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 the vaccine is added.

Note: In case of a combo vaccine, each and every constituent administered across multiple encounters is traced, and the dose count is displayed on the Schedule Tab on the Vaccination Screen.

Age Range: The Age Range applicable for that dose number.

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

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

Not In Visit: If the patient has multiple doses and the previous dose was administered at another clinic.

Not Tracked: If multiple doses are associated with the vaccine and are not administered for any reason.

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

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

Note:

1) NOT TRACKED vaccination records 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 Facesheet cell as well as from the Records Tab on the Vaccination Screen, or to display them as before.

2) In case 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, all nurses assigned to the attending doctor, or all users playing the role defined in the vaccination property vaccination.tobegiven.mailto.

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

Adm When: This is a free-text field; i.e., the user can enter a date which does not need to be an exact date (for example, "Jan 2000" is acceptable). Alternatively, the user may click the Calendar icon to select a valid date. If the CVX code is blank for a vaccine, then this field is disabled for the user to restrict administering such vaccines, and a tooltip, 'CVX code is missing', is displayed.

Administer: Click Administer to proceed with administering the vaccine. This invokes the 'Administer Vaccine' popup, where you can enter the required details.

Records Tab

The record of vaccinations administered in previous encounters is displayed on the Records Tab. Vaccinations are listed by due date in descending order. Overdue vaccinations are shown in a different color on the Facesheet to highlight them.

Note: The display of combo vaccines on the Records Tab and on the Facesheet cell of Vaccination is governed by the facesheet.vaccination.status property.

Edit button: Click the Edit button to invoke the Administer Vaccine popup and update the vaccination details. The Administer Vaccine popup, when invoked from the Edit button, displays 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 is mandatory even if the Priority Group Code dropdown is configured or the property vaccination.admin.mandatory is set. An exception to this is the CVX Code field, which remains mandatory and is displayed with a red asterisk at all times. 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 upon clicking the Ok button on the Vaccination Screen, the vaccination dosage count is automatically updated based on the Adm When date.

Action Buttons

Ok: Click the Ok button to save the details

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

History...: Click the History... button to invoke the Current Vaccination History popup, which lists the column details fetched from the Administer Vaccine popup.

Print: Click the Print button to print the Vaccination Screen details.

Hint:

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

2. Depending on the property, vaccination.schedule.for.maxyears , a maximum number of scheduled vaccines is displayed on the Vaccination Screen. If a value (in years) is set in this property, the system calculates the schedule based on the patient's current age and the value set in the property, and displays the patient's vaccination details accordingly. For example, if the patient's age is 2 years and the property has the value set to 10, then the patient's vaccinations up to the age of 12 are displayed on the Vaccination Screen. The property accepts a maximum value 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 according to the 2015 MU version. However, if the property, export.vacc.MUVersion is left blank, then the vaccination messages are exported according to the 2014 MU version.