Receive Order Request

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Receive Order Request Screen

Purpose

The Receive Order Request screen allows the state to be able to print the order in order to submit the provider's order into VACMAN.

Information Provided

Receive Order Request Section- This section displays Organization information that is specific to the Provider Organization Ordering Vaccines as described in the table below.

Field Name	Description
Sending Site	Displays the Sending Site for the Order.
VFC Pin	Displays the VFC Pin for the Provider Organization.
Initiating Organization	Displays the Provider Organization that started the Order.
Initiating User	Displays the User that started the Order.
Org Phone	Displays the Provider Organization that started the Order's phone number.
Org Fax	Displays the Provider Organization that started the Order's fax number.
Order Date	Displays the Date that the Order was Started.
Order Status	Displays the Status of the Order.
Delivery Contact	Displays the Name of the Delivery Contact for the Provider Organization starting the Order.
Delivery Address	Displays the Delivery Address specified for the Provider Organization starting the Order.
Delivery Days/Hours	Displays the Delivery Days and Hours for the Provider Organization starting the Order.

Vaccine Specific Order Information Table Sections- This section is divided into 2 separate sections as described below.
- Vaccine Section

Column Name	Description
Vaccine	Displays Vaccine Name (Trade Name - Manufacturer) for the vaccine that was selected to be ordered.
Total Quantity	Displays the doses ordered by the ordering organization.
Deny	Displays a check box in order to deny the vaccine from being ordered by that organization.

Column Name	Description
Quantity	Displays text boxes to enter the quantity of the trade name to order for the Order.
Group	Displays the vaccine group(s) of the trade name in the row.
Tradename	Displays the trade name for the package description NDC in the row.
Man. Code	Displays the Manufacturer Code for the package description NDC in the row.
Package Description	Displays the Package Description for the NDC in the row.
Order in Multiples of	Displays the quantity of vaccine that come in the package in the row.

Command Button Functionality

Button	Description
	Clicking the Save button will return the user to the manage orders screen.
	Clicking the Print Order button will display the Order Confirmation screen in order for the user to Print the Order Information.
	Clicking the Modify Order button will display the Modify Order screen in order for the user to Edit the Order.
	Clicking the Modify Order button will display the Modify Order screen in order for the user to Edit the Order.