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Patient Comment(s) Section |
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Purpose |
The Patient Comment(s) section is used to display, add, delete, or update any comments associated with a patient.
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Information Provided |
Adding Comments - This section describes how to add on a comment to a patient record. Read the following instructions for an explanation on how to do this.
At the bottom of the patient comments section, click on the 'Patient Comment' pick list to display the available comments.
Select a comment from the list.
You may enter a 'Start Date' if you wish. This would be a date that applies to the comment. Although this is not a required field, if it is not entered with a contraindication comment the vaccine group that is contraindicated will still be recommended.
You may enter a 'End Date' if you wish. This would be a date that the comment ends. Although this is not a required field.
To add additional comments click on the Add Comment button to add the current selection and select a new comment.
You must save the record to save any added comments. Click on the Save button in the upper right hand corner to save the record with the new comments.
Deleting Comments - This section describes how to delete an unwanted or incorrect comment. Read the following instructions for an explanation on how to do this.
The comment you would like to delete is listed in the patient comments Section.
Click on the 'Select' circle next to the comment you would like to delete to select it.
The information for the comment will appear at the bottom of the screen.
Next click on the Remove button to delete the comment.
You must save the record to save any deleted comments. Click on the Save button in the upper right hand corner to save the record.
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Required Fields |
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Field Name |
Description |
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Patient Comment |
This is an immunization-related comment. Assign or change a patient comment using the Patient Comment pick list. The patient comment list is derived from a pre-selected list. Free-text patient comments are not supported by the system. |
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Other Fields |
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Field Name |
Description |
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Start Date |
This is the date which the selected comment applies to. Assign or change the start date by typing the desired date into the Start Date text box using the format MM/DD/YYYY, or click on the calendar icon to set the date. |
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End Date |
This is the date which the selected comment ends. Assign or change the end date by typing the desired date into the End Date text box using the format MM/DD/YYYY, or click on the calendar icon to set the date. |
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Contraindications |
There can be repercussions when patients get assigned certain comments. This is known in the system as a contraindication. Contraindications affect the interactive relationship between the immunizations the patient have received and the recommended immunizations from the patient’s selected tracking schedule.
When a certain type of vaccine is contraindicated because of an assigned comment that vaccine should not be given to the patient. The contraindication will display "Contraindicated" on the Immunization History screens recommendation section for any vaccine it is associated with and the current date falls on or in between the comments start date and end date.
In certain cases when an immunity is selected as a comment and when the Applies-to Date is set, any vaccine group that is contraindicated by the selected comment will show “IMMUNE to <antigen name>” in the recommendation section on the Immunization History screen.
It is imperative to check a patient’s record for assigned comments before giving them any immunizations.
Contraindications are taken into consideration with the Reminder/Recall report and the Missed Opportunities report of the Assessment report as well.
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Notes |
Refusal of All Childhood Vaccines
The selection of 'Refusal of All Childhood Vaccines' from the pick-list will systematically save the following patient comments to the patient record:
Refusal of DT/aP
Refusal of HepB
Refusal of Hib
Refusal of MMR
Refusal of Pneumococcal
Refusal of Polio
Refusal of Varicella
Refusal of Influenza
Refusal of HepA
Refusal of Rotavirus
Refusal of HPV
Record Multiple Refusal
The ability to record multiple refusals of the same vaccine group is available, provided each refusal has its own applies-to date. Attempting to record two refusals for the same vaccine group with the same applies-to date will only save one. Also, attempting to record two refusals for the same vaccine group, one with an applies-to date and the other without, then just the one with the applies-to date will save.