Student Immunization History

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Student Immunization History Screen

Purpose

The Student Immunization History screen displays a students immunization history and provides immunization recommendations based on the selected tracking schedule. From this screen, a user is also able to select and add the student to a specific student list. This will allow users to run reports for that student.

Information Provided

Student Information Section
Reports Section
Student Immunization History Section
Recommended Vaccinations Section

Command Button Functionality
Schedule Explanation Screen

Information Provided

Student Information Section - The Student Immunization History screen displays a student information header at the top of the page. This header includes the following information described in the table below.

Field	Description
Student Name (First - MI - Last)	This field will display the student's first name, middle name, and last name.
DOB	This field will display the student's date of birth.
Gender	This field will display the student's gender.
Tracking Schedule	This field displays the patient's Immunization Tracking Schedule that is being used on the Student Immunization History screen. This field displays as a pick list that displays the ACIP and school schedules and when selected will refresh the Student Immunization History screen to evaluate and recommend the student according to the selected schedule.
Current Age	Displays the student's current age in years, months, and days. Example 1 year, 2 months, 3 days

Reports Section - This section allows the user to add the student to a school list.
- A student can only be associated to a single school list one time.
- A student can be associated to many different school lists.
- Adding a student to a student list.
- - Select the student list from the pick a report list pick list displayed in this section.
  - Click the Add this Student to a Report List hyperlink in order to add the student to list that was selected in the Pick a Report List pick list.

Student Immunization History - This section lists all vaccinations the selected student 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 dose rule applied to the selected dose for that vaccine series.
Series	This column denotes the status of the dose associated with the vaccine group. A sequence number along with the total number of doses within the immunization series displays for valid immunizations. An example is (1 of 4) with the 1 being the dose number of the immunization and the 4 being the total number of doses within the immunization series. NOT VALID will display if the dose given for the immunization series was not considered to be valid within the immunization series tracking schedule rules.
Vaccine [Trade Name]	This column displays Vaccine only if a Trade Name was not specified for the Vaccine that was administered, otherwise this column displays Vaccine and Trade Name if a Trade Name was specified for the Vaccine that was administered.
Dose	This column displays the dose magnitude. 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: If a single pediatric dose were administered to a child, the Dose column would display 'Full'. If two pediatric doses were administered to an adult, the Dose column would display the number '2'. If half of the usual adult formulation of a dose were given to a child, the Dose column would display 'Half'. 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'.
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.

Recommended Vaccinations - The Vaccines Recommended by Selected Tracking Schedule table displays the recommended vaccinations and corresponding dates for the selected patient based on the selected tracking schedule. The vaccine group list appearing in this table represents all vaccinations included in the tracking schedule recommended for this patient. The table columns are defined as follows:

Column Name	Description
Vaccine Group	This column gives the recommended vaccine group name. Click on the vaccine group hyperlink to view the "Explanation of Dose Status" popup for that particular vaccine recommendation. This popup window displays the tracking schedule rules applied to the selected recommendation for that series.
Vaccine	This column gives the Vaccine that was administered.
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 columns in the Vaccines Recommended by Selected Tracking Schedule table can be shaded with color for emphasis. The colors applied to the columns within the table are defined as follows:

Color	Description
	The Vaccine Group column will display vaccine groups with a green background when the vaccine group is on or after the Recommended Date.
	The Recommended Date column will display dates with a green background when today's date is on or after the Recommended Date and before the Past Due Date.
	The Past Due Date column will display dates with a green background when today's date is on or after the Past Due Date.
	A status bar displays with a dark grey background in the Earliest Date, Recommended Date and Past Due Date for the following scenarios. 'Complete' displays when the patient is complete for the specific vaccine group. 'Contraindicated' displays when the patient has a contraindicated comment associated with the patient for the specific vaccine group. 'Maximum Age Exceeded' displays when the patient has exceeded the maximum age for the specific vaccine group. 'Maximum Doses Met or Exceeded for Vaccine Group' displays when the patient has exceeded the maximum number of doses that can be given for the specific vaccine group. 'Immunity Recorded for Vaccine Group' displays when the patient has an immunity comment associated with the patient for the specific vaccine group. 'Medical Exemption' displays when the patient has a Medical Exemption comment associated with the patient for the specific vaccine group.

Command Button Functionality

Command Button	Description
	Clicking the Yellow Card button will display the Yellow Card report for the student.
	Clicking the Blue Card button will display the Blue Card report for the student.
	Clicking the Print Confidential button the user will be taken to a screen where only the patient's 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 patient's 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 patient's record.
	Clicking the Cancel button no changes will be saved and the user will return to the Find Student screen.

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, if a user is wondering why a dose of DTaP is marked as Not Valid. When clicking 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.