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Client Comment(s) Tab |
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Purpose |
The Client Comment(s) tab is used to display, add, delete, or update any comments associated with a client.
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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 client comments tab, click on the 'Client Comment' pick list to display the available comments.
Select a comment from the list.
You may enter an 'Applies-To Date' if you wish. This would be a date that applies to the comment. Although this is not a required field.
To add additional comments click on the Next 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.
Editing Comments
This section describes how to edit or update existing client comments. Read the following instructions for an explanation on how to do this.
The comment you would like to update is listed in the client comments tab.
Click on the 'Select' circle next to the comment you would like to update to select it.
The information for the comment will appear at the bottom of the screen.
Now you can either select a different comment from the 'Client Comment' pick list or change the 'Applies-To Date' if there is one.
To add additional comments click on the Next button to add the current selection and select a new comment.
You must save the record to save any updated or added comments. Click on the Save button in the upper right hand corner to save the record with the updated/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 client comments tab.
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 Delete 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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Client Comment |
This is an immunization-related comment. Assign or change a client comment using the 'Client Comment' pick list. The client comment list is derived from a pre-select, CDC-standardized list. Free-text client comments are not supported by the registry. The client comments are visible at the top of the Immunization History, Edit Immunization, Pre-Select Immunization, and Record Immunization screens. Also, when using the Print button on the immunization history page, the comments are displayed on separate lines in the Comments box. *Note* |
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Other Fields |
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Field Name |
Description |
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Applies-to Date |
This is the date which the selected comment applies to. Assign or change the applies-to date by typing the desired date into the 'Applies-to Date' text box using the format MM/DD/CCYY, or click on the calendar icon to set the date. |
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Refusal Owner |
For refusal comments, this field indicates the organization which owns the refusal. In general, you may only edit or delete a refusal if you are logged into the organization which owns it. In the case of parent and child organizations, you may edit a refusal that belongs to any parent or child in your family of organizations. If the Division of Public Health owns the refusal, than any organization may edit it. |
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School Comment Owner |
For comments entered by a school, this field indicates the school which owns the comment. |
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Contraindications |
There can be repercussions when clients get assigned certain comments. This is known in the registry as a contraindication. Contraindications affect the interactive relationship between the immunizations the client receives and the recommended immunizations from the clients selected tracking schedule.
When a certain type of vaccine is contraindicated because of an assigned comment, that vaccine should not be given to the client. The contraindication will display "Contraindicated" on the Immunization History screens recommendation section for any vaccine it is associated with.
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 clients record for assigned comments before giving them any immunizations.
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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 client comments to the client 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 Refusals
You now have the ability to record multiple refusals of the same vaccine group, provided you give each refusal its own applies-to date. If you attempt to record two refusals for the same vaccine group with the same applies-to date, then the system will only file one. Also, if you attempt 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 file.
School Users and Non-School Comments
A comment originally entered by a non-school provider can not be modified or deleted by a user logged in as a school organization.
School Comments
Comments shown with dark grey highlighting and yellow text are school entered immunizations.
School entered immunizations can only be seen by a non-school user if there is a FERPA Release on file for the client.