Edit Immunization Screen

 Purpose

The Edit Immunization screen is used to view and update information on or delete an immunization that was previously recorded on a clients immunization history record.

Back to Immunization History

 Information Provided

The Edit Immunization screen displays the information held in the registry database for the immunization selected from the Immunization History screen.

The Edit Immunization screen displays a client information header titled Client Information at the top of the page. This header includes client demographics, selected tracking schedule, a scrolling list of client comments, as well as other client-distinct information.

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This form will be displayed when the current user who selected the immunization to edit belongs to the provider organization that originally entered the immunization. The Edit Immunization form contains the following information.

Field Name

Description

Vaccine Group

This field displays the vaccine group of the selected immunization and is a non-editable field.

 Vaccine Display Name

This field displays the vaccine group code of the selected immunization and is a non-editable field.

 Trade Name 

This field gives the trade name of the immunization received and is a non-editable field.

 Vaccine Lot Number 

This field displays the vaccine lot number from the site where the vaccine was taken from. The funding source of the vaccine is also displayed within this field. This is a non-editable field.

Dose Size

This field displays the amount of milliliters administered in a dose.

Dosage From Inventory

This field allows you to select the dosage from inventory for a particular immunization. This can be particularly helpful when for example you have given two pediatric doses to an adult. The default dosage from inventory is Full, with Half, 2, 3, 4 and 5 as other choices. Select an option from the list, and click the Save button to save your selection.

Partial Dose

This field allows you to specify whether the selected immunization was a "partial" immunization. "Partial" meaning something went wrong when the immunization was being given and was not administered entirely. Check the box to indicate that the dose was a "partial" dose. Click on the Save button to save your changes.

 Date Provided 

This field displays the date which the selected immunization was given to the client and is an editable field. Update this field by typing in a new date in the text box in the format MM/DD/CCYY , or click on the calendar icon to set the date.

 Ordering Authority 

This field names the clinician who had the ordering authority to let the client have the selected immunization and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.

 Administered By 

This field names the clinician who actually gave the selected immunization to the client and is an editable field. Update this field by selecting a new clinician from the corresponding pick list.

 Body Site 

This field represents the clients body site where he or she was given the immunization and is an editable field. Update this field by selecting a new body site from the pick list.

 Administered Route 

This field represents the route with which the vaccine given takes effect and is an editable field. Update this field by selecting a new administered route from the pick list.

Disregard Primary Series

This field will only be editable when a Prerequisite Override is set for a vaccine. Otherwise it will by default display 'N'. Select 'Yes' from the drop down list to enable the override or 'No' to disable the override. This option when available will allow you to disregard the primary vaccine series for the vaccine.

Dose Eligibility

This field represents the eligibility the client is covered under for the selected immunization, and is an editable field. Update this field by selecting a new dose-level eligibility from the pick list.

VIS Date For:

This field is used to display the VIS date of the form given to the client or parent by the provider organization. The system now allows the VIS date to be editable only on the day the immunization was administered. The appropriate VIS date for each antigen of a combination shot are also editable via the pick-list of VIS dates displayed. Only shots administered from inventory will display and have an editable VIS date. If the editable VIS date is for a multi-vaccine VIS, it will show all the associated vaccine groups to the right of the VIS date in the pick list.

 Entered For Site 

This field denotes the site where the vaccine inventory came from for the selected immunization and is a non-editable field.

Input Source

This field indicates how the immunization was entered into the system and the date in which it was entered. The following descriptions explain the items that may display:

Scanned - Immunization: The immunization was added using a Barcode Reader on the Immunization screen.

Scanned - Mass Vaccination: The immunization was added using a Barcode Reader on the Mass Vaccination screen.

Manual Entry - Immunization: The immunization was added manually by a user on the Immunization screen.

Manual Entry - Mass Vaccination: The immunization was added manually by a user on the Mass Vaccination screen.

Created via Flat File UI (Batch): The immunization was automatically added through a Flat File Data load.

Created via HL7 2.3.1 UI (Batch): The immunization was automatically added through an HL7 2.3.1 Data load.

Created via HL7 2.4 UI (Batch): The immunization was automatically added through an HL7 2.4 Data load.

Created via HL7 2.5.1 r1.3 UI (Batch): The immunization was automatically added through an HL7 2.5.1 revision 1.3 Data load.

Created via HL7 2.5.1 r1.4 UI (Batch): The immunization was automatically added through an HL7 2.5.1 revision 1.4 Data load.

Created via HL7 PHINMS Realtime: The immunization was automatically added through a PHINMS 2.3.1 Realtime Data load.

Created via HL7 2.4 PHINMS Realtime: The immunization was automatically added through a PHINMS 2.4 Realtime Data load.

Created via HL7 2.5.1 r1.3 PHINMS Realtime: The immunization was automatically added through a PHINMS 2.5.1 revision 1.3 Realtime Data load.

Created via HL7 2.5.1 r1.4 PHINMS Realtime: The immunization was automatically added through a PHINMS 2.5.1 revision 1.4 Realtime Data load.

Created via HL7 PHINMS Realtime: The immunization was automatically added through a PHINMS 2.3.1 Batch Data load.

Created via HL7 2.3.1 Web Service: The immunization was automatically added through a Web Service 2.3.1 Realtime Data load.

Created via HL7 2.4 Web Service: The immunization was automatically added through a Web Service 2.4 Realtime Data load.

Created via HL7 2.5.1 r1.3 Web Service: The immunization was automatically added through a Web Service 2.5.1 revision 1.3 Realtime Data load.

Created via HL7 2.5.1 r1.4 Web Service: The immunization was automatically added through a Web Service 2.5.1 revision 1.4 Realtime Data load.

Update Source

This field will be blank unless the immunization is changed once in the system. If the immunization is modified, in any way, this field will reflect the method (refer to Input Source values) along with the corresponding date of change. This field only tracks the most recent method of change and is non-editable.

School Imm Validation

The School Immunization validation section displays only when the immunization is a school-owned immunization and the user viewing the record is a non-school user.  Checking the box and clicking Save will capture the organization who determined there was not sufficient information to validate, and display that information on the screen.

 Reactions 

The reactions field displays a table listing a CDC-specified list of possible reactions for the selected immunization. Previously selected reactions will be denoted by having bold red font, and the check box in the column next to the reaction will be checked. Update the reactions table by checking or un-checking the appropriate check boxes.

Signatures Captured

This field indicates if a signature pad was used when the immunization was added to WIR.

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This screen will be displayed when the current user who selected the non historical immunization for editing does not belong to the provider organization that originally entered the immunization. The form will contain the exact same information as the Edit Immunization form, and will be displayed in the same layout.

Because the user does not belong to the provider organization that originally entered the selected immunization, none of the fields will be editable. The user will only be allowed to make entries or updates on any reactions which may have occurred.

The user will not have the option to delete the selected immunization.

At the bottom of the Non-Owned Immunization Screen contact information will be provided for the provider organization that originally entered the immunization. You are urged to contact the provider organization if there is any question about the immunization they have entered.

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This screen will be displayed when the immunization selected for editing was recorded as a historical immunization on the clients immunization history.

Because the immunization was recorded as historical, the only information fields that will be displayed are 'Vaccine Group Name', 'Vaccine Display Name', 'Trade Name', 'Vaccine Lot Number', 'Date Provided', 'Provider Org Name', and 'Reactions'. All the information fields contained in the form are editable by any user belonging to any provider organization.

Any user belonging to any provider organization will have the option to delete the selected historical immunization.

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 Functionality

Button

Description

btnSave.gif

When the Save button is clicked, all updates made to any of the editable information fields will be saved in the database for the selected immunization. After the edited information is saved, you will be returned to the Immunization History screen.

btnDelete.gif

When the Delete button is clicked, you will be prompted to make sure you want to delete the selected immunization. Click the Ok button to continue with the delete or click the Cancel button to stop this process. After the registry deletes the selected immunization from the clients history, you will be returned to the Immunization History screen.

NOTE: A new immunization can only be deleted if the user trying delete the selected immunization belongs to the provider organization that originally entered the selected new immunization. For all other users, the Delete button will be disabled.

btnCancel.gif

When the Cancel button is clicked, any changes made to the selected immunization will be lost, and you will be returned to the Immunization History screen.

btnValidate.gif

When the Validate button is clicked, the immunization becomes owned by the organization that the user was logged into when the button was clicked.  The validate button only shows up when the immunization being viewed is a school immunization, and the provider organization logged in is not a school organization.

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Notes

If you edit the Trade Name or Date Provided, the system will check for potentially duplicate immunization records. The system will either automatically resolve the case or display the Duplicate Immunization Override window. Please see the Duplicate Immunization Processing section for the Record Immunization screen. Automatic resolution could result in the system discarding the immunization you are attempting to save.

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