We are currently updating the OP Help Center content for the release of OP 14.19 or OP 19. OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Charting: Refuse a Vaccine

Version 14.19


The steps below instruct on how to document a vaccine refusal when charting. 

Warning: Selecting a vaccine refusal will discontinue the vaccines forecast. If you want the vaccine to continue to forecast select Defer.
  1. Access the patient's chart from the Clinical, Practice Management, or Billing tab.
  2. Create or open a well visit or encounter note.
  3. Select Plan/Orders.
  4. Click the Imm tab.
  5. Select the radio button in the Ref column for the vaccine which is being refused.
  6. Click the Create button.
Note: You may also click the Do Now button and the Refuse/Defer Vaccine window will display.
  1. The Refuse/Defer Vaccine window displays.

  1. Complete the below fields.
  • Reason: Select a radio button to indicate the reason for refusing the vaccine.
  • Details: Click the dropdown arrow and select from the list.
  • Vaccine: Will populate with the vaccine chosen in the Plan/Orders window.
  • Comments: Type additional comments, if necessary.
  • Create consent task for refusal/deferral: Click the checkbox to create a task for a refusal consent form, if this is your practice policy.
  1. Click Save.
  2. Confirmation window displays to create the immunization tasks, click OK.

A task will be created to complete the vaccine refusal consent form if the checkbox was selected on the Refuse/Defer Vaccine window.

Re-forecast a Refused Vaccine

Once a vaccine is marked as refused the vaccine will not forecast. If you wish to begin forecasting the vaccine you must delete the refusal following the below steps. the deletion of the vaccine refusal will be recorded in the Audit Trail.

  1. Access the patient's chart from the Clinical, Practice Management, or Billing tab.
  2. Select Immunizations.
  3. Click the Complete List tab.
  4. Highlight the vaccine that was refused, click the Delete button.