Below you will find the table for the fields and definitions found when selecting the New or Edit buttons from the Complete List tab of a child's immunization record.
| Field | Definition |
|---|---|
| Date given | Click the drop-down and select from the calendar or click into the field and type the date vaccinated. |
| Time vaccinated | Use the up and down arrow to enter a time or click into the field and type the time vaccinated. |
| Vaccine | Click the drop-down arrow and select from the list or begin typing the vaccine name and select. When a vaccine is chosen the following fields will populate, Dose vol / UOM and Product description. |
| VFC eligibility | Click the drop-down and select from the list. |
| Route | Click the drop-down and select from the list. |
| Body site | Click the drop-down and select from the list. |
| Vaccinator | Click the drop-down and select from the list of staff entered in the staff/provider directory. When you enter or edit historic vaccines this field will remain blank. |
| Dose vol / UOM | Click into the fields and enter the dose and unit of measurement. The information in the fields populates from the vaccine information in the Vaccine Products table. |
| VIS description | Will populate with the VIS description for the VIS sheet associated when the vaccine was administered. |
| VIS publish date | Will populate with the VIS publication date for the VIS sheet associated when the vaccine was administered. |
| VIS discussion | Will populate with the VIS counseling discussion for the VIS sheet associated when the vaccine was administered. |
| Source | Click the drop-down and select from the list. The source selection is used to indicate where the information originated for historic vaccine entry. When a vaccine is administered by the practice the field is unavailable to change. Not available when choosing edit on administered or imported vaccines from the registry. |
| Administered at facility | If known, you may type the facility name of where the vaccine was administered. Not available when choosing edit on administered or imported vaccines from the registry. |
| Administered at facility address | If known, you may type the facility address of where the vaccine was administered. Not available when choosing edit on administered or imported vaccines from the registry. |
| Outside administered by | If known, you may type the name of the outside source who administered the vaccine. Not available when choosing edit on administered or imported vaccines from the registry. |
| Outside ordered by: | If known, you may type the name of the outside source who ordered the vaccine.Not available when choosing edit on administered or imported vaccines from the registry. |
| Outside entered by: | If known, you may type the name of the outside source who originally entered the vaccine in the child's record. Not available when choosing edit on administered or imported vaccines from the registry. |
| Status | Click the drop-down arrow and select from the list. New vaccine: The following selections are available, Complete and Partially Administered Edit Vaccine: The following selections are available, Refused, Deferred, Complete, Partially Administered |
| Comments | Click into the field and type additional information about the vacine. |
| Do not forecast | Click the checkbox if the vaccine should no longer be forecasted, example: vaccines administered prior to bone marrow transplant |
| Manufacturer | Click the drop-down and select the vaccine manufacturer from the list. Not available when choosing edit on administered or imported vaccines from the registry. For Administered vaccines, this data is linked to the Lot Number inventory. |
| Lot number | If adding a new vaccine, enter the lot number, if known. If editing a vaccine, that was administered by the practice, click the drop-down and select from the list. OP will adjust the inventory and increment the used by 1 for the lot number chosen. In addition, the original lot number will be decreased by 1. Follow your practice policy if the original lot vaccine was wasted. |
| Expiration date | Click the drop-down and select from the calendar or enter the vaccine expiration date in the field. Not available when choosing edit on administered or imported vaccines from the registry. For Administered vaccines, this data is linked to the Lot Number inventory. |
| NDCID | If known, click into the field and enter the NDCID. Not available when choosing edit on administered or imported vaccines from the registry. For Administered vaccines, this data is linked to the Lot Number inventory. |
| Product description | If known, enter a product description. Not available when choosing edit on administered or imported vaccines from the registry. For Administered vaccines, this data is linked to the Lot Number inventory. |
| Adverse event date | Click the drop-down arrow and select from the calenar or enter the adverse event date in the field. |
| VAERS injury type | Click the drop-down arrow and select from the list. |
| Adverse event notes | This is a required field If an adverse event date is entered. Click into the field and type information relating to the adverse reaction to the vaccine. |
