Immunizations

Immunizations is available in the following encounter types: Exam, Multi-System, Historical, Immunization, Procedure, Reconciliation, Telephone, and Urgent Care.

• The vaccine administration selection list items for Serum, Dosage, Route, Site, and Reaction can be customized by the Clinic Administrator by going to Tools > Preferences > CLINIC > Clinic Wide Form Data > Begin Edit and selecting Immunizations from the Tab list
• The PPD vaccine selection list items for Result, Induration, and Action can be customized by the Clinic Administrator by going to Tools > Preferences > CLINIC > Clinic Wide Form Data > Begin Edit and selecting Immunizations from the Tab list
• The display order for documented immunizations can be set by the Clinic Administrator by going to Tools > Preferences > CLINIC > Clinic Settings: Display and selecting Ascending or Descending for Immunizations by Date
• If using a barcode scanner to scan vaccine vials, see Sevocity's System Requirements page for product specifications and guidance on compatible barcode scanners

The Immunizations tab is comprised of three subtabs:

• 0 to 2: displays the CDC Centers for Disease Control and Prevention immunization schedule for patients ages 0 to 2 years
  • Includes supplemental documentation sections for Influenza, PPD, Pneumococcal (PPV), COVID-19, and Other immunizations
• 2 to 18: displays the CDC immunization schedule for patients ages 2 to 18 years
  • Includes supplemental documentation sections for Influenza, PPD, Pneumococcal (PPV), COVID-19,, and Other immunizations
• Adult: displays recommended immunizations for patients over 18 years of age

Upon clicking the Immunization tab, the correct subtab displays based on the patient age.

• Immunizations Up To Date: selecting this checkbox adds the statement “Immunizations Up to Date” in the Immunizations section on the encounter note
• Ordering Provider: displays a selection list of all providers at the clinic. For clinics with only one provider, the field is automatically populated with the provider's name
  • Clinics with a state immunization interface are required to select an Ordering Provider for any vaccines administered at the clinic
• Legend: color codes the scheduled immunization buttons to communicate administration status
  • Displays in the 0 to 2 and 2 to 18 subtabs only
  • Positioning the cursor over an immunization documented as Not Given displays the reason the dose was not given and the date it was documented
• VFC Status: displays a selection list of eligibility statuses for the Vaccines for Children Program
  • Displays for clinics with a state immunization interface
  • Displays in the 0 to 2 and 2 to 18 subtabs only
• VIS: clicking this button displays all available Vaccine Information Statements to view or print
• Hx/Forecast: clicking this button provides a patient’s immunization histories and forecasts
  • Displays for clinics with an immunization interface that provides history and forecast information

Immunizations can only be documented on the day of the encounter. Users who attempt to add a vaccine administration record in an encounter set to a future date will only be able to add a Historic immunization record.

1. Go to Encounter > Immunizations

2. For 0-2 and 2-18, click the scheduled immunization button

   For Adult, click Add next to the immunization name

3. Populate all the fields in the Serum section by scanning the vaccine vial or by manual entry

   1. To scan the vaccine vial, click the Scan 2D Barcode button and scan the vial when prompted:

      

   2. If populating the fields manually, the NDC ID selection list and Manufacturer name automatically populate based on the Tradename selected
4. Populate the applicable fields in the Administration section
   1. Date defaults to the encounter date but can be updated
   2. Given By defaults to the logged in user but a different user can be selected
5. Optional: click VIS to view or print the Vaccine Information Statement for the vaccine
   1. Clicking Preview or Print for the VIS will automatically select the Education provided on: checkbox and populate the encounter date in the date field and populate the VIS Pub. Date
6. Click Save

1. Go to Encounter > Immunizations

2. For 0-2 and 2-18, click the scheduled immunization button

   For Adult, click Add next to the immunization name

3. Select the Historic checkbox
4. Populate the date the immunization was given in the Date field of the Administration section
5. Optional: for historical Influenza immunizations, select a location from the Received At list
6. Click Save

1. Go to Encounter > Immunizations

2. For 0-2 and 2-18, click the scheduled immunization button

   For Adult, click Add next to the immunization name

3. Update the Date field in the Administration section if needed
4. Select a reason from the Dose Not Given list in the Administration section
5. Click Save

A patient reaction to an administered vaccine is documented in the original administration record. The reaction can be updated within the same encounter or in a subsequent encounter.

1. Go to Encounter > Immunizations

2. For 0-2 and 2-18, click the scheduled immunization button that contains the administration information

   For Adult, select the documented immunization and click Change

3. Select a description from the Reaction list or click Custom, type a reaction description, and click Save
4. Optional: populate the Reaction Date/Time and type a Note
5. Click Save

After documenting the administration of a PPD skin test, the Results button becomes enabled.

1. Go to Encounter > Immunizations
2. Select the PPD skin test record and click Results
3. The PPD Read on Date defaults to the encounter date but can be updated
4. Document one or more of the following fields:
   • PPD Result
   • PPD Induration
   • PPD Action
   • PPD Read By
   • PPD Note
5. Click Save