At a Glance
Context for recommended immunizations not given
The system SHALL provide the ability to capture and output (documentation and display) vaccine doses that have been recommended by the system but not ordered or administered (including the date of recommendation) and reason for not ordering or administering.
Document deferral of vaccine for intercurrent illness: There are many possible reasons for deferring a recommended dose. For example, a provider could defer a vaccine dose for a patient due to an intercurrent illness. The provider would generally want to document that reason.
Document parent refusal or deferral of vaccine dose: Sometimes a provider orders a vaccine dose for a patient, but the parent refuses or defers. The provider or nurse would generally want to document the refusal/deferral, along with explanatory context.
Document vaccine recently given elsewhere: When a provider orders a vaccine dose for a patient but the parent gives a history of that vaccine having been given recently, the vaccine shouldn't be readministered. The provider would generally want to document that reason.
Premature vaccine dose: When a provider orders (or attempts to order a vaccine dose for a patient, but it is too soon for the next dose, the provider needs to be informed about the discrepancy between the order and the system recommendation. If the dose is nevertheless administered, the provider would generally want to be able to document the reason.