Immunizations

The AWARDS Medical module Immunizations feature is an optional database enhancement that enables users to maintain, and view reports of, client immunization information.

  NOTE: Immunizations information can also be accessed from within individual client face sheets if the face sheet has been configured to allow users to do so.  Please keep in mind that any changes made to immunization info via the Medical module are reflected within the face sheet, and vice versa.  

Required Permissions 

Because the Immunizations feature is optional, it is not automatically available in all databases.  When requested, it is turned on behind-the-scenes in AWARDS for individual program types.  (Contact the Help Desk to provide access to specific types of programs in your AWARDS database.) 

Staff in programs of the types for which the Immunizations feature has been turned on must have the following permissions in order to use it:

Program Chart Access
Display Any Chart Records Buttons
Display Chart Records Medical Button
Display Chart Records Profile Button (optional - to work with immunization info from within client face sheets if the face sheet has been configured to allow it)

  NOTE: Permissions are assigned using the Permissions Maintenance feature.  If you do not have access to that feature and need a permission listed here, please contact your supervisor or your local Help Desk for assistance.

Click-by-Click Instructions 

 

Working with Immunization Records -  Learn to enter, update, and delete immunization records.

To enter, update, or delete an immunization record, complete the following steps from the AWARDS Home screen:

    1. Click Charts from the left-hand menu, and then click Medical.  The Medical fly-out menu is displayed.
    2. Click Immunizations.  The Immunizations index page is displayed.

    1. Click the Program drop-down arrow and select the program associated with the client for whom an immunization record is to be worked with.
    2. Click the Client drop-down arrow and select the client for whom immunization information is to be worked with. 

  TIP: If the immunization record to be worked with is for a former (discharged) client, first click the Archives toggle to the right of the client selection option.

The index page is automatically refreshed to display any existing immunization records for the selected client.

  TIP: When working on the index page, records are easily accessible using the following tools and navigation features:

Sorting options - Records in the index are sorted chronologically on the page by default.  Click a column header in the data table to sort the index by a different type of data.  Click the heading again to reverse the sort.

Navigation options - 10 records are displayed on the page by default.  To access records on subsequent pages of the index (when applicable), click the arrows in the bottom-right corner of the table.  To display 25 or 50 records at a time, click the Show drop-down to the left of the record count, also in the bottom-right corner, and make a selection.

Once you select records on the index, a count of how many total records are selected is displayed in the action bar. Selections are maintained while moving from one page of the index to the next; meaning, you can select records on the first page (showing records 1-10 by default) and move to the next page (displaying records 11-20) without losing the selections made on the first page. Links for Show all selected records and Uncheck All are available beneath the index table for easy navigation.

Search and filtering options - A Search field is available on the action bar along with a corresponding Filter by drop-down list.  To search the contents of the index (including those records not currently displayed on the page), enter a value in the Search field.  The index is automatically updated as you type.  To further narrow your search, use the Filter by selection to indicate whether the search should look at data in "All Columns" (the default) or a specific column.

ReporBuilder access - The Immunizations ReportBuilder link on the left-hand menu bar provides a shortcut to access the ReportBuilder for this feature.  For instructions on using that ReportBuilder, see below.

    1. At this time, complete one or more of the following tasks as needed:

   Add a new immunization record - To do so, click the add new icon from the action bar above the immunizations table.  A new data entry page is displayed.  Configure the fields and options on this page as necessary, and then click Save.  The immunization record is saved, and a confirmation page is displayed.

  TIP: For more information on each field/option available on the data entry page, see below.

   Update an existing immunization record - To do so, click the record to be updated, or click the checkbox to the left of that record and then click the edit icon from the action bar above the immunization table.  The data entry page is displayed.  Make changes to the information on this page as needed, and then click Save.  The immunization record is saved, and a confirmation page is displayed.

  TIP: For more information on each field/option available on the data entry page, see below.

   View or print an existing immunization record - To do so, click the checkbox to the left the record to be viewed/printed, and then click the view icon from the action bar above the immunization table.  A read-only version of the record is displayed and can be printed as needed using your browser's print option.

   Delete an existing immunization record - To do so, click the checkbox(es) to the left of the record(s) to be deleted, and then click the delete icon from the action bar above the immunization table.  A confirmation message is displayed.  Click OK to proceed with the deletion.  The selected record(s) are deleted and the updated index is displayed.

   Return to the Immunizations index - To do so, click the To Index icon from the action bar while working in an immunization record to return to the index page.  You can also return to the index page at any time by clicking Immunizations from the breadcrumbs trail below the AWARDS navigation bar.

The process of working with immunization information is now complete.

 

 

Using the Immunizations ReportBuilder - Learn to generate customized reports of immunization information along with basic client demographics.

 

The AWARDS Immunizations ReportBuilder can be used to generate customized reports of immunization record information, along with basic client demographic data.  To generate and save an Immunizations ReportBuilder report that can be re-run in the future, to generate a single-use report, or to use and/or update an existing report format to generate a report, complete the following steps from the AWARDS Home screen:

  TIP: The following instructions detail accessing the Immunizations ReportBuilder from directly within the Medical module.  When doing so, the report can only be run for one program at a time.  To run the report for a group of programs instead, do so from within the Reports module.

  1. Click Charts from the left-hand menu, and then click Medical.  The Medical fly-out menu is displayed.
  2. Click Immunizations.  The Immunizations index page is displayed.

  1. Click the Program drop-down arrow in the upper-right corner and select the program for which the report is to be run.
  2. Click Immunizations ReportBuilder from the left-hand menu.  The Settings page is displayed.
  3. Click the Roster Date Range drop-down arrow and choose which clients are to be included in the report based on their program history.  Available selections are:

  In Program - When this option is selected the report will only include clients with program history records indicating they were enrolled in the program at some point during the specified date range.  This selection is recommended if you will be narrowing the report contents using multiple date range filters (set in step 15).

  NOTE: In this context, clients who were enrolled in the program include those who entered the program on or before the report "To" date, those who were discharged from the program on or after the report "From" date, and those who were enrolled in the program for the entirety of the report period.

  In Program Including Pending Clients - When this option is selected the report will include admitted and pending clients - those with an admission date OR intake date, respectively, prior to the report end date, and no discharge date (or no discharge date within the date range).

  NOTE: Pending clients are clients in a multi-step intake program who have had an intake processed but who are not yet fully admitted - or clients for whom a room reservation has been made.  Programs using Drop In functionality also create clients designated as pending. 

  Admitted - When this option is selected the report will only include clients with program history records indicating they were admitted to the program at some point during the specified date range.

  Admitted or Transferred In - This option is available in databases that are set up to use the Transfers module.  When this option is selected the report includes clients with program history records indicating they were either admitted to the program (via the Intake/Admission module) or transferred into the program (via the Transfers module) at some point during the specified date range.

  Discharged - When this option is selected the report will only include clients with program history records indicating they were discharged from the program at some point during the specified date range.  Current program episodes will not be included.

  Discharged or Transferred Out - This option is available in databases that are set up to use the Transfers module.  When selected the report includes clients with program history records indicating they were either discharged from the program (via the Discharge module) or transferred out of the program (via the Transfers module) at some point during the specified date range.

  NOTE: In the event that you are creating a new report format that will be saved, please be aware that the selection you make here is not saved with the report.  It, along with the date ranges specified in steps 6 and 8, must be set each time the report is run.

  1. By default both Date Range fields contain today's date to include in the report only those clients on the current roster.  If necessary, make changes to that default date range using the available From and To fields/date pickers.  When doing so please keep in mind that a two year period of your choosing is the maximum length of time for which the report can be run.
  2. By default the report contents include all clients with records matching the report settings; any client without records matching those settings is excluded.  If necessary, click one of the other Client radio buttons to make an adjustment to the included clients.  Available selections are:

  Clients with Records - The default.  As noted above, includes in the report all clients with records matching the report settings, and excludes those that do not match.

  All Clients - Includes in the report all clients on the program roster, whether or not they have records that match the report settings.  Those without matches will display "--" for data variables in the report where there is not a matching record.

  Select Client - Limits report contents to those records for a single client only, if records are found for that client that match the report settings.  When selected, use the corresponding drop-down (automatically displayed when "Select Client" is clicked) to choose the client for whom the report is to be generated. (The selection list is limited to those clients matching the roster date range settings selected in previous steps.)

  1. For the clients included in the report, contents are limited to records for immunizations given at some point during the date range specified using the Immunization Dates fields on this page.  By default that date range is set to report immunizations given in the last month.  If necessary, make changes to that default date range using the available From and To fields/date pickers.  When doing so please keep in mind that a two year period of your choosing is the maximum length of time for which the report can be run.
  2. Leave the Provide ExportBuilder Options checkbox unchecked.  It is NOT relevant to report generation.

  NOTE: This option is used to provide access to an ExportBuilder corresponding to the ReportBuilder with which you are working.  AWARDS ExportBuilders - which are designed for use by individuals who are familiar with export files and formats, their design, and setup - harness the power of ReportBuilder functionality and take it a step further to meet a variety of outside reporting needs.  With ExportBuilders, users can create customized data reports as they would with the ReportBuilder itself, and from those reports generate export files of a number of different types - CSV, TXT, XLS, or XML.  Exported files can be saved to your computer, then uploaded into other data collection systems and/or worked with in other applications as needed.  Additionally, as can be done with ReportBuilders, ExportBuilder formats can be saved and shared for future use.

The instructions provided here detail use of the Immunizations ReportBuilder only, not the corresponding ExportBuilder.  For more information on using ExportBuilders, click here.

  1. If you would like the report (both its content and an Excel file version) to be sent to your AWARDS Messages module upon its completion, click the Send in AWARDS Message checkbox.  When this option is selected, you need not wait for the report to generate, and can navigate away from the ReportBuilder after finishing the configuration process (in step 12 or 19) - this can be a time-saver, especially when working with reports containing large amounts of data that might otherwise take a while to display in AWARDS.

  NOTE: When using this option the report will remain in your messages for one month, after which time it will be deleted.  (The exact date of deletion will be displayed in red at the top of the report message for your reference.)  If you know you will need the report content after that time, be sure to download the Excel file (Excel File.zip) or HTML content (Report Content.html) attached to the report message.  If you don't download one of these attachments before the message is deleted, you will need to manually re-generate the report if you need access to it in the future.

  1. Use the Select a saved report format drop-down options at the bottom of the page to specify whether you will be generating the report from scratch or using a previously saved report format.  Available choices are to:

  Use a previously saved report format - To generate the report using a previously created and saved format, select that format from this drop-down.  When using this method, you can immediately generate the report without changing any settings.  Alternately, you can first review and modify the settings of the format by checking off the available Provide option to modify settings of saved report format checkbox.

  Start from scratch, without using a previously saved report format - To create your own report format for single-time use or for saving and later re-use, leave the saved report format drop-down blank.

  NOTE: If you (or another user) have previously saved a default report format for this ReportBuilder and program, that format is pre-selected here.  Make changes to the selection as needed, or leave it at its default value.

  1. Click CONTINUE.

If you are using an existing report format and have NOT chosen to view/modify the settings of that format, you are now taken directly to the report page.  Continue with step 20.

  NOTE: If you chose to send the report to yourself via the Messages module (in step 10), a notice is first displayed on the page to let you know that report generation is in process and that the report will be sent to your Messages module upon completion.  You can then navigate away from the page, or wait for the report to complete and then proceed with step 20.   If you did NOT set that option, you can do so now by clicking Send to AWARDS Messages.   

In all other instances, the Options page is displayed.  Continue with step 13.

 

  1. The Options page contains a list of  grouped by type, and includes sections for "Demographics," "Immunizations," and "Observations."  

  NOTE: A section for "Date Parts" - common to all ReportBuilders that have date variables available for selection - is also included on this page.  It is intended to allow for greater flexibility of reporting around dates; for example, giving you the option to report out on a month as either a number (1) or a written month (January).

Click the checkbox next to each variable to be included in the report, and/or use the available Check All options as needed.

  1. Click CONTINUE.  The Report Options - Continued page is displayed.
  2. Configure the options in the "Filter Options" portion of the page as necessary to adjust the scope of the report contents.  Set the "Show Individual Detail" and/or "Summary Tables" options to adjust the way in which the contents are displayed.

  TIP: Individual detail report options and/or summary table selections must be set before the report can be generated.

  1. To save the report settings so that this report can easily be re-run in the future, click SAVE REPORT FORMAT.  The Save Report Format dialog box is displayed.

  TIP: If it is not necessary to save the report format and you wish only to view the report contents, please skip to step 19

  1. Configure the fields and options on this dialog box to indicate the specifics of how the format should be saved.

  TIP: For more information on using the save report format options, please click here

  1. Click Save Report Format.  The report format is saved and the Report Options - Continued page is re-displayed.
  2. Click DISPLAY REPORT.  The report is generated and displayed on the ReportBuilder page.

  NOTE: If you chose to send the report to yourself via the Messages module (in step 10), a notice is displayed on the page to let you know that report generation is in process and that the report will be sent to your Messages module upon completion.  You can then navigate away from the page, or wait for the report to complete, and then proceed with step 20. If you did NOT set that option, you can do so now by clicking Send to AWARDS Messages.   

  1. At this time individual detail and/or summary table content can be hidden or sorted as needed.  The report can also be printed or exported to Microsoft Excel.  For more information on working with ReportBuilder report contents, please click here

  NOTE: When working with report data, please keep in mind that when a report is long enough to require you to scroll down the page to view all of its content, the header row of the data table (individual detail and/or summary) "freezes" at the top of the page.  Similarly, when printing a report that covers more than one page, the header row of any tables split between pages is shown at the top of each page. 

The process of generating an Immunizations ReportBuilder report is now complete.

A Closer Look @ Fields & Options 

  NOTE: A gear icon  next to a field or option in this list indicates that it is either optional (and therefore not automatically available in all AWARDS databases), or that some aspect of it (for example drop-down selections) is configurable.  For more information on the ways in which this data entry page can be configured, see the Immunizations portion of the Medical Module - Implementation Requests Form. To request changes detailed there, complete the form and submit it to requests@footholdtechnology.com.

Administered Amount | Administered Units 

In the Administered Amount field, type or make changes to the amount of immunization given to the client.  From the corresponding Administered Units drop-down list, select the unit of the entered amount.

Immunization Type/CVX Code 

Click the Immunization Type or Immunization Type/CVX Code drop-down arrow and select the type of immunization record being added or updated.  Default selections are:

  Vaccinia (smallpox)

  IPV

  DTaP

  Tetanus toxoid absorbed

  MMR

  Influenza seasonal injectable preservative free

  Pneumococcal polysaccharide PPV23

  TST-PPD intradermal

  Other

If "Other" is selected, a text box is made available in which details can be entered.

If the CVX code is set to display for the program type being worked in, that code is listed in the drop-down beside the immunization type.   

Initial Immunization

If the immunization record being worked with is for an initial immunization of that type, click the Initial Immunization toggle to set it to "Yes."

  NOTE: If the record is noted as an initial immunization, an "Observations" sub-index is displayed on the confirmation page after the record is saved.  Fields/options available within these observation records are Observation Type, Observation Code, Grouped By, and Observation Value.

Lot Number 

In this field, type or make changes to the immunization lot number.

Manufacturer Name/Code 

Click the Manufacturer Name or Manufacturer Name/Code drop-down arrow and select the manufacturer of the immunization for which a record is being added or updated.

  NOTE: The CDC's National Center for Immunization and Respiratory Diseases (NCIRD) developed and maintains HL7 table 0227, Manufacturers of Vaccines (MVX).  When paired with a CVX code the actual trade named vaccine may be indicated.

Note 

If applicable, enter any notes or comments related to the immunization in this text box.

Provider 

Click this drop-down arrow and select the provider ordering the immunization. 

  NOTE: This selection list is comprised of users who have been assigned the optional "List as Prescribing/Diagnosing Physician" data entry/access permission, as well as those who have been designated as an "eligible provider" within the Human Resources module Staff Information feature in an AWARDS database configured for AWARDS Certified Edition.

Route 

Click this drop-down arrow and select the route through which the immunization was administered.  Available options are:

  Intradermal

  Intramuscular

  Intravenous

  Nasal

  Oral

  Other

  Percutaneous

  Subcutaneous

  Transdermal

Site 

Click this drop-down arrow and select the site at which the immunization was administered on the client, if applicable.  Available options are:

  Left / Right Arm

  Left / Right Deltoid

  Left / Right Gluteus Medius

  Left / Right Lower Forearm

  Left / Right Thigh

  Left / Right Vastus Lateralis

Status

This option defaults to "Performed."  If necessary, click this drop-down arrow and change the value to "Ordered" or "Refused" instead.

Status Date

In this field, record the date on which the immunization was received or ordered, based on the Status selected.  Type the date using mm/dd/yyyy format, or select the date using the available date picker drop-down.

Source Type 

Click this drop-down arrow and select the recording source of the immunization record.  Available options are  "New immunization record" and several "Historical information" options listing possible outside sources.  The default value is "New immunization record."

Substance Expiration Date 

In this field, enter the immunization substance's expiration date.  Type the date using mm/dd/yyyy format, or select the date using the available date picker drop-down.  

Treatment Refusal Reason 

Click this drop-down arrow and select the reason the immunization is being refused, if applicable.  Available options are: 

  Other

  Parental Decision

  Patient Decision

  Religious Exemption

The contents of this list are not configurable.

Treatment Reason (or Refusal Reason) 

In this text box enter a treatment reason, if applicable.

  NOTE: If any selection is made in the Treatment Refusal Reason selection list, this field is labeled "Refusal Reason."

Enhancement Request Forms 

As noted above, the Immunization Records functionality is optional.  To request that it be turned on in your AWARDS database, and to specify how it should be configured there, download and complete the following request form, and then submit it to requests@footholdtechnology.com.

Medical Module - Implementation Requests Form

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