Health Assessment

Vaccination Documentation

Objective

• Record Vaccination data for a medical case using the new US2014 form

• Familiarise the standard Required Vaccines by Age

• Manage Vaccine Availability• Validate the US2014 form• Understand the updates of the US2014 form

on the list of Vaccination medical services in the Summary tab of Individual Details page

Prerequisites

• Individual is a registered case with a Medical activity

• Individual is a USRAP (refugee) or US Immigrant (self-payer) case

• Individual is assigned or scheduled for Health Assessment

Process Overview

• Find an Individual• Record the individual’s Vaccination in the

Health Assessment Form– Vaccine history (if any)– Vaccine Doses provided by IOM– Reason for Blank Waiver (if any)

• Validate the Health Assessment Form

Rules

• Vaccines provided by IOM during the initial exam is recorded under the Vaccine Given By Panel Site column

• Additional vaccines, prior to re-medical, are recorded under the Additional Vaccine Given by IOM columns

• Not routinely available vaccines can be configured per mission

• Not age appropriate vaccines are based on a standard list of required vaccines by age

Vaccine Doses provided by IOM

DEFAULT ON NOT AGE APPROPRIATE (A) BLANKET WAIVER

Configured Settings on the Vaccination Documentation for US2014 Form

Not Age Appropriate (A) Blanket Waiver

Required Vaccines by AgeVaccine Min Year Min Month Min Day Max Year Max Month Max Day

DTP / DT / DTaP 42 6 11 29

Td 7 100

Tdap 10 64 11 29

Polio-OPV 42 17 11 29

IPV 42 17 11 29

MMR 1 Born after 1957

Rubella 1 Born after 1957

Measles 1 Born after 1957

Mumps 1 Born after 1957

RotaTeq (RV5) 42 8 29

Rotarix (RV1) 42 8 29

This table has an impact on the “Not Age Appropriate” (A) Blanket Waiver column

Vaccine Min Year Min Month Min Day Max Year Max Month Max Day

Hib 42 4 11 29

Hep A Vaccine 1 1 11 29

Hep B Vaccine 0 100

MCV4 11 18 11 29

Other MCV conjugate 11 18 11 29

Varicella 1 99

PCV 7 42 4 11 29

PCV 10 42 4 11 29

PCV 13 42 4 11 29

PPSV 23 65 100

Influenza 6 100

This table has an impact on the “Not Age Appropriate” (A) Blanket Waiver column

Required Vaccines by Age

DEFAULT ON NOT ROUTINELY AVAILABLE (D) BLANKET WAIVER

Configured Settings on the Vaccination Documentation for US2014 Form

Not Routinely Available (D) Blanket Waiver

Vaccination Tab

SET ALL NEGATIVE/NO/NORMAL VALUES ON VACCINATION

Set No/Normal Function for US2014 From

Sample Medical Profile – USRAP 2014

• Standard Medical Form: US2014• Health Assessment Core Services:– PE IOM– X-Ray Chest (only for ages >= 15 yr)– TST (only for ages >= 2 yr and ages < 15 yr)– Syphilis Screening (only for ages >= 15 yr)– MMR (only for ages 1 – 64 yr)– DTP (only for ages >= 2 mos and ages < 7 yr)– Hep B Vaccine (for 2 mos and above)

Vaccination Tab

Vaccination Tab

VALIDATION RULES ON VACCINATION

US2014 From

Vaccination Tab

Mandatory only if the vaccination is a scheduled/assigned medical service

Any field in the Contraindication to Vaccination section can be checked only if there is at least one vaccine with Reason for Blanket Waiver = C

Vaccination Tab – Other Validations

Pregnant must be selected only if Pregnancy, current is Yes in the History tab

Vaccination Tab – Other Validations

FIELD MAPPING OF VACCINATIONSForm-Service Mapping for US2014 Form

Form-Service Mapping

• The following fields from the US2014 form are mapped to a Vaccination medical service:– Vaccine Given by Panel Site Date– Additional Vaccine Given by IOM Date 1– Additional Vaccine Given by IOM Date 2

• All 3 date fields populate the Completion Date of the Vaccination medical service

• If all 3 date fields are populated, the Health Assessment of the individual will show 3 instances of the vaccination medical service

• ND is the Not Done checkbox field that sets the status of a core Vaccination medical service to Not Done

Q & A

Helpful Hints

• Appointments are not required to start recording results

• System updates the Medical Services in the Summary tab of the Individual Details page based on updates made in the US2014 form (including the Status)

• Set All No/Negative/Normal function can populate most of the data for you, but it is still best to do QA/QC

Exercises

1. Configure vaccine availability (admin only)2. Child refugee, full dose by IOM3. Child immigrant, initial dose by IOM4. Pregnant refugee, MMR not done5. Adult immigrant, full dose by external