Adding Immunizations

Do so using one of the following ways:

• Click the name of the immunization. The LMR displays the entry form.

• Click into the Search field and start typing the name of the product or immunization. The LMR displays matching entries. Click the name of the immunization. The LMR displays the entry form.

Options include:

• Done

• Done elsewhere

• Patient declined

• Caregiver declined

• Provider deferred. Prompts you to enter a due date and a reason, if desired.

• Patient deferred

• Caregiver deferred

• Possible allergy to vaccine. Prompts you to document a patient allergy.

• Had Disease

• Patient Immune

• Patient does not need vaccine

• Vaccine unavailable

• Select Product. Displays if more than one product can be given for this immunization. If you've selected this immunization by product using the Search field, this option cannot be changed.

Note: When you select a multi-vaccine product, documenting any one of the vaccines also creates an entry for all related vaccines. For example, if you document a dose of hepatitis A given via Twinrix, the associated dose of hepatitis B is also documented.

• Route/Dose - May be prefilled by the LMR; however, these fields can be edited, as appropriate.

• VIS Published - Type the date when the VIS (vaccine information sheet) for the associated immunization was published. Or click the calendar to select a date. May be pre-filled by the LMR. For combination products, there may be multiple VIS sheets. Click the see all link if applicable.

• Approx./Date (unlabeled) - Date of this immunization. Defaults to the current date or the service date (if the patient was selected from the schedule).

• Time - Type the time this immunization was given (using HH:MM format). Also select the AM/PM option.

• Given by - Type the name of the person who gave the vaccine. This field pre-fills with your name, but can be updated.

• Site - Part of body where the vaccine is to be given.

• VIS Shown - Type the date when the VIS (vaccine information sheet) was shown to the patient or parent. Or click the calendar to select a date.

• Lot# - If your practice designated a default lot number for this immunization (using Lot Maintenance), it is pre-filled. To specify a new lot number, click add new and type into the field. A lot number added in this way is added as an entry in Lot Maintenance. For details, click here. If other lots have been entered for your practice in lot entry, they can be selected from the drop-down list.

• Exp.Date - The expiration date for this immunization. If you select an existing lot number, this field is pre-filled, and cannot be edited.

• Source - Can be Patient, Office, or State. Related to lot number.

• Manuf - The manufacturer of this immunization. If this field is prefilled by the LMR, it cannot be edited.

• Comments - Type additional information regarding this immunization. You can click to carry forward previous comments.