Vaccine Coverage Report (Output)

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The Vaccine Coverage Report (Output) allows the user to print a report of the current immunization history for the client. The report is generated when the Print button is selected on the Immunizations screen.

Note

NOTE: The Vaccine Coverage Report may not be applicable to your state.

Data Elements

This section describes the data elements that print on the system output. Because of space constraints, the layout may be slightly different and/or all characters may not print within the space allotted.

Agency Name

This value will be the name of the agency.

Origin of Data Element

The value will be taken from the Agency.AgencyName.

Format

The value will print as its literal value.

Administrative Site Telephone Number

This value will be the telephone number of the Clinic.

Origin of Data Element

The value will be taken from the Telephone.Agency.

Format

The value will print in ###-###-#### format.

Current Date

This value will be the current system date at the time the Vaccine Coverage report was generated.

Origin of Data Element

The source of this value will be the internal clock of the computer generating the Vaccine Coverage report.

Format

The value will print in MM/DD/CCYY format.

Client Name

This value will be the full name of the client.

Origin of Data Element

The value will be taken from the Last-Name, First-Name, and Middle-Initial columns of the MEMBER table of the client.

Format

The value will print in {first name} {middle initial}. {last name} format.

Client Mailing Address

This value will be the mailing address of the household of the client.

Origin of Data Element

The value will be taken from the Mail-Address of the HOUSEHOLD table of the client.

Format

The value will print as its literal value.

Client Mailing City

This value will be the mailing city of the household of the client.

Origin of Data Element

The value will be taken from the Mail-City of the HOUSEHOLD table of the client.

Format

The value will print as its literal value.

Client Mailing State

This value will be the mailing state of the household of the client.

Origin of Data Element

The value will be taken from the Mail-State column of the HOUSEHOLD table of the client.

Format

The value will print as its literal value.

Client Mailing ZIP Code

This value will be the mailing ZIP code of the household of the client.

Origin of Data Element

The value will be taken from the Mail-ZIP column of the HOUSEHOLD table of the client.

Format

The value will print in #####-#### format.

Client Date of Birth (Birth Date)

The value will be the date of birth declared by the participant during enrollment.

Origin of Data Element

The value will be taken from the DateOfBirth column of the MEMBER table.

Format

The value will print as its literal value.

Client Telephone Number (Phone)

This value will be the telephone number of the household of the participant.

Origin of Data Element

The value will be taken from the Telephone-1 column of the HOUSEHOLD table.

Format

The value will print in ###-###-#### format.

Client Gender

This value will be the gender of the participant.

Origin of Data Element

The value will be taken from Gender column of the MEMBER table.

Format

The value will print as its literal value.

Date of Next Scheduled Visit (Next Visit)

This value will be the date of the next scheduled appointment for the participant.

Origin of Data Element

The value will be taken from Appointment-Date column of the APPOINTMENT table.

Format

The date will print in MM/DD/CCYY format.

Authorized Representative (Rep Name)

This value will be the full name of the authorized representative of the participant.

Origin of Data Element

The value will be taken from the Auth-Rep-Last-Name, Auth-Rep-First-Name, and Auth-Rep-Middle-Initial columns of the MEMBER table.

Format

The value will print in {first name} {middle initial}. {last name} format.

Time of Next Scheduled Visit

This value will be the time of day for the next scheduled appointment for the participant.

Origin of Data Element

The value will be taken from Appointment-Time column of the APPOINTMENT table.

Format

The value will print in HH:MM {AM/PM} format.

Dose Number

This value will be the number of the dose administered to the client.

Origin of Data Element

The value will be taken from the Dose-Number column of the IMMUNIZATION table.

Format

The value will print in ##.format.

Vaccine

This value will be the ID of the vaccine administered to the client.

Origin of Data Element

The value will be taken from the Reference Dictionary using the Vaccine-ID column found in the IMMUNIZATION table.

Format

The value will print as its literal value.

Date Given

This value will be the date the dose was administered to the client.

Origin of Data Element

The value will be taken from the Date-Received column of the IMMUNIZATION table.

Format

The date will print in MM/DD/CCYY format.

Static Message Text

This value will be the message printed in the footer of each page of the report.

Origin of Data Element

This value will be taken directly from the Reference Dictionary for the category "VACCVRGTXT".

Format

Currently the text of the message is "Schedule in accordance with the Department of Health and Senior Services/ Immunization Program."

Filter Criteria

Immunization Information for Active Participant

All immunization information for the currently active participant will be included in the report.

Sort Order

Vaccine

The report will be sorted first by vaccine name.

Dose

The report will be sorted by dose number within vaccine name.

Control Breaks

Vaccine

At the change of vaccine, a blank line will be printed to provide grouping for the reader.

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