IWeb User Guide

Vaccination Forecasts

The Vaccination Forecast feature allows users to view the shots that will be due for a specific patient (including invalid doses), their recommended dates, and their status.

Of note, smallpox has been added to the vaccination list for administration or historical recording of smallpox vaccinations. However, forecasting does not display the smallpox vaccine until a historical vaccination has been recorded for the patient. The smallpox vaccination appears on the Patient Detail report.

When Measles and Rubella are administered on the same day, a message appears indicating, A vaccination from the same family as Rubella (and/or Measles) was entered for the same day.

If the Personal Forecast setting has been configured to prevent certain vaccines from appearing due to the age setting (maximum age for immunizations), the forecast is hidden if the patient is over the maximum age.

A state may choose to adjust the ACIP schedule by using the Administration settings. Changes to the ACIP schedule appear in the patient's vaccination forecast.

A state-configurable option can also be set to not forecast a specific vaccine unless the first dose has been given.

Forecasting reflects the situations that are illustrated in the following table, as well as:

• If a patient received single antigens of Measles, Mumps and Rubella, the forecast does not show them in need of another MMR.
• If they do not receive all three components of the vaccine, or if they are due for a second MMR, they should still be recalled for an MMR.
• If a patient receives the single antigen vaccines, they should appear on the Universal Certificate and the Vaccination Summary, Vaccination View/Add print page, Patient Record Summary, and Patient Record pages.

Note that in the following table, the green middle section is the forecast section:

An alternate minimum interval to accept Tdap if it is administered at least two years from a previous dose (for a child ten years of age or older) has been added. The dose is not marked as invalid since it should not be repeated. However, the invalid dose reason screen displays a message that it was given too early but CDC does not recommend repeating the dose.

The vaccinations selected on the Forecast Settings page (Settings > Forecast) determine the vaccines that display in the patient's forecast. This is a global setting and the same vaccinations display for every patient.

There are two types of schedules, regular and accelerated. Based on the patient's existing vaccinations, the application automatically switches between the schedules to get the child up to date as recommended by the CDC.

Unless otherwise stated by state-specific school entry requirements, the ACIP schedule indicates that in order for a child to get into school, the child must receive four doses of IPV unless the third dose is given on or after the fourth birthday.

View a Patient's Vaccination Forecast

Before you can view a patient's vaccination forecast, you must first search for the patient, then click the Vaccinations > View/Add or Vaccinations > Forecast menu link. Either page opens with the Vaccination Forecast section for the patient toward the top of the page, under the patient information section. The Vaccination Forecast is also available toward the bottom of the Vaccination Summary page (Vaccinations > Summary).

Note that if a contraindication is marked as permanent, that vaccine is not included in the patient's forecast.

The columns in the Vaccination Forecast section are as follows:

Column	Description
Vaccine Family	The name of the vaccine family for the shots due for the patient.
Dose	The dose number for the vaccine shot. If the Assume Childhood DTAP History after Age is Set for a Specific Age administrative option is enabled (selected), once the patient reaches the specified age, the forecast for DTAP/TDAP/TD reflects the booster dose by placing the letter B in the dose field instead of a dose number, regardless of whether or not the patient has completed the DTAP/TDAP/TD series. Example 1: A patient, age 21 years with an example DOB of 05/01/1974, has received these DTAP vaccinations: Dose 1 = 07/01/1974 Dose 2 = 11/01/1974 Dose 3 = 11/29/1974 Dose 4 = 05/29/1975 Dose 5 = 05/01/1978 The patient's TDAP vaccine displays in the forecast as dose 1 because the recommended date for the child would be age 11. Example 2: A patient, age 21 years with an example DOB of 05/01/1974, has received these DTAP vaccinations: Dose 1 = 07/01/1974 Dose 2 = 11/01/1974 Dose 3 = 11/29/1974 Dose 4 = 05/29/1975 Dose 5 = 05/01/1996 The patient's TDAP vaccine displays in the forecast as B because the recommended maximum date has passed.
Recommended Date	The recommended date for the shot. If the recommended date is more than one year before the current date, the actual date is hidden and the words Past Due display instead. There is a state-configurable option to forecast for HepA.
Minimum Valid Date	The earliest date of validity for the shot. Forecasting always goes to the next flu season when two shots have been met when using the influenza split vaccine.
Overdue Date	The date the shot becomes or became overdue.
Status	The status of the shot. Examples: Due Now - As of today's date, the patient's age falls between the recommended minimum age and the recommended maximum age for this dose and the absolute minimum interval has been met since the last dose. Past Due - As of today's date, the recommended maximum age or the recommended maximum date for this dose has passed. Up to Date - As of today's date, the patient is not due or past due. Optional - This vaccine can be administered today. Although the usual recommended date has not been met, the minimum valid date for this dose has been met. This appears when the current date is between the minimum valid date and the recommended date.

Related topics:

• Vaccinations
• View/Add Vaccinations
• Vaccination Summary
• Add Anonymous Vaccinations
• Vaccination Settings