Display the Vaccine Details and Provide the Immunizations Information

NextGen® Enterprise EHR Help

Selecting a Status When an Immunization Order is Not Administered

If you cannot complete the Immunization administration on the Vaccine Details tab, select the appropriate status: Note: If you have set up certain Immunizations fields as required, these fields do not display as Red on the Vaccines Detail tab when you select any of the following statues: Partially Administered, Entered in Error, Refused, or Not Administered. Entered in Error Select this option if the Immunization was entered erroneously. Pending Select this option if the Immunization is awaiting administration. You can enter Immunization information and save the information prior to administering the immunization. Refused Select this option if the patient or guardian refused the immunization. Not Administered Select this option if the immunization was not completely administered and document the reason in the Not Administered reason section. Note: Pending immunizations can be marked as Administered even if the encounter is locked. To edit Immunization information for locked encounters,

NextGen® Enterprise EHR Help

Administer Immunizations for VFC-Eligible Patients

If your practice treats VFC-eligible patients, you can administer immunizations to them. Note: Before administering Immunizations, ensure that you have completed the recommended set up and mapping steps for custom VFC SIM codes. After selecting the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for patient name window displays (on the Vaccine Details tab). On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations Detail. For a VFC-eligible patient immunization, select the VFC Reason check box and select a VFC Reason from the list. In the Vaccines grid list, for the selected vaccine, Is VFC is selected and the VFC Reason displays. Select the Lot Number, if it does not display, enter it manually. Vaccine Inventory data populates. Enter additional information for the selected Immunization order, for example, Vaccine date, Brand Name, or Route, patient received counseling (Counseled); or if the

NextGen® Enterprise EHR Help

Administer a Vaccine not in Inventory

For certain situations, you may need to administer an immunization for a vaccine that may not be in your practice's Vaccine Inventory. For example, a patient has been bitten by a rabid animal. From the Orders module, select Immunization Order from the New Order list. On the Select Vaccines tab, select Search All and search for the specific vaccine. The vaccine displays in the search results. For example, if you searched on rabies, vaccines for rabies appear. Select the appropriate vaccine and select OK, and then view and select an Allergy, if necessary. To administer the Immunization, select the Vaccine Details tab. Enter the Lot Number and NDC ID in the NDC ID field. Note: The caution indicator displays, which indicates the NDC ID for this rabies vaccine is not in the NDC Library. To verify if any NDC entries exist for this vaccine, select the ellipsis to access the NDC Lookup. No NDC ID codes appear for the CPT in the NDC lookup, indicating there is no valid record in the NDC Library

NextGen® Enterprise EHR Help

Administer Immunizations with Alternate Medicare Q Codes

If your practice administers Immunizations with Alternate Medicare codes (Q codes) to Medicare patients, you must first set up these codes in the NDC Library before placing an Immunizations order. These codes display on the Create New/Update Immunizations Order patient name window (Vaccine Details tab) in the Billing Code field. You must select these codes to ensure more accurate billing for Flu immunizations in NextGen® Enterprise PM. After you select the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for <patient name> window opens on the Vaccine Details tab. On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations details. Select a Registry from the list, if necessary. Select the Lot Number from the list or enter it manually, if necessary. The vaccine data defaults from the Vaccine Inventory, including the NDC ID if it exists. Enter additional information for the selected Immunization or

NextGen® Enterprise EHR Help

Verifying NDC Details When Setting up Vaccines

A vaccine’s NDC ID and corresponding NDC information is essential for accurate billing. Therefore, to ensure a comprehensive Immunizations billing cycle, users can view the NDC details included in the NDC Library during vaccine set up or when administering Immunizations. To view the NDC details, users can access the NDC Lookup. On the Vaccine Inventory tab, you can access the NDC Lookup to display a vaccine’s NDC ID and corresponding details. If necessary, you can override the NDC ID in the NDC ID field and select another NDC ID from the NDC Lookup. If an NDC ID is not set up in your NDC Library or if you do not have a default NDC Library, a caution indicator displays next to the field. When administering Immunizations in the Immunizations module on the Vaccine Details tab, you also have the option to access the NDC Lookup to verify or override the NDC ID. For more information about accessing the NDC Lookup refer to Verifying the NDC Details when Administrating Immunizations. Note: To

NextGen® Enterprise EHR Help

Enter the Vaccine Information on the Vaccines Tab

On the Vaccines tab, in the Orders Details section, enter the appropriate information for the specific vaccine (for example, Vaccine Name, Available Units). Note: In the Orders Details section, these fields are automatically filled in and cannot be changed: Status, Proc, Procedure Code Description, CVX code, and CVX Vaccine Name. Enter the Vaccine Name (required) for the Vaccine Inventory item. Select the Strength of the vaccine and the Quantity. Select the Route (method) in which the vaccine is administered, such as one of the following: Intramuscular, Oral, Subcutaneous, Nasal (Intranasal), Intravenous, or Intradermal. Note: To ensure the appropriate route displays when administering vaccines, select a route from the list. Your selection can only be one of the six routes displayed. Enter the Brand Name, select the vaccine Manufacturer, and enter the Lot Number, which may be indicated on the package. To verify that this is a valid NDC ID, do any of the following: View the CDC Vaccine

Display the Vaccine Details and Provide the Immunizations Information

Recommendations

Selecting a Status When an Immunization Order is Not Administered

Administer Immunizations for VFC-Eligible Patients

Administer a Vaccine not in Inventory

Administer Immunizations with Alternate Medicare Q Codes

Verifying NDC Details When Setting up Vaccines

Enter the Vaccine Information on the Vaccines Tab

Selecting a Status When an Immunization Order is Not Administered

Administer Immunizations for VFC-Eligible Patients

Administer a Vaccine not in Inventory

Administer Immunizations with Alternate Medicare Q Codes

Verifying NDC Details When Setting up Vaccines

Enter the Vaccine Information on the Vaccines Tab