Updating and Maintaining Immunizations Orders
After you have administered immunizations, you may need to update or delete Immunization orders.
Add an Immunization to an Administered Immunizations Order
Update Immunizations Order Information
Cancel an Immunizations Order
Delete an Immunizations Order
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NextGen® Enterprise EHR Help
Keeping Your Immunizations Registries Up-to-Date
When an Immunizations order is created and saved, the system sends this order information to the patient’s Immunization record in the selected registry. If you update the administered Immunizations order, such as deleting an Immunizations order or adding a new immunization to an order, the system updates these changes in the appropriate registry. This task ensures that your registry stays up-to-date and meets Meaningful Use requirements. The system updates or changes an Immunizations order that has already been sent to the registry when you perform any of the following actions: Add, cancel, or delete an Immunizations order. Add, cancel, or delete a vaccine in an Immunizations order. Update an Immunizations order’s vaccine or clinical information. Mark an Immunizations order as Entered in Error. Edit or Update a Historical Immunizations order. Note: The system does not send Immunizations orders with a Pending status to the registry. System Updates the Immunizations Registry Parent topic
NextGen® Enterprise EHR Help
Updating and Entering Historical Immunizations
You can enter and update a patient's historical immunizations data, including inactive historical immunizations. Enter Historical Immunizations Edit or Update Historical Immunizations Parent topic: Managing Lab Orders and Immunizations
NextGen® Enterprise EHR Help
Immunizations Workflows
For each visit, you need the flexibility to work with the Immunization functions as each event occurs in real time. If needed, for example, you may need to do any of the following: View or hide dose exceptions when administering immunizations. Select and document Excluded Immunizations. Document that an Immunizations series is complete. Mark a patient who has no previously documented immunizations for reporting purposes and tracking. Report adverse events. Document erroneous or wasted immunizations. Open File Maintenance or the Vaccine Inventory as you process an Immunization order. Viewing or Hiding Dose Exceptions when Administering Immunizations Select Vaccines to Exclude Document that a Series is Complete Patient with no Previously Documented Immunizations Reporting Adverse Events and Accessing Other Immunizations Schedules Documenting Erroneous or Wasted Immunizations Access the Vaccine Inventory While Administering Immunizations Access Vaccine Billing While Administering Immuniza
NextGen® Enterprise EHR Help
Administering Immunizations High-Level Workflow and Tips
To support your practice’s Immunizations administration process, determine which Immunizations workflow or task is appropriate to perform for each patient. The Immunizations functionality enables you to select the appropriate vaccines, provide vaccine details during administration, and track and complete each Immunization life cycle efficiently. There may be various scenarios a physician and clinical staff encounter when ordering and executing an immunization. For example, special patient needs, such as a VFC-eligibility, allergy sensitivities, or parental consent; billing considerations, available vaccines in the inventory, and ensuring the most appropriate vaccines are selected according to immunization schedules. The Immunizations workflows range from basic, such when you administer a flu shot, or more specific considerations, such as administering vaccines for Medicare patients, administering live vaccines, or when a vaccine is not in the inventory. You can perform other types of I
NextGen® Enterprise EHR Help
Managing Order Details
When you select an order item, Computerized Physician Order Entry (CPOE) displays the order details in the following tabs based on the order type. All Laboratory Diagnostic Immunization In the All tab, CPOE displays a consolidated summary of all your selected order items, grouped by the order type and selected performing entities. In the Laboratory, Diagnostic, and Immunization tabs, CPOE displays the details of the respective order items. You can review and modify the details of your order items before placing your order. Note: CPOE saves your selected order items in the Incomplete Items list until you place the order. Manage General Order Details You can view and modify sections of the order that are common for all your selected order items. Modify Assigned Diagnoses on Orders You can assign and modify a diagnosis for individual order items. Add Comments and Schedules for Laboratory and Diagnostic Order Items You can document the reason for ordering a test and create schedules for fu
NextGen® Enterprise EHR Help
Update Immunizations Order Information
Access the Orders module and select the Orders Summary tab. To update the clinical or vaccine information for an administered Immunizations order, right-click the order and select Update or double-click the Immunizations order. The Vaccine Details tab appears. Select the Registry from list, if necessary. Update the appropriate vaccine or clinical information, for example, add the site. Select the appropriate Save option. The system sends the updated Immunizations order to the registry and updates the Registry, as required. Parent topic: Updating and Maintaining Immunizations Orders
