Client Comment Tab

 Purpose

The Client Comment(s) tab is used to display, add, delete, or update any comments associated with a client.

Information Provided

Notes

Information Provided

Adding Comments

This section describes how to add on a comment to a patient record. Read the following instructions for an explanation on how to do this.

  1. At the bottom of the client comments tab, click on the 'Client Comment' pick list to display the available comments.

  2. Select a comment from the list.

  3. You may enter an 'Applies-To Date' if you wish. This would be a date that applies to the comment. Although this is not a required field.

  4. To add additional comments click on the Next button to add the current selection and select a new comment.

  5. You must save the record to save any added comments. Click on the Save button in the upper right hand corner to save the record with the new comments.

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Editing Comments

This section describes how to edit or update existing client comments. Read the following instructions for an explanation on how to do this.

  1. The comment you would like to update is listed in the client comments tab.

  2. Click on the 'Select' circle next to the comment you would like to update to select it.

  3. The information for the comment will appear at the bottom of the screen.

  4. Now you can either select a different comment from the 'Client Comment' pick list or change the 'Applies-To Date' if there is one.

  5. To add additional comments click on the Next button to add the current selection and select a new comment.

  6. You must save the record to save any updated or added comments. Click on the Save button in the upper right hand corner to save the record with the updated/new comments.

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Deleting Comment

This section describes how to delete an unwanted or incorrect comment. Read the following instructions for an explanation on how to do this.

  1. The comment you would like to delete is listed in the client comments tab.
  2. Click on the 'Select' circle next to the comment you would like to delete to select it.
  3. The information for the comment will appear at the bottom of the screen.
  4. Next click on the Delete button to delete the comment.
  5. You must save the record to save any deleted comments. Click on the Save button in the upper right hand corner to save the record.

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Required Fields

Field Name

Description

Client Comment

This is an immunization-related comment. Assign or change a client comment using the 'Client Comment' pick list. The client comment list is derived from a pre-select, CDC-standardized list. Free-text client comments are not supported by the registry.

The client comments are visible at the top of the Immunization History, Edit Immunization, Pre-Select Immunization, and Record Immunization screens. Also, when using the Print button on the immunization history page, the comments are displayed on separate lines in the Comments box. *Note*

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Other Fields

Field Name

Description

Applies-to Date

This is the date which the selected comment applies to. Assign or change the applies-to date by typing the desired date into the 'Applies-to Date' text box using the format MM/DD/YYYY, or click on the calendar icon to set the date.

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Contraindications

There can be repercussions when clients get assigned certain comments. This is known in the registry as a contraindication. Contraindications affect the interactive relationship between the immunizations the client receives and the recommended immunizations from the clients selected tracking schedule.

When a certain type of vaccine is contraindicated because of an assigned comment, that vaccine should not be given to the client. The contraindication will display "Contraindicated" on the Immunization History screens recommendation section for any vaccine it is associated with.

In certain cases when an immunity is selected as a comment and when the Applies-to Date is set, any vaccine group that is contraindicated by the selected comment will show “IMMUNE to <antigen name>” in the recommendation section on the Immunization History screen.

It is imperative to check a clients record for assigned comments before giving them any immunizations.

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 Notes

Refusal of All Childhood Vaccines

The selection of 'Refusal of All Childhood Vaccines' from the pick-list will systematically save the following client comments to the client record:

Required Fields

In order for the registry to create and maintain a record for a client, school, etc., there is a minimum amount of information necessary that must be provided by a user. These select pieces of information are the required fields and are denoted in the registry by the blue information field labels as seen in the example below. If a user attempts to continue without inputting information into a required field then an error message will be displayed pertaining to that field.

Mothers First Name

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