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1. C To Perform a USIIS Search 1 Enter ONLY the Last Name First Name and Birth Date mm dd yyyy as it appears on the birth certificate Tab to the next field and click on the USIIS Search button 2 Click on the correct name to open the patient s record Read and click YES in the dialog box that appears The Patient Information screen will appear If the patient s information is not found check to see if the data was correctly entered If it is correct please continue to D To Add a New Patient D To Add a New Patient 1 If the data was entered correctly and no record was found with a USIIS Search click on the Add New Pat button 2 Click OK in the dialog box that appears and the Patient Information screen automatically appears 3 Assign and enter a Patient ID number this is a unique number that identifies only this particular patient as your client 4 Enter the Mother s Maiden name type unknown only if mother s maiden name is absolutely not known patient s gender patient s middle name and all other information you have regarding the patient 5 Click on the Save button to save this new patient entry E To Clear the Fields 1 Click the Reset button to clear the search and begin again F To Identify the Patient s Record Type C Central The same information can be accessed by all providers W Web Patient s record has been updated by your clinic amp cannot be viewed by other clinics until a download occurs A Alias
2. An important new tool for Wa Shs UOIEWIOJU UOIJEZIUN WW 9pIM9 1e1S UEIN Patient Care Screens Patient Care Screens 25 Webkide Page Microsoft Internet Explorer File Edit View Favorites Tools Help a O O DBA D fromm O S 3 S U Q wr FL CELER Address https fapps usiis org webkids S En ints i a d Yr 2 J Ed Search web 2 Dr Gmail my Yahoo Sy Shopping Gia eames B Music Eg answers gt gt Provider I Logon ID Login Password Reset version 4 02 20070127 Wats You need IE 5 or higher to run this applet Applet LISIISApplet4 started 8 internet A To locate USIIS 1 Open your web browser type https apps usiis org webkids in the address bar and press the Enter key B To login to USIIS 1 Enter the clinic number in the Provider field If you don t know your clinic number you can find the name in the drop down box next to the provider field Note Use the mouse or Tab key to move through the fields 2 Enter your Logon ID These are case sensitive fields 3 Enter your Password These are case sensitive fields 4 Click on the Login button or press the Enter key e If your login was successful the Patient Search screen will appear e f you have incorrectly logged in reset the fields by clicking the Reset button and retry the login process If you continue to have problems contact the USIIS Helpline at 8
3. Duplicate records for the same patient have been identified and merged under the legal name P Possible Patient could be a duplicate Please contact the USIIS HelpDesk at 801 538 3440 or 800 678 3440 Patient Search Patient Info Age 7 Years 10 Months 4 Patient ID ETE EE USIIS ID B44755 Save Delete Clinic Affiliation Delete Web Record Reset id Name First Name Middle N Suffix Birth Date SSN Pa Mother s First Mother s Maiden po JOHN 10 10 1999 S JANE SMITH Patient s Middle Name Suffix Gender SSN Mother s Maiden O Dea dama CONTRAINDICATIONS AND EXEMPTIONS Street 100NORTH 100 EAST Status Send Reminder Card N 0 lt City ANYTOWN Rae o State UT Zip 84115 Ethnicity U UNKNOWN v comments Phone 801 555 1234 Confidential flag pes County 9 SALT LAKE Release pae Birth State ur UTAH Physician Provider 801 usus PROGRAM Mother s Last DOE Father s Last DOE Guardian s Last DOE Mother s First JANE Father s First JOHN Guardian s First JANE Mother s Middle s Father s Middle Guardian s Middle s Mother s SSN Father s SSN Guardian s SSN Logout PatSearh Pat into amp emments Immun fGBHHSEEBE Forecast GASA Report Admin A To Make Edits and or Additions 1 Assign a Patient ID if not already done 2 Review update and add any new information and click on the Save button to save the changes Note nform
4. Logout Pat Search Pat Info Commanis Immun RGBREBEEBE Forecast GASA Report Admin A To Enter Patient Comments 1 Type the comments in the white box titled Patient Comments 2 Choose Yes or No in the Share drop down box e If Yes is selected the comment will be shared with all other clinics e If No is selected only the clinic that entered the information will be able to view the comment 3 Click on the Save Comment button in the upper part of the screen to save the comment you entered 4 Once the comment has been saved it will appear in the gray cells below and in the Patient Information screen 5 To view the entire comment click in the comment cell and it will appear in the Patient Comments section B To Delete a Comment 1 In the gray cells below the Patient Comments section click in the cell of the comment to be deleted 2 Click the Delete Comment button in the upper part of the screen 3 Click OK to finish the deletion C To Edit a Comment 1 In the gray cells below the Patient Comments section click in the cell of the comment to be edited 2 Make changes to the comment in the white box 3 Click the Save Comment button in the upper part of the screen D To Clear the Fields 1 Click the Reset button to clear the comment and begin again Immunization Age 7 Years 10 Months Patient ID 80001964 USIIS ID 644765 Historical Data Entry Save Delete Reset Last Name
5. Name 5 Click on the Print or View button 6 Print the report by clicking the print icon in the Adobe Acrobat toolbar Clinic Reports Clinic History Doses Administered Reports Set up Conditions for viewing printing and or submission of required or custom reports Select a criteria custom date range OR specific quarter to generate submit the report for immunization which were Given Given in Quarter from to quarter 2 of 2007 in age groups M lt 1 year quarter 1 of 2007 WW 1 6 years C quarter 4 of 2006 iw 7 18 years quarter 3 of 2006 jw gt 18 years quarter 2 of 2006 A custom date range doses administered report A Quarter Doses Administered Report required for A will NOT be electronically submitted to the Utah all VFC Providers will be electronically submited to Immunization Program the Utah Immunization Program the FIRST time g the Submitto State button is pushed E Use ofthis report allows providers a method to evaluate doses administered activity for any v A printable copy ofthe report will also appear Sign Di Report format PDF Printer friendly Print or View Submitto State Logout Change Pass User Management Inventory Inven Adjust Batch List Report Provider A To Run a Report by Date Range Note Use of this report allows providers a method to evaluate doses administered activity for any combination of age groups over a selected time period 1 In the From field enter the date
6. Summary Generate this report for patients who are between the age of are due for type of vaccines Oto 6 months old All Required Types Oto 2 years old Series Selections Oto 5 years old DTP Varicella C Setcustom age T HIB HepB2 from years ass months Polio J HepA to years months MMR Pneumo HepB have a patient status of Active are due for immunizations cC Unknown Address from C Inactive to Report format PDF Printer friendly Print or View er Logout Change Pass User Management Inventory Inven Adjust Batch List To Generate a Reminder Recall Summary Report 1 Enter the age group by clicking in the appropriate radio button or by typing in the number of year s and month s old to select a custom age group 2 Select the appropriate patient status radio button 3 Select PDF printer friendly or CSV text file Note A CSV file can be used to create spread sheets or labels 4 Select All Required Types to run a report for all vaccines for which the child is due OR select a specific vaccine type to search for children who are due overdue for a certain vaccine 5 Enter the date range future dates by typing in the date to begin and end the report 6 Click on Print or View button 7 Adobe Acrobat will open in a separate window Print the report by clicking the print icon in the Adobe Acrobat toolbar Clinic Reports Reminder Recall Enter Patient ID for Bat
7. le Iv 12 16 1998 0 50 14125 21 VARICELLA skB GLAXOSMITHKLIN 03 26 2008 30 130 Iv 01 01 2000 0 50 Valicera jun4 07 21 VARICELLA TAL TALECRIS BIOTHE 01 01 2008 100 100 P 05 04 2007 0 50 1321 131 HEPATITISA PEC MSD MERCKAND CO 109012008 120 129 Jv 01 01 2002 0 50 HepAjun4 07 131 HEPATITISA PEC TAL TALECRIS BlOTHE 01 01 2008 1100 100 P 06 04 2007 0 50 1123456 1110 DTaP HEP B IP SKB GLAXOSMITHKLIN 10 10 2009 10 10 P 07 30 2001 0 50 Logout Change Pass User Management Inventory A To View Current Inventory 1 Current Inventory is displayed upon opening B To View All Inventory includes any vaccines previously entered 1 Click the All Inventory button 2 All inventory will be displayed C ToView Multiple Pages in Inventory 1 Click the First button to see the beginning of the clinic s inventory 2 Click the Last button to see the end of the clinic s inventory 3 Click Prev or Next to change pages as needed D To Print the Inventory 1 Click Inventory Report 2 Select the parameters for the report 3 Click the Print or View button 4 Print the report by clicking the print icon in the Adobe Acrobat toolbar E To View or Edit a Specific Vaccine 1 Click on the lot number 2 The Inventory Adjustment screen will appear with the vaccine information F To View Inventory by Vaccine Type 1 Click drop down box and select the vaccine type to display Note Expiration date
8. to choose from the list of vaccines or by typing the appropriate code Note 7he code must match the vaccine to the left Otherwise it may be entered in the empty cells at the bottom 2 Enter the date mm dd yyyy the vaccine was given Note When 6 or 8 digit date is entered USIIS will format when you tab to the next field 3 Repeat above process to enter all historical vaccinations and dates After all the vaccination information is correctly entered click on the Save button to save Note Click on the Immun tab to return to the Immunization screen Note 7he historical data screen should only be used for vaccinations your clinic did not administer Immunizations Historical Data Contra Exempt Age 7 Years 10 Months LI 80001964 USIIS ID 644765 Middle N Suffix SSN 7 Mother s First Mother s Maiden DOE JOHN 10 10 1999 C JANE SMITH Save C VARICELLA IMMUNITY VARICELLA C Del Del Del C HIB PERSONAL Del Del Del Logout Pat Search Pat info Comments CASA Report Admin A To Enter a Contraindication 1 Enter the vaccine by using the drop down box to pick from a list of vaccines or enter the vaccine code 2 Enter the contraindication by using the drop down box to pick from a list of contraindications or enter the code 3 After both the vaccine and contraindication have been chosen click the Save button The vaccine and contraindic
9. you want to begin the report 2 In the To field enter the date you want the report to end 3 Select the age groups to be included in the report by checking the box beside the age group More than one can be selected 4 Click on the Print or View button B To Run a Report by Quarter Note When you select dates by quarter you will be electronically submitting your Doses Administered Report to the Utah Immunization Program In addition ALL the age groups will automatically be submitted 1 Select the Quarter you would like to view submit and print 2 Click the Submit to State button to send the report to the Utah Immunization Program 3 Enter the First amp Last Name of the person submitting the report and a phone number 4 Adobe Acrobat will open in a separate window Print the report by clicking the print icon in the Adobe Acrobat toolbar Sign the report and fax it to the Utah Immunization Program at 801 538 9440 5 Keep a copy of the report for yourself To Review Information Submitted at a Later Date 1 Select the Quarter you would like to review 2 Click on the Print or View button Quarterly Doses Administered Reports are required for the Utah VFC Program In order to submit the report follow the above instructions for To Run a Report by Quarter print out the report and fax a signed copy to the Utah Immunization Program at 801 538 9440 Clinic Reports Doses Administered Set up Conditions for Reminder Recall
10. 01 538 3440 or 800 678 3440 To locate USIIS forms amp information 1 Open your web browser type www usiis org in the address bar and press the Enter key For the most up to date version of the Desktop Reference Guide and User Manual visit our website at www usiis org Login Screen Provider Search USIIS Search Add New Pat Provider Search Results Most possible match All match Save to List Kal Pat ID Last Name First Name Mid N Birth Date SSN Sex M s First M s Maider cj Sa es ae umi cse mci mad ee ee I jn aig el DE mini U ME II I I I I USIIS Search Results USIIS ID Last Name First Name Middle Name Birth Date Sex Mother s First Je En Ee Logout Pat Search Pat info ERN mun ERM Forecast eee amine A To Perform a Patient ID search 1 Enter the Patient ID number in the red Patient ID field this field is case sensitive and press the Enter key 2 The Patient Information screen will automatically appear with the patient s information B To Perform a Provider Search 1 Type the patient s Last Name and or First Name and or Birth Date 2 Click on the Provider Search button the patient s name will appear in the Provider Search Results section If the patient s record is not found go to C To perform a USIIS Search 3 Click on the correct name to open the patient s record The Patient Information screen will appear
11. COMPLETE T Td 10 10 2003 OVERDUE IHIB 01 05 2001 COMPLETE lY POLIO 10 02 2001 01 14 2002 02 11 2002 OVERDUE MMR 10 02 2001 10 10 2003 OVERDUE HEP B 11050242001 01 14 2002 0311 2002 OVERDUE IPNEUMO PCv 7 12 10 1999 COMPLETE ICHICKENPOX IMMUNE lyi HEP A 07 01 2004 02 01 2005 COMPLETE FLU 04 0 2000 OVERDUE IMENINGOCOCC 10 10 2010 ICURRENT Due is due for the vaccine series within 30 days i Overdue the vaccine series is 30 days or more pastthe due date H Current may be receiving a vaccine series and is not yet due for the next dose or is not yet due for the first dose Complete needs no further doses of the vaccine series cl Forecast Report Logout Pat Search Pat Info Comments Immun Contra Ept Forecast HC 1 Report Admin A To Print a Patient Forecast 1 In the Forecast screen click on the Forecast Report button located at the lower right side of the screen The report will open a new window in PDF format using the Adobe Acrobat software 2 Once the forecast report downloads from Adobe Acrobat click on the print icon in Adobe to print the forecast 3 Close Acrobat and go back to the Forecast screen when you are done Note 7his screen is not for data entry Adobe Acrobat Reader software is needed to print a pat
12. First Name Middle N Suffix Birth Date SSN SOS Mother s First Mother s Maiden po JOHN 10 10 1889 v JANE SMITH Vaccination Date Vaccination History Iv Varicella immunity on Vaccination Type Series Vaccine Date Provider EG Ral Route Ic DTP DTaP 09 20 2002 Vies res Di as lt RED c DTP DTaP HEP B IPV 01 14 2002 tam IR Immunization Site z ic pre DTaP 10 02 2001 ey or af Ic DTP DTaP 09 02 2001 im pe an Lotnumber f a C HIB HIB UNSPECIFIED 11 10 2000 Wi Ic POLIO DTaP HEP B IPV 01714 2002 p b n Dosage 05 mL Ic PoLIO IRV 10 02 2001 V par al Manufacturer C MMR MMR 10 02 2001 mI Financial Class IC IMMR MMR 10 02 2000 OE c HEP B DTaP HEP B IPV 01 14 2002 teel VIS Version Date iz Ic HEP B HEPATITIS B ADULT 10 02 2001 ms an VIS Issue Date IC HEP A HEPATITIS A PEDIAT 02 01 2005 mimm E Consent Date Vaccinator B General Note Reaction Reaction Note Invalid Invalid Note Logout Pat Search Pat Info Comments ooon Goe CASA Report Admin A To Enter a Vaccination 1 Enter all the information for administered vaccines in the appropriate fields Note 7he fields labeled in red must be completed in order to save The E C R I cells Exemption Contraindication Reaction and Invalid are for display only 2 Use the drop down boxes to choose from the lists or enter the appropriate codes Note 7o
13. Forecast button 5 Adobe Acrobat will open in a separate window with a page for each patient forecast Printthe report by clicking the print icon in the Adobe Acrobat toolbar E To Remove Selected Patients from your clinic Note 7o consider a patient as no longer affiliated the patient should not have been seen in the last year and had 3 failed attempts to contact 1 Create a patient list and save 2 Click to place a V next to patient ids needing to be removed from the clinic 3 Under Perform Action on List For click the Checked Patients radio button 4 Click the End Clinic Affiliation button F To Create a Reminder Recall Report 1 Create a patient list and save 2 Click the RR Export button 3 A list of the reminder recall parameters will appear 4 Choose your desired parameters to run a Reminder Recall Report G To Export a Patient List for CoCASA Clinical Assessment Software Application 1 Create a patient list and save 2 Click the CASA Export button Atext file will appear with patients information CoCASA can be downloaded at http vww cdc gov hip cocasa Please contact the Utah Immunization Program for more information If more specific criteria is desired last shot date county and zip code may be selected Batch List Clinic Reports Clinic History Report Doses Administered Report Reminder recall Summary Report Batch Forecast Report Unbilled vaccines Report Note Ifthe report page does not ap
14. ation fields identified in Red are required Gender Mother s Maiden name and Patient s Middle Name should be entered in the yellow area B To Delete a Patient s Clinic Affiliation You may want to do this if a patient no longer attends your clinic 1 Click on the Delete Clinic Affiliation button in the upper part of the screen 2 Follow the instructions that will appear in the dialog box es 3 After you complete the instructions in the dialog box es the Patient Search screen will appear Note 7he patient s information will remain in the USIIS database however you will not be able to find the patient using a Provider or Patient ID Search C To Delete a Patient s Web Record If there are multiple mistakes on a patient s record that have been recently saved you may want to delete the web record and start over This may be done if the record was created and saved in the same business day This will delete any patient or immunization information you have just saved 1 Click on the Delete Web Record button in the upper part of the screen 2 The Patient Search screen will appear and you can begin a new search D To Clear the Fields 1 Click the Reset button to clear and begin again Patient Information Comments Age 7 Years 10 Months Patient ID 80001 964 USIIS ID 1644765 Last Name First Name Middle N Suffix Birth Date SSN Cs Mother s First Mother s Maiden DOE JOHN 1 0 10 1999 e JANE SMITH I p Snareno
15. ation will appear in the gray cells on the right B To Delete a Contraindication 1 Click on the gray Del delete button beside the vaccination contraindication that you want to delete C To Enter an Exemption for All Vaccines 1 Use the drop down box to select from a list of exemptions or enter the code 2 Click on the Save button D To Enter an Exemption for a Particular vaccine 1 Use the drop down box to select from a list of vaccines or enter the vaccine code 2 Use the drop down box to select from a list of exemptions or enter the code 3 Click on the Save button The vaccine exemption will appear in the gray cells on the right E To Enter an Exemption for a Series of Vaccines 1 Use the drop down box to select from a list of vaccine series or enter the vaccine code 2 Use the drop down box to select form a list of exemptions or enter the code 3 Click on the Save button The vaccine exemption will appear in the gray cells on the right F To Delete an Exemption 1 Click on the gray Del Delete button beside the exemption that you want to delete Contraindications Forecast Age 7 Years 10 Months PatientID 80001964 USIIS ID 644765 Last Name First Name Middle N Suffix Birth Date SSN Chi Mother s First Mother s Maiden Do R JOHN fi 10 10 1999 e 1 JANE SMITH Forecast Series Dose1 Dose2 Dose3 Dose4 Dose5 Dose6 Next Due Status CER DTP DTaP DT n 10 02 2001 01 1 4 2002 09 20 2002
16. ccini Manuf Exp No Doses VIS Version Lot Number Code Vaccine ID Manufacturer Date DosesLeft VFC Date Dosage 1234 20 DTaP PMC SANOFI PASTEUR 0557 2008 50 40 05 17 2007 0 50 112356 20 DTaP WAAL WYETH AYERST 1 10 28 2008 100 100 05 17 2007 0 50 12541225 20 DTaP PMC SANOFI PASTEUR 02 02 2009 120 20 05 17 2007 0 50 64537R 20 DTaP PMC SANOFIPASTEUR 01 01 2008 10 o P 107 30 2001 0 50 Ikik l 20 DTaP MSD MERCKAND CO 02 01 2008 50 lag Iv 03 08 2005 0 50 U0849CA 20 DTaP PMC SANOFIPASTEUR 01 01 2009 1100 192 P 01 01 2004 0 50 HIB jun4 06 117 JHIB UNSPECIFIE TAL TALECRIS BIOTHE 01 01 2008 1100 100 P 06 04 2007 0 50 testmay7 07 HIl t7 HIB UNSPECIFIE TAL TALECRIS BIOTHE O1 01 2008 100 99 P 05 07 2007 0 50 IPolio iun4 07 J10 IPV TAL TALECRIS BIOTHE 01 01 2008 100 100 P 06 04 2007 0 50 loggiu 13 MMR MSD MERCKAND CO 01 01 2008 10 2 Iv 1216 18898 0 50 JASDASDASD l3 MMR MSD MERCKAND CO 12712 2008 1100 99 P 12 1251998 0 50 lHepB jun4 07 l8 HEPATITIS B PEL TAL TALECRIS BIOTHE 01 01 2008 100 99 IP 05 04 2007 0 50 14584354 943 HEPB2DOSEAD MSD MERCKAND CO 1010120098110 ho Iv 07 31 2001 1 00 IMMR iun4 07 1100 PCVv7 PNEUMOC TAL TALECRIS BIOTHE 01 01 2008 100 100 P 05 04 2007 0 50 Penumo jun4 0 100 PCV7 PNEUMOC TAL TALECRIS BIOTHE O1 01 2008 100 98 P 05 04 2007 0 50 101568 121 VARICELLA MSD MERCKANDCO 01 01 2008 110
17. ch forecast Patient ID Report format PDF Printer friendly Print or View Logout i jS Inven Adjust Batch List To Pull Forecasts for Multiple Patients Note Only patients that have been assigned a provider patient id in USIIS will be displayed for printing 1 Click on the first line and type the Patient ID number Patient ID is case sensitive 2 Tab or enter to go to the next line 3 Enter the next Patient ID Enter as many as needed 4 Click the Print or View button 5 Adobe Acrobat will open in a separate window with a page for each patient forecast Print the report by clicking the print icon in the Adobe Acrobat toolbar Clinic Reports Batch Forecast Set up Conditions for Unbilled Vaccines Report Generate this report for immunizations which were given Showing vaccines from from Billing System but not in Clinical System to C Clinical System but not in Billing System Accurate results are dependent upon timelines of data submission to the state Running the report for a date range later than the last submission of data will not be accurate Report format PDF Printer friendly Print or View Logout lG Tass User Management Inventory Inven Adjust Batch List Provider To Run an Unbilled Vaccines Report 1 In the From field enter the date you want to begin the report 2 In the To field enter the date you want the report to end 3 Choose Showing vaccines fro
18. cine enter all applicable VIS dates i e Comvax should have a VIS date for Hib and another for Hep B g Enterthe Funding Category VFC Private or Special Projects 3 Click the Save button to save the information to your inventory 4 Repeat steps to enter another vaccine B To Clear the Fields 1 Click the Reset button to clear the vaccine information and begin again C To Reconcile Inventories 1 Click the Inventory tab to see a current inventory list 2 Click on the vaccine lot number needing adjustment Note The Inventory Adjustment screen will appear with vaccine information 3 Enter the number of doses needing to be corrected a Use Extra Doses when your physical inventory has more than USIIS indicates b Use Under Doses when your physical inventory has less than USIIS indicates c Use Shared Doses when vaccine has been given to another provider d Use Wasted Doses when a vaccine has been determined to be unusable i e drawn up then compromised e Use other adjustment for any non specific adjustment needing to be made 4 When the Doses Left matches your physical inventory click the Save button Inventory Adjustment Enter Patient ID for Batch List or enter search criteria List Name im Save List Delete List Reset List Reset Criteria Patient ID First Name Middle Last Mame DOB Patients who gottheir last shot E l from your clinic organization The most recent shot date from your clinic
19. click Yes under Clinical Roles 7 Click the Save button B To Inactivate a User Note nactivated users will still show as a vaccinator in the drop down list unless their vaccinator role is changed to No 1 Click on the user you want to inactivate from the drop down list labeled New User 2 When the user s information is displayed in the left hand fields click on the Inactivate button 3 Click the Save button C To View Inactive Users 1 Click the Show Inactive box 2 Pull the drop down list labeled New User D To Reactivate an Inactive User 1 Click on the Show Inactive button 2 Pull the drop down list labeled New User and select the user s name you would like to activate 3 The user s information will be displayed in the left hand fields click the Activate button The USIIS Administrator may choose what access the user has by clicking in the corresponding radio buttons The Function Access drop down list is pre programmed for your convenience R O Readonly R D Read and Delete R W Read and Write R D W Read Delete and Write Note Access will not be given for any User until an original signed User Confidentiality amp Security Agreement has been received by the Utah Immunization Program Please contact the Utah Immunization Program at 801 538 9450 with any questions User Management Vaccine Inventory All Inventory G current invenio First Prev fi of 2 Next Last Inventory Report Va
20. eck for pop up blockers then contact the USIIS HelpLine at 801 538 3440 or 800 678 3440 1 Click on the button of the desired report Note You may choose more than one report at a time if needed 2 Click Run Report s 3 Once the report downloads from Adobe Acrobat click on the print icon in Adobe to print the report 4 Close the Acrobat window to go back to the Report screen when you are finished B To find the Admin functions To access information regarding the clinic click on the Admin tab located at the bottom right of the screen This button will open a separate window with additional features tabs regarding the clinic Admin features include Change Password User Management Clinic Inventory Inventory Adjustment Batch List Clinic Reports Clinic History Doses Administered Reminder Recall Batch Forecast and Unbilled Vaccines Patient Reports Clinic Administration Screens Clinic Administration Screens Change Your Password Old Password New Password II Retype New Password l Update Reset Logout change Pass USerManagemier Inventory Inven Adiust Batch List Report Provider A To Change Your Login Password Note Passwords should be at least 6 characters and alpha numeric 1 Type your current password in the Old Password field This is case sensitive 2 Type your new password in the New Password field This is case sensitive 3 Retype your
21. ient s forecast Please visit www adobe com to download a free version of Acrobat Reader If you have trouble with this download please contact the USIIS HelpLine at 801 538 3440 or 800 678 3440 Note f a vaccination is invalid the immunization date will NOT appear in the forecast View the vaccination in the Immunization screen to see the reason the vaccine is invalid Patient Forecast Report Age 7 Years 10 Months Patient ID 80001964 USIIS ID 644765 Last Name First Name Middle N Suffix Birth Date SSN a Mother s First Mother s Maiden po J OHN E 0 10 1999 pi hl JANE SMITH Patient s Reports Repart s to run Output to Detailed Immunization History PDF School Immunization Record Personal Utah Immunization Record Note Ifthe report page does not appear pop up windows may not be allowed on your computer Pop up windows must be allowed from this site in order for report results to be displayed Run Report s Logout Pat Search Pat Info comments Immun Contra Ept Forecast CASA Reno If Patient Reports Available to Print 1 Detailed Immunization History for the patient s chart 2 School Immunization Record Pink Card to take to the school for school entry 3 Personal Utah Immunization Record for the patient s record A To Print a PDF Report Note Your computer must have Acrobat Reader installed for this option to work If you have trouble opening this report ch
22. keep clinic inventory accurate lot number needs to be selected from the drop down box 3 You may enter notes for the particular vaccination in the following fields General Note Any information relating to a particular immunization Reaction Note If a reaction occurred after vaccination document the reaction information Invalid Note Explain why a particular immunization was invalid 4 Click on the Save button to save B To Make Changes to a Vaccination Already Saved in the Vaccination History 1 In the Vaccination History cells gray box click in the cell that has the vaccination you would like to alter The vaccination information will appear in the fields on the left 2 Make the appropriate additions changes 3 Click the Save button to save the changes C To Enter Varicella Immunity 1 Check the Varicella Immunity box and enter an approximate date the patient had the disease 2 Click OK to save the immunity D To Clear the Fields 1 Click the Reset button to clear the vaccine information and begin again E To Enter Several Vaccinations into the Historical Data Entry Screen 1 Click on the Historical Data Entry button in the top part of the Immun screen to enter previous vaccinations The screen will change to show new fields 80001964 644765 oe om pomme fw To Enter Several Vaccinations into the Historical Data Screen 1 Enter the vaccine information by using the drop down box
23. m by selecting the radio button for either a Billing System but not in the Clinical System USIIS b Clinical System USIIS but not in the Billing System 4 Click on the Print or View button 5 Adobe Acrobat will open in a separate window Print the report by clicking the print icon in the Adobe Acrobat toolbar Clinic Reports Unbilled Vaccines MMUNIZATION PROGRAM Immunize for healthy lives Utah Department of Health
24. new password in the Retype New Password field This is case sensitive 4 Click Update button to save your new password B To Clear the Fields 1 Click the Reset button to clear the password fields and begin again Change Password User Management Provider Show Inactive Password Retype Password Middle Name Birth Date Email Office Phone Occupation User Comment usis PROGRAM New User Date Created Date Inactivated Date Access Granted Logout Change Pass User Management Inven Adjust New Function Access General Access Clinic Affiliation Inventory Adjust User Management Provider Sharing Clinical Roles Vaccinator Physician Save Reset Inactivate B RIO RID E E E C Yes C Yes Batch List RAN RIDAN None L L fe e 9 jon e e ee No No Access to this screen is only available to trained authorized users A To Add a New User 1 Type in the user s chosen Login Name This is case sensitive 2 Type and retype the new user s password This is case sensitive Note Passwords should be at least 6 characters and alpha numeric 3 Enter the user s First Middle and Last Name and Date of Birth 4 Type any other information concerning the new user 5 Choose the access level this user will need under the Function Access drop down box 6 If the user is a vaccinator or physician
25. pear pop up windows may not be allowed on your computer Pop up windows must be allowed from this site in order for report results to be displayed Logout Change Pass User Management Inven Adjust Batch List The Clinic Reports Screen has five reports available 1 Clinic History Report 2 Doses Administered Report 3 Reminder recall summary Report 4 Batch Forecast Report 5 Unbilled Vaccines Report Adobe Acrobat Reader is required to view and print reports If you do not have Acrobat Reader please visit www adobe com to download a free version of Acrobat Reader Note Detailed information about each report is located on the following pages Clinic Reports Set up Conditions for Clinic History Report Generate this report for immunizations which were given from to with lot number el are sorted by Immunization Date Vaccine Type C Patient Name Report format PDF Printer friendly Print or View Logout Change Pass User Management Inventory Inven Adjust Batch List Provider To Run a Clinic History Report 1 In the From field enter the date you want to begin the report 2 In the To field enter the date you want the report to end 3 If looking for information about a specific vaccine enter the lot number in the with lot number field 4 Select how you want the report sorted by clicking the appropriate radio button a Immunization Date b Vaccine Type c Patient
26. s shown in Blue indicate vaccine expiring within oo days Expiration dates shown in Red indicate vaccine has expired and should not be administered Expired vaccines are automatically removed from the current inventory Vaccine Inventory Adjustment Lot Number Expiration Date New Manufacturer VIS Version Date Save Vaccine 2nd VIS Date Reset Doses in Shipment 3rd VIS Date Doses Given Dosage mL Funding Categories E Delete Date Created Date Modified ExtraDoses pore UL PP MA Under Doses ui LLL MEN Shared Doses eee eee ee T Wasted Doses e EE Other Adjustment FL E eee an adjustment factor or to bring the inventory into balance Doses Left o The NUMBER OF DOSES LEFT is calculated as follows Doses in the shipment Extra Doses Other Adjustment MINUS Doses Given Under Doses Shared Logout Change Pass User Management Inventory Inven Adjust A To Enter a Vaccine into the Clinic s Inventory 1 Click the New button to enter a new vaccine 2 Enter inventory by filling in the Red required fields a Lot Number of the vaccine b Enter the Manufacturer by using the drop down box or entering the manufacturer code c Enter the Vaccine Type by using the drop down box or entering the vaccine code d Enter the number of doses received e Enter the expiration date f Enter the VIS Version Date For a combination vac
27. was given before Between Ages Months and or Between DOB and Zip Code or County Search Random Random Perform action on list for All Patients C Checked Patients i gi gig egg a NN T TT T T P CASA Export Batch Forecast Check All Reverse Checked Uncheck All Remove Checked RR Report End Clinic Affil aisn Lizi Provider Logout Change Pass User Management Inven Adjust Report The Batch List can be used to create patient lists based on the criteria set by the user A To Search for All Patients within a Specific Age Range 1 Enter either Between Ages in months or Between DOB for desired patients 2 Click the Search button to run 3 Patients meeting the criteria selected will appear in the white fields to the left B To Search for a Select Number of Patients within a Specific Age Range 1 Enter either Between Ages in months or Between DOB for desired patients 2 Enter the number of patients needed in Random 3 Click the Random button to run 4 Patients meeting the criteria selected will appear in the white fields to the left C To Save a List of Patients 1 Enter a List Name 2 Click the Save List button D To Pull Multiple Forecasts for Patients 1 Create a patient list and save 2 Click to place a V next to patient ids that need a forecast 3 Under Perform Action on List For click the Checked Patients radio button 4 Click the Batch

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