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User Guide
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Certificate of Immunization Status (Washington)
This report creates a Washington State School Immunization Certificate that validates student/patient immunization records against Washington State School or Child Care immunization requirements. Search for the patient before running this report. This report can also be run directly from the Reports > School Reports page and from the Patient Demographics page if the state-configurable option has been selected. This report can also be scheduled to run from the Reports > State Reports page.
The Certificate of Immunization Status (CIS) displays the immunizations, dose number, date of immunization including HPV, and Varicella information for a specific patient. HepB doses display together excluding HepB 2 dose, which displays with the HEPB-2 label. The address, patient/guardian name, and phone number do not appear on the form.
When a patient has a history of single antigen dates for measles, mumps and rubella, six different dates, the logic is as follows:
- When there are two MMR vaccines (MMR or MMR/V) plus other M, M, R containing single antigen vaccines, two MMRs and then the most current measles, and then rubella appear on the form.
- When there is one MMR (MMR or MMR/V) vaccine plus other M, M, R containing single antigen vaccines, the MMR and then the most current measles, mumps, rubella vaccine dates appear on the form.
- When there are only single antigen measles, mumps, rubella vaccines, the two most current measles vaccines, then the most current mumps vaccine, and then the most current rubella vaccine appear on the form.
Note that vaccines that are administered as confidential remain confidential and do not appear on the form.
Run the Report
To run this report, search for the patient and then click the Reports > State Reports > Patient Specific > Certificate of Immunization Status (CIS) link. The Certificate of Immunization Status (CIS) page opens. Select the Certificate Type from the drop-down list (i.e., Child Care, School Nurse) and then the Series from that drop-down list, then click Create PDF. The PDF version of that certificate for the selected patient automatically downloads.
The available search criteria are as follows:
| Field | Description |
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Certificate Type |
Select the certificate type from the drop-down list (i.e., Child Care, School) |
| Series | Select the vaccine series to run the report for from the drop-down list. |
Example Report
The following image is of an example Certificate of Immunization Status form. Note that reports may differ in format and headings depending on settings.
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