Immunizations Report

SPECIAL NOTE:  Effective with reports run for Q3-SFY2018, these Immunization Reports no longer use Cornerstone as their data source.  Instead, they use data entered into the IDPH - ICARE system. A revised description will be posted later.  However, the report elements have not changed and the immunization rates are the same using ICARE. - July 16, 2018

The report descriptions are made for the people who are working in the cornerstone system, it explains what screens and fields affect this report.

Tabular description of Immunizations Report (pdf)

Report

Immunization

Immunization Report

Report Item: FCM 3-2-2 Children within age range

  • Data Entry Screen - Program Information (PA15)
    • Data Fields
      clinic id,
      program code,
      open/cert date,
      actual closed/term date,
      program status
    • Selection Criteria - Children who were active in FCM any time during the report period.
  • Data Entry Screen - Participant Enrollment (PA03)
    • Data Field
      date of birth
    • Selection Criteria - Children who were 12 to 18 months old any time during the report period.

Report Item: FCM 3-2-2 Series Complete

  • Data Entry Screen - Immunizations (PA12)
    • Data Fields
      immunization code,
      immunization date
    • Selection Criteria -
      • Immunization date before the end of the report period.
      • Immunization codes 01, 03, 09, 11, 12, 13, 17, 20, 22, 32, 36, 37, 47 and 48.

Report Item: WIC 3-2-2 Children within age range

  • Data Entry Screen - Program Information (PA15)
    • Data Fields
      clinic id,
      program code,
      open/cert date,
      actual closed/term date,
      program status
    • Selection Criteria - Children who were active in WIC any time during the report period.
  • Data Entry Screen - Participant Enrollment (PA03)
    • Data Field
      date of birth
    • Selection Criteria - Children who were 12 to 18 months old any time during the report period.

Report Item: WIC 3-2-2 Series Complete

  • Data Entry Screen - Immunizations (PA12)
    • Data Fields
      immunization code,
      immunization date
    • Selection Criteria -
      • Immunization date before the end of the report period
      • Immunization codes 01, 03, 09, 11, 12, 13, 17, 20, 22, 32, 36, 37, 47 and 48.

Report Item: WIC 4-3-3-1 Children within age range

  • Data Entry Screen - Program Information (PA15)
    • Data Fields
      clinic id,
      program code,
      open/cert date,
      actual closed/term date,
      program status
    • Selection Criteria - Children who were active in WIC any time during the report period.
  • Data Entry Screen - Participant Enrollment (PA03)
    • Data Field
      date of birth
    • Selection Criteria - Children who were 24 to 36 months old any time during the report period.

Report Item: WIC 4-3-3-1 Series Complete

  • Data Entry Screen - Immunizations (PA12)
    • Data Fields
      immunization code,
      immunization date
    • Selection Criteria -
      • Immunization date before the end of the report period.
      • Immunization codes 01, 03, 04, 05, 06, 07, 08, 09, 11, 12, 13, 14, 17, 20, 22, 32, 36, 37, 38, 47 and 48.