Sheila McGreevy, Megan Murray, Leny Montero, Cheryl Gibson, Branden Comfort, Michael Barry, Kalee Kirmer-Voss, Allison Coy, Tahira Zufer, Kathryn H Rampon, Jennifer Woodward
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Assessing the Immunization Information System and electronic health record interface accuracy for COVID-19 vaccinations.
Objective: Our objective is to assess the accuracy of the COVID-19 vaccination status within the electronic health record (EHR) for a panel of patients in a primary care practice when manual queries of the state immunization databases are required to access outside immunization records.
Materials and methods: This study evaluated COVID-19 vaccination status of adult primary care patients within a university-based health system EHR by manually querying the Kansas and Missouri Immunization Information Systems.
Results: A manual query of the local Immunization Information Systems for 4114 adult patients with "unknown" vaccination status showed 44% of the patients were previously vaccinated. Attempts to assess the comprehensiveness of the Immunization Information Systems were hampered by incomplete documentation in the chart and poor response to patient outreach.
Conclusions: When the interface between the patient chart and the local Immunization Information System depends on a manual query for the transfer of data, the COVID-19 vaccination status for a panel of patients is often inaccurate.
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