The Vaccine Scheduler step in a consultation allows you to select the vaccines that will be administered to a patient:

The information presented here should only be used and interpreted by a suitably qualified medical person. No responsibility is taken by Incaplex for any medical decisions or information presented to support these. The Vaccine Scheduler can be configured to reflect your policies (whether national or set by your clinic), Incaplex does not make, maintain or update Country Disease Risk recommendations. Please refer to the Inca Configuration topic for more details.

Under the Vaccines to be Considered header you will find some vaccines which Inca Clinic has listed because of a link between some diseases, the countries being visited, and the patient's planned bahaviours (details such as the activities being planned, the accommodation type, and the purpose of the trip). Looking in more detail, some risk levels are highlighted in blue:

Mousing over one of the risk levels will pop up a list of associated behaviours. Underlined behaviours are included in the patient's itinerary:

Mousing over the Vaccines to be Considered header shows the behaviours associated with each risk level; again, those in the patient's itinerary are underlined:

To add a vaccine, simply click on it. The Info Grid panel (at the bottom right) will then show the schedules that are available for that vaccine. Press the Add button to add the selected schedule to the patient's overall schedule of vaccines:

You can have the system record a reason why you did not schedule a particular vaccine for the patient: click on the vaccine name and then choose one or more of the following:

• Discussed: you discussed the disease and/or vaccine with the patient and decided for whatever reason not to schedule the vaccine.
• Declined: you discussed the disease and/or vaccine with the patient and the patient declined the vaccine.
• Contraindicated: you believe that the vaccine is contraindicated for the patient.

You can also add a note (by clicking “Consultation Notes and Summary”). You can either add a new note (“Add a note” button), or perhaps it is better to edit the note that the system creates to record the reason (mouse over the text that the system has created, and click on the “Edit” button that appears above it).

When each of Twinrix, Typherix, Revarix and Rabies HDVC have been added to a patient's schedule, the Vaccine Scheduler panel will look as follows:

Each of the V shapes shows when an administration is required. You can use the Add day to schedule button to add further days, and you can drag-and-drop some of the existing V shapes to the new day, or create new ones.

As an example, we can combine the day 28 (Rabies HDVC administration) and day 30 (Twinrix administration) into a single day. The picture below shows day 28 being dragged to the day 30 line:

This will result in the following schedule:

More examples are given later, showing how to add and remove administrations.

Note that some vaccines may have small warning icons to their right. These indicate that there may be a Contraindication, In Cover or Age Restriction alert. Mousing over the icon shows a more detailed message. The alerts should be configured by your Medical Director or equivalent.

When you select a vaccine, the alerts are also displayed on the Vaccine Information Grid. For example:

NOTE: Naturally, you must use your medical knowledge and information from the patient to decide if selecting these vaccines is appropriate. Inca Clinic will not prevent you from scheduling and administering any vaccines and you should exercise your own clinical judgement at all times.

The behaviour of Alerts can be managed via the Medical Configuration settings in Inca Clinic.

The Validate button can be used to bring alerts to your attention: for example,

• Contraindications
• Age Restriction
• That the patient is covered against a particular disease for which a vaccine has been scheduled.
• To warn if you have added or removed an administration so that there are then too many or too few administrations planned (compared to the schedule chosen).
• If you have moved an administration outside of some tolerance.

NOTE: You must use your medical knowledge and information from the patient to decide if the schedule details are appropriate. Inca Clinic will not prevent you from scheduling and administrating vaccines in the way you have chosen.

You can use the Highlight button to show the line in the schedule that the warning is referring to.

To dismiss an alert box click the 'X', in the top right hand corner of the alert box.

Finally, press Save to save the patient's schedule.

Instead - or in addition to - the “Vaccines to be Considered” list, you can select from the list of vaccines that your version of Inca Clinic has been configured with. The vaccines are organised by the diseases they cover, and the list of diseases appears below the “Vaccines to be Considered” panel. (Clicking on “Vaccines to be Considered” collapses that list so that the list of diseases is shown higher on the screen.)

By selecting one of the diseases from that list, it expands to a set of vaccines that provide cover for that disease.

You can click on any vaccine name, and then use the Info Grid to choose a schedule for the chosen vaccine.

You can delete an administration by mousing over it, and then pressing the - (minus) sign that appears:

You can add an administration by mousing over an empty space, and then pressing the + (plus) sign that appears:

Alternatively - and more quickly - you can simply double-click on an administration to delete it; and double-click on an empty space to add an administration.

You can also select an entire line and move it up or down.

You can delete a vaccine from a patient's schedule by mousing over the vaccine name, and the pressing the - (minus) sign that appears. Then press Save.

Administrating Vaccines

Configuring Country and Disease Risks

Adding and Managing Vaccine Products and Vaccine Schedules

Fixing user errors on the Vaccine Scheduler