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San Diego Immunization Information Website

Operational Requirements
SDIR wants every authorized participant to use the electronic registry system in the best way possible.

To Participate in the San Diego Regional Immunization Registry (SDIR)

Before joining the Registry, all participants must:

  • be an entity allowed under California Health and Safety Code Sections 120440 and 120175 to participate in a registry
  • sign a Memorandum of Agreement (MOA) with SDIR
  • have their staff trained on how to use the registry by an SDIR Representative
  • be available for periodic follow-up visits by a SDIR Representative
  • inform parents/patients that record will be shared with others, give opportunity to "opt out" and provide SDIR Disclosure form
  • conform to federal guidelines for protected health information as stated under HIPPA

Before you join the Registry, you should assess your Practice for Operational Readiness! There are several ways to use the Registry, and SDIR will work with you to implement the Registry in any size or type of practice. Below is an outline of the optimal operational process.


Ideal Procedure for using SDIR

Process

Office Area
Activity

Step 1:
Logon to the Registry

from any computer in the office/practice

1. Staff updates vaccinators for the day.

2. Staff reviews facility/site vaccine inventory.

Step 2:
Patient registration

nurses station, exam room or other available computer

1. The patient/parent is asked for the CA Immunization Record (CIR) also know as the yellow card or other immunization record.

2. The staff searches for the patient in the Registry (SDIR).

If patient is found, they verify that demographic information is current as well as enter any shots shown on the CIR that are not found in the Registry.

If the patient is not found, staff will then create a new record by entering demographic and historical immunization record information.

Step 3: Assessment

nurses station, exam room or other available computer

1. Staff assesses using the Registry (or printout) to determine if shots are needed.

2.
The provider verifies the recommendation and orders shots.

3. The shots are given.

Step 4:
Data entry of shots given

nurses station, exam room or other available computer

1. The shots are entered as they are prepared or after they are given (on the same day.)

2. The next due date is automatically generated by the Registry or entered manually by the user and the patient and/or parent is informed when to return.

Step 5:
The CIR is updated

nurses station, exam room or other available computer

1. Shots are documented on patient's CIR (if patient has no CIR, a new CIR is printed out for the patient and/or parent.)

2. Shots are documented in patient chart or an updated patient immunization report is printed for patient record.

Benefits of using the optimal method:

  • Using the registry as an assessment tool prior to or at the time of the visit reduces missed opportunities
  • All immunizations given are entered into the registry and thereby a complete record of all immunizations given by any provider is generated
  • Allows for use of reminder and recall activities
  • Data entry is integrated into the office flow and doesn’t pile up

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San Diego immunization Registry

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