Support for COVID-19 booster and brand mixing in Charge Capture Copied

01/29/20223.0.28Release notePhysician, Clinical, Admin, Billing

iKnowMed Generation 2 now supports several new sets of COVID-19 vaccine administration codes, including:

  • Booster dose administration billing for the Pfizer, Pfizer Tris, Johnson & Johnson, and Moderna COVID-19 vaccines.

  • First and Second dose administration billing for the Pfizer Pediatric COVID-19 vaccine.

  • Mixing of brands for Booster doses.

The workflow for documenting vaccines has not changed. On-site vaccines are tracked in the MAR, and off-site administrations are tracked in Clinical Profile > Health Maintenance.

The system infers which shot the patient is receiving based on the brand, the number of vaccines given in the MAR, and any Health Maintenance records for a COVID-19 vaccine marked as given Elsewhere.

The logic for determining the first dose, second dose, third dose and booster dose is listed below.

First Dose

Patient is receiving the COVID-19 vaccine for the first time in their medical record, and there is no entry in their Health Maintenance record to show that the patient has received a shot Elsewhere.

Second Dose

Patient is receiving the COVID-19 vaccine medication for the second time in the MAR.

or

Patient is receiving the COVID-19 vaccine medication in the MAR, and there is an entry in their Health Maintenance record with comment Elsewhere to show that the patient has received their first shot off-site.

Third Dose

This does is also known as an Additional Dose and only applies to doses that occur within six months of the date of the second dose of Pfizer or Moderna brand vaccines.

The patient is receiving the COVID-19 vaccine medication for the third time in their medical record in the MAR.

or

There are two entries in their Health Maintenance record with comment Elsewhere to show that the patient has previously received two doses off-site and is now receiving their first dose administered in the MAR.

or

There is one entry in their Health Maintenance record with comment Elsewhere to show that the patient has received one dose off-site, and they are receiving a second dose in the MAR.

Booster Dose

Patient is receiving the COVID-19 vaccine medication six months or more after the first dose of Johnson & Johnson or the second or third dose of Pfizer.

The Moderna booster administration code is linked to the dose of the medication being used. When the dose is .25mL the system will generate the booster code.