MINNESOTA DEPARTM ENT OF HEALTH
MINNESOTA IMMUNIZATION INFORMATION CONNECTION (MIIC)
Interpreting a MIIC Vaccination Record
MIIC User Guidance
Purpose: This user guide is meant to help users interpret the information that they might see in a
client’s MIIC vaccination record.
This is an example of a typical MIIC vaccination record:
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Interpreting a MIIC Vaccination Record
Interpreting Each Segment
Client AKA’s
In some records, you might see that a client has an “AKA” (also known as).
This means that the client is known in MIIC by more than one name, but no matter which of the names
you search, MIIC still points to the same client’s vaccination record. The AKA will appear in MIIC when
you edit a client’s demographic information in the “edit client” screen (for example, when a client gets
married and you change the last name to the married name from the maiden name).
Client Comments
Many clients have comments in their vaccination record.
Comments can indicate several things, such as immunity to disease, allergies, refusals of vaccine, etc.
Multiple comments can be listed in one record. To view all comments in a client record, click the down
arrow on the “Comments” scroll bar.
Vaccination Information
Each vaccination listed in a client’s record has details that are specific to that vaccination.
In this example, the vaccination information has the vaccine type, the date that it was given, where it
falls in the series, its trade name, if it is owned by the organization under which you are logged in, and if
it is historical or newly administered.
When the vaccine information indicates “No” in the “Owned?” column, this means that the
vaccination was not entered by the organization under which you are logged in. Click on the
“No” to see the organization that entered it.
When the vaccine information indicates “Yes” in the “Hist?” column, this means that the
vaccination was entered as a “historical dose” by an organization that did not administer the
vaccine. Historical doses are based on the administering organization’s written documentation.
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Interpreting a MIIC Vaccination Record
When a Vaccination is Listed as “NOT VALID”
Occasionally, you might see that a vaccination is listed as “NOT VALID” on a client’s record.
This happens when a vaccination does not follow the national Vaccine Recommendations of the
Advisory Committee for Immunization Practices (ACIP) (http://www.cdc.gov/vaccines/hcp/acip-recs/). A
vaccination may be listed as invalid for a number of reasons:
Vaccination was given before or after the recommended age.
Vaccination was given too close to another dose in the series (interval between doses is too
short).
Vaccination was a live vaccine and was given too close to another live vaccine (closer than 28
days).
To find out why a vaccination is not valid, click on ”Date Administered” and MIIC will give you a pop up
with the explanation.
Clinical Decision Support Tool
As part of a client’s vaccination record, MIIC gives users a Clinical Decision Support tool that forecasts
the specific client’s vaccination needs. The tool is unique to each client because it uses ACIP
recommendations to make forecasts based on the client’s current age and vaccination history in MIIC.
Several dates and labels may appear in the tool:
For vaccinations that still need to be given, the tool provides users with the earliest date that
the client could receive the vaccination, the date that is recommended for the client to receive
the vaccination, the date that the vaccination will be overdue, and the latest date that would be
appropriate for the client to receive the vaccination.
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Interpreting a MIIC Vaccination Record
“Complete” means that the vaccination or vaccination series has been given to the client
appropriately and no further doses are recommended.
“Maximum Age Exceeded” means the client is now too old to start or complete the vaccination
series and no further doses are recommended.
“Contraindicated” is used broadly in MIIC to mean that a comment listed in the client’s record
indicates that no further doses are recommended. Comments that result in this label include
medical contraindications to receiving the vaccine and client/parent vaccination refusals.
“Maximum Doses Met or Exceeded for Vaccine Group” means the client has received the
maximum number of doses that can be given.
“Immunity Recorded for Vaccine Group” means that the client record has a comment that
states the client is immune to the disease prevented by the vaccination type. Therefore, the
client does not need the vaccination.
Labels and dates in the tool may be color coded for emphasis, as follows:
[Date]
Vaccination currently falls between earliest date
and recommended date
[Date]
Vaccination currently recommended
[Date]
Vaccination currently overdue
[Date]
Previous dose given with combination vaccine,
different recommended dates for next doses of
individual antigens
[Label]
Vaccination not recommended
Minnesota Immunization Information
Connection (MIIC) PO Box 64975
St. Paul, MN 55164-0975
Web: www.health.state.mn.us/miic
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