This is the 5th and final step of the process.
The vaccination audit shows the patient’s status with respect to vaccination recommendations at the present moment. It makes it possible to define a “vaccination status” disease by disease:
- Up to date if the vaccination schedule has been properly followed and no vaccination is planned within the next six months;
- To be done within 6 months if vaccination is recommended on the day the status is established or within the next six months;
- To be done without delay if the recommendation should already have been applied;
- To be started later if a vaccination is scheduled to be done in more than six months and no dose has yet been administered.
This status will evolve over time, depending on new vaccines administered, changes in the characteristics of the health profile (pregnancy, new condition, change of occupation, etc.), or updates in health authority recommendations.
The vaccination status is calculated by the Vaccination Decision Support System (SADV), an exclusive algorithm that determines, based on vaccines already administered, intervals between doses, age, sex, and the elements of the “health profile,” the patient’s situation with respect to vaccination recommendations, disease by disease.
Vaccine-preventable diseases are classified by status and, for greater clarity, are marked with a colored label.
| To be done without delay: groups together the diseases against which vaccination must be carried out immediately, with the status “overdue” or “to be done as soon as possible” specified. | |
| To be done within 6 months: groups together the diseases for which vaccination will be required within the next 6 months. | |
| To be started later: groups together the diseases for which no vaccine has been administered and whose scheduled vaccination date is set for more than 6 months from now. | |
| Up to date: groups together the diseases for which no vaccination is needed within the next 6 months. For a given disease, as soon as a vaccination is recommended within the next 6 months, the status changes to “To be done within 6 months”. The status changes to “To be done without delay” once the recommended vaccination date is reached. | |
| Contraindicated vaccination: groups together the diseases against which vaccination is temporarily contraindicated (e.g., pregnancy) or permanently contraindicated (e.g., congenital immunodeficiency). | |
| Possible vaccination: groups together the diseases against which vaccination is not recommended by national health authorities but is legally authorized under the marketing authorization of the relevant vaccines (e.g., influenza before age 65 in a person without risk factors). | |
| Special situation: groups together the diseases for which the Vaccination Decision Support System (SADV) does not issue a decision (situation not covered by vaccination decision support) or for which the other vaccination status categories do not apply (e.g., refusal of vaccination, hepatitis B virus infection). |
The SADV makes it possible, for each disease against which vaccination is recommended, to define the precise date or a time interval during which the vaccination should be performed.
The change from “To be done as soon as possible” to “Overdue” is determined by the unit of time used in the recommendation.
If a vaccination is recommended at the age of 8 weeks (e.g., hexavalent vaccine in infants), the status changes from “To be done as soon as possible” to “Overdue” at the age of 9 weeks.
If a vaccination is recommended between the ages of 16 and 18 months, the vaccination status will be “To be done as soon as possible” starting from the 1st day of the 16th month and will change to “Overdue” from the 1st day of the 19th month.
After leaving Mentor, all the data entered during the audit are deleted: no data are stored in the database.
To start a new audit, click on “Reset” located at the bottom of Area 3.