Patient comes in for visit. We offer Zostavax (or any other vaccine). Patient refuses. We document refusal.
Next time patient comes in under Decision Support/Zostavax/Prior records of 'Zostavax': AC records that vaccine was given--there's not indication that it was refused. Also, if we print a vaccination record it prints up suggesting that Zostavax was given. Yes, it prints in red (if we used a color printer)--but no one will realize that this means the vaccine wasn't given.
Has anyone found a way around this problem?