Tool Search: CO State Immunization Cert
The Colorado State Immunization Certificate is used to generate a report of immunization compliance rules for students.
CO State Immunization Certificate
Report Logic
Students report on separate pages of the report.
Generation Steps
- Select the students to include in the report, either by Grade or by selecting an Ad hoc Filter.
- Enter an Enrollment Effective Date.
- Choose how the report should sort, either by Student Name or by Grade.
- Click Generate Report or Submit to Batch. The report displays as a PDF.
Report Example
Colorado State Immunization Certificate Example
Report Layout
| Data Element | Description | Location |
|---|---|---|
| Student Name | The student's full name. Alphanumeric | Census > Person > Demographics > First Name, Last Name, Suffix identity.firstName identity.lastName identity.suffix |
| Date of Birth | The student's birthdate. Date fields, MM/DD/YYYY | Census > People > Demographics > Birth Date identity.birthDate |
| Parent/Guardian (if student is under 18 years of age and not emancipated) | The parent/guardian's full name. Alphanumeric | Census > People > Relationships > Name |
| Required Vaccines Reports the Immunization Dates (MM/DD/YYYY) from the student's Immunizations tool (Student Information > Health > Immunizations) for each of the following vaccines. | ||
Hep B | Hepatitis B | |
DTaP | Diphtheria, Tetanus, Pertussis (pediatric) | |
DT | Diphtheria, Tetanus (pediatric) | |
Tdap | Tetanus, Diphtheria, Pertussis | |
Td | Tetanus, Diphtheria | |
Hib | Haemophilus Influenzae Type B | |
IPV/OPV | Polio | |
PCV | Pneumococcal Conjugate | |
MMR | Measles, Mumps, Rubella | |
Measles | N/A | |
Mumps | N/A | |
Rubella | N/A | |
Varicella | Chickenpox | |
| Varicella date of disease | The Waiver Date when the student has an exemption of "H"-Hx/Dis. | |
| Varicella positive screen date | The Waiver Date when the student has an exemption of "L"- Lab Verified Titers. | |
| Recommended Vaccines Reports the Immunization Dates (MM/DD/YYYY) from the student's Immunizations tool (Student Information > Health > Immunizations) for each of the following vaccines. | ||
| HPV | Human Papillomavirus | |
| RV | Rotavirus | |
| MCV4 | Meningococcal (MCV4 or MenACWY) | |
| MenB | Meningococcal | |
| Hep A | Hepatitis A | |
| Flu | Influenza | |
| COVID-19 | N/A | |
| Other | Reports blank. | |
Previous Versions
State Immunization Certificate (Colorado) [.2335 - .2343]
State Immunization Certificate (Colorado) [.2247 - .2331]
State Immunization Certificate (Colorado) [.2243 and previous]
