Tool Search: CO State Immunization Cert
The Colorado State Immunization Certificate is used to generate a report of immunization compliance rules for students.
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 or guardian name (only 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 | |
|
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. | ||
| RSV
|
respiratory syncytial virus |
|
| HPV
|
human papillomavirus
| |
| RV | rotavirus
| |
| MCV4
|
meningococcal ACWY
| |
| MenB | meningococcal B | |
| HepA
|
hepatitis A
| |
| Flu
|
influenza
| |
| COVID-19
|
N/A | |
| Other
|
Reports blank. | |
