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Rules Based on Patient's Age
- If a patient is >= 18 years old and has NOT completed the series, then the Recommendation is Conditional and the reason code is HIGH_RISK.2
- Shots administered to a patient who is >= 18 years of age will continue to be evaluated (based on minimum intervals) and, if valid, will count toward completion of the series.2
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The Polio 4-dose series is complete after 4 doses, except when one of the 743513834-dose Series Exception Rules apply.
Vaccine Dose Parameters - Minimum and Routine Ages
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Doses | Series Name | Absolute Minimum Interval | Minimum Interval | Minimum Recommended Interval | Latest Recommended Interval (less than) |
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Dose 1 to 2 | Polio 4-dose | 24 days | 28 days | 28 days | 15 months + 4 weeks |
Dose 2 to 3 | Polio 4-dose
| 24 days | 28 days | 28 days | 13 weeks |
Dose 3 to 4 | Polio 4-dose
| 24 days if dose 4 was administered before 8/7/2009 6 months minus 4 days if dose 4 was administered >= 8/7/2009 | 28 days if dose 4 was administered before 8/7/2009
6 months if dose 4 was administered >= 8/7/2009 | 6 months | 6 years + 4 weeks |
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Series Special Rules | Anchor |
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4-dose Series Exception Rules
The 4-dose series above applies unless: - Series complete with 3 doses:
- If patient is >= 4 years old (or will be >= 4 years old at the dose 3 recommended due date), recommend target dose 3 (and final dose) at 4 years old; recommended interval = 6 months. (Minimum interval= 6 months; absolute minimum interval = 6 months - 4 days)
- If dose 3 was administered when the patient was >= 4 years and was administered at least 6 months - 4 days after the previous dose, then the series is complete with 3 doses.
- For children who received target dose 4 at >= 8/7/2009 and before 4 years - 4 days of age, evaluate target dose 4 as Accepted/ BELOW_MINIMUM_AGE_FINAL_DOSE (if absolute minimum interval is met). (An additional dose will be recommended at >= 4 years of age).
OPV RuleIf a patient receives shots of OPV administered >= 4/1/2016, these shots do not count towards the series. Evaluate these shots as Invalid with reason code MISSING_ANTIGEN. |
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