In the EHR
Practice users record immunization declines in the Vaccination section of a patient’s chart, alongside the doses the patient has received. A decline names the vaccine group the patient declined, the date of the decline, the reason, including a decline because the patient already has immunity. See Vaccination Documentation Guide.Working with immunization declines via the API
Creating a decline records it in the chart; reporting it to an immunization registry is separate. A successfulPOST places the decline in the patient’s chart. Submission to a connected immunization registry happens when a practice user records the decline in the chart with registry sharing turned on, so declines created through the API are not submitted to a registry. If your workflow needs the decline reported, plan for a practice user to submit it from the chart.