Every student checked against school immunization requirements dose by dose, every missing dose named to the family before exclusion day
Every missing dose found and named to the family before exclusion day.
See one case, screen by screen ↓School Immunization Compliance checks every entry-grade student against school immunization requirements dose by dose, for school nurses. AI agents read each vaccination record in its own language, test every dose for minimum age and spacing under the state schedule, reconcile the state immunization registry, check exemptions and draft exact-dose letters in the home language. The school nurse approves every determination, and only the principal excludes a student.
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School immunization requirements are proven one student at a time. For every kindergartner, every seventh grader and every new arrival, the school nurse reads a paper card, a clinic printout or a record from another country, retypes each dose date into the student information system's health module, searches the state immunization registry one student at a time and counts down to exclusion day on a spreadsheet. Records in Ukrainian, Spanish, Tagalog or Vietnamese wait for a translator or a nurse who can read the script.
The SIS marks a student up to date when the dose count is right. Minimum ages, minimum intervals and the 4-day grace period are checked by eye, if at all, so a second MMR dose given 22 days after the first still counts, and oral polio given after April 1, 2016 slips through on records from other countries. Families hear about the missing dose late, often in English and often at the door, and the state report is assembled from SIS exports that were never checked dose by dose.
Estimated split for one entry-grade record from another country, by hand and with the solution, in minutes.
Eight agents read, check, reconcile and write; the school nurse approves and only the principal excludes.
Wednesday, October 21, 2026, at Marlow Bay Unified School District. Exclusion day at Kelsworth Middle School is October 30, nine days away, and 41 of its 412 entry-grade records are incomplete. Seventh grader Oksana P., enrolled September 8 with Ukrainian as her home language, brought her vaccination card to the health office yesterday. Here is how school immunization requirements are checked for her, dose by dose, with the nurse deciding.
Ellen covers Kelsworth Middle School and Harbor Point Elementary. Across the top of her students: Kelsworth, 41 incomplete, exclusion day Oct 30; Harbor Point, 23 incomplete, exclusion day Nov 6. Each required vaccine is a string of beads against the grade's state schedule, and Oksana's MMR string shows one verified dose and one struck through.
Filled: verified. Hollow: missing. Half-filled: provisional. Struck through: given, does not count. Dashed ring: exemption.
Luis Ferreira-Hahn scanned the card (form 063/о, 3 pages) with her September 15 clinic printout. The Record reader transcribed 14 doses, mapped КПК to MMR, and put each line in Cyrillic beside the English, cited to its place on the card, at confidence 0.97.
“КПК V2, 05.04.2015: MMR dose 2, Apr 5, 2015, 22 days after dose 1 (minimum 28), does not count.”
Against schedule 2026–27 v3 for grade 7, the Schedule checker tested minimum age, minimum interval, live-vaccine spacing, the grace period and the oral polio rule. Dose 2 came on day 22; the minimum is day 28 and the 4-day grace period starts on day 24, so it does not count. Tdap, MenACWY, varicella, hepatitis B and polio all meet the schedule.
Drafted determination: incomplete, 1 MMR dose needed. A valid dose can be given any day; her last live vaccine was in 2015.
The nightly registry pull holds only Oksana's two September 15 clinic doses, so there is nothing to resolve for her. Across Ellen's schools it found 6 disagreements, such as Mateo R.'s Tdap, dated Aug 14, 2025 on the card and in the registry but Aug 14, 2026 in the SIS, with a proposal to correct the SIS at confidence 0.96.
Nothing changes until the nurse decides.
Ellen compares “КПК 05.04.2015” on the card with the English row, opens the sign-off and sees the proposal from the Schedule checker with its three citations. She picks the reason code and signs. Only then are the verified doses written to the SIS health module.
Reason code: Dose interval short (ACIP minimum). Signed as Ellen Marchetti-Obi, RN, School Nurse, Oct 21, 2026.
The Notice writer drafts the family's letter in Ukrainian with the English beside it: Oksana needs one more MMR dose by November 3, free at the Westshore Immunization Clinic on Tuesdays and Thursdays, 3–7 PM. A back-translation check scores 0.98. The draft waits for Ellen's approval.
Draft, needs approval.
Oksana's is the 20th notice drafted today. Each shows the home language beside English and names the exact dose: Rizal M. in Tagalog for polio, Sofia D. in Spanish for varicella, Bao T. in Vietnamese asking for a clearer copy of page 2. Ellen approves one or many, and they go out through the family messaging platform.
The Clock keeper counts down every provisional clock: 41 students incomplete, 9 with an appointment booked, about 14 expected still missing. District procedure HS-07 requires 10 school days' notice of the exact dose, so Oksana's exclusion date moves to November 4. The final list is built 2 school days ahead, Ellen recommends it, and principal Marcus Delacroix-Bell decides.
Agents never exclude: the Clock keeper builds the list, the school nurse recommends, the principal approves.
The State report preparer compiles kindergarten (3,480 records, 88.0% complete) and grade 7 (3,710 records, 87.9% complete) from nurse-approved records only. A nurse who approved none of them checks a random 25, and all 25 agree. Teresa signs and files through the state health reporting portal.
Every person, agent and system action is a line with its reason and its citation: the Record reader's transcription, Ellen's sign-off with the reason code, the Notice writer's draft, the write-back to the SIS and the 06:00 registry pull. The auditor filters by people, agents or disclosures and exports the pack for the state health department.
The same student record, seen by the people who carry it: what fall looked like, and what it looks like now.
Eight agents read, check, reconcile and write; the school nurse approves and only the principal excludes.
Reads vaccination cards, clinic printouts and records from other countries, transcribes each dose with the original beside the English, maps local vaccine names to the state list and cites every date to its line.
Checks every dose against the state's 2026–27 schedule for the grade: counts, minimum ages, minimum intervals, live-vaccine spacing, the grace period and the oral polio rule, then drafts the determination and the earliest valid date.
Pulls the state immunization registry nightly and on demand, and compares the family's record, the SIS health module and the registry for every student, including uncertain identity matches.
Checks each exemption is on the current state form revision, complete, signed, with the physician's license number where required and within its dates, and sets renewal reminders.
Counts down provisional clocks and each school's exclusion day, forecasts who will still be missing, and builds the final exclusion list 2 school days ahead.
Drafts each family's letter in the home language with English beside it, naming the exact missing dose, the last day it can be given and a no-cost clinic, with a back-translation check.
On a reported case, lists students without documented immunity by school and homeroom and drafts the list for the county health department and the family notices.
Compiles the annual kindergarten and grade 7 report from nurse-approved records and draws a random sample of 25 for a second check.
Approve, exclude, sign. The agents propose; a named person decides.
Ask in plain words, or say what to start. Every answer points to the card line, schedule section or rule it rests on.
Why doesn't Oksana's second MMR dose count?
It was given 22 days after the first. Her card shows КПК (MMR) on 14.03.2015 and 05.04.2015. The state schedule requires at least 28 days between the two doses, with only 4 days of grace, the same minimum ACIP sets. So dose 2 does not count, and Oksana needs one more MMR dose. Her last live vaccine was in 2015, so it can be given any day.
Who at Kelsworth still needs MMR before exclusion day?
The students at Kelsworth who are incomplete for MMR include Oksana P., whose second dose does not count, and Yusuf A., who has an appointment on Oct 27. Every family has had the exact-dose letter. The dose beads are now filtered to MMR.
Draft the outbreak list if a measles case is confirmed at Kelsworth
A measles response for Kelsworth Middle School is started. Students count as immune only with two valid MMR doses or a documented history, so invalid doses and exemptions are on the list. Teresa Vandermolen approves before anything goes to the county, and the disclosure is recorded.
Which exemptions expire this semester?
One: Noor A. at Harbor Point Elementary. Her temporary medical exemption for MMR and varicella ends Nov 15, 2026. You can set a renewal reminder with one click. No other exemption at your schools ends before Jun 30, 2027.
12 screens from the working solution, on its sample data. Pick one to see it large.
The rules every record is checked against are settings, set by the district nurse coordinator and kept on the audit trail.
| Setting | Default | Choose from |
|---|---|---|
| State schedule | 2026–27 v3 (current) | 2026–27 v3, 2026–27 v2 or 2025–26 v4; re-check every record against the one selected |
| 4-day grace period | On | On where the state accepts doses up to 4 days early, or off |
| Oral polio rule (ACIP) | On | OPV given on or after Apr 1, 2016 does not count |
| Physician-documented varicella history | On | Counts in place of both varicella doses, or not |
| Provisional review | Every 30 days | Every 30 days or every 15 days |
| Exact-dose notice before exclusion | At least 10 school days | At least 10 or at least 15 school days |
| Decide a determination | Within 3 school days | Within 3 or 5 school days, then escalate to the coordinator or the Assistant Superintendent, Student Services |
| Keep health records | 5 years | 5 years, 7 years or until age 26 after the student leaves the district |
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
“demo” = seen in the working solution, on its sample district data · “target” = the design goal, measured in the live solution · “estimated” = our estimate · “typical” = published figures (CDC SchoolVaxView, 2025–26 kindergarten vaccination data: 4.2% exempt from one or more vaccines, up from 3.6%; exemptions above 5% in 24 states; about 280,000 kindergartners without a documented MMR series). Rule context: ACIP general best practice guidelines on minimum ages and intervals and on oral polio vaccine; FERPA, 34 CFR 99.32 and 99.36. The district, schools, students, families, clinics and people named on this page are fictional — characters and sample data in the working solution.
School Immunization Compliance checks every entry-grade student against school immunization requirements dose by dose, for school nurses. AI agents read each vaccination record in its own language, test every dose for minimum age and spacing under the state schedule, reconcile the state immunization registry, check exemptions and draft exact-dose letters in the home language. The school nurse approves every determination, and only the principal excludes a student.
The Schedule checker tests each dose against the state schedule for the student's grade: the count, minimum age, minimum interval, live-vaccine spacing, the 4-day grace period where the state accepts it and the ACIP oral polio rule. A dose that was given but does not count is shown struck through, with the rule, the days and the earliest date a valid dose can be given.
Yes. The Record reader transcribes cards and clinic printouts in Ukrainian, Spanish, Tagalog, Vietnamese and English, shows the original beside the English, maps local vaccine names such as КПК to MMR and cites every dose date to its line. It never guesses an unreadable date; it asks the family for a clearer copy.
The Clock keeper counts down each provisional clock and each school's exclusion day, and the Notice writer drafts an exclusion letter naming the exact missing dose, the last day and a no-cost clinic. District procedure sets the notice period, at least 10 school days in the sample district. The nurse recommends the final list and only the principal approves exclusion.
Yes. The Exemption checker confirms each exemption is on the current state form revision, signed, with the physician's license number where required and within its dates, and sets a renewal reminder before a temporary medical exemption ends. It never grants or denies an exemption; the nurse decides.
Verified doses are written to the SIS health module only after the nurse approves them. The Registry reconciler compares the family's record, the SIS and the state registry and sends each disagreement to the nurse with all three sources side by side; it never overwrites either system.
Yes. Agents read, check, cite and draft; people decide. The school nurse signs every determination with a reason code and approves every notice, the principal alone excludes, and the district nurse coordinator signs the state report after a second check and approves any outbreak list before it is shared.
The Agentic Solution Engine builds and deploys it from your requirements and documents: your state's schedule and exemption forms, your district's health procedures and a sample of past entry-grade records. It goes live once every quality gate has passed. We will walk you through it on your own records first.
Families enrolled in one visit; staff review only the exceptions, each tied to its proof.
1-min demoChronic Absenteeism & Truancy InterventionOutreach starts at 5%, in the family's language, long before the review board.
1-min demoMcKinney-Vento & Foster Youth ServicesDisplaced students in class the same day, with a ride to school within 48 hours.
1-min demoWe'll run School Immunization Compliance on a sample of your own past entry-grade records and your state's schedule.