005. COVID vaccination programme searches

005. COVID vaccination programme searches

Introduction 

There are currently 5 folders (categories):
  1. 005A COVID vaccination uptake
  2. 005B COVID booster recalls AUTUMN 
  3. 005B COVID booster recalls SPRING
  4. 005C COVID at-risk children
  5. 005Q COVID data quality
Click on the links to see more detailed information and guidance on these folders.

005A COVID vaccination uptake

This folder is the successor to PCIT's original COVID vaccination programme folders.
The top level folder contains 4 headline searches or reports about vaccination coverage of the organisation.




A I Risk Groups  
These searches identify patients that are within an at risk group and there for eligible for eligible for a COVID vaccination. 

B I Not Vaccinated 
Theses searches show patients within your at risk groups who have not received a COVID vaccinated. 


C I 1st COVID vaccination only 
This search look at patients within the at risk groups who have only received 1 dose.  These patients have not subsequently declined or abandoned the vaccination programme after their 1st dose.




D I Data Admin 

These searches consist of patients that have either declined to receive a COVID vaccination in the last 6 months, have had a COVID vaccination but then have chosen to not receive any further vaccinations,  

Codes

The searches are built on the codes defined by NHS Digital; SNOMED contains more codes, but a set list is maintained for the UK vaccination programme.
Info
1324681000000101    Administration of first dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine
1324691000000104    Administration of second dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine
1363861000000103    Administration of third dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine
1363791000000101    Administration of fourth dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine
1363831000000108    Administration of fifth dose of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccine
1324671000000103    Immunisation course to achieve immunity against SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)
1362591000000103    Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)

Below are the codes used to exclude a patient. A subsequent vaccination code will ignore the below entries.
Info
1324761000000100    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) immunisation course contraindicated
1362641000000107    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) protection maintenance course contraindicated

1324811000000107    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) immunisation course declined
1324721000000108    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination dose declined
1362651000000105    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) protection maintenance course declined

1324861000000109    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) immunisation course abandoned
1362631000000103    SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) protection maintenance course abandoned

Other valid codes exist but are not used in these searches; these refer to courses not indicated, not done, started, completed.

005Q) Data quality

Alert
You will need to complete some housekeeping using CVP-Q1, Q2, Q3 to in order to make the priority groups as concise as possible!
CVP-Q01 contains all those patients who are likely to be contraindicated to receiving the COVID vaccine. The criteria are those who have a coded history of anaphylaxis or adverse reaction to a vaccine; adverse reaction to the COVID vaccine; any issue ever of an adrenaline auto injector; and currently pregnant.

Patients appearing in this list should be clinically reviewed as soon as possible to determine whether or not they are suitable to receive the vaccine. When you open the report you will notice that patients are sorted in age order so you can pull out blocks of data according to which priority cohort you are working on.

We have been cautious with the history of adverse reaction to a vaccine by including all codes, despite the green book stating that the vaccine should not be given to patients who have had a… ”confirmed anaphylactic reaction to any components of the COVID-19 vaccine”

Anybody who has been clinically reviewed and determined to have a contraindication to the COVID vaccine needs to be coded with SARS-CoV-2 immunisation course contraindicated.


CVP-Q03 Possible frontline health & social care workers is a bit of a challenge due to the historic use of occupation codes to document that the patient has seen a particular type of clinician such as a pharmacist or physiotherapist. Not every frontline worker will have had their current occupation coded on their medical record so it’s never going to be completely accurate. On this basis, occupation has been omitted from priority group 2, but you could manually include patients if they prove their occupation. The report will reveal any occupation code from the patient's record to help identify some of the frontline workers. 


CVP-Q09 helps identify patients with learning disabilities who have not yet received a vaccination. This is to prioritise their recall alongside patients in cohort 6.

CVP-Q10 & CVP-Q11 are used together to help identify household members of immunocompromised patients. Unfortunately this does require some manual input; using CVP-Q10, Practices can review each immunocompromised patient and use the Household button on the EMIS Web précis bar to find household members and then add the code Lives with immunocompromised person [527401000000103] to their record. CVP-Q11 will list all of these coded patients for recall (excluding those who have already received a vaccine).
Warning
Practices should consider that the Household button is not 100% reflective of the true household; tiny spelling mistakes in the address can ignore a patient so it is recommended to find patients using a combination of first line of address and partial postcode.

CVP-Q12 highlights patients with thrombocytopenia codes which is a contraindication to receiving the AZ jab.

 

CVP-Q13 helps to keep problem lists clean by listing patients who have had a vaccine added as a problem, so the problem status can be removed.

 

Info
CVP-Q24, -Q4, -Q6, -Q8, -Q14, -Q15, and -Q17 have been retired

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