005Q COVID data quality

005Q COVID data quality

Notes
The latest version of 005Q COVID Data quality is v6
This folder was part of PCIT's original COVID vaccination programme folder, and is now included in the 005 COVID vaccination programme collection of search folders.

Searches

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!

Contraindication to COVID vaccine

CVP-Q1 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.


Frontline health & social care workers

CVP-Q3 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. 


Second vaccine given before 21 days

CVP-Q5 highlights patients who received the second dose less than 21 days after the first dose. 21 days is the minimum interval for the Pfizer BioNTech vaccine, while the Oxford-Astra Zeneca vaccine has a minimum interval or 28 days. Once the AZ vaccine comes online, this search is really aimed at picking out anybody who had the Pfizer vaccine doses too close together, but it may also indicate a coding problem.


Two vaccine codes on the same day

CVP-Q7 is a simple data quality exercise to find patients who have had the vaccine code inputted twice on the same day. This search operates in tandem with CVP-Q18.

Learning Disabilities patients who are unvaccinated

CVP-Q9 helps identify patients with learning disabilities who have not yet received a vaccination. This is to prioritise their recall alongside patients in cohort 6.

Living with an immunocompromised patient

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.


AstraZeneca contraindications

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

Vaccinations as problems

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.


First vaccination more than 8 weeks ago

CVP-Q16 lists all patients whose first jab was at least 8 weeks ago, but they haven’t had a second jab yet. View the report to check when the patient was vaccinated, and initiate a follow-up contact to complete the initial two-dose course.

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


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