005C COVID at-risk children
The latest version of 005C COVID at-risk children is v1
Searches
005 COVID at-risk children is a folder of searches to identify patients between the ages of 6 months and 15 years who would be eligible to receive their first COVID vaccination. It forms part of the 005 COVID vaccination programme collection of search folders.
Cohorts
There are currently 3 cohorts based on age groups which have been announced over time to receive a first COVID vaccination. All patients in the cohort have a coded at-risk condition and they do not have a code documenting a contraindication to the COVID vaccine.
Age 12-15 in a clinical risk group ages are inclusive.
Age 5-11 in a clinical risk group ages are inclusive.
Children under 5 in a clinical risk group identifies all patients between 6 months old up until the day before their 5th birthday.
Call for first vaccination
These searches should be used as the basis of a calling exercise. They are built to only include eligible patients in the cohort, but exclude anybody who has already had at least 1 vaccination, and those who have been invited (by a code) in the last 6 months.
The searches have been designed to take advantage of EMIS' relative run date feature. Practices may notice a difference to the search results depending on the date they use to run the search. This is because the recall searches do not include any patient who has received a vaccination in the past 3 months.
A coded invitation will remove the patient from the cohort if the search is re-run. If you want to go back sooner than 6 months to identify who hasn't been vaccinated, try setting a relative run date for the day before the invitations were originally sent out.
First vaccination coverage
Patients who have a record of at least 1 coded vaccination. The final search may be regarded as a catch-all as it will include all children under the age of 16 regardless of at-risk status.
Data Admin
COVID vaccination declined in last 6 months Lists all those who have declined recently, to allow them to be removed from any search. Practices may wish to extend the declined period to 12 months or even longer if they do not want to include dissenting patients on their recall lists. If the search folder is updated by PCIT, these changes will be removed.
COVID vaccination invitation in last 6 months Counts all patients who have been invited, as long as an invitation code has been added to the record. If no invitation code has been used, the recall searches will only reduce if/when a vaccination is recorded.
COVID at risk groups takes the clinical risk groups listed on Table 4 of Green Book Chapter 14a. Many Practices will find that the results broadly correspond to the flu at-risk groups, although some additional patients are likely to be picked up. The search contains QOF code clusters, COVID19 specific code clusters, and other clusters which reflect the conditions described in Table 4.
Most of the conditions listed in Table 3 but not in Table 4 are very unlikely to be found in children, and there are also some additional conditions in Table 4 not specified in Table 3.
Patients contraindicated for COVID vaccine identifies patients of any age who have been coded with specific terms released since COVID-19. Any of these would have been done following a clinical review, so the numbers are expected to be very small. Periodically check these patients in case the contraindication was recorded early on in the pandemic in anticipation of a particular type of vaccine.
COVID vaccination for at risk children DETAILED REPORT
This report is initially joined to COVID at-risk groups for under 16, but could be copied and joined to any of the call for vaccination searches. The report will show a condition for which the patient meets the at-risk eligibility criteria to help staff confirm eligibility.
The report utilises the same code lists as its parent search (which is based on Table 4 of the Green Book).
- Respiratory represents non-asthma or COPD conditions
- Patients with poorly controlled asthma are eligible if they have had courses of oral steroids in the past 24 months, or an admission in the same period. If asthma does appear without information in the oral steroids or admission columns, they are likely to have another at-risk condition which should be visible along the row.
During testing, Autistic spectrum disorder codes represented the greatest proportion of eligibility reasons. In the absence of other at-risk conditions Practices may wish to review patient records to check if is appropriate to invite for vaccination.
Coding
It should be noted that the relevant searches built by PCIT contain all codes and not just those which are specified to ensure that all patients are captured correctly in case the wrong code was used on a record.
COVID vaccination declined
SARS-CoV-2 vaccination declined [1156270003] (and all children)
SARS-CoV-2 immunisation course declined [1324811000000107]
SARS-CoV-2 protection maintenance course declined [1362651000000105]
COVID vaccination invitation
SARS-CoV-2 vaccination invitation letter [1402921000000102] (and all children)
SARS-CoV-2 vaccination telephone invitation [1402931000000100] (and all children)
SARS-CoV-2 vaccination invitation email [1403101000000104] (and all children)
SARS-CoV-2 vaccination invitation SMS [1403031000000106] (and all children)
COVID vaccination
Administration of SARS-CoV-2 vaccine [1156257007] (and all children)
SARS-CoV-2 protection maintenance course started [1362681000000104]
SARS-CoV-2 protection maintenance course started [1362691000000102]
Immunisation course to maintain protection against SARS-CoV-2 [1362591000000103]
References
Green Book Chapter 14a (26 April 2023 version)
Support Information
Development Log
VERSION NUMBER 1.0.0
Published 1st September 2023
Release notes: Initial release
Release notes: Initial release
Communications Log
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