New vaccination information fields
In September 2026 Enlivio rolled out an EMIS web update which refined the extended information fields (qualifiers) introduced for the Spring 2026 campaign. The qualifier fields are now mandatory to support NHS data collection. This means that all clinical users adding ad-hoc vaccinations must understand what to select for each qualifier.
Configuring batch numbers
The base version of the protocol contains nodes to cover the different COVID vaccines in use this season (Spikevax and Comirnaty). Each vaccine launches a separate protocol which should simplify the process for updating batch numbers.
There should be no reason to modify HP448, unless the practice wants to remove a specific type of vaccine not being used by the practice this season. Caution must be exercised if this is to be attempted as the lines flowing from the Multiple Choice Question (MCQ) box may not update, so the lines must be redrawn.
There are 3 'sub-protocols' which contain the batch data:
- PT00465 Spikevax COVID
- PT00467 Comirnaty 30 COVID
- PT00468 Comirnaty 10 COVID
When editing the protocols, use the Overview in the upper right corner to move around or zoom in/out.
The vaccine specific sub-protocols are laid out in a similar way. The vaccines will check for ages and then prompt for the appropriate vaccine based on the Green Book recommendations for Autumn 2026. Take care to ensure that batch number and expiry information is only added into the relevant protocol.
Each Multiple Choice Question (MCQ) repeats the name of the vaccine to reinforce the original selection. If a user realises they have selected the wrong option, they should press Esc and start again from F12.
To add the batch information
- Open the first Multiple Choice Question (double click the box)

- Select the top 'ADD here' and press Edit.

- Type in the batch number you want to add and press Enter

- If you have multiple batch numbers you can choose to edit the other options. Some practices choose to change these to say 'not in use' or delete them. Primary Care IT recommends changing to "Not in use" in case additional batches are delivered later in the campaign.
- Press OK to close the MCQ box
- Each batch number has a row of Add Coded Data nodes which hang off the 'which arm' MCQ. Spikevax and Comirnaty 30 have 6 coded data nodes per row while Comirnaty 10 has 2 per row.
Double click each node to edit.

- Update the Batch number and Expiry date. DO NOT change any of the other qualifiers (eg: GMS, COVID-19, Eligibility etc) * see Care Homes below
It is possible to add just a month and year by typing mm/yy and then tab for it to change (eg 12/23 will change to December-2023)

- Press OK to save
- Repeat steps 6-8 on all other Coded data nodes on the same row (so that you have the same options linked to both left and right arm)
- If more than one batch number is in use at the same time, follow the lines from the second choice in the MCQ to the next row of Add Coded Data nodes
- 14. Click Save and Close to save the protocol changes

- Activate the protocol
Care Homes
Spikevax and Comirnaty 30 have a column of pre-configured Add coded data nodes for administering to patients living in care homes. Changes to the qualifiers can be made, but the process depends on how the Practice intends to deal with care home vaccinations.
- By default the protocols are configured to record all over 75s as vaccinated in GP surgery.
- Patients under 75 will have a prompt to record whether the indication is immunosuppression or living in care home.

One approach is to modify the Spikevax sub protocol to configure the care home ODS code. Changing the Location from GP Surgery to Care Home will enable the ODS code box below. This is appropriate if the Practice is only responsible for one care home.
For multiple care homes, editing the protocol may be acceptable to speed up the coding process if care home visits are performed on separate days, or a single member of the team is responsible for coding, and familiar with making changes to the protocol having finished all vaccinations for a given care home.
Some staff may be comfortable using the protocol to add most of the information, but before pressing save on the consultation perform the following steps:
- Double click on the code to open the edit box
- Change the Location pick list option to Care Home
- Press OK
- Save consultation
How to get it
This is an optional Handy Protocol, and as such you can request it via submitting a ticket on our website.
There are a number of frequently asked questions relating to the COVID protocol. If your question is not answered here please do contact our support desk for assistance.