NZL COVID and 2023 Immunisation Changes

the covid 19 immunisation register (cir) is to be decommissioned in 2023 and the national immunisation register (nir) will be replaced with the aotearoa immunisation register (air) air will replace the cir and nir as the master system for recording immunisation event data these changes are due to occur on the 2nd 3rd of december, 2023 with a go live date of monday 4th december all messages to the nir will be paused at 0100 on saturday the 2nd of december to accommodate this change and will be processed when the new system is enabled at 0900 monday 4th december customers who administer immunisations will be required to upgrade to the latest 8 8 12 e version of profile by the 4th of december as a consequence of this and other requirements, the following changes will be included in the profile 8 8 12 release deactivation of the ability to launch cir from the main toolbar button removal of opt off options enabling the sending of covid 19 immunisations from profile new covid 19 care plan (3 primary and 3 booster doses) new covid 19 vaccine codes new indication codes to support privately funded immunisations updates to the childhood immunisation care plan to include serology reports further changes will be applied by march 2024 menb recall schedule update hpv9 recall schedule update providing the ability to send all immunisation events to air for all nz administered vaccines providing the ability to send all immunisation events for patients whom had previously opted off follow the instructions below to apply all changes to profile configuration steps importing jaffa files for the air release package import all jaffa files contained in the profile air immunisation changes december 2023 zip release package by extracting all the files from the folder, then navigate to organisation\import & export\import jaffa folder in profile the package will contain jaffa files for covid 19 care plan (replaces the current 3 dose with a 6 dose care plan) service codes for all covid 19 immunisations and any new privately funded immunisations vaccine codes for all nz administered immunisations new indication codes for privately funded primary and booster doses immadhoc care plan to record any non scheduled immunisation notifications childhood immunisation (ci) care plan with serology report at 5 and 8 months launchcir redirect cir to care plan macro removing the cir button from the main toolbar the cir (covid immunisation register) is where nzl vaccinators recorded covid 19 immunisations this will no longer be the case and vaccinators are required to record these in profile in a previous release to customers, intrahealth provided the cir main toolbar button and launchcir macro so users could access the cir from their main toolbar users will be required to remove this toolbar button manually using the 'add or remove buttons' function in the main toolbar downloading and importing the macro launchcir redirect cir to careplan jfa distributed will force any user that hasn’t removed the toolbar button to open emr\care plans when the cir toolbar button is clicked a notification will be displayed to the user as a reminder summary of changes covid 19 immunisation care plan the new covid 19 care plan contains a total of 6 doses the default vaccine applied to the primary doses is the mrna cv 30 mcg vaccine and the default vaccine applied to the booster doses is mrna cv 15/15 mcg vaccine these primary and booster doses can be swapped with the administered vaccine by using the alternative workflow below complete the intervention by either double clicking the intervention/immunisation action or right click the action and select complete in the intervention action tab e g , covid19 30mg, click the button to change the covid 19 vaccine that was administered select the vaccine and click ok select yes to replace the current action enter the details of the vaccine e g , route, site, batch, expiry and sequence and complete it by clicking ok serology report added to the ci care plan previously, hepatitis b serology reports could be logged directly with the nir system this is not the case for the air and will require a new release of the ci (ci2020b) care plan which includes serology report interventions at 5 and 8 months of age users can select from 4 possible outcomes accepted by air protected (nir p) indeterminate (nir ind) unprotected (nir ntp) parent declined (nir pds) sending a serology report in order to send a serology report for the patient, the patient must have a previous childhood immunisation with a completed status follow the steps below to send a serology report complete the hepb 5 or 8 month intervention result action in the ci2020b care plan select the outcome for the result action set the status to complete if it has not been set to complete click ok to save the intervention on completing the intervention, profile will resend a previous immunisation message as an update and include the serology report in the message see the example below msh|^ \\&|profile v9 0 0b32|prof23nz^^|nir|mohnir01|202311211607||vxu^v04^vxu v04|nir201|p|2 4^nzl pid|1||zzz0008||gump^baby||20180516|m||11|19 como street^^takapuna^^^^m^^^^^20180817 19 como street^^takapuna^^^^c^^^^^20180817 nk1|1|gump^forrest|02|21 jump st^takapuna^auckland^^^^m^^^^^20180709 21 jump st^takapuna^auckland^^^^c^^^^^20180709|||||||||||m|19721229 orc|re|""|134||||^^^20180627||20231121160712|||21235^doctor^two^^^^^^nzmc||^^^^^^4568765 rxa|0|1|202311171540|""|133^pneum, conjugate pcv13^cvx|1||||21235^doctor^two^^^^^^nzmc|||||dfa342|20241020|||6w|cp|u|202311171540 rxr|im^intramuscular^hl70162|rvl^vastus lateralis right (outer thigh)^hl70163 obx|1|ce|^8m hepb serology protection code||ntp||||||f notes importing the new covid 19 plan will not overwrite patients whom have a current covid 19 care plan in their record covid 19 immunisations should be recorded in profile (similar to all other immunisations) and the immunisation event message will be sent on completion to air references to nir have not changed and are still visible in profile these may change to air in the future but are not required at this time patients can no longer opt off sending immunisation event details these options have been removed from profile previously there were rules applied based on the nir go live date or patients date of birth which restricted immunisation update messages from being generated and sent these rules have been removed and all immunisation completions and updates will be sent to air vaccinators can also complete covid 19 immunisations using the immunize now function in emr\immunisations all overseas covid 19 vaccines should be recorded under a single vaccine code 500 and the service code covid19 os invoices and claims are not generated when completing covid 19 immunisations, as the payments are handled by the air system see the table below for the new service and vaccine codes service code vaccine details vaccine long description covid19 os 500^covid 19^cvx covid 19 vaccine product unspecified covid19 3mg 219^covid 19^cvx covid 19 cominarty mrna cv (3mcg) covid19 10mg 218^covid 19^cvx covid 19 cominarty mrna cv (10mcg) covid19 15mg 300^covid 19^cvx covid 19 cominarty mrna cv (15mcg/15mcg) covid19 30mg 217^covid 19^cvx covid 19 cominarty mrna cv (30mcg) covid19 rcv 211^covid 19^cvx covid 19 nuvaxovid rcv cholera 26^cholera^cvx cholera vaccine dengue 56^dengue virus^cvx dengue vaccine hbig 30^hbig^cvx hepatitis b immunoglobulin hepa paed 83^hep a, paed /adol ^cvx hepatitis a vaccine, paediatric/adolescent dosage hepa a 52^hep a, adult^cvx hepatitis a adult hepa typhoid 52101^hepa typhoid^nzvx hepatitis a, typhoid hepb a 43^hepb, adult^cvx hepatitis b adult dosage hepb hepa 104^hepb a^cvx hepatitis b, hepatitis a hepb paed 08^hepatitis b child^cvx hepatitis b vaccine, paediatric dosage ipv 10^ipv^cvx poliovirus vaccine, inactivated jev imojev 39^japanese encephalitis^cvx japanese encephalitis imojev vaccine jev jespect 134^jev^cvx japanese encephalitis jespect vaccine mpx 75^vaccinia (smallpox)^cvx vaccinia (smallpox) vaccine rabies 99009^rabies, inactivated^nzvx rabies vaccine, inactivated rig 99010^rabies, ig^nzvx rabies immunoglobulin tbe 222^tick borne encephalitis^cvx tick borne encephalitis typhoid typhim 101^typhoid, vicps^cvx typhoid vi capsular polysaccharide vaccine typhoid vivotif 25^typhoid, oral^cvx typhoid fever yellow fever 37^yellow fever^cvx yellow fever vaccine