• Skip to main content
  • Skip to secondary menu
  • Skip to footer
Clinical Digital Resource Collaborative

Clinical Digital Resource Collaborative

Designed and developed in the North East and North Cumbria by local GPs

National Health Service
  • Home
  • About Us
  • The Team
  • Resources
    • Referral Forms
    • EMIS Resources
      • CDRC EMIS Access
      • Long Term Condition (LTC) Management
      • Impact and Investment Fund (IIF)
      • Medicine Management
        • Precision Monitoring
        • DMARDs and High Risk Drugs
        • Safe Prescribing of Opioids / Opiates
      • Specialties
        • Cancer Guide for EMIS
        • EMIS Cardiovascular Overview
          • Atrial Fibrillation Guide for EMIS
          • CDRC Precision CVD Prevention Template
          • Lipids, Familial Hypercholesterolaemia (FH), PCSK9i & Inclisiran Guide for EMIS
          • Peripheral Arterial Disease EMIS Guide
        • Infection
          • Infections Guide for EMIS
          • Blood Borne Virus (BBV)
        • Neurology Guide for EMIS
        • Respiratory Overview
          • BeatAsthma+
    • SystmOne Resources
      • National Early Warning Score 2 (NEWS2) Guide for SystmOne
      • Getting Started
        • Getting Started – Access
        • Getting Started – How-To’s
      • SystmOne Administration
      • Contract Management
        • Batch Reporting
        • Impact and Investment Fund (IIF)
        • Vaccinations
      • Long Term Condition Management
        • Call/ Recall System
        • Recall Recovery System
        • Care Planning
      • Safeguarding System
        • Safeguarding Adults
        • Safeguarding At Risk of Harming Others
        • Safeguarding Family/Household Cause for Concern
        • Safeguarding Children
      • Medicine Management
        • Drugs Requiring Monitoring System
        • Safety & Reviews
        • Safe Prescribing of Opioids/ Opiates
        • Safe Prescribing of NSAIDS
        • Safe Prescribing of Lithium
        • Safe Prescribing of Valproate
        • Safe Prescribing of Corticosteroids / Steroids
      • Specialties
        • Blood Borne Virus (BBV) Test Alert for SystmOne
        • BeatAsthma+ Guide for SystmOne
        • Cancer Overview
          • Cancer
          • Suspected Cancer
        • Cardiovascular Overview
          • Cardiology Results
          • Hypertension & Blood Pressure
          • Atrial Fibrillation (AF)
          • Integrated CVD Prevention
          • Peripheral Arterial Disease (PAD)
        • ENT Infections
        • Geriatrics Overview
          • Care for Frail Patients
          • Comprehensive Geriatric Assessment
          • Co-ordinated Care
        • Haematology
        • Infection Overview
        • Learning Disabilities
        • Lifestyle
        • Lipids, Familial Hypercholesterolemia, PCSK9i & Inclisiran Overview
          • Performance Searches
          • Quality Improvement
          • Statin Safety
          • Lipids Protocols
          • Lipids Opt-In Resources
          • Lipids Details Template
          • Lipid Lowering Template
          • Lipid QoF Support
          • Screening for Familial Hypercholesterolaemia
          • Aetiology of Abnormal Lipids
          • Lipids Strategy
          • Lipids – Recommended Batch Searches
        • MSK Referral Management
        • Neurology
        • Obesity Resources
        • Ophthalmology
        • Palliative Care
        • Respiratory Overview
          • Asthma Resources
          • Respiratory Infections
        • Rheumatology Overview
          • Bone Health
      • Women’s Health Overview
        • Gynaecology Resource Overview
          • Cervical Screening
          • Contraception
          • Prolapse
      • Vaccination Overview
        • COVID-19 Resources- SystmOne
        • Influenza Vaccination
        • Meningitis B Vaccination
        • Meningitis ACWY Vaccination
        • Pneumococcal Vaccination
        • Shingles Vaccination
  • FAQs
  • News and Events
    • Demonstrations
    • Events
      • Recordings
    • Articles
    • Conference abstracts
  • Contact us
You are here: Home / Resources / SystmOne Resource Centre / Vaccination Overview / COVID-19 Resources- SystmOne

COVID-19 Resources- SystmOne

COVID-19 Vaccination

The CDRC Covid19 vaccination system is designed to help maximise uptake of Covid19 vaccination whilst minimising the burden on general practice. 

To use the system: 

  1. Decide if you want to use the opt-in resources to set patient flags and alerts for patients eligible for vaccination Opt-in Resources 
  2. The Patient Identification resources can be used to make sure the appropriate patients are identified 
  3. COVID Vaccine 3rd Doses – identifying and flagging patient who need a third primary dose 
  4. The Patient Invitation resources can be used to invite patients and plan future vaccination capacity requirements. 
Opt-in Resources

Patient Identification

The CDRC Covid19 System identifies patients who might be eligible for a covid19 vaccination based on the Enhanced Service specification, Green Book and JCVI guidance.   

CDRC will identify patients who may be eligible for Covid19 vaccination but it is up to the individual clinician to confirm that they should receive it. 

Identifying Patients Who Are Likely To Be Eligible 

  1. Patient Flag 

Patients who might be eligible for their first vaccination will have this patient status alert (green virus particle) if your unit has opted in to them: 

Imms - Covid19 Vaccination - First 
Consider a Covidlg vaccination

Eligible patients will be flagged unless: 

  • They have declined the vaccine in the last 12 months 
  • They are on the palliative care register with GSF C/D status 
  • They have an ‘expiring exception’ in the last 12 months e.g. vaccination not indicated 
  • They have had covid19 infection in the last 4 weeks (or 12w for healthy 12-15y) 
  • Shingles vaccine in the last 7 days 
  1. Pop-up Alert 

Eligible patients will display the following pop-up if your practice has opted in to this system 

Question 
? This patient is OVERDUE their SECOND dose of covid vaccine. 
This automati 
c alert isa CDRC Resource 
ot nanted 
The protocol is called cawid19 V cc n 
i ation - '-em Aompt 2nd AUTO S 
20 to vaccine template 
Close 
Pause
  1. Patient Searches 
coac Archive (18) 
coac contracting (249) 
coac Groups (1467) 
coac Medicines (13) 
coac Performance (298) 
coac Population Heath (26) 
coac aualty (9857) 
coac Research (1 Sl 2) 
i] coac Vaccinations (1730) 
• covidlg (415) 
• Covidlgl cohorts (142) 
ovidlg 2 Eligible Patients (87) 
• Covidlg 3 Invtation (110) 
• Covidlg 4 Performance (128) 
• Covidlg S Quality Control (4) 
HPV (21) 
Hepattis a (4) 
• Influenza (400) 
• MMR 
• Mengingtis (30) 
Pneumococcal (161) 
• Shingles (129) 
• copl (2) 
• COVID (2) 
• COVID vaccine (2) 
COVID1g At Risk (503) 
COVID1g At Risk Patients vs (330) 
COVID1g At Risk Patients v4 (258) 
COVID1g Vaccination (7) 
Name v 
CovidVaccination 1 Appears eligible for 1st dose - all patients 12y+ 
Covid Vaccination 1 Appears eligible for 1 st dose - all patients 1 2y+ (except healthy 12-1 5y) 
Covid Vaccination 2 Appears eligible for 2nd dose 
Covid Vaccination 2M Appears eligible for 2nd dose -AZ 
Covid Vaccination 21 Appears eligible for 2nd dose - Moderna 
Covid Vaccination 2Z Appears eligible for 2nd dose - Pfizer 
Covid Vaccination 3 Appears eligible for 3rd primary dose 
Covid Vaccination 4 Appears eligible for booster (Cohorts 1-12) 
Covid Vaccination 4M Appears eligible for booster (3m after 3rd dose) 
Covid Vaccination 5M All Patients eligible for vaccine 
Covid Vaccination 5M 1 All Patients eligible for vaccine -AZ 
Covid Vaccination All Patients eligible for vaccine - Moderna (full dose) 
Covid Vaccination 5M 22 All Patients eligible for vaccine - Moderna (half dose) 
Covid Vaccination 5M 3 All Patients eligible for vaccine - Pfizer 
Covid Vaccination 51 All Patients eligible for vaccine (except healthy 12-15) 
Covid Vaccination - Eligibility - Hard Prompt- 1st dose (except healthy 12-15) # 
Covid Vaccination - Eligibility- Hard Prompt- 2nd dose due (opt-in) # 
Covid Vaccination - Eligibility- Hard Prompt- 3rd dose (opt-in) # 
Covid Vaccination - Eligibility- Hard Prompt- Booster* 
Covid Vaccination - Eligible patients for PSA (opt-in) # 
-65) # 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification Cohort 01 
- Care Home Resident 
Covid Vaccination - Identification Cohort 04 
Covid Vaccination - Identification Cohort 04M - Cumulative 
Cohort 02 - 
02 
Cohort 03- 75-7g 
03 
Covid Vaccination - Identification Cohort 04M - Cumulative - 70-74 or SPL with appt* 
- Cumulative 
- Cumulative 
- 70-74 or SPL 
- 75-7g# 
- 70-74 SPL#

Identifying Why A Patient Is Eligible 

Click on the covid19 icon to open the Covid19 vaccination template. The central panel will display the vaccination cohort the patient is in, which dose appears to be due, which brands of vaccine are likely to be suitable, any relevant long term conditions and other appropriate warnings such as recent shingles vaccination or covid infection. 

Machine generated alternative text:
Home Resources Non-standard vaccine 
COVID19 Vaccination 
Covidlg 1st Dose Declined 
2ndErdEooster Declined 
CI g Vaccine Not Indicated 
CI g Vaccine Contraindicated 
Clg Vaccine Not Done 
Clg vaccine allergy 
Clg vaccine adverse reaction 
Clg Vaccination - Did Not Attend 
Clg Vacc - Invtation 
PSO 3rd Dose Screening 3rd Dose Guidelines 
Covid19 Vaccination Exceptions 
Current repeat templates in the Anaphylaxis Action Group - 
COW Vaccination - Cohort 7-60-64 
Appears to be eligible for 1st dose 
Likely to be eligible for ASTRA ZENECA 
Likely to be eligible for MODERNA (full dose) 
Likely to be eligible for PHZER 
All vaccinations in the past 10 years 
CDRC Has auth for Med under PSD (last, within 7d) view has no data for patient 
COW 19 Vaccination Codes 
All PSDs 
use non-standard vaccine

To identify the specific Read code(s) that have triggered eligibility for influenza vaccination, right click on the syringe icon and select Why is this Alert on this Patient?  You can then expand the report 

Machine generated alternative text:
Action 
Vvhy is this Alen on this Patient? 
Re-evaulate Alerts for Patient
Machine generated alternative text:
Failure Reasons Complete Evaluation Outputl 
epon: 'Needs Influenza Vaccination - standard' 
Reporting on active patients 
Matching to GMS, Applied patients 
Patient is not in Vaccine Ordering: Needs Influenza Vaccination - nasal' report 
Patient is in 'Needs Influenza Vaccine (excluding patients wth egg allergy)' report 
Repot 'Needs Influenza Vaccine (excluding patients with egg allergy)' 
Reporting on active patients 
Matching to GMS, Applied patients 
Patient is not in 'Flu Imm given: declined or not needed' report 
Patient is in 'In at risk populations or child in current season target age group' report 
Report 'In at risk populations or child in current season target age group' 
Reporting on active patients 
Matching to GMS, Applied patients 
Patient is in in current season target age group' (or another) report 
Patient is in In At Risk Groups Current Season (including children in this season's age group - all codes)' (or 
Repot In At Risk Groups Current Season (including children in this season's age group - all codes)' 
Including active: deceased 8 deducted patients 
Matching to GMS, Applied patients 
Patient is in '*Immunosuppressed patients over 6 months' (or another) report 
Patient is in 'Insttutionalised Patients (intermediary report)' (or another) report 
Patient is in '*Asthma at risk (all)' (or another) report 
Patient is in in current season target age group' (or another) report 
Patient is in '*Carer' (or another) report 
Patient is in '*Chronic Respiratory Disease (excluding asthma) (2016 spec)' (or another) report 
Patient is in '*Chronic Kidney Disease 3-5 (201 6 spec)' (or another) report 
Patient is in '*Chronic Liver Disease (2016 spec)' (or another) report 
Report '*Chronic Liver Disease (2016 spec)' 
Patient is in '*Chronic Neurological Disease (full list) including LD' (or another) report 
Patient is in '*Over 65 in current season' (or another) report 
Patient IS n '*Diabetes (201 6)' (or another) report 
e/ Report '*Diabetes (2016)' 
Matching clinical entries 
Type diabetes melltus (X40JS) (Ongoing Episode) - 31 Jan 2013 
Has a Read code inn Selecting only the most recent matching code 
Including active, deceased 8 deducted patients 
Vvtthout a more recent Read code in 
Matching to GMS: Applied patients 
Patient is in '*Currently Pregnant' (or another) report 
Patient is in '*Chronic Head disease (201 6 spec)' (or another) report 
Patient is in '*Needs influenza vaccine read code this season' (or another) report
Patient Invitation

Patients can be invited for their covid vaccination in a number of ways. 

Covid19 Vaccination 

  1. Opportunistic invitation – eligible patients will be identified by a C19 icon (if practice opted-in) below the demographics box, on the home page or on the LTC Master Template.  Clicking on the icon will launch the covid vaccination template.  This alert will disappear after vaccination, refusal or addition of other exception code.   
Imms - Covid19 Vaccination - First 
Consider a Covidlg vaccination
OCS Has an AORT 
ES Dementia Screening 
This patient is eligible for a dementia screen under the terms 201 5/1 6 E 
High Risk of Diabetes- Recommend DMUK Score 
At high risk of diabetes recommend DMUK Score 
Imms - Covidlg Vaccination - First 
Consider a Covidl g vaccination 
Imms- Pneumococcal vaccination 
Patient may be eligible for pneumococcal
  1. Using the invitation searches in the CDRC Vaccination>Covid19 3 Invitation report folder 

The reports are separated into housebound and non-housebound patients 

Patients are excluded from these reports if: 

  • Vaccination has been declined in the last 12 months 
  • Vaccination not indicated or contraindicated codes are recorded in the last 12 months 
  • Patient has had an invitation in the last 2 weeks 
  • GSF C/D Palliative care stages 
  • Covid19 infection in the last 4 weeks (or last 12 weeks for healthy 5-15 year olds) 
  • Shingles vaccine in the last 7 days 

NB – patients who should not have a second dose of Astra-Zeneca vaccine (PHx of venous sinus thrombosis, thrombophilia, heparin-induced thrombocytopenia) will be excluded from the AZ report 

Search Patients 
1.1 Non-housebound patients aged 12 or over OR 5-11 with an at risk condition who have yet to have any vaccine 
1.11 Non-housebound patients in 1.1 who are higher risk (over 50 or high risk condition) 
1.2 Non-housebound healthy 5-11 year olds who have yet to have any vaccine 
1.3 Eligible housebound patients who are yet to have any vaccine 
2.1 Non-housebound patients who are due a 2nd dose 
2.11-2.13 Non-housebound patients who are due a 2nd dose, divided by initial vaccine type 
2.2 Housebound patients who are due a 2nd dose 
2.4 Searches to identify all patient you are due or will be due second dose – see information about planning searches later in this section 
3.1 Non-housebound patients who are due a third primary dose as they were immmunosuppressed when they had their first or second dose (only functions if the CDRC method of flagging these patients was used) 
3.2 Housebound patients who are due a third primary dose as they were immmunosuppressed when they had their first or second dose (only functions if the CDRC method of flagging these patients was used) 
4.1 All Non-housebound patients due for a booster – this will include many patients who have not responded to multiple invitations for boosters in the past 
4.11 Non-housebound patients due for their 1st booster – most of these patients will have not responded to multiple invitations for boosters in the past 
4.111 Patients in 4.11 who are higher risk (more important to target) 
4.12 Non-housebound patient due for their 1st booster after three course primary vaccination for immunosuppressed patients (only functions if the CDRC method of flagging these patients was used) 
4.13 Non-housebound patients who are due for an Autumn 2022 booster – this does not include patients who have never had a booster – use 4.1 to identify patients who need their first booster OR and Autumn booster 
4.21 Housebound patients who need a booster (1st booster or Autumn booster) 
4.22 Housebound patients who were immunosuppressed at time of 1st or 2nd vaccine who need a booster following their third primary dose (only functions if the CDRC method of flagging these patients was used) 
5.1 All non-housebound patients who are eligible for a vaccine (from 1.9.22) 
6.1 All housebound patients who are eligible for a vaccine (from 1.9.22) 
6.2 All housebound patients who are eligible for or will become eligible for a vaccine (from 1.9.22) – see later information 

More information about eligibility, vaccine dose due, vaccine brand recommended and relevant warnings can be seen on the Covid19 Vaccination template 

Machine generated alternative text:
Home Resources Non-standard vaccine 
COVID19 Vaccination 
Covidlg 1st Dose Declined 
2ndErdEooster Declined 
CI g Vaccine Not Indicated 
CI g Vaccine Contraindicated 
Clg Vaccine Not Done 
Clg vaccine allergy 
Clg vaccine adverse reaction 
Clg Vaccination - Did Not Attend 
Clg Vacc - Invtation 
PSO 3rd Dose Screening 3rd Dose Guidelines 
Covid19 Vaccination Exceptions 
Current repeat templates in the Anaphylaxis Action Group - 
COW Vaccination - Cohort 7-60-64 
Appears to be eligible for 1st dose 
Likely to be eligible for ASTRA ZENECA 
Likely to be eligible for MODERNA (full dose) 
Likely to be eligible for PHZER 
All vaccinations in the past 10 years 
CDRC Has auth for Med under PSD (last, within 7d) view has no data for patient 
COW 19 Vaccination Codes 
All PSDs 
use non-standard vaccine

Invitations can be sent via the S1 Communications Annexe, SMS texting, email, telephone or letter.  Add the code Severe acute respiratory syndrome coronavirus 2 vaccination invitation short message service text message sent Y211f to indicate invitation. This will remove the patient from the invite list for 2 weeks. 

The SMS invitation code is the only one available – add an alternative method of invitation as free text if applicable.  This is not ideal but repeated requests for more codes to NHSD have been ignored. 

Running these searches at fortnightly intervals will ensure that you invite all the eligible patients until they have been vaccinated or a reason for not vaccinating has been recorded.  

Special Groups 

There are searches to identify patients in specific groups, to help more specific targeting: 

Machine generated alternative text:
Covid Vaccination S ecial Grou sto Invite - Dementia 
Covid Vaccination Special Groups to Invite - Immunosuppressed Patients for household contact invitations 
Covid Vaccination Special Groups to Invite 
Covid Vaccination Special Groups to Invite - Personality disorders 
Covid Vaccination Special Groups to Invite 
- SMI

Capacity Planning 

The following searches will allow for more detailed second dose planning e.g. to estimate the number of eligible patients in the future 

These searches show all patients who are or will be due a second dose or a booster.  

4.31 and 4.32 identify people who will be due the first booster 

4.41 and 4.42 identify people who will be due any booster from Autumn 2022 – including a 1st booster or a spring booster. 

NB these searches do not exclude the following, so are not suitable for creating lists of people to invite. 

  • Patient has had an invitation in the last 2 weeks 
  • GSF C/D Palliative care stages 
  • Covid19 infection in the last 4 weeks (or last 12 weeks for healthy 12-15 year olds) 
  • Shingles vaccine in the last 7 days 

Information for capacity planning can be obtained in two ways: 

  1. Use a Report Output 

Show the patients from the relevant search 

Choose Select Output then Pre-defined Output then choose Covid Vaccines 

A table of patients will be shown with data for: last vaccine date; if patient has been flagged as needing 3rd primary dose; 1st vaccine date; 2nd vaccine date; any booster vaccine dates.  This table can be saved as a csv if needed. 

NHS number Name Name Postcode (Blank) (Blank) (Blank) (Blank) (Blank) (Blank) (Blank) Last covid vacc 3rd primary dose patient 1st Vacc 2nd Vacc 3rd / Booster Vaccs (1) 3rd / Booster Vaccs (2) 3rd / Booster Vaccs (3) 3rd / Booster Vaccs (4) 
xxxxx xxxxx xxxxx xxxxx        01-Dec-21  17-Feb-21 22-Apr-21 01-Dec-21    
xxxxx xxxxx xxxxx xxxxx        02-Apr-22 Covid Vaccine Third Dose 21-Jan-21 09-Apr-21 12-Oct-21 24-Jan-22 02-Apr-22  
xxxxx xxxxx xxxxx xxxxx        02-Nov-21  05-Feb-21 23-Apr-21 02-Nov-21    
xxxxx xxxxx xxxxx xxxxx        02-Nov-21 Covid Vaccine Third Dose 17-Feb-21 28-Apr-21 02-Nov-21    
xxxxx xxxxx xxxxx xxxxx        02-Nov-21  23-Jan-21 12-Apr-21 02-Nov-21    
xxxxx xxxxx xxxxx xxxxx        03-Feb-22 Covid Vaccine Third Dose 19-Jan-21 25-Mar-21 28-Oct-21 03-Feb-22   
xxxxx xxxxx xxxxx xxxxx        04-Nov-21  10-Feb-21 30-Apr-21 04-Nov-21    
xxxxx xxxxx xxxxx xxxxx        04-Nov-21  25-Jan-21 13-Apr-21 04-Nov-21    
xxxxx xxxxx xxxxx xxxxx        05-May-22  12-Jan-21 30-Mar-21 05-Oct-21 05-May-22   
  1. Use a Search Breakdown 

Breaking Down 2nd Dose Planning Searches 

For each of the searches you can set the following breakdown options to see all the info you need to plan second doses.   

Demographics – name, telephone number etc (if needed) 

Covid19 Vaccine – All (code 1/2) # (CDRC Vaccinations / Covid19) 

                >Event details 

                                >Event week commencing – gives date of first vaccine 

                                >Event done at – gives location of first vaccine(if needed) 

Then order by Event date and Event done at.   

NB – Patients who are due second AZ but where second AZ is contraindicated are excluded from the AZ report (e.g. history of heparin induce thrombocytopenia) 

If you need a breakdown of all patients who will be due a second dose – use the ‘All vaccine types’ report and use the additional breakdown options. 

Covid19 Vaccine – Moderna Sept 20 – Aug 21 (code or S1 or med) ONLY #/ (CDRC Vaccinations / Covid19) > Reporting ID – patients who had Moderna as first dose 

Covid19 Vaccine – Oxford AZ Sept 20 – Aug 21 (code or S1 or med) ONLY #/ (CDRC Vaccinations / Covid19) > Reporting ID – patients who had Oxford AZ as first dose 

Covid19 Vaccine – Pfizer Sept 20 – Aug 21 (code or S1 or med) ONLY #/ (CDRC Vaccinations / Covid19) > Reporting ID – patients who had Pfizer as first dose 

Covid19 Vaccine – Type – More than 1 #/ (CDRC Vaccinations / Covid19) > Reporting ID – patients where brand of first dose is unclear (e.g. not recorded or more than one brand recorded) 

Covid19 Vaccination – AstraZeneca – patients with clotting contraindications / (CDRCVaccinations / Covid19) > Reporting ID – patients who should not have AZ as second dose 

Breaking Down Booster Dose Planning Searches 4.31 and 4.32 

For each of the searches you can set the following breakdown options to see all the information you need to plan booster doses.   

Demographics – name, telephone number etc (if needed) 

Covid19 Vaccine – 2nd dose (code, latest) # (CDRC Vaccinations / Covid19) 

                >Event details 

                                >Event week commencing – gives date of first vaccine 

                                >Event done at – gives location of first vaccine(if needed) 

Then order by Event date and Event done at.   

Machine generated alternative text:
Covidl g Vaccine 
04 dan 2021 
01 Mar 2021 
08 Mar 2021 
15 Mar 2021 
22 Mar 2021 
Mar 2021 
05 Apr 2021 
12 Apr 2021 
1 g Apr 2021 
26 Apr 2021 
03 May 2021 
10 May 2021 
17 May 2021 
24 May 2021 
31 May 2021 
07 dun 2021 
14 dun 2021 
21 dun 2021 
28 dun 2021 
05 dui 2021 
12 dui 2021 
lg,lul 2021 
26 dui 2021 
02 Aug 2021 
Patient Count

If you wish to highlight the patients with current infection, also tick: 

Eligibility – Covid19 Infection confirmed in last 4w # > Strategic Reporting ID > Patient ID 

AND 

Eligibility – Covid19 Infection confirmed in last 12w – aged 12-17 without risk condition #> Strategic Reporting ID > Patient ID 

Breaking Down Spring Booster Dose Planning Searches 4.41 and 4.42 

For each of the searches you can set the following breakdown options to see all the information you need to plan the next doses.   

The breakdown below shows all people who will become eligible for a covid vaccine follow up dose in Spring to Summer 2022 – 2nd dose, booster, spring booster etc and the date of their last vaccine. 

Covid19 Vaccine – (code 1/2/booster) latest # (CDRC Vaccinations / Covid19) 

>Coded entries 

                                >Read code description 

>Event details 

                                >Event week commencing 

Then order by Event date 

Patients with Administration of first dose of SARS-CoV-2 vaccine – will need 2nd dose 

Patients with Administration of second dose of SARS-CoV-2 vaccine – will need booster dose 

Patients with Immunisation course to maintain protection against SARS-CoV-2 – will need 2nd / 3rd (Autumn) booster 

Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
Administration of second dose of SARS-CoV-2 vaccine 
Immunisation course to maintain protection against SARS-CoV-2 (severe acute respiratory syndrome coronavi„ 
Administration of first dose of SARS-CoV-2 vaccine 
01 Nov2021 
01 Nov2021 
01 Nov2021 
08 Nov2021 
08 Nov2021 
08 Nov2021 
15 Nov2021 
15 Nov2021 
15 Nov2021 
22 Nov2021 
22 Nov2021 
22 Nov2021 
29 Nov2021 
29 Nov2021 
29 Nov2021 
06 Dec 2021 
06 Dec 2021 
06 Dec 2021 
13 Dec 2021 
13 Dec 2021 
13 Dec 2021 
20 Dec 2021 
20 Dec 2021 
20 Dec 2021 
27 Dec 2021
Giving the Vaccine

To administer the vaccine click on the C19 icon at the top of the screen. The influenza vaccine
template will open and lead you through the process, adding the correct Read codes. 

19 Vaccination 
'idlg vaccination

For patients without the icon, you can launch template from the CDRC Master Template or add it to one
of your own templates, toolbars or clinical tree. 

Home Resources Non-standard vaccine 
COVID19 Vaccination 
Covidl g Vaccination Refusal 
Clg immunisation not indicated 
CI g immunisation contraindicated 
Clg vaccine allergy 
Clg vaccine adverse reaction 
Pfizer 2 
COW19 Vaccination Exceptions 
COW Vaccination - Cohort 4- 74-79 OR Shielded 
Covid 19 Vaccination Codes 
All vaccinations in the past 10 years 
03 Dec 2020 coviD-1g SARS-2 coronavir„ 
use non-standard vaccine 
03 Dec 2020 Severe acute respiratory syndrome coronavirus 2 vaccination (procedure)

The template features 

Section to code exceptions/adverse reactions/refusal.  Relevant codes already in the record are shown in the adjacent panel.  The far right panel here shows all vaccines administered in recent years 

The next sections covers cohorts, reasons for eligibility and warning such as pregnancy. 

The final section allows you to record the vaccine.  Vaccines that do not appear appropriate will be greyed-out.  You can override this by clicking through to the non-standard vaccine tab. This template has been prepared in anticipation that SystmOne will be able to meet MHRA and NHSD standards, possibly in the new year. Until then practices are reminded that Pinnacle is currently the only approved system for the onsite recording of Covid-19 vaccine administration.

The following checks are run when the vaccine protocol is launched 

All protocols 

  • Patient is over 16 
  • Patient is not pregnant 
  • Patient does not have history of adverse reaction to covid 19 vaccine 
  • Patient does not have a record of ‘contraindicated’ or ‘not indicated’ in the past 12 months 
  • Patient has had any vaccine in the last 7 days 
  • Patient has had covid19 infection in the last 28 days 
  • Patient has already completed a course of covid19 vaccination 

First vaccination protocols 

Patient hasn’t already had a first dose 

Second vaccination protocols 

The patient has had the first dose of the same vaccine at the appropriate time period e.g. at least 19 days ago for Pfizer. 

The PSD questionnaire will then be displayed with automatic warnings. 

Once the first vaccination is complete, the user will be prompted to book a second appointment for the second dose.  

COVID Vaccine Third Dose

Guidance 

The guidelines (issued in early September 2021) to identify patients who need a 3rd dose as part of their primary regime are complex (guidance).  Some of the information required might not be coded in the primary care record e.g. biologics being issued in secondary care. 

The guidance is based on looking for patients with significant immunosuppression at the time of 1st and 2nd doses of vaccine 

The following resources can help: 

Searches 

The following searches will help to identify potentially eligible patients 

Machine generated alternative text:
Covidlg Vaccine 
Covidlg Vaccine 
Covidlg Vaccine 
Covidlg Vaccine 
Covidlg Vaccine 
- Third 
- Third 
- Third 
- Third 
- Third 
Dose 1M unvalidated cohort - Severe immunosu ression robable # 
Dose 1 1 (unvalidated cohort) - Severe immunosuppression (probable) - to validate 
Dose 1 (unvalidated cohort) - Severe immunosuppression (possible) # 
Dose 1 11 (unvalidated cohort) - Severe immunosuppression (possible) to validate 
Dose 1 Z Validated Cohort 
5% 
5% 
6% 
6% 
000%
1.1 Patients who are likely to be eligible for 3rd dose 
1.11 Patients in 1.1 who haven’t been flagged as needing a third dose 
1.2 Patients who might be due for 3rd dose depending on drug doses/timing 
1.21 Patients in 1.2 who haven’t been flagged as needing a third dose 
1.3 Patients who have been flagged by the practice as needing a 3rd dose (see below) 

Patients will only appear in the first four searches once they have had their second dose of vaccine 

Screening Potential Eligible Patients 

The vast majority of patients in the ‘probables’ 1.1 search will be eligible for a third dose. 

Around 1/4 to 1/3rd of patients in the ‘possibles’ 1.2 search are likely to be eligible for a third dose, with another ~10% probably needing some input from supervising consultants regarding hospital treatment such as biologics. 

For some patients it will be clear why 3rd dose is needed e.g. transplant or chemotherapy before 1st/2nd doses.  For others more information will be needed.  There are two tools which may help with this 

  1. Report Output – which shows the list of patients with relevant information. From the search, show the patients, then click on the Select Output button, then tick Pre-defined report output and then choose the ‘probables’ or ‘possibles’ report outputs shown below.  It will usually be easier to use the export to spreadsheet option to view and manipulate the list. 
RTF 
Select OutpLt Configure Output 
Select Report Output 
o 
Defaut report output 
C) Ad-hoc report output 
• pre-defined report output 
Name 
Learning Disabilities 
Mailhouse (Flu) 
OCS Sexual Health Reporting Output 
Subject Access Requests 
COVID-1g Risk of Complications 
Active 
Gliptin Audit 
CORC Covid Booster 
CORC Covid Booster 
Lithium Audit 
Wound Care 
- Possibles Screening 
- Probables Screenin 
Availabilty 
Arden's Ltd 
ocs 
ocs 
Arden's Ltd 
Arden's Ltd 
Derwentside Healthcare 
ocs 
OCS 
Derwentside Healthcare 
Arden's Ltd
  1. The Covid19 Vaccination template will help with this screening.  The panel will show relevant drug and lymphocyte count information with the covid vaccine administration dates shown. In the example below, the patient was lymphopenic before the first and second doses of vaccine. This template is also useful to view timing and quantity of steroid prescribing in relation to the vaccine doses. 
Machine generated alternative text:
Home Resources Non-standard vaccine PSO Booster Screening Booster Guidelines 
Covid Booster - Immunosuppression Screening 
Patients with chronic inflammatory diseases 
• High-dose corticosteroids (2 20mg prednisolone per day) for more than 10 days in the previous month 
• Long-term moderate dose corticosteroids (21 Omg prednisolone per day for more than 4w) in the previous 3 months 
• Non-biological oral immune modulating drugs, such as 
methotrexate >20mg/week (oral and sic), 
azathioprine -311mg/kg/day, 
6-mercaptopurine -1 fmg/kg/day, 
mycophenolate -1 g/day in the previous 3 months 
C) SARS-CoV-2 vaccination dose declined 
C) SARS-CoV-2 vaccination not indicated 
Add recall - Covid Vaccine Booster 
Comms Annexe 
• certain combination therapies at individual doses lower than above, including 27 fmg prednisolone per day in combination with other immunosuppressants (not 
hydroxychloroquine or sulfasalazine) or on methotrexate (any dose) with leflunomide in the previous 3 months 
All other patients 
• Individuals who had received high-dose steroids (>40mg prednisolone per day for more than a week) for any reason in the month before vaccinatiom 
22 Apr 2020 
Lymphocyte count 
05 Jun 2020 Lymphocyte count 
Azathioprine 50mg tablets 
03 Aug 2020 Lymphocyte count 
22 Sep 2020 Lymphocyte count 
Azathioprine 50mg tablets 
v 0 g Nov 2020 Lymphocyte count 
31 Dec 2020 Lymphocyte count 
Azathioprine 50mg tablets 
1 4 Jan 2021 Administration offirstdose of SARS-CoV-2 vaccine 
= og 2021 
Lymphocyte count 
three daily 
three daily 
25 Mar 2021 Administration of second dose of SARS-CoV-2vaccine 
30 Mar 2021 
Lymphocyte count 
Prednisolona 5mg tablets 
8 dailyfor 5 days 
Clenil Modulite 1 00micrograms/dose inhaler (Chiesi Ltd) 
inhale 2 doses twice daily 
avar 50micrograms/dose Easi-Breathe inhaler creva UK Ltd) 
inhale 2 doses twice dai 
DuoResp Spiromax 160micrograms/dose 4émicrograms/dose dry powder Inhale 1 dose twice daily 
Azathioprine 50mg tablets 
16 Jun 2021 
Lymphocyte count 
04 Aug 2021 Lymphocyte count 
Azathioprine 50mg tablets 
three daily 
0.7 
26 dun 2020 C 
0.7 1 ong/L 
05 Oct 2020 C 
0.7 
06 Jan 2021 C 
01 Apr 2021 
07 Apr 2021 
27 May 2021 
mg 
27 Aug 2021 C

The process can be streamlined by selecting all patients in the screening list, right clicking on the list, then choose Actions > Use Data Entry Template, then choose the Covid19 Vaccination template, and at the next dialogue box add your details in the staff member box.  S1 will then open each patient’s record with the template.  

Flagging Patients For Third Dose 

As there is no Snomed code to indicate need for booster an alternative is to use a recall.  Ask an administrator to add a recall type with the name Covid Vaccine Third Dose (spelling and spaces important).  Then add a pending recall to any patient who should be offered the booster.  This can be done from the screening template or from a patient list in reporting.  The date of the recall does not matter.  Patients with such a recall will show on the 1.3 search above 

NB – a previous version of this guide suggested using the recall name Covid Vaccine Booster. If you have added this recall, it will still be detected by the system.  Covid Vaccine Third Dose is a more accurate title for the recall.  If you wish to change the recall name you can do so easily Renaming A Recall Type 

Inviting Patients 

See Patient Invitation above

After Vaccination 

Patients who have had a third dose, will need a booster dose sthree months later.  To ensure the system is able to recognise these patients, ensure that the Covid Vaccine Third Dose recall is not deleted.  You may wish to mark the recall as Seen once the patient has had the third dose so the recall doesn’t flag in the pending recalls screen, but this isn’t essential.  In this way you will always be able to show the list of patients who need/needed a third primary dose. 

Spring 2022 Booster
Covid Vaccination 32 Needs 3rd dose - Housebound 
Cowd vaccination 4 BOOSTER DOSE 
! Covid Vaccination 4 1 Invite for booster dose (not housebound) - cohorts 1-14 or Spring Booster 
! Covid Vaccination 4 101 Invite for booster dose (not housebound) - Spring Booster 
! Covid Vaccination 4 11 Invite for booster dose (not housebound) - 3m after third primary dose 
! Covid Vaccination 42 Needs booster dose - Housebound 
! Covid Vaccination 421 Needs booster dose - Housebound- 3m after third dose 
! Covid Vaccination 4 31 Booster Dose Planner - NOT housebound/carehome # 
! Covid Vaccination 4 31 Spring 2022 Booster Dose Planner - NOT houseboundJcarehome # 
! Covid Vaccination 4 32 Booster Dose Planner - Housebound/carehome # 
! Covid Vaccination 482 Spring 2022 Booster Dose Planner - HouseboundJcarehome # 
! Covid Vaccination 5 All patients to invite (not housebound)
PSD

The following process can help clinicians add a PSD for the covid19 vaccine.  

Step 1. – Create a local copy of the PSD report. 

Covid Vaccination- PSO- Has u comin a ointment and ma need PSO Create local co 
Covid Vaccination - Vulnerable or on SPL (not under 16 or pregnant)

As you progress through the vaccination programme you will need to update this report with the current cohort. The initial report is set for cohort 2 stage. 

Join to reports 
Select report(s) 
Remove report(s) 
Repon information 
Name 
Covid Vaccination - Identification Cohort 02 - Cumulative - 80 
Covidlg Vaccination PSO before nexty appt (not 
recorded) # 
Has future appointment in next 7 days # 
Category 
OCS Vaccinations / Covidlg 
OCS Vaccinations / Covidlg 
OCS / Recall setup

To move this on remove the report highlighted above and replace it with one of these reports 

Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification 
Covid Vaccination - Identification Cohort 01 
Covid Vaccination - Identification Cohort 04 - Cumulative 
Covid Vaccination - Identification Cohort og - Cumulative 
02 
03 
05 
06 
Cohort 07 
08 
Covid Vaccination - Identification Cohort 10 - Cumulative - Everyone # 
- Care Home Resident 
- Cumulative 
- Cumulative 
- Cumulative 
- Cumulative 
- Cumulative 
- 75-7g# 
- 70-74 
- 65-6g# 
- Cumulative - under 65 vulnerable # 
- 60-64 
- 55-5g# 
- 50-54

Run this report which will identify eligible patients in the relevant cohorts with an upcoming appointment who do not already have a PSD recorded within 7 days of that appointment. To see which appointments are due, use the Breakdown options to select the appointment details. 

Covidlg Vaccination PSD before nexty appt (not recorded) # ( 
Has future appointment in next 7 days # (DCS Recall Setup) 
Patient Count 
Appointments (3) 
Appointment arrival time 
[3 Appointment booked date 
Appointment branch 
[3 Appointment cancellation date 
Appointment date 
[3 Appointment duration (actual) 
Appointment duration (booked) 
[3 Appointment flags 
Z] Appointment location 
Appointment status 
Appointment time 
Appointment wating time (absolute) 
Appointment wating time (calculated) 
Booked by 
Z] Clinician

Select and highlight the relevant patients.  Deselect any patients who are not suitable for vaccination. Click on the magnifying glass icon to display the selected patients.   

At the next screen, click on the scroll to add the PSD 

…..using this text 

‘This patient is eligible to receive  Covid-19 mRNA Vaccine BNT 162b2 0.3mls Intra-Muscular (IM) Injection   in accordance with Public Health England Immunisation against infectious disease (Green Guide) and JCVI recommendations for the purpose of protection against COVID-19. Dr Xxxxx Xxxxx ‘

This PSD will then be displayed on the covid19 vaccination template for 7 days 

Alternatively, use the PSD tab of the covid 19 vaccination template the add the same information to individual patient records.  There is a preset text option for quick entry. 

Cohort 6 Issues

TPP/Primis Search Issues 

There are significant differences between the searches to identify patient in cohort 6 between CDRC and TPP/Primis 

These differences are summarised in the table below. 

 CDRC TPP 
Hyposplenism    
Respiratory Includes any life-threatening asthma episodes Counts any 3 oral steroids prescriptions in the last 3 months Only counts 3 oral steroid prescriptions if in consecutive months 
CNS Must have epilepsy QoF code and be taking epilepsy medication  Includes any codes for epilepsy including some seizure codes which may have been one-off events.  Does not look at epilepsy medication. Many patients picked up by this strategy had childhood epilepsy or seizures only. Includes some codes that may have been one-off events e.g. post-concusional syndrome 
Chronic liver disease Includes non-alcoholic fatty liver Does not include NAFLD Does include ‘fatty liver’ which may have been a transient phenomenon Includes resolved hepatitis B and C 
Chronic Kidney Disease  Includes many glomerulonephritis codes which may have been transient – e.g. minimal change nephropathy Does not take into consideration CKD ‘resolved’ codes 
Chronic Heart Disease  Includes many codes for valve disease (often mild or benign) – this does not seem to be indicated according to the JCVI criteria unless 1. congenital, 2. causing significant problems such as heart failure Codes for superficial thrombophlebitis included (likely to be a coding error as these codes are children of venous thrombosis) Retinal vein occlusion is included 
BMI >40   
Serious mental illness  Does not take ‘in remission’ codes into account.  
Learning disability   
Diabetes  Does not take ‘in remission’ codes into account 
Immunosuppression Will detect any patients whose hospital provided immunosuppressants/biologics are recorded on their S1 repeat templates Does not take ‘immunosuppression resolved’ codes into account. 
Carers** Only counts ‘non-professional’ carers Counts professional carer codes as well as non-professional 

The following searches will help practices check any differences between CDRC and TPP searches 

Covid Vaccination - Cohort Cumulative # 
Covid Vaccination- Eli ibili -Carer ? rofessional ? informa 
Covid Vaccination - Eligibility- Cohort 6 in TPP search but not OCS 
Covid Vaccination - Excluded Group - For Validation

The first search identifies people coded as professional carers (‘Carer’) who are not also recorded as informal carers.  The recommended code for informal carers is ‘Patient themselves providing care’. 

The second search shows all patients identified by the TPP searches but not by CDRC. 

Both searches exclude people in cohorts 1-5; those who have been vaccinated already; or where the vaccine has been declined or is not indicated/is contraindicated. 

Cohort 6 CDRC Change Log 

15/2/21 VTE and AF added Asthma limited to those with history of hospital admission or >=3 courses of steroids in the last year Patients <65 in residential care added 
19/2/21 Lifethreatening asthma attack added Asthma limited to >=3 courses of steroids in the last 3 months 
22/2/21 Epilepsy expanded to included 16 and 17 year olds Neurofibromatosis type 1 and hydrocephalus added to neurological conditions Cardiomyopathy, coarctation of the aorta, LVH and LVSD added to cardiac conditions 
24/2/21 Personality disorder included Eating disorder in the last 5 years included 
27/2/21 Tuberous sclerosis included 
4/3/21 More myeloproliferative conditions added 
Astra-Zeneca Safety

The following searches (CDRC Vaccination > Covid19 1 Cohorts) identify patients who should definitely not have a first or second dose of the Astra-Zeneca vaccine.  This is a very small group of patients with a history of venous sinus thrombosis, thrombophilia or heparin induced thrombocytopenia. 

Covidlg Vaccination - AstraZeneca- Has clottin contraindications 
Covidl g Vaccination - AstraZeneca - 2 Has clotting contraindications - not yet vaccinated 
Covidl g Vaccination - AstraZeneca - 3 Has clotting contraindications - Due second AZvaccine

The first search identifies all patients in this group. 

The second identifies these patients who have yet to have a coronavirus vaccine – so they can be informed not to have AZ and invited for an alternative vaccine. 

The third identifies these patients who are due to have a second AZ vaccine.  They should be informed not to have a second AZ vaccine and an alternative brand should be administered.  

The ‘Consider Invitation for 2nd Oxford AZ vaccine’ searches now automatically exclude patients in the ‘contraindicated’ group described at the top of this page. 

Quality Control

There are searches to identify some of the commoner quality control issues. 

coac Research (1 1 1 g) 
x 
CDRC Vaccinations (1574) 
• covidlg (378) 
covidlg 1 cohorts (133) 
000% 
• covidlg 2 Eligible Patients (72) 
Covid Vaccination- QC - unbranded Vaccine # 
Covidlg 3 Invitation (99) 
Covidlg 4 Performance (44) 
Covidl g S Quality Control (4) 
HPV (21) 
Hepattis S (4) 
Name 
Covid Vaccination - QC - 2nd dose without first dose 
Covid Vaccination - QC - AZ and Pfizer on the same day* 
Covid Vaccination - QC - Discordant 1 st and 2nd vaccines # 
Count 
17 
2 
Data included up 
Last Run 
25 Nov 20 
18 20 
lg 20 
25 Nov 20
QC – 2nd dose without first dose May be due to incorrect coding of the first dose or missing coding of the first dose 
QC – AZ and Pfizer on the same day Both vaccines recorded on the same day – highly likely to be an error 
QC – Discordant 1st and 2nd vaccines  May have been a deliberate decision but may have been due to coding error 
QC – Unbranded Vaccine First dose given but brand not specified which makes planning for the second dose more difficult 

COVID Oximetry@Home

The steps below outline how to use the CDRC Precision COVID19 Oximetry at home guides for SystmOne:

Identification
  1. Search 

To identify patients use the following search CDRC Quality > Infection 

COVID1g 
coviD1g 
coviD1g 
coviD1g 
coviD1g 
coviD1g1 00 Shieldina Rea 
- Home Oximet 1 
Consider Starlin Oxime Monitorin 
- Home Oximetry 2M Current register* 
- Home Oximetry 21 Current register without recall # 
- Home Oximetry 2 
3 Recall Due # 
- Home Oximetry 3 Ever Had Home Oximetry# 
ister#

This identifies patients over 65 or on the shielded patient list with a positive covid diagnosis in the last 3 weeks who do not have any of the oximetry codes in the last 3 weeks (including oximetry declined, not appropriate). 

This search could be set to run automatically and send a daily task to a nominated individual or group, see Automated Reporting 

  1. Popup Alert 

A protocol is available that will deliver a popup message on record opening for patients in the search above.  You will need to activate this protocol by emailing NECSU.CDRC@nhs.net 

Once a patient has started, home oximetry the following patient status alert will be displayed at the top of the screen 

Pulse Oximetry Monitoring OCS 
This patient is currently recording their Oxygen 
Saturation levels using a pulse oximeter 
Remote virtual care pulse oximetry montoring 
started (Y2a48) 
Recorded 27 Jan 2021

Clicking this icon will open the oximetry at home template.  There is also a similar TPP system-wide icon which you may wish to disable to prevent duplication. 

Template

The template can be reached from the main Covid19 template menu, by adding it to one of your own templates or toolbars or by typing ‘oximetry’ or ‘covid’ into the search box at the bottom left of the S1 screen. 

Info For Patients Links 
Adult Primary Care Covid-19 Assessment Pathway 
Pulse rate 
Oxygen saturation 
Respiratory rate 
CAVPU score 
Covid Assessment - Follow up 
Symptoms ranked by severity predictiveness 
2 cg2% (or -4 less than usual) 02 g3-g4% (or 3-4 less than usual) 
Launch 
follow t 
Launci 
- fo//0'.v 
02 (or -1-2 less than usual) 
New confusion and NEWS 0-2 
onsider Need For Monitoring 
R 31 
ew confusion + NEWS -5 
onsidar urgent Admission 
Calculate NEVvS Score 
NB - you will need to close this 
template and open it again 
before clicking this button to 
calculate a NEWS Score 
RR 21-24 
HR g 1-130 
New confusion + NEWS 3-4 
Consider Admission 
Consider exertion oximetry 
(40 steps orl min sit to stand) 
Admission if: 
Clinical concern 
02 sats on exertion 
Covid Assessment- Follow up 
11 Jan 2021 1726 
Expand 
Entered by 
FORBES, Gareth (Dr) (General Medical Practitioner) 
Breathless 
ME gia 
e Fatigue 
Sputu m 
cough 
Nausea No miti ng 
Headache 
sore Throat 
Remote Oximetr 
Scheduled Task 
COW19 Assessment 
Patient's Overall Impression Better 
Breathlessness? 
Yes 
So breathless that unable to No 
speak more than a few words? 
Are you breathing harder or 
faster than usual when doing 
nothing at all? 
Are you so ill that youVe 
stopped doing all ofyour usual 
daily activities? 
Appointment Search Add Recall (Home Oximetry) 
NOT currently having home oximetry 
No Home Oximetry Recall Recorded

The home screen of the template allows recording of the key information provided by the patient/carer at each contact along with guidance on how to interpret the findings. 

There is a link to a NEWS score calculator but this might be difficult to calculate remotely without a blood pressure or respiratory rate.  These readings would be possible if using a video consultation and the patient has a sphygmomanometer.  If the pulse, oxygen saturation, respiratory rate and CAVPU score are entered on this template, it will need to be closed and opened again to use the NEWS calculator.  Alternatively use the Calculate NEWS Score button and enter all the vital signs into the calculator. 

The Covid Assessment – Follow Up  button opens a questionnaire of standardised questions to assesses progress and disease severity and to allow recording of the advice given to the patient.  The latest copy of these questions is shown in the central panel.  The standard advice for the patient about when to seek help is included in a preset 

12 
When to call for help 
use Preset Answer 
Patient/carer has PIL 
Yes

If needed, this can be amended to suit individual patient circumstances, or an entirely different set of instructions can be given. 

Follow up

The template allows 3 different mechanisms for follow up. 

  1. Scheduled task – will send a task to a nominated person or group at the interval determined by the assessing clinician 
  2. Appointment – allows clinician to book the next contact 
  3. Recall system – allows addition of a specific recall* 

*For option 3 a recall type with the name Home Oximetry will need to be added locally. 

Reports

These reports are available to support Oximetry @ home. 

coviD1g 
coviD1g 
COVID1g 
COVID1g 
COVID1g 
- Home Oximet 1 
Consider Starlin Oximet Monitorin 
- Home Oximetry 2M Current register* 
- Home Oximetry 21 Current register without recall # 
- Home Oximetry 2 
3 Recall Due # 
- Home Oximetry 3 Ever Had Home Oximetry#
1. Patients who might benefit from starting oximetry at home 
2.1 Patients currently having oximetry 
2.2 Patients currently having oximetry who don’t have a recall* 
2.3 Patients currently having oximetry whose recall is due* 
3 Patients who have ever had oximetry – for reporting to NHSE 

* only needed for practices which decide to use a recall system 

Patient information

The second page of the template have a link to the patient information leaflet. 

Info For Patients Links 
Patient Information 
The patient information sheet to give to patient using home oximetry can be sent to 
the patient by sending this link 
https:/Www englandnhsukJcoronavirustwp-content/uploads/sites/52/2020/06/C04 
45-Remote-monitoring-in-primary-care-Annex-2-diarwpdf 
Or use the weblink below to print a copy 
Send SMS Message 
Patient Information - Weblink 
Send Email

This can be printed at the practice via the weblink or the weblink can be sent to the patient via SMS text or email.  (The latter two options may need local setup to ensure that text messaging is enabled from your S1 unit and that email messages are set to be sent from the unit generic email account rather than from personal accounts). 

Referral

For areas where oximetry is being provided out of the practice, the third tab allows recording of the referral into and discharge from a third party service.  A link to a pre-populated NUTH referral form is available. 

Info For Patients 
Referral 
Referral to Home Oximetry 
Referral 
Links 
o 
Referral go remote virtual care pulse ox!metry mont!oring servic 
o 
Discharge from remote virtual care pulse oximetry montoring service 
Home Oximetry NUTH Referral Form

Footer

Follow us on social media

  • Facebook
  • LinkedIn
  • Twitter
  • Terms of Reference
  • Ethics & Governance
  • Privacy policy
  • Terms of use
  • Join CDRC Precision

Copyright © 2023 Clinical Digital Resource Collaborative