PRIMIS has been commissioned by Public Health England (PHE) to develop and maintain the national data specification that will assist in the identification of priority patients for the Covid-19 vaccination programme and will additionally allow all GP clinical system suppliers to provide regular activity reports regarding vaccine uptake to PHE and Government.
This data specification comprises all the relevant SNOMED clinical terms (over 17,000 codes) and the inherent logical business rules that help to identify eligible patients and assign them to the relevant recall groups. An equivalent specification has also been produced in legacy terminology (Read Version 2) for the devolved nations within the UK.
Please note that the specification is a technical document and its interpretation requires a high degree of knowledge and experience of SNOMED clinical terms, logical business rules and electronic health records in general practice. It has been designed for use by NHS colleagues involved in the management of data/data flows for the Covid-19 vaccination programme and we reserve the right to approve access to the specification on this basis only.
If you would like to request a copy of the PRIMIS Covid-19 specification, please click the following link and complete the request form. We aim to process your request within a maximum of 3 working days. It should be noted that the registration process enables us to alert you to any updates to the specification in what is an evolving situation.
We are aware that each GP clinical system supplier in England is in the process of rolling out system searches for their respective practices based upon this specification.
If you are a patient seeking advice on your eligibility for the Covid-19 vaccination, please visit https://www.nhs.uk/conditions/coronavirus-covid-19/coronavirus-vaccination/coronavirus-vaccine/ Patients who are eligible for vaccination should wait to be contacted by NHS services regarding booking. The NHS will let you know when it is your turn to have the vaccine. It's important not to contact the NHS for a vaccination before then.
It should be noted that PRIMIS has not been involved in the development of the Clinically Extremely Vulnerable (CEV) or Shielded Patient List (SPL) coding lists. NHS Digital has overseen the design and development of these. Please refer to the bottom of this page for further information and related resources from NHS Digital.
The current version is v1.2.1 dated 5/2/2021.
PRIMIS Covid-19 SNOMED specification request form
The FLU-CAT Study, including the development of the PRIMIS FLU-CAT Covid-19 Assessment Template and facilitating a weekly data flow from practices participating in the FLU-CAT Study.
The provision of free, targeted searches that identify patients who may be at increased risk of hospitalisation.
Targeted system searches to reduce potential hospital admissions
NHS Digital publishes the shielded patients list (SPL), formerly known as the vulnerable patient list, which is a record of vulnerable patients thought to be at high risk of complications from Covid-19. NHS and social care organisations use the list to identify vulnerable patients in their local area. Once identified, these patients are sent a letter with advice on how to protect themselves and how to access NHS services when required. Further information is available at NHS Digital.
For information on the additional cohort of patients recently identified by NHS Digital as being at increased risk from Covid-19 (using the QCovid® tool) click here.
PRIMIS is not involved in the development of the CEV/shielded patients list. We understand that practices will want to focus on reviewing and identifying the patients who fall within this group. In order to proactively help to ease the burden on NHS services at this challenging time, PRIMIS has made available some supplementary targeted searches, which includes the identification of patients potentially at risk of disease exacerbation and/or hospital admission.
Professional Records Standards Body (PRSB):
Clinical guidance on Covid-19 SNOMED codes
Faculty of Clinical Informatics:
Covid-19 'coding' advice
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