BC has a 4 phase approach to immunization planning. Below are some general instructions to create a search query in your EMR that align with criteria in each phase.
- BC CDC COVID-19 Immunization Plan
Phase 4 (Current Phase)
Phase 4 will include the remainder of the general population from 59 to 18 years of age, in decreasing 5 year increments (59-55, 54-50, etc. down to 24-18). There are currently no other criteria for eligibility in phase 4. Also, we recommend you review eligible patients from previous phases who may have declined immunizations.
Children and Youth
Children and Youth born in 2009 or earlier (12+) are currently eligible to get dose 1 of the vaccine. Those younger are currently not in the BC plan as the immunization studies are not yet completed for people under the age of 12. These studies are ongoing and the guidance will be updated when the evidence is clear.
Identified Clinical Diagnoses that Increase Risk
We have summarized the clinical diagnoses known to increase risk for mortality along with their codes and some ways to find them in EMR data here:
| Risk Condition | Diagnostic Codes (ICD-9) | Medications (ATC) | Lab Values or other results |
| Cancer and undergoing active chemotherapy | 140-239 338.3 |
AND (L01 OR LO4) | |
| Lung cancer who are undergoing radical radiotherapy | 212.3, 212.9, 162-165 | Would need chart review for radiotherapy | |
| Immunosuppression (acquired, medication related or hereditary) | 279, 288 | OR L01AA OR L04 | |
| COPD | 496 | OR R03 | |
| Asthma | 493 | OR R03 | |
| Cystic Fibrosis | 277 | ||
| Combined immunodeficiency | 2792 | ||
| Splenectomy | 7590 | ||
| Down’s Syndrome and other congenital disorders | 758 | ||
| Advanced Chronic Kidney Disease | 5855, 5856 | AND eGFR<15 | |
| Transplant | v42, 996 | L04 | |
| Uncontrolled Diabetes | 250 | AND A1c > 7.5% |
