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.

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 ConditionDiagnostic Codes (ICD-9)Medications (ATC)Lab Values or other results
Cancer and undergoing active chemotherapy140-239
338.3
AND (L01 OR LO4)
Lung cancer who are undergoing radical radiotherapy212.3, 212.9, 162-165Would need chart review for radiotherapy
Immunosuppression (acquired, medication related or hereditary)279, 288OR L01AA OR L04
COPD496OR R03
Asthma493OR R03
Cystic Fibrosis277
Combined immunodeficiency2792
Splenectomy7590
Down’s Syndrome and other congenital disorders758
Advanced Chronic Kidney Disease5855, 5856AND eGFR<15
Transplantv42, 996L04
Uncontrolled Diabetes250AND A1c > 7.5%

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