Page History
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| ATAGI Condition | Pen CS mapping approach |
|---|---|
| Active haematological malignancy | mapped for all active haematological cancers |
| Non-haematological malignancy with current active treatment including chemotherapy, radiotherapy, and/or hormonal therapy, but excluding immunotherapy with immune checkpoint inhibitors | mapped based on conditions and treatment as recorded in the patient record. |
| Solid organ transplant with immunosuppressive therapy | Mapped based on transplant recorded and medication recorded |
| Haematopoietic stem cell transplant (HSCT) recipients or chimeric antigen receptor T-cell (CAR-T) therapy within 2 years of transplantation. These patients require revaccination with 3 additional doses of COVID-19 vaccine, irrespective of doses given prior to transplantation, commencing generally ≥3-6 months after their transplant after discussion with their treating specialist. Those beyond 2 years from transplant should discuss with their treating specialist about the need for a 3rd dose. | Not mapped as too specific and due to time restraints. These patients should be known to the providers and require additional attention. |
| Immunosuppressive therapies | based on medication mappings as recorded |
| Biologic and targeted therapies anticipated to reduce the immune response to COVID-19 vaccine | As there was no definition provided, we are using all immunosuppressive medications as recorded |
| Primary immunodeficiency including combined immunodeficiency and syndromes, major antibody deficiency (e.g., common variable immune deficiency (CVID) or agammaglobulinemia), defects of innate immunity (including phagocytic cells), defects of immune regulation, complement deficiencies and phenocopies of primary immunodeficiencies. | Using general immunodeficiency conditions as recorded in the patient history |
| Advanced or untreated HIV with CD4 counts <250/μL or those with a higher CD4 count unable to be established on effective anti-retroviral therapy | Any diagnosis of HIV due to lack of options to identify 'advanced' or 'untreated' HIV |
| Long term haemodialysis or peritoneal dialysis | any dialysis due to lack of definition of 'long term' |