CAT Immunisations > Childhood Schedule Graph and Worksheet
Overview
The CAT Childhood Schedule tab provides:
- A graph which displays a child's immunisation status
- A worksheet which details the number of doses of each immunisation that have been received for each child
The CAT Age filter allows filtering by age in months as well as years. This can be used to target specific child age groups and determine children that have not received all their immunisations.
The tables at the end of this guide provide information about:
- The immunisations included (Table 1)
- The number of doses required by age (Table 2)
- The additional rules considered to determine status (Table 3). The rules for each immunisation determine whether it is up to date, due or overdue.
A child's overall status will take the 'worst' status of all immunisations given ie. if any immunisation is overdue the child's overall status will be overdue.
References
The following documents have been referenced:
- The Childhood Immunisation Schedule is provided by the National Immunisation Program Schedule available at the Immunise Australia Program web site http://immunise.health.gov.au/
- The Australian Childhood Immunisation Register (ACIR) Due and Overdue rules available at http://www.medicareaustralia.gov.au/provider/pubs/program/acir.jsp
Graph
The Immunisations > Child Schedule tab provides a pie chart for children aged 0-7 years with the following status categories:
- Fully immunised – a child has received all the immunisations required for their age (refer Table 2)
- Up to date – a child is not fully immunised but no dose is due (eg. there may be a minimum time period between doses – refer Table 3)
- Due – immunisations are due now
- Overdue – immunisations are overdue
Worksheet
The worksheet button provides a list of patients with the following details:
- age in months
- immunisation status
- number of doses per immunisation
The worksheet is an aid to help the practice to find children who are not up to date and identify which immunisations are still required. As the vaccination pathways for different vaccine brands can differ the practice should check patient records where a child is listed as due or overdue.
Table 1: Immunisation list for children
HepB |
Hepatitis B |
DTPa |
Diptheria, tetanus and whooping cough (acellular pertrussis) |
Hib |
Haemophilus influenza |
IPV |
Polio (inactivated poliomyelitis) |
7vPCV |
Pneumococcal conjugate |
Rotavirus |
Rotavirus |
MMR |
Measles, mumps and rebella |
MenCCV |
Meningoccocal C |
HepA (for ATSI) |
Hepatitis A |
VZV |
Chickenpox (varicella) |
23vPPV |
Pneumucoccal polysaccharide |
Table 2: Immunisation total recommended doses by age
This table shows the recommended doses for age as provided by the National Immunisation Program Schedule.
Immun./ |
0 |
2 |
4 |
6 |
12 |
18 |
24 |
48 |
HepB - Birth |
1 |
|
|
|
|
|
|
|
HepB |
|
1 |
2 |
3 |
|
|
|
|
DTPa |
|
1 |
2 |
3 |
|
|
|
4 |
Hib |
|
1 |
2 |
3 |
4 |
|
|
|
IPV |
|
1 |
2 |
3 |
|
|
|
4 |
Pneumococcal conjugate |
|
1 |
2 |
3 |
|
|
|
|
Rotavirus For children born from 1st May 2007; Number of doses is dependent on brand. - RotaTeq |
|
1 |
2 |
3 |
|
|
|
|
- Rotarix |
|
1 |
2 |
|
|
|
|
|
MMR - DOB < 1/1/2012 |
|
|
|
|
1 |
|
|
2 |
- DOB >= 1/1/2012 |
|
|
|
|
1 |
2 |
|
|
MenCCV |
|
|
|
|
1 |
|
|
|
HepA For Aboriginal and Torres Strait Islander |
|
|
|
|
|
|
1 or 2 Two doses of hepatitis A vaccine are required for Aboriginal and Torres Strait Islander children living in areas of higher risk (Queensland, Northern Territory, Western Australia and South Australia). |
|
VZV |
|
|
|
|
|
1 |
|
|
23vPPV |
|
|
|
|
|
|
1 |
|
A child's age in months determines how many doses of each immunisation should have been received. For example, by age 6 months a child should have had 3 doses of DTPa.
The number of doses for age will differ between States and Territories due to the needs of geographic and demographic conditions.
Table 3: Immunisation Due and Overdue rules based on
'The Australian Childhood Immunisation Register (ACIR) Due and Overdue rules'
Immunisation |
Dose |
Additional Criteria to determine if status = Up to date |
Status |
|
|
|
|
|
Up to date |
Due |
Overdue |
HepB - Birth |
1 |
Child age > 7days* |
|
In first 7 days |
|
HepB |
1 |
|
|
2 months |
3 months |
|
2 |
|
Last dose |
4 months |
5 months |
|
3 |
|
Last dose |
6 months |
7 months |
DTPa |
1 |
|
|
2 months |
3 months |
|
2 |
|
Last dose |
4 months |
5 months |
|
3 |
|
Last dose |
6 months |
7 months |
|
4 |
|
Last dose |
48 months |
49 months |
Hib |
1 |
Dose 1 > 15months |
|
2 months |
3 months |
|
2 |
Dose 2 > 15months |
Last dose |
4 months |
5 months |
|
3 |
Dose 3 >15months |
Last dose |
6 months |
7 months |
|
4 |
|
Last dose |
12 months |
13 months |
IPV |
1 |
|
|
2 months |
3 months |
|
2 |
|
Last dose |
4 months |
5 months |
|
3 |
Dose 3 > 48months |
Last dose |
6 months |
7 months |
|
4 |
|
Last dose |
48 months |
49 months |
Pneumococcal conjugate |
1 |
Dose 1 > 17months |
|
2 months |
3 months |
|
2 |
Dose 2 > 12months |
Last dose |
4 months |
5 months |
|
3 |
|
Last dose |
6 months |
7 months |
Rotavirus |
|
If no dose by 14weeks then no doses due/overdue |
|
|
|
|
1 |
Dose 1 > 28weeks |
|
2 months |
3 months |
|
2 |
Dose 2 > 28weeks |
|
4 months |
5 months |
|
3 |
No doses due/overdue > 32weeks |
|
6 months |
7 months |
MMR - DOB < 1/1/2012 |
1 |
|
|
12 months |
13 months |
|
2 |
|
|
48 months |
49 months |
MMR - DOB >= 1/1/2012 |
1 |
|
|
12 months |
13 months |
|
2 |
|
|
18 months |
19 months |
MenCCV |
1 |
Imm can be given in more than 1 dose – a dose must exist after 12months* |
|
12 months |
13 months |
HepA |
1 |
2 doses are due in the second year of life* |
|
12 months |
25 months |
2nd dose for high risk areas |
2 |
|
|
18 months |
25 months |
VZV |
1 |
|
|
18 months |
19 months |
23vPPV |
1 |
|
|
18 months |
19 months |