NEW ZEALAND GAZETTE, No. 42

15 APRIL 2004

1074

1.6 For children in the NIR birth cohort, registration information will be provided from the maternity system for 90-95% of children. Primary health care providers will need to supply registration information for others – for example, new migrants, home births and all those receiving MeNZB™ who are not already registered on the NIR. The information required for an NIR registration is appended.

1.7 In special circumstances, primary health care providers will need to provide some additional information to the NIR. This will include:

(a) notifying the NIR when an individual (or their parent/guardian) wishes to "opt off" having any future immunisation data recorded on the NIR;

(b) notifying the NIR of a referral to an outreach immunisation service or of a validated adverse event following immunisation (AEFI), the death of a registered individual, or a request for a Status Query Request by a provider.

1.8 The Ministry of Health (and/or DHBs as their agent) will:

(a) Provide the central NIR application;

(b) Negotiate with and resource selected PMS vendors for software upgrades to allow PMS compatibility with the NIR (see Table 1);

(c) Resource selected maternity IT vendor systems to ensure the birth cohort is registered on the NIR;

(d) Provide national privacy, security and operational policies for management of data on the NIR;

(e) Provide a national governance body for the NIR;

(f) Notify the PHO and primary care providers of the "Go Live" date in each DHB;

(g) Provide vaccinator and non-vaccinator operational manuals for NIR users;

(h) Provide immunisation promotion and NIR information resources for the public;

(i) Support PHOs and primary care providers to conform with NIR data requirements (including support for PMS upgrades, and for DHB project management, provider liaison funding for NIR implementation and provider training, via DHB funding);

(j) Provide a DHB NIR data administrator(s) in each DHB to support data quality and management of immunisation data at the local level, including referral processes for overdue children.

1.9 PHOs/PHO primary care providers will:

(a) sign the NIR Authorised User Agreement and agree to abide by NIR security and privacy policies, and operational processes as per NIR Privacy Policy and operational manuals;

(b) accept (or decline) "nominated provider" status for any individual who (or whose parent/caregiver) nominates the PHO provider as his/her nominated immunisation provider, when registering on the NIR;

(c) send vaccination event data (given or declined, as per the appended data table) for all events on the childhood immunisation schedule in the Ministry approved electronic format or approved paper forms to the NIR:

(i) for all individuals that are enrolled in the PHO; and

(ii) all individuals who attend the provider for vaccination events as casual users.

(d) register and send vaccination event data (given or declined, as per the appended data table) to the NIR on all MeNZB™ immunisations given to individuals enrolled in the PHO or casual users. This is mandatory for vaccine safety and efficacy monitoring, with no "opt off" NIR option for MeNZB™ recipients;

(e) register on the NIR individuals in the "birth cohort" age group when they are not registered on the NIR directly from maternity data extracts – for example, new migrants and home births presenting in primary care for immunisations;

(f) notify the NIR when an individual in the "birth cohort" (or their parent/guardian) wishes to "opt off" having any future immunisation data recorded on the NIR;

(g) update individuals’ demographic information as required, at a vaccine event;

(h) provide required data on provider identification and demographics (as per the date table appended);

(i) supply additional data (on forms supplied by the Ministry of Health) to the NIR, in specific circumstances, as per clause 1.7 above.

NIR DATA TABLES

TABLE 2: PROVIDER DETAILS DATA HELD BY THE NIR