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ACIR Immunisation History Statement – up to date The ACIR Immunisation History Statement is issued to parents after their child’s 18 month and 3½ - 4 year old milestone vaccinations automatically but can be requested at any time. The statement will show the words ‘up to date’ next to Immunisation status in the top section of the form as highlighted in the example below: This is an ‘online version’ of the statement that parents can view and download from the Medicare website

Up to date

Immunisation history statement - online version As at: 18 June 2013 For: MOHAMED C BELL Date of birth: 11 December 2012 Immunisation status: up to date

Schedule 2 months

4 months

6 months

Immunisation Diphtheria Tetanus Pertussis Hepatitis B Polio Hib Pneumococcal Rotavirus Diphtheria Tetanus Pertussis Hepatitis B Polio Hib Pneumococcal Rotavirus Diphtheria Tetanus Pertussis Hepatitis B Polio Hib Pneumococcal

Date given

Brand name given

Provider type

11 Feb 2013

Infanrix Hexa

GP

Prevenar 13 Rotarix

11 Apr 2013

Infanrix Hexa

GP

Prevenar 13 Rotarix

10 Jun 2013

Infanrix Hexa

GP

Prevenar 13

Next immunisation(s) due

Date due

Meningococcal C Measles Mumps Rubella Hib

11 Dec 2013 11 Dec 2013 11 Dec 2013

It’s important to check that a current statement has been provided. For example, a parent/guardian may submit an ‘up to date’ statement relating to when their child was 6 months old but the child is now 12 months old. Therefore, it is important to make sure that the date due for next immunisations is in the future.

Every effort is made to ensure that the information contained on the Australian Childhood Immunisation Register is correct. The data is based on information provided to Medicare Australia by immunisation providers and the accuracy of data is dependent on the quality and timeliness of information provided. Immunisation records are only available from 1 January 1996.

The immunisations that the child requires next and when they are due are listed here. The due date should be entered in the ‘Next immunisations due date’ in your Immunisation Register. Select ‘Up to Date – Immunisation History Statement’ in your Immunisation Register drop down list. PAGE 8  NSW Health  Immunisation Enrolment Tookit  Version 1.0


ACIR Immunisation History Statement – fully immunised child Children who have received all of their scheduled immunisations by 3½ - 4 years of age will receive an up to date ACIR Immunisation History Statement showing that the child does not require any further vaccinations before starting primary school.

Immunisation history statement - online version As at: 12 June 2013 For: MARCOS O MYERS Date of birth: 01 January 2008 Immunisation status: up to date

Schedule

Immunisation

Date given

Brand name given

Provider type

2 months

Diphtheria Tetanus Pertussis Hepatitis B Polio Hib

01 Mar 2008

Infanrix Hexa

GP

4 months

6 months

12 months

Pneumococcal

Prevenar 7

Rotavirus

RotaTeq

Diphtheria Tetanus Pertussis Hepatitis B Polio Hib

07 May 2008

Infanrix Hexa

Pneumococcal

Prevenar 7

Rotavirus

RotaTeq

Diphtheria Tetanus Pertussis Hepatitis B Polio Hib

07 Jul 2008

Infanrix Hexa

Pneumococcal

Prevenar 7

Rotavirus

RotaTeq

Hib

03 Jan 2009

GP

GP

Hiberix

GP

Measles Mumps Rubella

Priorix

Meningococcal C

Meningitec

18 months

Varicella

30 Jun 2009

Varilrix

GP

4 years

Diphtheria Tetanus Pertussis Polio

04 Jan 2012

Infanrix-IPV

GP

Measles Mumps Rubella

Next immunisation(s) due

Priorix

Date due

This child has received all vaccines required by 5 years of age.

This child is fully immunised. Select ‘Up to Date – Immunisation History Statement’ in your Immunisation Register drop down list.

Version 1.0  Immunisation Enrolment Tookit  NSW Health  PAGE 9


ACIR Immunisation History Statement – not up to date Where a child is not up to date with their scheduled vaccinations the words ‘not up to date’ will be shown as highlighted in the example below:

This is an ‘online version’ of the statement that parents can view and download from the Medicare website

Immunisation history statement - online version As at: 12 June 2013 For: Your Child SMITH J

NOT up to date

Date of birth: 01 January 2012 Immunisation status: not up to date

Schedule 2 months

4 months

Immunisation Diphtheria Tetanus Pertussis Hepatitis B Polio Hib Pneumococcal Rotavirus Diphtheria Tetanus Pertussis Hepatitis B Polio Hib Pneumococcal Rotavirus

Date given

Brand name given

Provider type

01 Mar 2012

Infanrix Hexa

GP

Prevenar 13 RotaTeq

01 Jun 2012

Infanrix Hexa

GP

Prevenar 13 RotaTeq

Next immunisation(s) due

Date due

Poliomyelitis Pneumococcal Diphtheria Tetanus Pertussis Hib Hepatitis B

01 Aug 2012 01 Aug 2012 01 Aug 2012 01 Aug 2012 01 Aug 2012

The immunisations that the child requires to bring them ‘up to date’ and when they are due are listed here.

Every effort is made to ensure that the information contained on the Australian Childhood Immunisation Register is correct. The data is based on information provided to Medicare Australia by immunisation providers and the accuracy of data is dependent on the quality and timeliness of information provided. Immunisation records are only available from 1 January 1996.

Form Provided

Enrol Yes/No?

Immunisation Register

Medical contraindication for all of the vaccine(s) listed

Yes

‘Medical Contraindication – Immunisation Exemption’

Medical contraindication for only some of the vaccines listed (not all)

Yes – provided that an Immunisation History Statement is also provided for the vaccines that the child has received – the DUE DATE of the next vaccinations must be in the future

‘Up to Date – ACIR Immunisation History Statement’ AND ‘Medical Contraindication – Immunisation Exemption’

Immunisation History Statement – not up to date Child does not have a medical contraindication

No – advise parent/guardian to attend doctor/ N/A immunisation nurse to arrange catch-up vaccination – an ACIR History Form must then be provided that shows the child is on a catchup schedule

PAGE 10  NSW Health  Immunisation Enrolment Tookit  Version 1.0


ACIR Immunisation History Statement – mailed version Online versions of the ACIR Immunisation History Statements were shown in the previous examples. A mailed version is shown below:

This child is not up to date

This child is overdue for the following vaccinations

Regardless of the type of ACIR Immunisation History Statement that is received (online or mailed), early childhood education and care services must not enrol any child with a statement that states that the child is ‘not up to date’. The only exception is when a child has a medical condition and cannot receive a specific vaccine(s) as outlined in the previous ‘ACIR History Statement – not up to date’ section.

Version 1.0  Immunisation Enrolment Tookit  NSW Health  PAGE 11


ACIR Immunisation History Statement AND Medical Contraindication A child with a medical contraindication to one or more vaccines will have these vaccines listed in the bottom section of the Immunisation History Statement.

Medical contraindication to one or more vaccines will be listed here (mailed version of the ACIR Immunisation History Schedule is shown). Select ‘Up to Date - ACIR Immunisation History Statement’ AND ‘Medical Contraindication – Immunisation Exemption’ from the drop down list in your Immunisation Register PAGE 14  NSW Health  Immunisation Enrolment Tookit  Version 1.0

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