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This is implementation of COVID-19 Vaccine Group in ICE based on interim recommendations from ACIP. As additional guidelines from ACIP are published and/or vaccines become available, the COVID-19 logic in ICE will updated.
This release includes support for the Pfizer COVID-19 vaccine (CVX 208), Moderna COVID-19 vaccine (CVX 207), and COVID-19, Unspecified Formulation (CVX 213).
In addition to the above CVX codes, added recommendation reason code BASED_ON_VAC_AVAIL_AND_PRIORITY_RECS to the ICE Implementation Guide.
The updated ICE Implementation Guide documents these codes. A version of this same guide with the changes since 1.24.1 highlighted and a Google Sheet with the same ICE codes are also available as an added convenience.

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Updated Pneumococcal rules as per the June 2019 ACIP Vote:
- PCV13 vaccination is no longer routinely recommended for all adults aged ≥65 years. Instead, shared clinical decision-making for PCV13 use is recommended for persons aged ≥65 years who do not have an immunocompromised condition, CSF leak, or cochlear implant and who have not previously received PCV13.
- ACIP continues to recommend that all adults aged ≥65 years receive 1 dose of PPSV23. A single dose of PPSV23 is recommended for routine use among all adults aged ≥65 years.
- Reference MMWR, November 22, 2019, Vol. 68, No. 46 for additional information.

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Updated HPV rules as per the June 2019 ACIP Vote:
- Harmonized recommendation for catch-up vaccination for males and females through age 26 years who are not adequately vaccinated.
- Recommends vaccination based on shared clinical decision making for individuals aged 27 through 45 years who are not adequately vaccinated.

General Update

A duplicate shot/same day fix whereby, in certain circumstances, a non-combination shot might be selected instead of the combination shot.
Slight change to the way the dose number included in the vMR output is determined. The dose number represents the targeted number of the dose in the series, whether the dose is valid or invalid (so, for instance, both a "valid" second dose following an invalid second dose will have dose number 2 indicated). However, if the patient has passed the eligible last date for a particular dose (e.g., Hib, Pneumococcal) and receives a subsequent dose, the dose number of that subsequent dose will indicate the count of actual doses received and will not consider the earlier dose that was missed which cannot now be administered.

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Updated the DTP Adolescent Tdap Recommendation and Evaluation rules as per the new Tdap guidance included in the 2019 CDC Immunization Schedule
Added a DTP 3-dose series exception rule requiring that in order for a primary series to be complete via the DTP 3-dose series, at least one of the doses given must be a pertussis-containing dose

HPV Update

Updates to HPV 3-dose series to align with CDSi
- Updated Recommended Interval between Dose 1 and 2 from 1 month to 4 weeks
- Updated Absolute Minimum Interval between Dose 1 and 3 from 112 days to 5 months - 4 days

DTP Update

Updated the DTP 3-dose series Absolute Minimum Interval between Dose 2 and 3 from 164 days to 6 months - 4 days to align with CDSi.
Updated Adolescent Tdap Exception A Rule to "The patient DOES NOT have a dose of pertussis vaccine at >= 4 years - 4 days."

Zoster Update

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General - Same Day Shots Update

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Please refer to the March 7 News entry for general information and suggestions related to this release.

Pneumococcal Update

Updated recommendation rule to distinguish between patients >=5 years old who have completed the childhood Pneumococcal series and patients who have not. The updated rule states:
- "If a patient is >= 5 years (or will be >= 5 years at the recommended due date) and < 65 years, and they have completed the Child Series, then the Recommendation is Conditional and the reason code is COMPLETE_HIGH_RISK; otherwise the Recommendation is Conditional and the reason code is HIGH_RISK."

Polio Update

Updated Series complete with 3-doses rule to include the minimum interval = 6 months and absolute minimum interval = 6 months - 4 days.

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Shots Administered "before" the Patient's DOB

Improved handling of shots marked as administered before the patient's date of birth.

Overdue Date/Earliest Date

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