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Summary Care Record application (SCRa) coronavirus vaccination information

Coronavirus (COVID-19) vaccination event information is now available via the SCRa to support patients and healthcare professionals. 

Overview

We've updated one of our systems, the Summary Care Record application (SCRa), to provide essential information about a patient's coronavirus vaccination history, so health and care professionals can make a more informed decision about the direct care they provide to people during the pandemic.

The service will help clinicians providing direct care to patients, who might not have a GP medical record or a Summary Care Record with Additional Information. It will also support clinicians whose systems do not include coronavirus vaccination event information. 

A new COVID-19 Vaccination tab is available to clinicians using the SCRa, (and will be available in the SCRa 1-click and SCRa Private Beta in the coming months), following a recent development supported by senior clinical leads from both NHS England and NHS Digital and in consultation with frontline clinicians. This will provide the broadest possible nationally available mechanism to present coronavirus vaccination events.

SCRa is available across a wide range of care settings, providing scheduled and unplanned care, where they have chosen to use the application. The SCRa will provide clinicians with an additional way of determining a patient’s coronavirus vaccination history. This may be particularly important when planning ongoing care, or responding to symptoms or changes to a patient’s health, which may be linked to coronavirus or a possible adverse drug reaction to a coronavirus vaccine. 

Information for healthcare professionals using SCRa

The new tab includes whether a patient has received first and/or second doses of a coronavirus vaccination. This information may support you to manage the patient but should not be used in isolation. Patient management decisions should always be made drawing on the widest range of information sources available. 

The information is currently updated overnight via the Data Processing Service.

This information along with healthcare information from other sources, such as a patient’s previous testing history and clinical information, will support you to decide how you provide services and treat your patients during the pandemic. 

Each time a patient’s record is opened by a clinical user, a COVID-19 Vaccination tab will be available stating whether an individual has received first dose and/or second dose of a coronavirus vaccination. The tab will be available on the same row as the Key Demographic Information tab. If a patient is yet to receive a coronavirus vaccination, then no tab will be visible.

It’s anticipated that there will be a delay between a patient receiving a coronavirus vaccination and information about this vaccination event being available on the COVID-19 Vaccination tab in SCRa. This delay is likely to be up to 48 hours but could be longer in some cases.

Adverse reactions that have occurred within 15 minutes of the vaccination event and have been recorded will be displayed on the COVID-19 Vaccinations tab. Information about adverse reactions occurring later than 15 minutes after the vaccination event will not be displayed in the COVID-19 Vaccinations tab but may have been recorded separately and be available in other shared care records. 

Healthcare professionals who already have access to the SCR (clinical users) will have access to this new tab and the information within it for an individual by default.

It will also support clinicians to report Yellow Card issues to the Medicines and Healthcare products Regulatory Agency (MHRA) on suspected side effects. 

User screenshot of the SCRa COVID-19 Vaccinations tab

The COVID-19 Vaccinations tab will always display the following disclaimer message:

Screen showing first and second dose

The image above provides a typical example of the coronavirus vaccine information for First dose and Second dose. By clicking on the More/Less information expander, more or less vaccination event information will be displayed.

The following image provides a closer look at a typical example of the coronavirus first dose information:

Closer view of information

The tables below describe the information that will populate the “COVID-19 Vaccination” tab in SCRa. Where a data item is not supplied, “Not Recorded” will be displayed in the relevant table row.

Field label Description Example
Date and Time The date and time when the vaccination was administered. 23-Jan-2021 14:30
Vaccine product

The vaccine product administered.

This will be the Actual Medicinal Product (AMP) recorded (as defined in the dictionary of medicines and devices (dm+d)).

COVID-19 mRNA Vaccine BNT162b2 30micrograms/0.3ml dose concentrate for suspension for injection multidose vials (Pfizer-BioNTech) (Pfizer-BioNTech).
Manufacturer Manufacturer of the vaccine product entered as free text by the organisation administering the vaccine. The manufacturer should also form part of the “Vaccine product” (above). Pfizer
Organisation

The organisation or site at which the vaccination was administered.

The organisation or site name will be accompanied in brackets by their unique code.

If the system is unable to find the details of the organisation or site to which the unique code refers, then only the code will be displayed.

In the event that a name of the organisation or site is not available to be displayed, this will automatically be flagged to NHS Digital for investigation.

You can check the organisation or site details using the unique code on the ODS portal.

BATH RACECOURSE - COVID VACCINATION CENTRE (A6V5Y)
Adverse reaction(s) recorded?

Indicates whether an adverse reaction was observed within 15 minutes of administering the vaccine.

Any adverse reactions recorded will be displayed in a group of fields below.

One of:

  • No
  • Yes. X adverse reaction(s) were observed within 15 minutes of administering the vaccine

Adverse reactions

The record of an adverse reaction consists of eight data items which will be displayed only if an adverse reaction has been observed within 15 minutes of administering the vaccine and been recorded. These items will be grouped together and suffixed with a number (such as “Onset (1)”) to make the display of multiple adverse reactions clearer.
 

Field label Description Example
Onset The date and time on which the manifestation of the adverse reaction was observed. 23-Jan-2021 14:40
Reaction SNOMED term describing the manifestation of the reaction. Injection site urticaria
Reaction description Textual description of the reaction recorded by the organisation administering the vaccine.  
Severity The severity of the reaction.

One of:

  • mild
  • moderate
  • severe
Causative agent The causative agent of the reaction (such as the vaccine product that caused the reaction).  
Type The underlying mechanism of the reaction.

One of:

  • allergy
  • intolerance
Verification Status Assertion about certainty associated with a propensity, or potential risk, of a reaction to the causative agent.

One of:

  • unconfirmed
  • confirmed
Evidence Free text description of any evidence which supports the verification status.  

More information

Additional information about the vaccine that has been administered can be revealed by expanding the “More Information” section.

Field label Explanation Example
Site of vaccination Body site into which the vaccine was administered. Right upper arm structure
Route of vaccination How the vaccine entered the body. Intramuscular
Dose Amount of vaccine administered plus a unit of measurement.

1 pre-filled disposable injection or 0.5 ml

Batch number The batch number of the vaccine administered which may have been entered as free text by the organisation administering the vaccine.  
Care setting The type of care setting at which the vaccination was administered. Pharmacy service

On rare occasions, a patient may have had multiple first or second vaccination events recorded. These are likely due to either duplicates or errors in the data recorded by the organisation(s) administering the coronavirus (COVID-19) vaccination(s) or if a patient has missed the second dose within the specified time-period and had to start with the first dose again. The order of the dose(s) is determined by date and time, with the oldest first. Any associated adverse reaction(s) will accompany the vaccination event information. 

Where data quality issues are identified in the information presented within the COVID-19 Vaccinations tab, the following alert message will be displayed: 

Image of alert message

Information for healthcare professionals using 1-click

Developments for this system will be added in the coming months.

Information for healthcare professionals using SCRa private beta

The SCRa Private Beta product will not be progressed at this time to include the COVID-19 Vaccination tab, due to wider COVID-19 priorities.

Information for patients

SCRa is a web-based application which allows health and care professionals to view clinical and demographic information, using a number of other services. They include the Personal Demographic Service, Child Protection – Information Sharing , Female Genital Mutilation – Information Sharing and Overseas Visitors and Migrants.

SCRa also provides a way to view a patient’s Summary Care Record (SCR), which is an electronic record of important patient information, created from GP medical records only. It can be seen and used by authorised staff in areas of the health and care system involved in the patient's direct care. A patient can choose to opt for a core SCR (allergies and medications only), a SCR including Additional Information or opt-out entirely. If a patient has chosen none of the above then they will have a SCR containing Additional Information by default.

Providing your coronavirus vaccination event information to authorised health and care professionals will help them to provide you with better care. This information is also available to support patients who are not registered with a GP or have chosen not to have a Summary Care Record (SCR) or an SCR with Additional Information. 

Find out more information for patients.

How the data enters the SCRa

The coronavirus vaccination event data is collected at the point of vaccination, for example, at your local vaccination centre.

The information flows regularly from the suppliers and into the NHS Digital Data Processing Service (DPS). In addition, the information flows to the patient’s GP record and can then flow onwards into the patient’s SCR, following existing processing.

It's anticipated that there will be a delay between a patient receiving a coronavirus vaccination and information about this vaccination event being available on the COVID-19 Vaccination tab in SCRa. This delay is likely to be up to 48 hours but could be longer in some cases. 

Access to the data

Only clinicians with appropriate access rights will be able to access the COVID-19 Vaccinations tab and this should only be used to support them in providing direct care to patients.

Users will need a smartcard to access SCRa and the following access rights to view the SCR and the COVID-19 Vaccinations tab:

  • Patient trace (B0264) - access SCR application (perform patient trace)
  • SCR Clinical View (B0257) - view non-Electronic Transfer of Prescription (non-ETP) Clinical Data within Clinical Support Application (SCRa)
  • SCR (B0085) - claim a relationship with a patient

For users of the SCRa Private Beta, there are alternative authentication processes available.  

This information is separate to that held in the Summary Care Record. The patients Permission to View will not be required to access this specific coronavirus vaccination event information in the COVID-19 vaccination tab, but Permission to View will continue to be required to access the patient’s Summary Care Record. 

Coronavirus vaccine transparency notice

Contact us

Please use your current local helpdesk for SCRa related issues.

However, if required, a ticket can be raised via our National Service Desk (NSD) at ssd.nationalservicedesk@nhs.net or by calling 0300 3035 035.

Last edited: 3 March 2021 11:56 am