Table 1: the medical practitioner must currently have at least one of the following specialty codes to be eligible to certify an immunisation medical contraindication or natural immunity. For specialty code descriptions, see Provider specialty codes and the Provider Directory System (PDS).

Eligible medical practitioner type	Codes
General practitioners under the Health Insurance Act 1973	No longer used - for historical purposes only: 130, 132 Current: 530, 532, 540
Eligible providers under the AIR Act 2015	No longer used - for historical purposes only: 003, 011 Current: 027, 036, 057, 079, 083, 091
General practice registrars on an approved 3GA training placement	No longer used - for historical purposes only: 131, 133, 134, 430, 457, 458, 459 Current: 176, 460, 461, 462, 463, 464, 465, 466, 467, 468, 470, 471, 472, 473, 474, 475, 476, 477, 478, 479, 485, 486

Vaccine codes

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Medical contraindication codes

Table 2

Reason (RSN) codes	Description
P	Permanent contraindication
T	Temporary contraindication (exemption end date must be provided)
A	Previous anaphylaxis (permanent contraindication, anaphylaxis date must be provided)
I	Significant immunocompromised (permanent contraindication)
M	Acute major medical illness (temporary contraindicationonly)
S	Significant immunocompromised of short duration (temporary contraindicationonly)
P	Pregnancy (temporary contraindicationonly)

Disease (antigen) codes to record a Natural immunity

Table 3

Disease	Code
Hepatitis A	HPA
Hepatitis B	HEP
Measles	MEA
Mumps	MUM
Q fever	QAX
Rubella	RUB
Varicella	VAR

Details required for medical contraindication or natural immunity amendment requests

When providers submit a written request to amend a currently recorded medical contraindication or natural immunity, the provider is required to include the below details:

Medicare number or IHI of the patient, and
Full name and date of birth of the patient, and
A clear description of the nature of the amendment request, and
The details of the requested change or outcome

Note: the provider must only include information relevant to amend the medical contraindication or natural immunity. The provider does not need to include clinical details.

Standard comments

Table 4: this table contains details to help Service Officers make relevant and appropriate comments in Mainframe and/or PaNDA.

Note: do not include names of Services Australia staff.

Circumstances	Mainframe comments must include
Amendment not required	Universal logon of the AIR Local Peer Support (LPS) that was contacted (if applicable) caller details. For example, provider number details of amendment request details of any actions taken information provided to the caller For example, provider 123456AB requested extension to end date of MEDE from 01/01/2023 to 01/06/2023. Unable to amend, advised provider they would need to record another MEDE directly using online services or the approved form. .
Provider initiated amendment required	Universal logon of the AIR LPS who was contacted requesting provider number details of amendment request details of any actions taken information provided to provider For example, Provider 123456AB requested removal of MEDE due to recording on incorrect record. Advised provider to submit information using HPOS Messages and including relevant information. Contacted AIR LPS ABC123. LPS advised this will be escalated to AIR Program Support.
Customer or representative initiated amendment required	Customer’s or representative’s details Details of the amendment request Details of any actions taken, and any follow up action required (if applicable) For example, customer’s parent/guardian advised incorrect antigen and end date was recorded on their/their child’s record. Identified as service officer/provider error, <Contacted AIR LPS ABC123. LPS will escalate error for correction to AIR Program Support.> <referred customer to provider>

Operational Information

Immunisation medical contraindication and natural immunity on the Australian Immunisation Register (AIR) 011-10060000