Immunisation medical exemptions on the Australian Immunisation Register (AIR) 011-10060000

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Immunisation Medical Exemptions (AIRM06) - eLearning

ATAGI Guidance on temporary medical exemptions for COVID-19 vaccines

ATAGI Expanded Guidance on temporary medical exemptions for COVID-19 vaccines

Australian Immunisation Handbook

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Australian Immunisation Register immunisation medical exemption (IM011)

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AIR provider letters

Provider specialty codes

Table 1: the medical practitioner must currently have at least one of the following specialty codes to be eligible to certify an immunisation medical exemption. 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

Navigate Australian Immunisation Register (AIR) system

Medical contraindication codes

Table 2

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

Disease (antigen) codes

Table 3

Note: a full list of antigen codes are on the Navigate Australian Immunisation Register (AIR) system.

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

Details required for medical exemption amendment requests

When providers submit a written request to amend a currently recorded medical exemption, 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 exemption. The provider must not include clinical details.

Standard comments

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

Note: do not include the names or details 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 using the approved form and manner.
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 helpdesk.
Individual or representative initiated amendment required	individual or their representative’s details including contact phone number (only where follow up is required) details of the amendment request details of any actions taken, and any follow up action required (if applicable) For example, Individual reported error in MEDE recorded on their record, incorrect antigen and end date. Contacted AIR LPS ABC123. LPS will escalate error for correction to AIR helpdesk.

Operational Information