Catch-up Calculator

Version 4.0.5

Following refinements were made to the NICC to improve clarity and usability:

• Fixed a bug with incorrect PCV and PPV recommendations for a child over 10 years.

Version 4.0.4

Following refinements were made to the NICC to improve clarity and usability:

• Fixed a bug where PCV doses were marked as invalid when given 4 weeks apart.
• Updated minimum and maximum ages for various vaccines.

Version 4.0.3

Following refinements were made to the NICC to improve clarity and usability:

• Fixed a bug with incorrect Hep A recommendation for a healthy Indigenous child in NT, QLD, SA or WA.
• Fixed a bug with incorrect DTP recommendation when the 4th dose is after the age of 3 years and 6 months.

Version 4.0.2

Following refinements were made to the NICC to improve clarity and usability:

• Fixed a bug with the dose schedule for Men B doses for healthy non-Indigenous 2+ year olds.
• Fixed a bug with the dose schedule for Men ACWY doses for healthy non-Indigenous 10-15 year olds.
• Include vaccines H-B-Vax® II Adult and Vaxneuvance.
• Refine At-risk condition labels and error messages.

Version 4.0.1

Following refinements were made to the NICC to improve clarity and usability:

• Fixed a bug with the dose schedule for Hep B doses for healthy adolescents over 15 years of age.
• Added a Back button to the top of the NICC pages to improve navigation between pages and overall usability.

Version 4.0.0

The new version (4.0.0) of the NICC includes catch-up recommendations for all infants, children, and adolescents under 20 years of age including people who may have one or more medical at-risk conditions (as defined in the Australian Immunisation Handbook), and those who may have received one or more vaccinations overseas.

Version (4.0.0) of the NICC includes catch-up recommendations for the following antigens:

• Diphtheria, Tetanus (dT).
• Diphtheria, Tetanus, Pertussis (DTPa, dTpa).
• Hepatitis A
• Hepatitis B
• Haemophilus Influenzae Type B
• Human Papillomavirus (HPV)
• Meningococcal ACWY
• Meningococcal B
• Meningococcal C
• Measles, Mumps, Rubella (MMR)
• Pneumococcal Conjugate
• Pneumococcal Polysaccharide
• Polio
• Rotavirus
• Varicella.

In addition, version (4.0.0) of the NICC also includes:

• Ability to ‘print’ the schedule (in addition to ‘Save PDF’).
• ‘Live vaccine’ indicator on the catch-up schedule to alert health professionals to proceed with caution. (The ‘Live vaccine’ indicator is displayed in ‘red’ colour for certain MAR conditions which may have contraindications. Otherwise, it is displayed in ‘black’ or neutral colour).
• Refinements to the medical at-risk conditions list, including but not limited to:
  • Inclusion of additional medical at-risk conditions (e.g. harmful use of alcohol, smoking), and condition specific catch-up recommendations.
  • Inclusion of additional sub-conditions (e.g. low birth baby and gestation period for a preterm infant).
  • Refinements to the labels to improve usability.
  • Alphabetised listing to improve usability.
  • Refinements to the date labels for the medical at-risk conditions to improve usability.
• Ability to select birth weight for a ‘low birth weight baby’, and condition specific catch-up recommendations.
  • Low birth weight <1500g, or
  • Low birth weight >1500g and <2000g.
• Ability to select gestation period for a pre-term infant, and condition specific catch-up recommendations.
  • <28 weeks
  • <32 weeks or
  • <37 weeks.
• Ability to select whether the person has ‘functional asplenia’ or ‘anatomical asplenia or splenectomy’. Ability to specify a date for splenectomy.
• Ability to specify dates, including those in the future, for planned procedures (e.g. HSCT, SOT, splenectomy), and allowances for a no-vaccination period pre and post procedure (e.g. 4 weeks before and 6m after HSCT).
• Refinements to the list of vaccines, including additional ‘Generic/Other’ variants, and alphabetised ordering of the ‘Generic/Other’ vaccines.
• Minor refinements to the antigen grouping logic (DTP-IPV, DTP-IPV-HepB-HIB, MMRV).
• Bug fixes
• Code refactoring to improve the internal structure, scalability, and maintainability without changing its functionality. Removal of legacy and redundant code.
• Updates/upgrades to the libraries in use.
• Refinements and enhancements to the automated test suite (added new, updated existing test cases). We have circa 380 automated test cases (think of them as a scenario with expected schedule) which have passed/cleared.

Exclusions:

• Influenza (antigen, and vaccines). NICC v4.0.0 includes messaging about Annual Influenza but does not include Influenza vaccines on the schedule.

The following features are on the product backlog and will be available in future releases.

• Reintroduce vaccine brand names on the catch-up schedule.
• Display catch-up schedule (due antigens, vaccines, and dose counts) as a table.
• Minor refinements to the ordering of antigens to improve consistency and usability.

Version 3.1.3

Following refinements were made to the NICC to improve clarity:

• Added a new Generic/other overseas vaccine for DTP, HepB and HIB.

Version 3.1.2

Following refinements were made to the NICC to improve clarity:

• Fixed a bug in the NICC that limited the max age for a PCV dose to 4 years instead of 5 years.
• Fixed a bug in the NICC for required PCV doses for a child over 5 years with certain at-risk conditions.
• Fixed a bug in the NICC where previous vaccinations were not displayed for some at-risk conditions.

Version 3.1.1

Following refinements were made to the NICC to improve clarity:

• Fixed a bug in the NICC that prevented it from recognising valid HepB vaccinations in the catch-up schedule if the individual had any invalid doses in their history.

Version 3.1.0

Following refinements were made to the NICC to improve clarity:

• Updates to Annual Influenza vaccine messages.

Version 3.0.10

Following refinements were made to the NICC to improve clarity:

• Hepatitis B recommendations modified to count the birth dose as part of the primary schedule if a child has had 3 previous doses at the recommended schedule points and intervals.

Version 3.0.9

Following refinements were made to the NICC to improve clarity:

• Cancer renamed in At-risk conditions and Alphabetise all At-risk conditions. No other changes to the schedule or rules were made.
• Fixed issue with 28 days being added to Infranix doses at 18 months and 4 years of age.
• Fixed issue with previous HIB dose being counted as invalid if given at less that 4 years of age.

Version 3.0.8

Following refinements were made to the NICC to improve clarity:

• Enhanced call out messages regarding live vaccines when selecting select medical at-risk conditions including certain immunocompromising conditions.

Version 3.0.7

Following refinements were made to the NICC to improve clarity:

• Renamed 'Pneumococcal 13vPCV' to 'Pneumococcal (PCV)'. No other changes to the schedule or rules were made.
• Renamed 'Pneumococcal 23vPPV' to 'Pneumococcal (PPV)'. No other changes to the schedule or rules were made.
• Renamed 'Synflorix' to 'Synflorix (10vPCV)'.
• Minor refinements to the live vaccines messaging displayed for certain at-risk conditions (HSCT, HIV, and Solid Organ Transplant).

Version 3.0.5

• Fixed NICC recommends incorrect Men B dose interval on the catch-up schedule (for the specific scenario reported)

Version 3.0.4

• Fixed NICC incorrectly recommends a HIB booster dose for a child who has received valid 2 doses (dose 1: 2m, dose 2: age >18m)
• Fixed NICC fails to group DTP-IPV-HepB-HIB as expected for a child <7 days of age.
• Fixed NICC generates an incorrect Pneumococcal schedule for a person who has recently had a solid organ transplant.
• Fixed NICC incorrectly suggests 13vPCV doses are at-cost for children with specified medical at-risk conditions. 
• Minor refinements to codebase and automated tests.

Version 3.0.3

• Fixed NICC does not generate schedules for certain medical at-risk conditions.

Version 3.0.2

• Minor refinements to the 'Immunisation records' question on Step 1.

Version 3.0.1

• Fixed incorrect grouping of antigens (DTP-Polio, DTP-Polio-HepB-Hib).
• Minor refinements to the user interface.

Version 3.0.0

The new version (3.0.0) includes support for all children under the age of 10, including those who may have multiple medically at-risk conditions.

Health professionals can select multiple medical at-risk conditions a child may have. Of the nominated medical at-risk conditions, the NICC will pre-select a 'dominant' (sometimes referred to as the 'primary') condition using a combination of factors. Health professionals can generate a schedule for the 'dominant' condition.

Health professionals can override the selection if deemed necessary. Catch-up schedules for each of the nominated medical at-risk conditions can be generated, one at a time.

Please note that owing to the complexities with the catch-up rules, at this time, health professionals will not be able to select multiple immunocompromising conditions (say 'Haematological malignancies and 'HIV infection') and/or multiple solid organ transplants (say Heart and Lung transplant). Although less common for the under 10s cohort, we understand that this might be more common in the older cohorts. Future releases of the NICC will include support for these scenarios.

Other inclusions: 

• Removed question pertaining to 'international travel' on Step 1. Vaccination for international travel may be introduced in the future.
• Updates to the vaccines list to include newly registered vaccines such as Vaxelis.
• Minor refinements to the labels in use for the medical at-risk conditions.
• Incremental refinements to the user interface, and overall user experience.
• Upgrades to the technologies to improve performance, efficiency, and maintainability of the codebase.

Keep an eye on the Announcements page for updates to the NICC. Further information on upcoming (major) releases will be provided when they become available.

Version 2.0.11

• Fixed issue with incorrect grouping of Infanrix Hexa antigens.
• Fixed issue with minimum intervals between Hepatitis B catch-up doses.
• Minor refinements to how Cancer is displayed in the medical at-risk conditions list.
• Miscellaneous refinements and fixes.

Version 2.0.10

• Added missing 'Invalid' dose error for HIB
• Added combination vaccines commonly encountered overseas (Generic/Other). Users must toggle 'Only show NIP vaccines' to 'off' to see these.
• Minor refinements and performance improvements.

Version 2.0.9

• Fixed incorrect 23vPPV (Pneumovax) catch-up recommendations for vaccination in people with functional or anatomical asplenia), the first dose of 23vPPV (Pneumovax). Dose is now recommended at 12 months after the last dose of 13vPCV OR at 4 years of age, whichever is later.
• Rationalised and standardised the naming conventions/namespaces used in the NICC.

Version 2.0.8

• Fixed HIB maximum age error is not shown.

Version 2.0.7

• Fixed incorrect MMRV recommendations.
• Fixed Pneumococcal appointments being a few days apart from other future appointments by changing the minimum interval between primary doses from 'month/s' to 'week/s'.
• Fixed incorrect Pneumococcal recommendations for a child >5 years with cardiac disease by changing the logic which previously added a maximum age for children with specified medical conditions.
• Created grouping for DTPa, IPV (Polio), Hib and Hep B when doses are due and recommended within 4 weeks of each other. Recalculate the date for the doses based on this rule.
• Fixed incorrect labelling of Pneumococcal Polysaccharide (23vPPV) doses that were previously labelled as doses 4 of 5 and 5 of 5.
• Fixed list of medical at-risk conditions for which the 'Live vaccines' message is displayed.
• Fixed issue where invalid doses were counted towards total doses resulting in future doses being marked as at-cost.
• Removed release version and release date from Calculator pages to avoid confusion.

Version 2.0.6

• Fixed Prevenar 13 dose being incorrectly labelled as a booster for a child over 1 year old.
• Updated the at-cost disclaimer.

Version 2.0.5

• Fixed NICC excludes valid Pneumococcal doses of 'Generic/Other conjugate' vaccine.
• Fixed Labels used for DTP doses at 18m and 4y are incorrect and do not align with the Handbook. (Changed from Booster 1 and 2, to Dose 4 and 5).
• Minor refinements to the user interface (alignment of the call out/notices).

Version 2.0.4

• Vaccine brands have been removed from the presentation of NICC outputs for ease of interpretation of catch-up vaccination outputs, while further improvements are considered.

Version 2.0.3

• Updated unit of measurement for minimum intervals for Hep B (except for catch-up post HSCT) from 'month/s' to 'week/s. This change also fixes another reported issue where Hep B appointments are scheduled a few days after a future appointment. 
• Fixed incorrect MMR, MMR+V and MMRV catch-up recommendations.

Version 2.0.2

• NICC ‘excludes’ a valid dose of Pneumococcal Conjugate, and incorrectly recommends another dose.
• Oral polio excluded from the vaccine brands displayed on the catch-up schedule as it is no longer available in Australia. Oral Polio doses administered in the past can however be added by toggling the 'Only show NIP vaccines' switch to 'off'.
• NICC recommends that the second dose of MMR should be combined with Varicella.
• 'Only show NIP vaccines' toggle behaviour is not well understood. Updated the messaging about 'Generic/Other' vaccines to improve usability.
• NICC incorrectly recommends additional dose/s of Polio to a child who has previously received valid doses overseas (at schedule points different to those in the NIP).

Version 2.0.1

• Fixed max-age for MenACWY for non-Indigenous children over 2 years

Version 2.0.0

• Support for all children under the age of 10, including medically at-risk groups.
• Improved support for children who may have been vaccinated overseas.
• Smart antigen grouping on the catch-up schedule (for instance, MMR+V).
• Age-appropriate Australian vaccines displayed on the catch-up schedule.
• Age at past and future appointments.
• Refinements to the user interface, and overall user experience.
• Refinements to task model and the information regarding the person needing catch-up being asked.
• Ability to view/download the business rules which underpin the NICC (similar to the due and over due rules from the Australian Immunisation Register).
• ‘Recently updated’ alert displayed for 15 days after a change has been deployed.**

Version 1.1.5

• Minor refinements to the validation checks which evaluate each administered dose as a potential next valid dose
• Set minimum interval between previous dose of 13vPCV and dose 1 of 23vPPV to 2 months.
• Updated business logic to determine which pneumococcal polysaccharide doses were administered, and which ones are still due.

Version 1.1.4

• Updated validation for already administered doses (which can be considered potential future valid doses)

Version 1.1.3

• Updated rules for MeningococcalB and Pneumococcal

Version 1.1.2

• Improved messaging when entering duplicate vaccinations
• Fixed max-age for Pneumococcal for ATSI in NT, QLD, SA and WA
• Changed form filter min-age for Pneumovax23 to 2y

Version 1.1.1

• Updated rules and logic following the Pneumococcal updates from 1 July 2020
• Fixed max-age for Pneumococcal for Indigenous children in NT, QLD, SA and WA
• Updated min-age for Pneumovax 23 from 28d to 2y
• Fixed distinct “Generic/Other” vaccines being treated as duplicates
• Fixed sorting issues with dates being added as d/mm/yyyy or dd/m/yyyy
• Added “max-age”, “message” and “severity” attributes for rules.
• Superfluous or undefined vaccinations (i.e. vaccines not recognised by the NIP), previously being ignored are now listed with message “Excluded from catch-up calculations.”

Version 1.1

• Updated Hepatitis A catch-up schedule intervals
• Added Meningococcal B vaccination rules and vaccines
• Added Meningococcal B related notices to the schedule and PDF
• Added notice related to humanitarian migrants / refugees

Version 1.03

• Re-designed antigen mode entry.
  • Grouped vaccines with same antigen(s) for ease of use. 
  • Added ability to show/hide Australian vaccines. 
  • Added ability to show/hide vaccines based on age of the person needing catch-up.
  • Updated sort order of antigens to match the NIP schedule. 
• Refinements to the vaccine mode entry
  • Added ability to show/hide Australian vaccines. 
  • Added ability to show/hide vaccines based on age of the person needing catch-up.
  • Updated sort order of vaccines to alphabetical for ease of use. Non-Australian or Generic/Other vaccines displayed at the bottom of the list.
• Minor copy changes to overseas vaccinations question.
• Updated business logic to automatically toggle 'show Australian vaccines only' filter to off, if the person needing catch-up has received vaccines overseas.
• Updated business logic and validation checks to disallow multiple identical vaccine combinations from being added on the same date.
• Added 'vaccination history' to the 'Confirmation'.

Version 1.02 (released 11/02/2020)

• Minor bug fixes.

Version 1.01

• Minor bug fixes.

Version 1.00

• Catch-up recommendations for healthy children under the age of 10.