1887
  1. Home
  2. Eurosurveillance
  3. Volume 22, Issue 17, 27/Apr/2017
  4. Article
Perspective Open Access
Like 0
Download

Abstract

Computerised, population-based vaccination registers are valuable tools for assessing the vaccine uptake and impact in populations. However, reliable impact assessment is only possible if the data quality can be reviewed and monitored continuously. This report describes the establishment and maintenance of the National Vaccination Register (NVR) in Finland. Currently, the NVR covers nationwide records of vaccinations given within the frame of the National Vaccination Programme since 2009. All vaccinations registered in the NVR contain a record of the personal identity code, the administered vaccine, and the date of vaccination. The vaccine lot number is the key component for recording and identifying vaccinations, because of its broad availability across patient information systems and its importance in vaccine safety monitoring. Vaccination records are accumulated and updated daily into the NVR, and their completeness is monitored monthly to assess deficiencies in data entry and data collection. Additionally, an alert system reports unexpected changes in data accumulation prompting the validation of observed changes in vaccination coverage. The presented process documentation may serve as basis to improve the design and quality of other vaccination or healthcare registers and aims to inspire the set-up of vaccination registers in those countries which still do not have one.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2017.22.17.30520
2017-04-27
2021-04-11
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2017.22.17.30520
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/22/17/eurosurv-22-30520-7.html?itemId=/content/10.2807/1560-7917.ES.2017.22.17.30520&mimeType=html&fmt=ahah

References

  1. Finland's Ministry of Justice. Sosiaali- ja terveysministeriön asetus rokotuksista ja tartuntatautien raskaudenaikaisesta seulonnasta. [Ministry of Social Affairs and Health. Decree on vaccinations and screening of infectious diseases during pregnancy]. 421/2004. Helsinki: Finland’s Ministry of Justice. 6 May 2004. Finnish. Available from: http://www.finlex.fi/fi/laki/alkup/2004/20040421?search%5Btype%5D=pika&search%5Bpika%5D=421%2F2004
  2. Trogstad L, Ung G, Hagerup-Jenssen M, Cappelen I, Haugen IL, Feiring B. The Norwegian immunisation register--SYSVAK. Euro Surveill. 2012;17(16):20147. PMID: 22551462 
  3. Grove Krause T, Jakobsen S, Haarh M, Mølbak K. The Danish vaccination register. Euro Surveill. 2012;17(17):20155. PMID: 22551494 
  4. van Lier A, Oomen P, de Hoogh P, Drijfhout I, Elsinghorst B, Kemmeren J, et al. Præventis, the immunisation register of the Netherlands: a tool to evaluate the National Immunisation Programme. Euro Surveill. 2012;17(17):20153. PMID: 22551495 
  5. Population Register Centre. Finland. Population Information System. 2017; Helsinki: Population Register Centre; [Accessed 13 Apr 2017]. Available from: http://vrk.fi/en/population-information-system
  6. Elonsalo U. National Immunization Programme NIP in Finland. Helsinki: National Institute for Health and Welfare. [Accessed 13 Apr 2017]; Available from: http://www.terveyskirjasto.fi/terveyskirjasto/ktl.mat?p_selaus=4698
  7. National Patient Data Archive. Finland. Kanta Architecture. Helsinki: Ministry of Social Affairs and Health. [Accessed 13 Apr 2017]; Available from: http://www.kanta.fi/en/web/ammattilaisille/arkkitehtuuri
  8. National Institute for Health and Welfare (THL), Finland. Code service. Helsinki: THL. [Accessed 13 Apr 2017]; Available from: https://www.thl.fi/fi/web/thlfi-en/services/code-service
  9. Kansaneläkelaitos (Kela) - The Social Insurance Institution of Finland. Medicinal Products Database. 2016; Helsinki: Kela. [Accessed 13 Apr 2017] Available from: http://www.kela.fi/web/en/medicinal-products-database
  10. World Health Organization (WHO) Collaborating Centre for Drug Statistics Methodology. Structure and principles. Oslo: WHO Collaborating Centre for Drug Statistics Methodology. 2011; [Accessed 13 Apr 2017]. Available from: http://www.whocc.no/atc/structure_and_principles/. Accessed 04/13, 2017.
  11. Pharmaceutical Information Centre. Nordic Article Number (Vnr). Helsinki: Pharmaceutical Information Centre. [Accessed 13 Apr 2017]; Available from: http://wiki.vnr.fi/?page_id=36
  12. European Medicines Agency (EMA). Guideline on the conduct of pharmacovigilance for vaccines for pre- and post-exposure prophylaxis against infectious diseases. EMEA/CHMP/PhVWP/503449/2007 London: EMA; 22 Jul 2009. Available from: http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2009/11/WC500011272.pdf
  13. Nohynek H, Jokinen J, Partinen M, Vaarala O, Kirjavainen T, Sundman J, et al. AS03 adjuvanted AH1N1 vaccine associated with an abrupt increase in the incidence of childhood narcolepsy in Finland. PLoS One. 2012;7(3):e33536.  https://doi.org/10.1371/journal.pone.0033536  PMID: 22470453 
  14. Jokinen J, Nohynek H, Honkanen J, Vaarala O, Partinen M, Hublin C, et al. Pandemiarokotteen ja narkolepsian yhteys aikuisilla - varmennettuihin rekisteritietoihin perustuva kohorttitutkimus. [The association between the pandemic vaccine and narcolepsy in adults – a cohort study based on verified register data]. Helsinki: National Institute for Health and Welfare. 2013. Finnish. Available from: https://www.julkari.fi/bitstream/handle/10024/104482/URN_ISBN_978-952-245-921-3.pdf?sequence=1
  15. National Institute for Health and Welfare (THL), Finland. Register of Primary Health Care visits. Helsinki: THL; [Accessed 13 Apr 2017]. Available from: https://www.thl.fi/en/web/thlfi-en/statistics/information-on-statistics/register-descriptions/register-of-primary-health-care-visits
  16. National Institute of Standards and Technology (NIST). Algorithms and Theory of Computation Handbook. CRC Press LLC, 1999, "Levenshtein distance", in Dictionary of Algorithms and Data Structures [online], Vreda Pieterse and Paul E. Black, eds. 22 June 2015. [Accessed 13 Apr 2017]. Available from: https://www.nist.gov/dads/HTML/Levenshtein.html
  17. National Institute for Health and Welfare (THL), Finland. Rokotusten kirjaaminen. [Recording of vaccinations]. Helsinki: THL; [Accessed 13 Apr 2017]. Finnish. Available from: https://www.thl.fi/fi/web/rokottaminen/kaytannon-ohjeita/rokotusten-kirjaaminen
  18. National Institute for Health and Welfare (THL), Finland. Vaccinations. Helsinki: THL; [Accessed 13 Apr 2017]. Available from: https://www.thl.fi/fi/web/thlfi-en/statistics/information-on-statistics/quality-descriptions/vaccinations
  19. National Institute for Health and Welfare (THL), Finland. Rokotusrekisteri. [The Vaccination Register]. Helsinki: THL; [Accessed 13 Apr 2017]; Finnish. Available from: https://www.thl.fi/fi/web/rokottaminen/kansallinen-rokotusohjelma/rokotusrekisteri
  20. Nohynek H, Baum U, Syrjänen R, Ikonen N, Sundman J, Jokinen J. Effectiveness of the live attenuated and the inactivated influenza vaccine in two-year-olds - a nationwide cohort study Finland, influenza season 2015/16. Euro Surveill. 2016;21(38):30346.  https://doi.org/10.2807/1560-7917.ES.2016.21.38.30346  PMID: 27684447 
  21. National Institute for Health and Welfare (THL), Finland. Annetut influenssarokotukset kaudella 2015–2016. [Influenza vaccinations given in the season 2015–2016]. Helsinki: THL; [Accessed 13 Apr 2017]; Finnish. Available from: https://www.thl.fi/fi/web/rokottaminen/kansallinen-rokotusohjelma/rokotusrekisteri/kaudella-2015-2016-annetut-influenssarokoteannokset
  22. National Institute for Health and Welfare (THL), Finland. Annetut influenssarokotukset kaudella 2016–2017. [Influenza vaccinations given in the season 2016–2017]. Helsinki: THL; [Accessed 13 Apr 2017]; Finnish. Available from: https://www.thl.fi/fi/web/rokottaminen/kansallinen-rokotusohjelma/rokotusrekisteri/annetut-influenssarokotukset-kaudella-2016-2017
  23. National Patient Data Archive, Finland. My Kanta pages. Helsinki: Ministry of Social Affairs and Health; [Accessed 13 Apr 2017]. Available from: http://www.kanta.fi/en/omakanta
  24. Pöysti T. General description of the reform package on health, social services and regional government. Helsinki: Ministry of Social Affairs and Health; [Accessed 13 Apr 2017]. Available from: http://alueuudistus.fi/en/general-information
Establishing and maintaining the National Vaccination Register in Finland
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Ulrike+Baum&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Baum Ulrike</a>, <a href="/search?value1=Jonas+Sundman&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sundman Jonas</a>, <a href="/search?value1=Susanna+J%C3%A4%C3%A4skel%C3%A4inen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jääskeläinen Susanna</a>, <a href="/search?value1=Hanna+Nohynek&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nohynek Hanna</a>, <a href="/search?value1=Taneli+Puumalainen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Puumalainen Taneli</a>, <a href="/search?value1=Jukka+Jokinen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jokinen Jukka</a></span>. Establishing and maintaining the National Vaccination Register in Finland. <a href="/content/ecdc">Euro Surveill.</a> 2017;22(17):pii=30520. <a href="https://doi.org/10.2807/1560-7917.ES.2017.22.17.30520" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2017.22.17.30520</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 14 Jun 2016;&nbsp;&nbsp; <span class="generated">Accepted</span>: 15 Nov 2016 </span> </p>
/content/10.2807/1560-7917.ES.2017.22.17.30520
/content/10.2807/1560-7917.ES.2017.22.17.30520
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error