Figure 1.

Flow of data from point-of-care vaccination through to the Oxford-Royal College of General Practitioners Clinical Informatics Digital Hub (ORCHID) in England

CMR: computerised medical record; GP: general practitioner; NBS: National Back Office; NHS: National Health Service; NIMS: National Immunisation Management System; NIVS: National Immunisation Vaccination System; POC: point-of-care.

PoC vaccination can be given at the hospital or community. Vaccination bookings and vaccination supplies are managed through a National Booking Service. A Personal Demographic Service (PDS) securely holds all individuals’ demographic data to ensure matching across the English NHS, data are linked using the NHS number, which is pseudonymised before sending into the ORCHID trusted research environment (TRE). Pinnacle is a system where the vaccination information was first stored and was later available via NIMS.