Identification of Infants and High-Risk Children Eligible for RSV Prevention Programs

Last Update October 9, 2025

RSV is a leading cause of respiratory illness in infants and young children. As the winter season approaches, it’s vital to protect vulnerable groups, especially infants and high-risk children, to reduce their risk of severe illness.

For more information: https://www.ontario.ca/page/respiratory-syncytial-virus-rsv-prevention-programs

OntarioMD (OMD) has designed the OMD Infant RSV Toolkit that includes searches and queries for Accuro® EMR, OSCAR Pro, and TELUS PS Suite (PSS) EMR to assist clinicians in identifying infants born on or after April 1, 2025 and less than 8 months of age and high-risk children under the age of 2 who may be eligible for RSV vaccine. The TELUS PSS toolkit also includes  toolbars with reminders and a stamp.

NOTE: It is important to verify the accuracy of the patient list, use clinical judgement to assess which vaccines should be administered, and to devise a plan to schedule appointments for infants and children who are eligible for the RSV vaccine.

Accuro© Queries

Download queries created by OMD from the Accuro Definition Publisher.

  1. OMD RSV Infant Consider List Query 2025/26
  • Patients age younger than 8 months
  • No RSV vaccine administered in the past 6 months

Note: Patients born before April 1st may appear in this list. Click the DOB header to filter them out of the list.

  1. OMD RSV High-Risk Consider List Query
  • Patients age younger than 2 Years with one of the following
    • Diagnosis Code that starts with; 277, 279, 358, 359, 429, 518, 746, 758
    • Diagnosis Code previously billed: 277, 279, 358, 359, 429, 518, 746, 758
  • No RSV vaccine administered in the past 6 months

Note Re: Active patients. If a status other than “Active” is used in your clinic, it should be modified to include all patients. “Contains active” should not be used as it may also include inactive patients.

OSCAR PRO

  1. OMD RSV for Infants 2025-26

Searches for:

  • Age – Born on or after April 1, 2025, and less than 8 months of age. Modified by OMD in 2025 from a search developed by Dr. Ian Pun.
  1. OMD Consider RSV Patient Search RBT

Searches for:

  • Patients under the age of 2
  • AND Search for Diagnosis Code previously billed: 277, 279, 358, 359, 429, 518, 746, 758, 2770, 3580, 7580.
  • OR Lists patients with billing Diagnostic Code, but no corresponding code in the disease registry.

Note Re: Active patients. If a status other than “Active” is used in your clinic, it should be modified to include all patients. “Contains active” should not be used as it may also include inactive patients.

TELUS PS Suite

OMD Infant RSV Toolkit

Toolkit User Installation Guide

Note: OMD Infant RSV Toolkit contains two searches and a toolbar with reminders and a stamp.

  1. Searches criteria: Active patients born on or after April 1, 2025, and are less than 8 months of age.
  2. No RSV vaccine administered in the last 6 months
  3. Active patients aged 0-24 months with one of the following criteria listed in the patient chart:
    • Diagnosis code billed: 277, 279, 358, 359, 429, 518, 746, 758
    • PROB List/HPH: Congenital Heart Disease, Bronchopulmonary Dysplasia, Chronic Lung Disease, Immunodeficiency, Down Syndrome, Trisomy 21, Cystic Fibrosis, Neuromuscular.

A toolbar is presented if:

  • The patient is born on or after April 1, 2025, and is less than 8 months of age who has not had an RSV immunization in the last 6 months.

OR

  • The patient is 0-24 months with a high-risk condition who has not had an RSV immunization in the last 6 months.
    • The patient has a refused RSV immunization on their record.

Additional Resources:

Visit  the Centre for Effective Practice’s 2025-26 RSV Prevention 2025-2026 RSV Prevention Program for additional resources on supporting RSV prevention and Beyfortus (Nirsevimab) administration.

Need help Downloading or importing tools to your EMR?
Click HERE to REVIEW ‘HOW To’ Resources