Data and Business Rules – Amendments – ES 2013/14
Author / HSCIC – QOF Business Rules team / Version No / 1.0 / Version Date / 30/01/2014

New GMS Contract QOF Implementation

Dataset and Business Rules

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Amendments – Enhanced Services 2013/14

Amendment History:

Version / Date / Amendment History
1.0 / 30-January-2014 / HSCIC – SDS team: update following October 2013 Read Code release and discussion with stakeholders
Data and Business Rules – Amendments – ES 2013/14
Author / HSCIC – QOF Business Rules team / Version No / 1.0 / Version Date / 30/01/2014

Dataset and Business Rules Enhanced Services 2013/14 – Amendments

Notes

This document is designed to help individuals working with the Enhanced Service 2013/14 rulesets establish the changes made to the 2013/14 Enhanced Service Business Rules.

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Data and Business Rules – Amendments – ES 2013/14
Author / HSCIC – QOF Business Rules team / Version No / 1.0 / Version Date / 30/01/2014

Contents

Dataset and Business Rules Enhanced Services 2013/14 – Amendments

Alcohol

Childhood Seasonal Influenza

Code Clusters

Read V2

CTV3

Dementia

Learning Disabilities

Code Clusters

Read V2

CTV3

MMR

Additional notes

Pneumococcal

Code Clusters

Read V2

CTV3

Rotavirus

Code Clusters

Read V2

CTV3

Shingles

Shingles Catch Up

Alcohol

There are no changes which affect the Alcohol 2013/14ruleset.

Childhood Seasonal Influenza

Code Clusters

Read V2
  • TIVOHP_COD (TIV dose given by other healthcare provider codes)updated to include the below new code from the October 2013 read code release.
  • 65ED2 Seasonal influenza vaccination given while hospital inpt
  • INTRANAS1_COD (Seasonal influenza intranasal vaccination first dose codes) updated to include the below codes following queries and discussion with stakeholders:
  • 65EE0Administration of first intranasal influenza vaccination
  • 65EE.Administration of intranasal influenza vaccination
  • INTRANAS2_COD (Seasonal influenza intranasal vaccination second dose codes) updated to include the below codes following queries and discussion with stakeholders:
  • 65EE1Administration of second intranasal influenza vaccination
  • 65EE.Administration of intranasal influenza vaccination
CTV3
  • TIVOHP_COD (TIV dose given by other healthcare provider codes) updated to include the below new code from the October 2013 read code release.
  • XaaZp Seasonal influenza vaccination given while hospital inpt
  • INTRANAS1_COD (Seasonal influenza intranasal vaccination first dose codes) updated to include the below codes following queries and discussion with stakeholders:
  • XaaEDAdministration of first intranasal influenza vaccination
  • Xaa9GAdministration of intranasal influenza vaccination
  • INTRANAS2_COD (Seasonal influenza intranasal vaccination second dose codes) updated to include the below codes following queries and discussion with stakeholders:
  • XaaEFAdministration of second intranasal influenza vaccination
  • Xaa9GAdministration of intranasal influenza vaccination

Dementia

There are no changes which affect the Dementia 2013/14 ruleset.

Learning Disabilities

Code Clusters

Read V2
  • LD_COD (Learning Disability Codes) updated to include the below new code from the October 2013 read code release to ensure consistency with QOF:
  • Eu818 [X]Specific learning disability
CTV3
  • LD_COD (Learning Disability Codes) updated to include the below new code from the October 2013 read code release to ensure consistency with QOF:
  • XaaiS Specific learning disability

MMR

Additional notes

Cohort 1 count amended from:

Rule number / Rule / Action if true / Action if false
1 / If PAT_AGE < 10
OR
If PAT_AGE > 16 / Reject / Select

To:

Rule number / Rule / Action if true / Action if false
1 / If PAT_DOB < 01.01.1997
OR
If PAT_DOB > 31.12.2003 / Reject / Select

in order to align with guidance.

Pneumococcal

Code Clusters

Read V2
  • PNEUVAC1_COD (Pneumococcal vaccination codes) updated to include the below code following queries and discussion with stakeholders:
  • 6572.Pneumococcal vaccination
  • PNEUVAC2_COD (Pneumococcal vaccination codes) updated to include the below code following queries and discussion with stakeholders:
  • 6572.Pneumococcal vaccination
CTV3
  • PNEUVAC1_COD (Pneumococcal vaccination codes) updated to include the below code following queries and discussion with stakeholders:
  • 6572.Pneumococcal vaccination
  • PNEUVAC2_COD (Pneumococcal vaccination codes) updated to include the below code following queries and discussion with stakeholders:
  • 6572.Pneumococcal vaccination

Rotavirus

Code Clusters

Read V2
  • ROTAVACEXC_COD (Rotavirus vaccination exception reporting codes) updated to include the below new codes from the October 2013 read code release.
  • 8IEm0 First rotavirus vaccination declined
  • 8IEm1 Second rotavirus vaccination declined
  • 14L50 H/O: rotavirus vaccine allergy
  • U60K5 [X]Rotavirus vaccine causing adverse effects in therapy use
CTV3
  • ROTAVACEXC_COD (Rotavirus vaccination exception reporting codes) updated to include the below new codes from the October 2013 read code release.
  • XaaWN First rotavirus vaccination declined
  • XaaWO Second rotavirus vaccination declined
  • Xaait Adverse reaction to rotavirus vaccine
  • XaadN H/O: rotavirus vaccine allergy

Shingles

There are no changes which affect the Shingles 2013/14 ruleset.

Shingles Catch Up

There are no changes which affect the Shingles catch-up 2013/14 ruleset.

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