This article assumes the reader has access to CQRS, and can interpret the descriptions of payment indicators.

The searches are built in a way which means it is not possible to review data in historic months. Practices may consider storing results for future reference.

Indicator	Description	Lower age limit	Upper age limit (inclusive)
MMRV003	Monthly count of the number of patients aged less than 1 year who received an MMR or MMRV vaccination administered by the GP within the reporting period.	No lower age	Day before 1st birthday
MMRV004	Monthly count of the number of patients who are aged at least 1 year who have yet to attain 6 years of age and have not previously been fully vaccinated against MMR or MMRV, who received a first MMR or MMRV vaccination administered by the GP within the reporting period.	1 year (1st birthday)	Day before 6th birthday
MMRV005	Monthly count of the number of patients who are aged at least 1 year who have yet to attain 6 years of age and have not previously been fully vaccinated against MMR or MMRV, who received a second MMR or MMRV vaccination administered by the GP practice within the reporting period.	1 year (1st birthday) Previous dose must have been at least 28 days prior	Day before 6th birthday
MMRV008	Monthly count of the number of patients aged at least 1 year who have yet to attain 6 years of age who have previously been fully vaccinated against MMR who received a single dose of MMRV vaccination administered by the GP practice within the reporting period.	1 year (1st birthday) Previous dose must have been given at least 28 days prior	Day before 6th birthday
MMRV010	Monthly count of the number of patients who are aged at least 6 years who have yet to attain 11 years of age and have not previously been fully vaccinated against MMR or MMRV, or with unknown or incomplete vaccination histories, who received a first MMR or MMRV vaccination administered by the GP practice within the reporting period.	6 years (6th birthday)	Day before 11th birthday
MMRV011	Monthly count of the number of patients who are aged at least 6 years who have yet to attain 11 years of age and have not previously been fully vaccinated against MMR or MMRV, who received a second MMR or MMRV vaccination administered by the GP practice within the reporting period.	6 years (6th birthday) Previous dose must have been given at least 28 days prior	Day before 11th birthday
MMRV012	Monthly count of the number of patients who are aged 11 years and over and have not previously been fully vaccinated against MMR or MMRV, or with unknown or incomplete vaccination histories, who received a first MMR or MMRV vaccination administered by the GP practice within the reporting period.	11 years (11th birthday)	No upper age
MMRV013	Monthly count of the number of patients who are aged 11 years and over and have not previously been fully vaccinated against MMR or MMRV who received a second MMR or MMRV vaccination administered by the GP practice within the reporting period.	11 years (11th birthday) Previous dose must have been given at least 28 days prior	No upper age

PCIT authored reports

Payment Reports

Missed Activity

1. The vaccination was recorded without the GMS qualifier. The business rules require that vaccinations given under GMS should be recorded correctly. Failure to select GMS may lead to the vaccination not being recognised for payment. 
2. The wrong was added. The business rules are accommodating if the same part has been coded twice, as long as the 1st part has been recorded. We recommend using a template to minimise the chances of this occurring.
   
3. The wrong vaccination was added. MMRV008 specifically requires an MMRV dose as opposed to MMR. Other indicators can accommodate a mix of both.
   
4. Patient was too young. The MMRV vaccine should be given on or after the child's first birthday. MMRV03 does check for at-risk patients who received a first dose before their first birthday, but for the purposes of a complete schedule any doses given before the first birthday should be ignored (see Green Book Chapter 21). Consider the implications on where a patient may appear - the first dose given after their first birthday is counted as the first dose, not second dose, for most indicators. There is no upper age limit claiming payment on an MMR containing vaccine although the guidance does advise MMR rather than MMRV if the patient is aged 6 or older. 
5. The vaccination was added too early. The second dose of MMR or MMRV vaccination (MMRV005, MMRV008, MMRV009, MMRV011, MMRV013) must not be given until at least 28 days after the previous dose. Prior to 2026 the second dose wasn't given until the patient was 40 months old, but if the first dose was given at 39 months + 2 weeks the second dose could be given 4 weeks later. Payment won't be given if the 2nd dose was administered at a 27 day interval. From 2026 the schedule changes and the doses are be offered closer together, but a minimum gap still applies.
6. The patient's historical record is incomplete. Where codes are missing patients won't be picked up, so adding certain MMR vaccination codes when the first code isn't present may include the patient in the first dose indicators instead of the second dose.
7. The patient has previously had single doses. Previously administered single doses of measles or mumps or rubella are ignored as the 'first dose', so only doses of MMR or MMRV vaccine are counted. In a patient who had single vaccines for measles mumps and rubella 15 years ago, a dose of MMR now is considered the first dose rather than the second.
8. Patients who have received a stem cell transplant. Following a stem cell transplant a patient's immune system is wiped, and an accelerated individualised schedule of childhood type vaccinations is planned. Practices are likely to be asked to deliver these vaccinations, but CQRS is often not designed to accommodate these additional doses.