AF006 - AF with CHA2DS2-VASc

AF006 - AF with CHA2DS2-VASc

Warning
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD).  Not all of these may be present or selectable in all clinical systems.
InfoThe information contained within this article is from version 50 of the Business Rules for Quality and Outcomes Framework (QOF).                                                                                                        

Indicator definition

Indicator ID

Description

AF006

The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHA2DS2-VASc score risk stratification scoring system in the preceding 12 months (excluding those patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more)

What do the business rules mean?

What makes a patient eligible?

Patients are eligible for the AF006 denominator if:

How to achieve the indicator

To meet the criteria for AF006, eligible patients must have undergone a CHA2DS2-VASc stroke risk assessment within the 12 months leading up to the end of the current contract year.

What will remove patients from eligibility?

  1. Have had a CHADS2 or CHA2DS2-VASc stroke risk assessment scoring 2 or more at least 12 months before the end of this contract year
  2. Patients for whom AF quality indicator care was unsuitable in the contract year
  3. Patients who chose not to receive AF quality indicator care within the contract year
  4. Patients who did not respond to at least two invitations for review spaced at least 7 days apart within the contract year
  5. Patients who were diagnosed with AF in the 3 months leading up to the end of the contract year
  6. Patients who were newly registered at the practice in the 3 months leading up to the end of the contract year

Notes
If a patient achieves the indicator at any point during the year, any exclusions that have also been added are ignored.

SNOMED codes used in this indicator

Warning
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD).  Not all of these may be present or selectable in all clinical systems.

Stroke risk assessment using CHA2DS2-VASc (CHADVASC_COD)

SNOMED code

SNOMED code description

735259005

Congestive heart failure, hypertension, age 2, diabetes mellitus, stroke 2, vascular disease, age, sex category stroke risk score

793851000000102Congestive heart failure, hypertension, age 2, diabetes mellitus, stroke 2 - vascular disease, age, sex category stroke risk score

Stroke risk assessment using CHADS2 (CHAD_COD)

SNOMED code

SNOMED code description

1085111000000109

Congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischaemic attack score

763007002Assessment using congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischemic attack score
763008007Congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischemic attack score

Codes for atrial fibrillation quality indicator care unsuitable for patient (AFIBPCAPU_COD)

SNOMED code

SNOMED code description

715941000000109

Excepted from atrial fibrillation quality indicators - patient unsuitable

Codes indicating the patient has chosen not to receive atrial fibrillation quality indicator care (AFIBPCADEC_COD)

SNOMED code

SNOMED code description

717381000000109

Excepted from atrial fibrillation quality indicators - informed dissent

    Invite for atrial fibrillation care review codes (AFIBINVITE_COD)

    SNOMED code

    SNOMED code description

    1109921000000106

    Quality and Outcomes Framework quality indicator-related care invitation

    1110851000000100
    Quality and Outcomes Framework atrial fibrillation quality indicator-related care invitation
    133111000000106
    Quality and Outcomes Framework atrial fibrillation quality indicator-related care invitation using preferred method of communication
    711411000000101
    Atrial fibrillation monitoring invitation
    717221000000101
    Atrial fibrillation monitoring first letter
    716981000000106
    Atrial fibrillation monitoring second letter
    716181000000109
    Atrial fibrillation monitoring third letter
    716721000000107
    Atrial fibrillation monitoring telephone invitation
    717011000000100
    Atrial fibrillation monitoring verbal invitation