AF006 - AF with CHA2DS2-VASc
The information contained within this article is from version 49 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:
- they are on the Atrial Fibrillation (AF) register.
- they have had a CHA2DS2-VASc or CHADS2 stroke risk assessment scoring 2 or more in the contract year, without one previously that is 2 or more.
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?
- 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
- Patients for whom AF quality indicator care was unsuitable in the contract year
- Patients who chose not to receive AF quality indicator care within the contract year
- Patients who did not respond to at least two invitations for review spaced at least 7 days apart within the contract year
- Patients who were diagnosed with AF in the 3 months leading up to the end of the contract year
- Patients who were newly registered at the practice in the 3 months leading up to the end of the contract year
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
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 |
| 793851000000102 | Congestive 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 |
| 763007002 | Assessment using congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischemic attack score |
| 763008007 | Congestive 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 |
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