COPD010 - COPD review
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 |
The percentage of patients with COPD, on the register, who have had a review in the preceding 12 months which included: · A record of the number of exacerbations AND · An assessment of breathlessness using the Medical Research Council dyspnoea scale. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the COPD010 denominator if they are on the COPD register.
How to achieve the indicator
To meet the criteria for COPD010, eligible patients must have:
- had a COPD review code in the contract year
- had a recording of the number of exacerbations in the contract year
- an MRC assessment score in the contract year
What will remove patients from eligibility?
- Patients for whom COPD quality indicator care was unsuitable in the contract year
- Patients who chose not to receive COPD quality indicator care in the contract year
- Patients who have been invited twice for review (at least 7 days apart) in the contract year
- Patient who were diagnosed with COPD in the last 3 months of the contract year
- Patients who were newly registered with the practice in the last 3 months 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.
Codes for chronic obstructive pulmonary disease (COPD) quality indicator care unsuitable for patient (COPDPCAPU_COD)
SNOMED code | SNOMED code description |
716311000000100 | Excepted from chronic obstructive pulmonary disease quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive chronic obstructive pulmonary disease (COPD) quality indicator care (COPDPCADEC_COD)
SNOMED code | SNOMED code description |
716291000000101 | Excepted from chronic obstructive pulmonary disease quality indicators - informed dissent |
Invite for chronic obstructive pulmonary disease (COPD) care review codes (COPDINVITE_COD)
SNOMED code | SNOMED code description |
1066231000000103 | Chronic obstructive pulmonary disease monitoring email invitation |
1066281000000104 | Chronic obstructive pulmonary disease monitoring short message service text message invitation |
1066821000000101 | Chronic obstructive pulmonary disease monitoring short message service text message first invitation |
1066841000000108 | Chronic obstructive pulmonary disease monitoring short message service text message second invitation |
1066851000000106 | Chronic obstructive pulmonary disease monitoring short message service text message third invitation |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110861000000102 | Quality and Outcomes Framework chronic obstructive pulmonary disease quality indicator-related care invitation |
143371000000104 | Quality and Outcomes Framework chronic obstructive pulmonary disease quality indicator-related care invitation using preferred method of communication |
711431000000109 | Chronic obstructive pulmonary disease monitoring invitation |
716281000000103 | Chronic obstructive pulmonary disease monitoring verbal invitation |
716901000000101 | Chronic obstructive pulmonary disease monitoring telephone invitation |
716241000000106 | Chronic obstructive pulmonary disease monitoring first letter |
717021000000106 | Chronic obstructive pulmonary disease monitoring second letter |
717521000000104 | Chronic obstructive pulmonary disease monitoring third letter |
Codes for chronic obstructive pulmonary disease (COPD) review (COPDRVW_COD)
SNOMED code | SNOMED code description |
394703002 | Chronic obstructive pulmonary disease annual review |
760601000000107 | Chronic obstructive pulmonary disease 3 monthly review |
760621000000103 | Chronic obstructive pulmonary disease 6 monthly review |
Codes indicating number of COPD exacerbations (COPDEXACB_COD)
SNOMED code | SNOMED code description |
723245007 | Number of chronic obstructive pulmonary disease exacerbations in past year |
Codes for Medical Research Council (MRC) breathlessness scale score (MRC_COD)
SNOMED code | SNOMED code description |
391120009 | Medical Research Council Dyspnoea scale grade 1 |
391123006 | Medical Research Council Dyspnoea scale grade 2 |
391124000 | Medical Research Council Dyspnoea scale grade 3 |
391125004 | Medical Research Council Dyspnoea scale grade 4 |
391126003 | Medical Research Council Dyspnoea scale grade 5 |
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