

This indicator is new in the contract year 2025/26, replacing DM033 to restrict the target to patients 79 years old and under and update some technical changes to the handling of home blood pressure readings Indicator ID | Description |
The percentage of patients with diabetes, on the register, aged 79 years and under without moderate or severe frailty in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90mmHg or less (or equivalent home blood pressure reading). |


SNOMED code | SNOMED code description |
1162737008 | Self reported systolic blood pressure |
| 1162735000 | Self reported diastolic blood pressure |
| 413606001 | Average home systolic blood pressure |
| 413605002 | Average home diastolic blood pressure |
| 314446007 | Average day interval systolic blood pressure |
| 314461008 | Average day interval diastolic blood pressure |
| 314449000 | Average 24 hour systolic blood pressure |
| 314462001 | Average 24 hour diastolic blood pressure |
| 198081000000101 | Ambulatory systolic blood pressure |
| 198091000000104 | Ambulatory diastolic blood pressure |
SNOMED code | SNOMED code description |
163020007 | On examination - blood pressure reading |
| 75367002 | Blood pressure |
| 163034007 | Standing blood pressure |
| 163035008 | Sitting blood pressure |
| 163033001 | Lying blood pressure |
SNOMED code | SNOMED code description |
407567007 | Patient on maximal tolerated antihypertensive therapy |
SNOMED code | SNOMED code description |
717421000000100 | Excepted from diabetes quality indicators - patient unsuitable |
SNOMED code | SNOMED code description |
413123006 | Blood pressure procedure declined |
SNOMED code | SNOMED code description |
1085031000000100 | Home blood pressure monitoring declined |
SNOMED code | SNOMED code description |
861231000000105 | Ambulatory blood pressure recording declined |
SNOMED code | SNOMED code description |
716031000000106 | Excepted from diabetes quality indicators - informed dissent |
SNOMED code | SNOMED code description |
310425007 | Diabetes monitoring invitation |
1083111000000108 | Diabetes monitoring invitation email |
185756006 | Diabetes monitoring first letter |
185757002 | Diabetes monitoring second letter |
185758007 | Diabetes monitoring third letter |
705072004 | Diabetes monitoring invitation short message service text messaging |
1066911000000100 | Diabetes monitoring short message service text message first invitation |
1066921000000106 | Diabetes monitoring short message service text message second invitation |
1066931000000108 | Diabetes monitoring short message service text message third invitation |
185760009 | Diabetes monitoring telephone invite |
185759004 | Diabetes monitoring verbal invite |
1110921000000100 | Quality and Outcomes Framework diabetes mellitus quality indicator-related care invitation |
143401000000102 | Quality and Outcomes Framework diabetes mellitus quality indicator-related care invitation using preferred method of communication |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |