Diagnosis | Inhaler Review Alert – Dormant or Resolved Coding

Diagnosis | Inhaler Review Alert – Dormant or Resolved Coding

💨 Inhaler Review Alert – Dormant or Resolved Coding

This shared component appears when a patient with an asthma diagnosis has not been issued an inhaler in the past 12 months. It prompts clinicians to reassess whether the diagnosis is still active and consider applying a dormant or resolved code.


🧭 When Will I See This?

This alert appears when:

  • The patient has a current asthma diagnosis

  • No inhaler has been prescribed or issued in the last 12 months


📋 What To Record



Field
Purpose
Review of Inhaler UseConfirms discussion of whether patient still requires inhaler therapy
Asthma Dormant CodeUsed if clinician believes asthma is inactive but not fully resolved
Asthma Resolved CodeUsed if asthma is no longer clinically present (and after patient agreement)
Reason Not CodedOptional note for clinical rationale if neither code is applied

🧠 Why This Matters

  • Avoids incorrect inclusion in QOF asthma registers

  • Prevents inappropriate medication prompts

  • Ensures accurate clinical records and performance reporting

  • Supports QOF AST011 criteria which require inhaler use to validate diagnosis

⚠️ Always confirm with the patient before applying dormant or resolved coding — some patients self-manage or use over-the-counter inhalers


💬 Suggested Questions to Ask

  • “Have you used an inhaler in the last year?”

  • “Do you still feel you need treatment for asthma?”

  • “Would you say your asthma has gone away, or is it just very mild now?”


Using this alert correctly ensures your coding reflects the patient’s current clinical status and helps maintain accurate QOF registers and treatment decisions.