OST004 - Osteoporosis register (Retired v50 2025/26)
This indicator was retired in the contract year 2025/26 but remains in the business rules
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.
The information contained within this article is from version 50 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
Indicator ID | Description |
OST004 | The contractor establishes and maintains a register of patients:
1. Aged 50 or over and who have not attained the age of 75 with a record of a fragility fracture on or after 1 April 2012 and a diagnosis of osteoporosis confirmed on DXA scan, and
2. Aged 75 or over with a record of a fragility fracture on or after 1 April 2014 and a diagnosis of osteoporosis. |
What are the criteria for this indicator?
In order to be included in OST004, patients must meet the requirements of:
Group 1:
- age 50-74
- osteoporosis diagnosis
- coded fragility fracture since 1st April 2012
- a DEXA result that
- can't carry a value
- or can carry a value and has a T score of < -2.5
(or)
Group 2:
- age at least 75 years old
- osteoporosis diagnosis
- a fragility fracture coded since 1st April 2014
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