VI002 - 1st MMR given before 18 months of age
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 |
VI002 | The percentage of children who reached 18 months old in the preceding 12 months, who have received at least 1 dose of MMR between the ages of 12 and 18 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the VI002 denominator if they turned 18 months old during the service year, (ie: on the 31st March of the QOF year, the patient was at least 18 months old).
How to achieve the indicator
To meet the criteria for VI002, eligible patients must have received a Measles, Mumps, Rubella (MMR) vaccination from the date they turned 12 months until the age of 18 months
What will remove patients from eligibility?
- they have a contraindication to the MMR vaccine recorded before they reached 18 months of age
they were registered after they reached 18 months of age (558 days old)
they were registered after they reached 17 months of age (527 days old) and had not received their first MMR vaccine prior to registering
There are no Personalised Care Adjustments to remove a patient if vaccination has been declined. This is likely to make the indicator hard to achieve, either due to a small number of dissenting patients or due to transient populations where new patients completed a different vaccination schedule abroad.
If a patient achieves the
indicator at any point during the year, any exclusions that have also been
added are ignored.
Hints and tips for achieving this indicator
The PCIT searches can help you to identify patients that you need to action to achieve this indicator.
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 MMR vaccination contraindication (MMRCON_COD)
SNOMED code | SNOMED code description |
219096004 | Adverse reaction to component of vaccine product containing Measles morbillivirus antigen |
| 275974002 | Measles/mumps/rubella vaccine contraindicated |
| 293114004 | Adverse reaction to component of vaccine product containing Mumps orthorubulavirus antigen |
| 293119009 | Adverse reaction to component of vaccine product containing Rubella virus antigen |
| 293125008 | Adverse reaction to component of vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens |
| 294650000 | Allergy to component of vaccine product containing Mumps orthorubulavirus antigen |
| 294656006 | Allergy to component of vaccine product containing Rubella virus antigen |
| 294662001 | Allergy to component of vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens |
| 719467000 | Measles vaccination contraindicated |
| 719473004 | Rubella vaccination contraindicated |