Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
New GMS Contract QOF Implementation
Dataset and Business Rules
Amendments – Enhanced Services 2013/14
Amendment History:
Version
1.0
Date
30-January-2014
Amendment History
HSCIC – SDS team: update following October 2013
Read Code release and discussion with stakeholders
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Dataset and Business Rules Enhanced Services
2013/14 – Amendments
Notes
This document is designed to help individuals working with the Enhanced Service 2013/14
rulesets establish the changes made to the 2013/14 Enhanced Service Business Rules.
Page 2 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Contents
Dataset and Business Rules Enhanced Services 2013/14 – Amendments
......................................................................................................................... 2
Alcohol ........................................................................................................ 4
Childhood Seasonal Influenza .................................................................. 5
Code Clusters ........................................................................................... 5
Read V2 ............................................................................................................... 5
CTV3 .................................................................................................................... 5
Dementia ..................................................................................................... 6
Learning Disabilities .................................................................................. 7
Code Clusters ........................................................................................... 7
Read V2 ............................................................................................................... 7
CTV3 .................................................................................................................... 7
MMR ............................................................................................................. 8
Additional notes ................................................................................................... 8
Pneumococcal ............................................................................................ 9
Code Clusters ........................................................................................... 9
Read V2 ............................................................................................................... 9
CTV3 .................................................................................................................... 9
Rotavirus ................................................................................................... 10
Code Clusters ......................................................................................... 10
Read V2 ............................................................................................................. 10
CTV3 .................................................................................................................. 10
Shingles .................................................................................................... 11
Shingles Catch Up.................................................................................... 12
Page 3 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Alcohol
There are no changes which affect the Alcohol 2013/14 ruleset.
Page 4 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Childhood Seasonal Influenza
Code Clusters
Read V2

TIVOHP_COD (TIV dose given by other healthcare provider codes) updated to include the
below new code from the October 2013 read code release.
o

INTRANAS1_COD (Seasonal influenza intranasal vaccination first dose codes) updated to
include the below codes following queries and discussion with stakeholders:
o
o

65ED2 Seasonal influenza vaccination given while hospital inpt
65EE0 Administration of first intranasal influenza vaccination
65EE. Administration of intranasal influenza vaccination
INTRANAS2_COD (Seasonal influenza intranasal vaccination second dose codes) updated
to include the below codes following queries and discussion with stakeholders:
o
o
65EE1 Administration of second intranasal influenza vaccination
65EE. Administration of intranasal influenza vaccination
CTV3

TIVOHP_COD (TIV dose given by other healthcare provider codes) updated to include the
below new code from the October 2013 read code release.
o

INTRANAS1_COD (Seasonal influenza intranasal vaccination first dose codes) updated to
include the below codes following queries and discussion with stakeholders:
o
o

XaaZp Seasonal influenza vaccination given while hospital inpt
XaaED Administration of first intranasal influenza vaccination
Xaa9G Administration of intranasal influenza vaccination
INTRANAS2_COD (Seasonal influenza intranasal vaccination second dose codes) updated
to include the below codes following queries and discussion with stakeholders:
o
o
XaaEF Administration of second intranasal influenza vaccination
Xaa9G Administration of intranasal influenza vaccination
Page 5 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Dementia
There are no changes which affect the Dementia 2013/14 ruleset.
Page 6 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Learning Disabilities
Code Clusters
Read V2

LD_COD (Learning Disability Codes) updated to include the below new code from the
October 2013 read code release to ensure consistency with QOF:
o
Eu818 [X]Specific learning disability
CTV3

LD_COD (Learning Disability Codes) updated to include the below new code from the
October 2013 read code release to ensure consistency with QOF:
o
XaaiS Specific learning disability
Page 7 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
MMR
Additional notes
Cohort 1 count amended from:
Rule
number
1
Rule
If PAT_AGE < 10
OR
If PAT_AGE > 16
Action if true
Action if false
Reject
Select
Action if true
Action if false
Reject
Select
To:
Rule
number
1
Rule
If PAT_DOB < 01.01.1997
OR
If PAT_DOB > 31.12.2003
in order to align with guidance.
Page 8 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Pneumococcal
Code Clusters
Read V2

PNEUVAC1_COD (Pneumococcal vaccination codes) updated to include the below code
following queries and discussion with stakeholders:
o

6572.
Pneumococcal vaccination
PNEUVAC2_COD (Pneumococcal vaccination codes) updated to include the below code
following queries and discussion with stakeholders:
o
6572.
Pneumococcal vaccination
CTV3

PNEUVAC1_COD (Pneumococcal vaccination codes) updated to include the below code
following queries and discussion with stakeholders:
o

6572.
Pneumococcal vaccination
PNEUVAC2_COD (Pneumococcal vaccination codes) updated to include the below code
following queries and discussion with stakeholders:
o
6572.
Pneumococcal vaccination
Page 9 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Rotavirus
Code Clusters
Read V2

ROTAVACEXC_COD (Rotavirus vaccination exception reporting codes) updated to include
the below new codes from the October 2013 read code release.
o
o
o
o
8IEm0
8IEm1
14L50
U60K5
First rotavirus vaccination declined
Second rotavirus vaccination declined
H/O: rotavirus vaccine allergy
[X]Rotavirus vaccine causing adverse effects in therapy use
CTV3

ROTAVACEXC_COD (Rotavirus vaccination exception reporting codes) updated to include
the below new codes from the October 2013 read code release.
o
o
o
o
XaaWN
XaaWO
Xaait
XaadN
First rotavirus vaccination declined
Second rotavirus vaccination declined
Adverse reaction to rotavirus vaccine
H/O: rotavirus vaccine allergy
Page 10 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Shingles
There are no changes which affect the Shingles 2013/14 ruleset.
Page 11 of 12
Data and Business Rules – Amendments – ES 2013/14
Author
HSCIC – QOF
Business Rules
team
Version No
1.0
Version Date
30/01/2014
Shingles Catch Up
There are no changes which affect the Shingles catch-up 2013/14 ruleset.
Page 12 of 12