The tables below list the individual SNOMED concepts included in the decline, unsuitable and contraindication lists referenced above.

Codes current as at 25 September 2026.

Completion lists aren't reproduced in full because some contain hundreds or thousands of SNOMED concepts. For those, search the Cluster ID in the national Primary Care Domain reference set.

💡 The SNOMED concept ID is what matters. EMIS or SystmOne may display slightly different wording for the same concept.

❤️ Hypertension

Code list	SNOMED	What it records
`BPDEC_COD`	413123006	Blood pressure procedure declined
`HOMEBPDEC_COD`	1085031000000100	Home blood pressure monitoring declined
`ABPMDEC_COD`	861231000000105	Ambulatory blood pressure recording declined
`HYPPCADEC_COD`	716771000000106	Excepted from hypertension quality indicators - informed dissent
`HYPPCAPU_COD`	716821000000100	Excepted from hypertension quality indicators - patient unsuitable
`HTMAX_COD`	1303422008	On maximum tolerated dose of antihypertensive therapy

🍬 Diabetes

Code list	SNOMED	What it records
`DMPCADEC_COD`	716031000000106	Excepted from diabetes quality indicators - informed dissent
`DMPCAPU_COD`	717421000000100	Excepted from diabetes quality indicators - patient unsuitable
`FEDEC_COD`	412752009	Diabetic foot examination declined
`FEDEC_COD`	699053009	Foot pulse check declined
`NPTDEC_COD`	412752009	Diabetic foot examination declined
`NPTDEC_COD`	729181000000108	Neuropathy assessment declined
`BLDTESTDEC_COD`	116471000119100	Blood test declined
`CHOLDEC_COD`	203151000000104	Cholesterol test declined
`CHOLDEC_COD`	9471000175101	Hyperlipidemia screening test declined
`CHOLDEC_COD`	301111000000107	Lipid disorder monitoring declined
`CHOLDEC_COD`	141851000119107	Lipid screening declined
`BMIDEC_COD`	1037511000000103	Body height measurement declined
`BMIDEC_COD`	736013005	Body weight measurement declined
`SMOKSTATDEC_COD`	1098881000000103	Declined to give smoking status
`SMOKSTATDEC_COD`	11351000175103	Tobacco use screening declined

💨 Asthma

Code list	SNOMED	What it records
`ASTMONDEC_COD`	763221007	Asthma monitoring declined
`ASTPCADEC_COD`	716491000000100	Excepted from asthma quality indicators - informed dissent
`ASTPCAPU_COD`	717291000000103	Excepted from asthma quality indicators - patient unsuitable

🌬️ COPD

Code list	SNOMED	What it records
`COPDPCADEC_COD`	716291000000101	Excepted from chronic obstructive pulmonary disease quality indicators - informed dissent
`PULRHBDEC_COD`	305371000000101	Pulmonary rehabilitation declined
`COPDPCAPU_COD`	716311000000100	Excepted from chronic obstructive pulmonary disease quality indicators - patient unsuitable
`COPDPCASU_COD`	1108721000000102	Excepted from chronic obstructive pulmonary disease quality indicators - service unavailable

🧩 Learning Disability

Code list	SNOMED	What it records
`HLTHCHKDEC_COD`	514021000000103	Learning disabilities annual health assessment declined
`HLTHAPDEC_COD`	413162002	Learning disabilities health action plan declined

🕊️ Dementia

Code list	SNOMED	What it records
`DEMCPDEC_COD`	1098271000000104	Dementia advance care planning declined
`DEMCPDEC_COD`	956881000000103	Dementia care plan declined
`DEMCPRVWDEC_COD`	959461000000102	Dementia advance care plan review declined
`DEMCPRVWDEC_COD`	956901000000100	Dementia care plan review declined
`DEMCPRVWDEC_COD`	1095101000000106	Offer of dementia advance care planning review declined
`DEMPCADEC_COD`	716131000000105	Excepted from dementia quality indicators - informed dissent
`DEMPCAPU_COD`	716341000000104	Excepted from dementia quality indicators - patient unsuitable

🧠 Mental Health

Code list	SNOMED	What it records
`MHPCADEC_COD`	717051000000101	Excepted from mental health quality indicators - informed dissent
`MHPCAPU_COD`	716301000000102	Excepted from mental health quality indicators - patient unsuitable
`ALCSCRNDEC_COD`	361731000000101	Alcohol assessment declined
`ALCSCRNDEC_COD`	428073005	Alcohol consumption screening test declined
`ALCSCRNDEC_COD`	922471000000101	Alcohol Use Disorders Identification Test declined
`ALCSCRNDEC_COD`	1104551000000109	Declined to provide information about alcohol use
`ALCSCRNDEC_COD`	858861000000101	Declines to state current alcohol consumption
`GLUCDEC_COD`	698473004	Blood glucose test declined

❤️ Other QOF Cardiovascular & LTC Targets

Code list	SNOMED	What it records
`CHDPCADEC_COD`	716091000000107	Excepted from coronary heart disease quality indicators - informed dissent
`CHDPCAPU_COD`	717111000000104	Excepted from coronary heart disease quality indicators - patient unsuitable
`STIAPCADEC_COD`	716021000000109	Excepted from stroke quality indicators - informed dissent
`STIAPCAPU_COD`	716581000000101	Excepted from stroke quality indicators - patient unsuitable
`HFPCADEC_COD`	717491000000102	Excepted from heart failure quality indicators - informed dissent
`HFPCAPU_COD`	717481000000104	Excepted from heart failure quality indicators - patient unsuitable
`MEDRVWDEC_COD`	286291000000107	Dispensing review of use of medicines declined
`MEDRVWDEC_COD`	412725004	Medication review declined
`AFIBPCADEC_COD`	717381000000109	Excepted from atrial fibrillation quality indicators - informed dissent
`AFIBPCAPU_COD`	715941000000109	Excepted from atrial fibrillation quality indicators - patient unsuitable
`CHOLPCADEC_COD`	182981008	Cholesterol reduction program declined
`CHOLPCADEC_COD`	135826008	Lipid lowering therapy declined
`CHOLPCAPU_COD`	2775621000000104	Excepted from cholesterol quality indicators - patient unsuitable
`SMOKPCADEC_COD`	717771000000108	Excepted from smoking quality indicators - informed dissent
`SMOKPCAPU_COD`	716391000000109	Excepted from smoking quality indicators - patient unsuitable
`NDHPCADEC_COD`	148541000000108	Excepted from non-diabetic hyperglycaemia quality indicators - informed dissent

🧫 Cervical Screening

Code list	SNOMED	What it records
`CSDEC_COD`	112241000119107	Cervical cancer Papanicolaou smear screening declined
`CSDEC_COD`	185625009	Cervical smear disclaimer received
`CSDEC_COD`	736595007	Screening for malignant neoplasm of cervix declined
`CSDEC_COD`	171152003	Screening for malignant neoplasm of cervix not wanted

👶 Childhood Immunisation Codes

DTaP-containing vaccines: declines

Code list	SNOMED	What it records
`DTPDECLINED_COD`	903281000000100	Diphtheria inactivated polio vaccination declined
`DTPDECLINED_COD`	511531000000109	Diphtheria tetanus acellular pertussis inactivated polio vaccination declined
`DTPDECLINED_COD`	842881000000105	Post exposure diphtheria tetanus acellular pertussis and inactivated polio vaccination declined
`DTPDEC_COD`	1082521000000100	Diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination declined
`DTPDEC_COD`	511531000000109	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccine immunisation declined
`DTPDEC_COD`	511571000000106	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccine, Haemophilus influenzae type b vaccination declined
`DTPDEC_COD`	903281000000100	Diphtheria, tetanus, inactivated polio vaccination declined
`DTPDEC_COD`	1086431000000100	First diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination declined
`DTPDEC_COD`	842861000000101	Post exposure diphtheria, tetanus, acellular pertussis and inactivated polio vaccination
`DTPDEC_COD`	842881000000105	Post exposure diphtheria, tetanus, acellular pertussis and inactivated polio vaccination declined
`DTPDEC_COD`	1086441000000109	Second diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination declined
`DTPDEC_COD`	1086451000000107	Third diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination declined

DTaP-containing vaccines: contraindications

Code list	SNOMED	What it records
`DTPCON_COD`	293115003	Adverse reaction to component of vaccine product containing Bordetella pertussis antigen
`DTPCON_COD`	219084006	Adverse reaction to component of vaccine product containing Clostridium tetani antigen
`DTPCON_COD`	219085007	Adverse reaction to component of vaccine product containing Corynebacterium diphtheriae antigen
`DTPCON_COD`	1162639000	Adverse reaction to component of vaccine product containing only acellular Bordetella pertussis, Clostridium tetani, Corynebacterium diphtheriae, Haemophilus influenzae type b, Hepatitis B virus and inactivated Human poliovirus antigens
`DTPCON_COD`	293109003	Adverse reaction to component of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
`DTPCON_COD`	293108006	Adverse reaction to component of vaccine product containing only Clostridium tetani and Corynebacterium diphtheriae antigens
`DTPCON_COD`	294651001	Allergy to component of vaccine product containing Bordetella pertussis antigen
`DTPCON_COD`	294658007	Allergy to component of vaccine product containing Clostridium tetani antigen
`DTPCON_COD`	294642009	Allergy to component of vaccine product containing Corynebacterium diphtheriae antigen
`DTPCON_COD`	294645006	Allergy to component of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
`DTPCON_COD`	294644005	Allergy to component of vaccine product containing only Clostridium tetani and Corynebacterium diphtheriae antigens
`DTPCON_COD`	715163003	Diphtheria vaccination contraindicated
`DTPCON_COD`	1083421000000107	Diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination contraindicated
`DTPCON_COD`	897351000000102	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccination contraindicated
`DTPCON_COD`	898291000000101	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccine, Haemophilus influenzae type b vaccination contraindicated
`DTPCON_COD`	903241000000108	Diphtheria, tetanus, inactivated polio vaccination contraindicated
`DTPCON_COD`	171284002	Pertussis vaccine contraindicated
`DTPCON_COD`	719474005	Tetanus vaccination contraindicated

MenB

Code list	SNOMED	What it records
`MENBDECLINED_COD`	722396000	Booster meningitis B vaccination declined
`MENBDECLINED_COD`	722397009	First meningitis B vaccination declined
`MENBDECLINED_COD`	720548009	Meningitis B vaccination declined
`MENBDECLINED_COD`	722338002	Second meningitis B vaccination declined
`MENBCON_COD`	860695004	Allergy to meningococcus vaccine
`MENBCON_COD`	957601000000106	Meningitis B vaccination contraindicated

Rotavirus

Code list	SNOMED	What it records
`ROTADECLINED_COD`	882201000000107	First rotavirus vaccination declined
`ROTADECLINED_COD`	868711000000104	Rotavirus vaccination declined
`ROTADECLINED_COD`	882221000000103	Second rotavirus vaccination declined
`ROTACON_COD`	889571000000106	Adverse reaction to rotavirus vaccine
`ROTACON_COD`	700468006	Allergy to Rotavirus vaccine
`ROTACON_COD`	885901000000106	H/O: rotavirus vaccine allergy
`ROTACON_COD`	868691000000101	Rotavirus vaccination contraindicated

Pneumococcal / PCV

Code list	SNOMED	What it records
`PCVDECLINED_COD`	401086001	Pneumococcal vaccination declined
`PCVDECLINED_COD`	139731000119106	Pneumococcal vaccination declined by caregiver
`PCVCON_COD`	293116002	Adverse reaction to pneumococcal vaccine
`PCVCON_COD`	294652008	Allergy to pneumococcal vaccine
`PCVCON_COD`	390795005	Pneumococcal vaccination contraindicated

MMR / MMRV

Code list	SNOMED	What it records
`MMRDECLINED_COD`	9711000175104	MMR vaccination declined
`MMRVCON_COD`	1303852006	Adverse reaction to component of vaccine product containing Human alphaherpesvirus 3 antigen
`MMRVCON_COD`	219096004	Adverse reaction to component of vaccine product containing Measles morbillivirus antigen
`MMRVCON_COD`	293114004	Adverse reaction to component of vaccine product containing Mumps orthorubulavirus antigen
`MMRVCON_COD`	293125008	Adverse reaction to component of vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens
`MMRVCON_COD`	293119009	Adverse reaction to component of vaccine product containing Rubella virus antigen
`MMRVCON_COD`	294650000	Allergy to component of vaccine product containing Mumps orthorubulavirus antigen
`MMRVCON_COD`	294662001	Allergy to component of vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens
`MMRVCON_COD`	294656006	Allergy to component of vaccine product containing Rubella virus antigen
`MMRVCON_COD`	719467000	Measles vaccination contraindicated
`MMRVCON_COD`	275974002	Measles, mumps, and rubella vaccine contraindicated
`MMRVCON_COD`	719473004	Rubella vaccination contraindicated

DTaP/IPV Pre-school Booster Contraindications

Code list	SNOMED	What it records
`DTAPIPVCON_COD`	293115003	Adverse reaction to component of vaccine product containing Bordetella pertussis antigen
`DTAPIPVCON_COD`	219084006	Adverse reaction to component of vaccine product containing Clostridium tetani antigen
`DTAPIPVCON_COD`	219085007	Adverse reaction to component of vaccine product containing Corynebacterium diphtheriae antigen
`DTAPIPVCON_COD`	293117006	Adverse reaction to component of vaccine product containing Human poliovirus antigen
`DTAPIPVCON_COD`	1162639000	Adverse reaction to component of vaccine product containing only acellular Bordetella pertussis, Clostridium tetani, Corynebacterium diphtheriae, Haemophilus influenzae type b, Hepatitis B virus and inactivated Human poliovirus antigens
`DTAPIPVCON_COD`	293109003	Adverse reaction to component of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
`DTAPIPVCON_COD`	293108006	Adverse reaction to component of vaccine product containing only Clostridium tetani and Corynebacterium diphtheriae antigens
`DTAPIPVCON_COD`	294651001	Allergy to component of vaccine product containing Bordetella pertussis antigen
`DTAPIPVCON_COD`	294658007	Allergy to component of vaccine product containing Clostridium tetani antigen
`DTAPIPVCON_COD`	294642009	Allergy to component of vaccine product containing Corynebacterium diphtheriae antigen
`DTAPIPVCON_COD`	294654009	Allergy to component of vaccine product containing Human poliovirus antigen
`DTAPIPVCON_COD`	294645006	Allergy to component of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens
`DTAPIPVCON_COD`	294644005	Allergy to component of vaccine product containing only Clostridium tetani and Corynebacterium diphtheriae antigens
`DTAPIPVCON_COD`	715163003	Diphtheria vaccination contraindicated
`DTAPIPVCON_COD`	1083421000000107	Diphtheria, tetanus and acellular pertussis, inactivated polio, Haemophilus influenzae type b and hepatitis B vaccination contraindicated
`DTAPIPVCON_COD`	897351000000102	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccination contraindicated
`DTAPIPVCON_COD`	898291000000101	Diphtheria, tetanus, acellular pertussis, inactivated polio vaccine, Haemophilus influenzae type b vaccination contraindicated
`DTAPIPVCON_COD`	903241000000108	Diphtheria, tetanus, inactivated polio vaccination contraindicated
`DTAPIPVCON_COD`	171284002	Pertussis vaccine contraindicated
`DTAPIPVCON_COD`	719476007	Poliomyelitis vaccination contraindicated
`DTAPIPVCON_COD`	719474005	Tetanus vaccination contraindicated

💉 Adult Vaccination Codes

Seasonal Flu

Code list	SNOMED	What it records
`FLUDEC_COD`	885971000000103	First intranasal seasonal influenza vaccination declined
`FLUDEC_COD`	822931000000100	Seasonal influenza vaccination declined
`FLUDEC_COD`	886011000000103	Second intranasal seasonal influenza vaccination declined
`FLUEXPCON_COD`	822951000000107	Seasonal influenza vaccination contraindicated
`FLUEXPCON_COD`	822971000000103	Seasonal influenza vaccination not indicated

COVID-19

Declined

Code list	SNOMED	What it records
`COVID_DECLINED_COD`	1324861000000109	SARS-CoV-2 immunisation course abandoned
`COVID_DECLINED_COD`	1324811000000107	SARS-CoV-2 immunisation course declined
`COVID_DECLINED_COD`	1362631000000103	SARS-CoV-2 protection maintenance course abandoned
`COVID_DECLINED_COD`	1362651000000105	SARS-CoV-2 protection maintenance course declined
`COVID_DECLINED_COD`	1240651000000109	SARS-CoV-2 vaccination declined
`COVID_DECLINED_COD`	1324721000000108	SARS-CoV-2 vaccination dose declined
`COVID_DECLINED_COD`	1363851000000101	SARS-CoV-2 vaccination fifth dose declined
`COVID_DECLINED_COD`	1324741000000101	SARS-CoV-2 vaccination first dose declined
`COVID_DECLINED_COD`	1363811000000100	SARS-CoV-2 vaccination fourth dose declined
`COVID_DECLINED_COD`	1324751000000103	SARS-CoV-2 vaccination second dose declined
`COVID_DECLINED_COD`	1363781000000103	SARS-CoV-2 vaccination third dose declined
`COVID_DECLINED_COD`	1145031003	SARS-CoV-2 vaccine declined

Contraindicated / not indicated

Code list	SNOMED	What it records
`COVID_CONTRA_COD`	1157198004	Inactivated whole SARS-CoV-2 antigen vaccine contraindicated
`COVID_CONTRA_COD`	1324761000000100	SARS-CoV-2 immunisation course contraindicated
`COVID_CONTRA_COD`	1324731000000105	SARS-CoV-2 immunisation course not indicated
`COVID_CONTRA_COD`	1157110005	SARS-CoV-2 non-replicating viral vector vaccine contraindicated
`COVID_CONTRA_COD`	1362641000000107	SARS-CoV-2 protection maintenance course contraindicated
`COVID_CONTRA_COD`	1362671000000101	SARS-CoV-2 protection maintenance course not indicated
`COVID_CONTRA_COD`	1145030002	SARS-CoV-2 antigen vaccination not indicated
`COVID_CONTRA_COD`	1145023008	SARS-CoV-2 antigen vaccine contraindicated
`COVID_CONTRA_COD`	1145029007	SARS-CoV-2 mRNA vaccination not indicated
`COVID_CONTRA_COD`	1145022003	SARS-CoV-2 mRNA vaccine contraindicated
`COVID_CONTRA_COD`	1162647000	SARS-CoV-2 recombinant spike protein antigen vaccine contraindicated
`COVID_CONTRA_COD`	1145028004	SARS-CoV-2 vaccination not indicated
`COVID_CONTRA_COD`	1156267002	SARS-CoV-2 vaccination not indicated
`COVID_CONTRA_COD`	1145026000	SARS-CoV-2 vaccine contraindicated
`COVID_CONTRA_COD`	1179498004	SARS-CoV-2 virus-like particle antigen vaccine contraindicated

Pneumococcal

Code list	SNOMED	What it records
`HIPPO_PNEUM_DECLINE`	171292006	No consent pneumococcal immunization
`HIPPO_PNEUM_DECLINE`	401086001	Pneumococcal vaccination declined
`HIPPO_PNEUM_DECLINE`	139731000119106	Pneumococcal vaccination declined by caregiver
`HIPPO_PNEUM_CONTRA`	390795005	Pneumococcal vaccination contraindicated

Shingles

Code list	SNOMED	What it records
`SHDEC_COD`	9691000175102	Herpes zoster vaccination declined
`SHDEC_COD`	723062007	Varicella zoster vaccination declined by patient
`SHCON_COD`	868531000000103	Herpes zoster vaccination contraindicated

RSV

Code list	SNOMED	What it records
`RSVDEC_COD`	554366121000119108	Human respiratory syncytial virus vaccination declined

HPV

Code list	SNOMED	What it records
`HPVDECLINED_COD`	438765003	Human papillomavirus vaccination declined
`HPVCON_COD`	1303851004	Adverse reaction to component of vaccine product containing Human papillomavirus antigen
`HPVCON_COD`	761844008	Human papilloma virus vaccination contraindicated
`HPVCON_COD`	493001000000102	Human papilloma virus vaccination contraindicated

💊 SPS Medication Monitoring Declines

Code list	SNOMED	What it records
`HIPPO_EXAM_DEC`	204381000000106	Examination refused
`HIPPO_URINDIP_DEC`	698490005	Urine dipstick test declined
`HIPPO_ECG_DEC`	21671000175109	Cardiac function test declined

Remember that SPS indicators may also use the general blood test, BP and BMI decline lists shown earlier.

🦛 In summary

If you're checking whether a particular code should affect a Hippo target, ask:

📋 Is it on the right code list?
A similar-sounding code isn't necessarily treated the same way.

📅 Is it within the right timeframe?
Some declines only apply for the current QOF year, while others can last 12 months or longer.

🎯 Does that target actually accept it?
A decline for one condition, vaccine or care process doesn't automatically apply to another.

And if you're searching in EMIS or SystmOne, use the SNOMED concept ID wherever possible. That's the most reliable way to make sure you're using the code Hippo recognises.

Still stuck? Message us from the chat or email [email protected] 🦛

🔢 Exact Decline, Unsuitable & Contraindication SNOMED Codes