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  • National Pathology and Diagnostics November 2020 Newsletter

    Professor Mike Richard's 2020 review of diagnostics capacity

    As many of you may be aware, Professor sir Mike Richards was recently commissioned by NHS Chief Executive Sir Simon Stevens to review diagnostic services as part of the NHS Long Term Plan. The review's proposals will help save lives and improve people’s quality of life including for cancer, stroke, heart disease and respiratory conditions.

     Within his review, Sir Mike recommended that NHS Digital’s work on developing and implementing a standardised universal test list across all diagnostic disciplines (pathology, imaging, endoscopy and cardiorespiratory services) should be accelerated.

    Our work with the Professional Records Standards Body (PRSB)

    The Pathology business product team have continued to support the PRSB in their work which aims to  show how the strategic standards we have developed (SNOMED based unified test list (UTL), Unified Code for Units of Measure (ucum) for units of measure (UoM) and FHIR messaging to transmit UTL and UoM) are feasible to implement using demonstrators, and to gather feedback from stakeholders through engagement on the feasibility of their implementation

    Metadataworks have been involved in the first phase of this work and have been  developing mappings from the read code based Pathology bound code list (PBCL)  to the UTL  for commonly used Pathology results, assuring the mappings with Pathology experts and utilising an application programming interface (API)for system to query mappings

    The Pathology Business Product team have been analysing some of the outputs of PRSB's work on the Unified test list including the UTL-PBCL list comparison and the unreleased UTL content PBCL match analysis, and have been producing new Microbiology content for the forthcoming release of the UTL

    UTL release schedule

    Following the recent announcement of changes to the SNOMED CT UK combined release and the feedback received for Pathology Beta Human readable releases (v0.4.0 and v 0.5.0) we have revised the Pathology Unified Test List (UTL) Release schedule as follows.

    • The Pathology Laboratory Medicine SNOMED CT content will not be part of the revised November combined release but will be aligned for the next, 1 April 2021 UK Edition Release
    • UTL V0.5.0 will be revised following feedback received from stakeholders following the Beta release in July and verified by the Microbiology SME sub-group and the Pathology Standards Governance Board

    In particular, on the 20th October during the Microbiology SME sub-group it was determined that the defined microbiology presence pattern was inconsistent with current user ways of working and will be revised for UTL v0.6.0 to incorporate the feedback received into a preferred pattern that better suits user needs and determine a preferred option for subsequent release.

    • 2 further UTL Human Readable releases are scheduled for January and March 2021 to complete the Blood Sciences Reporting requirements and, align the Pathology Bounded Code list and recent COVID tactical solution with the strategic UTL Model

    Thank you all for your valuable feedback, we will continue to engage with interested stakeholders via the Clinical Alpha reviews, UTL speciality sub groups, Pathology Informatics National User Group (PINUG) and obtain assurance from the Pathology Standards Governance Board to ensure that user needs are met before full SNOMED CT Release alignment.

    If you would like to become more involved in any of these areas of work, please contact us at PathologyandDiagnostics@nhs.net

    Revised UTL/SNOMED CT Engagement and Release Schedule:

    Content Creation Focus

    Month/Year

    Stakeholder Engagement

    Complete Blood Sciences Reporting.

    PBCL - Microbiology

    November 2020

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    PBCL – Other Gaps

    December 2020

    Requestors, Clinical Alpha Reviewers, Sub Groups

    Human Readable Beta Release

    (0.6.0 incl. 0.5.0 changes)

    January 2021

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    Align full PBCL & COVID content

    February 2021

    Requestors, Clinical Alpha Reviewers, Sub Groups

    Human Readable Beta Release (0.7.0)

    March 2021

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    SNOMED CT PaLM release

    (0.4, revised 0.5, 0.6 & 0.7.0)

    April 2021

     

    Product Roadmap prioritised additions

    2021/22

    Requestors, Clinical Alpha Reviewers, Sub Groups

    By Chris Hood 1 year ago

    Read this article

  • Updated guidance for the national naming, coding and processing of SARS-COV-2 Pathology tests

    NHS Digital have recently updated the guidance for the national naming, coding and processing of SARS-COV-2 Pathology tests which now contains additional information for Labs and LIMS on naming requestable and reportable items related  to SARS-COV-2 Testing.

    Changes in v2.5.9:

    • Updated ConceptIDs and DescriptionIDs for new RNA Positive, and RNA Negative SNOMED CT concepts included in the UK SNOMED CT November 2020 Release

    • Added Lateral Flow Assay for Antigen testing

    Changes in v2.5.8:

    • Added “RNA Positive at the Point of Detection” concept and associated elements

    Changes in v2.5.7:

    • Updated section 4.3 to remove FSN DescriptionIDs for some rows

    • Additional information on the SNOMED CT mapping refset files

    Changes in v2.5.4:

    • Working with the RCPath and the PSGB we have created a detailed set of requestable and reportable items to help laboratories and LIMS suppliers define COVID19 related data items. These include:
      • Requestable Items for Virus detection (including Antigen) and Antibody detection
      • Reportable Items for each detection technique
      • Permissible values for each result
    • Updated guidance on mapping from lab results to SNOMED CT via a set of ‘standardised descriptions’ used to flow the data in the PMIP NHS003 Message
    • Updates to SNOMED CT findings to allow filing of results into Primary Care EPR systems
    • Updates to the structure of the machine readable mapping table now included in the SNOMED CT UK Clinical Extension as a pair of simple map refsets

    By Chris Hood 1 year ago

    Read this article

  • UK SNOMED CT Clinical Edition, RF2 - new releases

    New releases of ‘UK SNOMED CT Clinical Edition, RF2’ items are now available:

    These releases are based on the latest July 2020 International Edition, which is included in the full release.

    The format of the SNOMED CT UK Editions will be changing from 27 January 2021.

    Read more on these changes and the SNOMED CT UK Clinical Edition release notes on our
    SNOMED CT: Important Notices & Known Issues page on Delen.

    The SNOMED CT UK Drug Extension is not released as part of the SNOMED CT biannual release, but is released on a 4-weekly cycle under these items:

    For TRUD issues, email information.standards@nhs.net or telephone 0300 303 4777 weekdays between 9:00am and 5:00pm.

    Regards,

    Information Standards Service Desk
    NHS Digital

    By Chris Hood 1 year ago

    Read this article

  • Pathology UTL / SNOMED Release updates

    Dear all,

    Following the recent announcement of changes to the SNOMED CT UK combined release and the feedback received for Pathology Beta Human readable releases (v0.4.0 and v 0.5.0) we have revised the Pathology Unified Test List (UTL) Release schedule as follows.

    • The Pathology Laboratory Medicine SNOMED CT content will not be part of the revised November combined release but will be aligned for the next, 1 April 2021 UK Edition Release
    • UTL V0.5.0 will be revised following feedback received from stakeholders following the Beta release in July and verified by the Microbiology SME sub-group and the Pathology Standards Governance Board

    In particular, on the 20th October during the Microbiology SME sub-group it was determined that the defined microbiology presence pattern was inconsistent with current user ways of working and will be revised for UTL v0.6.0 to incorporate the feedback received into a preferred pattern that better suits user needs and determine a preferred option for subsequent release.

    • 2 further UTL Human Readable releases are scheduled for January and March 2021 to complete the Blood Sciences Reporting requirements and, align the Pathology Bounded Code list and recent COVID tactical solution with the strategic UTL Model

    Thank you all for your valuable feedback, we will continue to engage with interested stakeholders via the Clinical Alpha reviews, UTL speciality sub groups, Pathology Informatics National User Group (PINUG) and obtain assurance from the Pathology Standards Governance Board to ensure that user needs are met before full SNOMED CT Release alignment.

    If you would like to become more involved in any of these areas of work, please contact us at PathologyandDiagnostics@nhs.net

     

    Revised UTL/SNOMED CT Engagement and Release Schedule:

     

    Content Creation Focus

    Month/Year

    Stakeholder Engagement

    Complete Blood Sciences Reporting.

    PBCL - Microbiology

    November 2020

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    PBCL – Other Gaps

    December 2020

    Requestors, Clinical Alpha Reviewers, Sub Groups

    Human Readable Beta Release

    (0.6.0 incl. 0.5.0 changes)

    January 2021

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    Align full PBCL & COVID content

    February 2021

    Requestors, Clinical Alpha Reviewers, Sub Groups

    Human Readable Beta Release (0.7.0)

    March 2021

    PINUG, Requestors, Clinical Alpha Reviewers, Sub Groups, PSGB

    SNOMED CT PaLM release

    (0.4, revised 0.5, 0.6 & 0.7.0)

    April 2021

     

    Product Roadmap prioritised additions

    2021/22

    Requestors, Clinical Alpha Reviewers, Sub Groups

    By Chris Hood 1 year ago

    Read this article