Terminology & Classifications News

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  • 2022-23 Approved Auditor Code of Conduct and A Guide to Clinical Coding Audit Best Practice Documents - Now Available

    Published: April 2022

    Dear Colleague

    The Clinical Coding Audit section on the Publication and Resources page has now been updated to include the 2022-23 Approved Auditor Code of Conduct and A Guide to Clinical Coding Audit Best Practice documents. These documents have been updated to reflect new working practices such as remote working / clinical coding audits.

    New documents for this year are a Glossary of Clinical Coding Audit Types and Auditor Competency Framework in different formats.

    As we continue to redevelop the CCAP Assessment Day and Clinical Coding Audit Workshop based on feedback from the Clinical Coding Auditor Sub-Groups and the wider coding service, an updated version of the CCAP Handbook will not be available until January 2023 ready for 2023-24.

    Kind regards

    Terminology and Classifications Delivery Service

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    By Katy Park 5 months ago

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  • Query Resolution Database update

    Published: April 2022

    Dear colleague,

    The resolution UID 14173 EMR hot snare cauterisation excision of polyp of ascending colon has been removed and replaced with UID 15040 to clarify the intention of PGCS10 Coding endoscopic procedures.

    Kind regards

    Terminology & Classifications Delivery Service

    By Katy Park 5 months ago

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  • Planned Outage: Friday 22nd April at 8pm for 2 hours

    Published: April 2022

    Dear colleague,

    On Friday 22nd April 2022 at 8:00pm, Kahootz are performing an essential update to their service and it will be temporarily unavailable. We expect the update to take approximately 2 hours to complete, but we'll do everything to minimise the downtime.

    Kahootz are doing this work to improve the service and increase capacity. 

    Apologies for any inconvenience this may cause.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 5 months ago

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  • SNOMED CT Code Usage Data

    Published: April 2022

    Dear colleague,

    NHS Digital has now published the SNOMED CT code usage data for 2019-20 and 2020-21. It can be found at SNOMED Code Usage in Primary Care - NHS Digital.

    This published data was aggregated from more than one original mandatory data return provided by individual system suppliers under the GP IT Futures programme, as detailed here: Primary Care Clinical Terminology Usage Report - GP IT Futures Capabilities & Standards

    • Each annual report lists all SNOMED CT codes from within the SNOMED International core or the UK's Extensions PROVIDED at least one new EPR entry had been made using the code
      • SNOMED codes for medications used (dm+d codes) are however mostly absent, because the original data extracts from contributing supplier systems do not include the prescribing record
      • SNOMED codes received as part of data flows from laboratories sending results are included
    • All counts are rounded to the nearest 10 (i.e., an original aggregate value within the range 95-104 is published as 100), except the very small non-zero counts of 1,2,3 or 4 that are instead rendered as an asterisk
      • SNOMED codes that achieved zero usage during the reporting period are not listed at all, even if they were part of the prevailing release of the UK Edition of SNOMED during the reporting period.
    • The published counts are NOT pre-standardised to a constant population. Such standardisation across annual reports would be possible by reference to the co-published metadata report, which states the number of patient records from which the counts were likely to have been aggregated (see Primary Care Clinical Terminology Usage Report - GP IT Futures Capabilities & Standards for more information on what that metadata patient count is actually reporting)
    • Two additional columns report whether or not each listed code was "active" within the UK Edition of SNOMED CT on the first and last days of the reporting period

    The metadata file lists the significant caveats, primarily that these are of course counts only of how often clinicians choose to record something. There is therefore only a very weak and unstable correlation between how often codes for clinical phenomena are recorded and the true incidence or prevalence in the real world of those same underlying clinical phenomenon. Some clinical phenomena never get coded and others only some of the time. Some conditions may be recorded more than once for the same patient during the same reporting period. The data also displays clear evidence of miscoding (wrong code selected) and undercoding (code selected is true but underspecified).

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 5 months ago

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  • ICD-10, OPCS-4 and COVID-19 National Clinical Coding Standards and Coding Clinic Update

    Published: April 2022

    Dear colleague,

    ICD-10 and OPCS-4 National Clinical Coding Standards 2022

    • The ICD-10 and OPCS-4 National Clinical Coding Standards reference books 2022 are available for download from the Resource Library and the Classifications Browser
    • The NCCS links within the Classifications Browser have been updated to link to the 2022 Standards
    • The reference books for import into the eVersion are available for download from TRUD

    ICD-10 and OPCS-4 COVID-19 National Clinical Coding Standards

    The ICD-10 and OPCS-4 COVID-19 National Clinical Coding Standards are now available within the ICD-10 and OPCS-4 Reference Books and have been removed from the COVID-19 National Clinical Coding Standards and Guidance page on Delen.

    Coding Clinic

    The final Coding Clinic April 2022 [V10.0] contains only the Deleted Guidance and the Consolidated Guidance Sections. The Consolidated Guidance Sections indicate where the content that was previously held within the Coding Clinic can be found from 1 April 2022. Coding Clinic April 2022 [V10.0] and all previous Coding Clinics have been archived and are available for download for historical data analysis in the resource library.

    Kind regards,

    Terminology & Classifications Delivery Service

    By Andrew Brooke 5 months ago

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  • New Query Resolution Form for use from 01 April 2022

    Published: April 2022

    Dear colleague,

    A new Query Resolution Form has been uploaded to the Clinical Coding Query Mechanism for use from 01 April 2022.

    You can access the form here.

    Kind regards

    Terminology & Classifications Delivery Service

    By Katy Park 5 months ago

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