Terminology & Classifications News

Terminology and Classifications Delivery Service external newsletter: March 2021

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Terminology and Classifications Delivery Service Newsletter

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Welcome to the March 2021 Newsletter. In this issue, we feature:

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The NHS Digital Terminology Server

The NHS Digital Terminology Server is a FHIR®-compliant solution that holds and disseminates assured international terminologies and classifications (such as SNOMED-CT and ICD-10) and national terminologies (such as NHS Data Model and Dictionary codes).

We have developed the NHS Digital Terminology Server to deliver assured content in FHIR®-compliant, machine-readable formats, regardless of which terminology is being accessed. The accuracy of the content is maintained through tightly managed editorial controls. This will remove the need to manually update systems with downloaded content from TRUD and other terminology sites.

The server also incorporates a syndication feed (API) which enables content to be syndicated across a group of terminology servers, allowing users to share their terminologies with others.

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2021-22 SNOMED CT UK Edition Release Schedule

Details of the 2021-22 release can be found here.

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 OPCS-4.9 Development

The process to update OPCS-4.9 has begun and we anticipate that, subject to approval by the Data Alliance Partnership Board) OPCS-4.10 will be scheduled for release to systems suppliers in November 2022, for NHS implementation on 1 April 2023. If you would like to submit a change to be considered for inclusion in the OPCS-4.10 release, please do this via the Request Submission Portal by 1 October 2021. We intend to process requests as they are received and would appreciate early submissions, so that we can carry out the necessary research and engagement as soon as possible, rather than wait until after the submission deadline.

When you visit the Request Submission Portal, please take a moment to review the OPCS-4 requests that have already been submitted before submitting your own, in case your request is covered by an existing one.

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COVID-19 Codes and Clinical Coding Standards

The diagram below shows the emergency use ICD-10 codes designated for coding of COVID-19 conditions for use in the UK:

ICD-10 COVID-19 graphic UK NHS Digital

In February 2021, we published two new emergency use ICD-10 codes for morbidity coding under the direction of the World Health Organization, to classify:

U07.6 Need for immunization against COVID-19

and

U07.7 COVID-19 vaccines causing adverse effects in therapeutic use

The COVID-19 National Clinical Coding Standards section ‘Post COVID-19 condition (U07.4)’ was also updated to ensure that - in a long episode of care where acute COVID-19 and a subsequent post COVID-19 condition are both recorded - these can be coded.

In response to feedback from the coding service, the following changes were made to the COVID-19 National Clinical Coding Standards for implementation from 1 April 2021:

  • minor textual changes to provide clarity on instructions within the standards
  • deletion of standards associated with routine testing as this has now become standard practice on hospital admissions
  • additional examples to illustrate the use of the COVID-19 emergency use codes
  • publication of the COVID-19 standards in a downloadable format
  • inclusion of an implementation timeline for the COVID-19 codes and a Summary of Changes for the coding standards and guidance

As more information emerges about COVID-19 and where changes to the COVID-19 standards or guidance are necessary, Delen and the COVID-19 National Clinical Coding Standards will be updated.

We would like to thank those of you who have sent in information and queries about the coding of COVID-19 and the standards; these have allowed us to understand new and arising COVID-19 situations that need to be reflected in the clinical coding standards and guidance.

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Coding Clinic release

Following collaboration with clinical representatives of the NHS England Mesh Registry sub-group, we have developed a guidance table for inclusion in the April 2021 Coding Clinic to assist coders in the coding of procedures performed for female Stress Urinary Incontinence (SUI) and Pelvic Organ Prolapse (POP) that are not easily reached using the OPCS-4 Alphabetical Index. For more information, please refer to Ref 121: Procedures performed for female pelvic organ prolapse and stress urinary incontinence in the Coding Clinic, which you can read here.

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Terminology and Classifications Delivery Service Annual Customer Survey – final call for responses

We would like to thank everyone who has already responded to the survey and to remind anyone who hasn’t yet done so that the survey closes on 31 March. Your feedback helps us understand how useful our products and services are, as well as where we should aim to make improvements. Please try to find time to respond to our annual customer survey.

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Have your say

If you would like more information about any aspect of our products and services, please let us know. Just write to us at information.standards@nhs.net, quoting “T+CD Newsletter” in the “Subject” field and providing details of what you would like us to cover.

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Created by Claire Fennell 8 months ago
Last modified by Claire Fennell 5 months ago

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