Terminology & Classifications News

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  • SNOMED CT and Clinical Coding

    Published: December 2017

    A presentation delivered by members of the Terminology and Classifications Delivery Service is now available in the Resource Library. The presentation gives an overview of how SNOMED CT and the classifications can work together to fulfil different purposes.

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    By Katy Park 4 years ago

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  • Query Resolution Database update

    Published: December 2017

    The resolution to UID 3964 has been removed and replaced with UID 4460.

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    By Mandy Hudson 4 years ago

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  • Apprenticeship Standard for Clinical Coder - Consultation Open

    Published: December 2017

    The Clinical Coding Trailblazer group is pleased to announce that it has opened a consultation on a draft Apprenticeship Standard for Clinical Coder.

    The consultation opened today and will close at noon on Friday 19 January 2018. You can take part here.

    Your feedback will be reviewed following the closing date and the Trailblazer group will consider where amendments should be made to the draft Standard. The Standard will then be submitted to the Institute for Apprenticeships to seek approval prior to drafting the apprenticeship end point assessment plan.

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    By Katy Park 4 years ago

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  • Terminology and Classifications Delivery Service Newsletter: December 2017

     

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    Terminology and Classifications Delivery Service Newsletter

     

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    Welcome to our December Newsletter. In this issue, we feature:

     

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    Coding of Sepsis: Consultation Results and last chance to comment on the Proposed Update to DChS.I.1 Sepsis

    The results of the Coding of Sepsis Consultation (July to September 2017) are now available in the Consultation area on Delen. The document summarises the issues identified in the consultation and contains our responses as well as the actions we have taken. We would like to thank everyone who responded to this consultation and contributed their feedback.

    We have drafted a proposed update to DChS.I.1: Sepsis, septic shock, severe sepsis and neutropenic sepsis using the feedback received from the Coding of Sepsis Consultation. The Proposed Update is available for review and comment in the Consultation area on Delen. Thank you to everyone who has responded to date but if you have not yet done so, there is still time. Please provide us with your feedback, including any comments by tomorrow [Friday 8 December].

    We have also published a knowledge sharing article provided by Southend University Hospital NHS Foundation Trust (SUHNFT) which illustrates the importance and benefits of engaging with clinical teams when coding sepsis. It describes the processes that SUHNFT have put in place locally to ensure sepsis is recorded and coded correctly. The document ‘Coding of Sepsis at SUHNFT’ can be found in the Resource Library on Delen and is an excellent example of the type of material that will be included in our new Delen Community Library (see below).

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    SNOMED CT confirmed as UK's core national information standard for pathology and laboratory medicine

    The National Information Board (NIB) in 'Personalised Health and Care 2020: A Framework for Action' recommended SNOMED CT as the single terminology for the direct management of care of an individual, across all care settings in England. The Digital Delivery Board, chaired by NHS England, subsequently confirmed that SNOMED CT will be the core national terminology for pathology for all clinical information flows.

    This decision does not prevent any current LOINC users in NHS laboratories from continuing to use LOINC in their systems, although work to develop LOINC as a potential national information standard has ceased.  However, those laboratories will, in future, need to ensure that when communications with other laboratories, GP practices or NHS organisations are required, they include the appropriate SNOMED CT encoding as per the approved Information Standards Notice.  

    NHS Digital will undertake development work in consultation with stakeholders to identify and develop content that is missing in SNOMED CT, which will offer significant benefits in terms of interoperability and analytics. NHS Digital, with support from SNOMED International and member countries, aims to provide the new content during 2018-19.

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    SNOMED International to support the Olympic Healthcare Interoperability Initiative at Tokyo 2020

    The aim of this initiative is to advance the seamless exchange and use of health information, using established international standards, to support an integrated medical services infrastructure at each Olympic Games site. The OHI network connects pre-Games, person-specific healthcare information with information generated at Games time by Olympic and Host City service providers. The OHI proposes to work with the Olympics’ medical services team in delivering a fully interoperable infrastructure that would make it possible for athletes’ records to be accessible on site based on recognised international standards.

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    SNOMED CT Expo – update from Bratislava

    Members of our terminology team participated in the 2017 SNOMED CT Expo, held in Bratislava. A link to all presentations from the Expo can be found here.

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    World Health Organization Family of International Classifications Annual Meeting: update from Mexico City

    As part of our commitment to the World Health Organization Family of International Classifications (WHO-FIC), we are obliged to participate in committee and reference group work items which support the overall WHO-FIC Strategic Workplan.

    The Terminology and Classifications Delivery Service and the Office of National Statistics provide staff to serve as voting members of the various committees and reference groups of WHO-FIC. These committees and reference groups recently met for the WHO-FIC Annual Network Meeting in Mexico City (16 -21 October 2017). Lynn Bracewell (Head of Terminology and Classifications Delivery) and Hazel Brear (Principal Classifications Specialist) attended and participated in 19 face-to-face sessions. The poster booklet from the meeting can be downloaded from the WHO site via this link (note this is an 11Mb zip file).

    High level priority items which were discussed, debated and progressed during the meeting centred around the continuing development of ICD-11. During the meeting, the World Health Organization (WHO) confirmed that:

    • A final version of ICD-11 will be published in 2018 for testing and implementation according to countries' specific timelines and requirements
    • The final publication of ICD-10 will be in 2019.

    NHS Digital Plans:

    We are developing our five-year strategic roadmap, the first iteration of which will published in the new year, but our current thinking includes the following provisional milestones*:

    • [01-Apr-2018]*

    Decision on whether UK will implement ICD-10 6th Edition or move to ICD-11 from ICD-10 5th Edition

    • [01-Jun-2018 - 31-Mar-2019]*

    ICD-11 Field Testing

    Following field testing, we will consider the readiness of the health and care system for an ICD-11 migration and consider potential dates for this migration.

    *Please note that these dates are indicative of current thinking only and will change as our roadmap develops.

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    Launch of Clinical Coding Specialty Workshop: Obstetrics & Perinatal

    You may remember an announcement made over the summer for a new pilot project to trial an alternative approach to the development of Clinical Coding Specialty Workshops. We are pleased to announce that the Specialty Workshop Collaborative Development Pilot launched in July 2017 and will run until March 2018. It focusses on a single specialty: Obstetrics and Perinatal and the development is being led by MIAA Clinical Coding Academy (CCA) with support from West Midlands CCA.

    The purpose of the pilot is to trial a collaborative approach to the development of the clinical coding specialty workshops. By drawing on the expertise of people involved in the day-to-day coding and training delivery, the materials will better reflect the nature and demands of real life clinical coding. Additionally, by sharing the development work across a greater number of people, it should be possible to redevelop the workshops more quickly and more substantially.

    The workshops will be modular in nature and will cover different levels of coding, so that coders and coding managers have access to more flexible and more relevant training. Contributions are invited from across the clinical coding community (trainers, coding managers, coders) to take part in the pilot. All contributions are welcome no matter how big or small. This could be take the form of ongoing QA support, knowledge-sharing, submission of case studies, etc.

    If you would like to get involved or find more information about how you can be a part of this collaboration, please visit the Delen page for the CCA Specialty Workshop Pilot here.

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    Request Submission Portal: Closed for CTV3 Requests

    In anticipation of the last release of CTV3, and in preparation for the full implementation of SNOMED CT in general practice, the Read Codes Submission Portal will close to new requests on 15 December 2017.  After that date, all terminology requests should be submitted via the SNOMED CT Submission Portal. The Read Portal will remain available until completion of the April 2018 release, when it will be archived and accessible via a link on the SNOMED CT Submission Portal.

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    Suppliers invited to assess ICD web services

    To support the development of ICD-11, the World Health Organization wishes to engage with a wide variety of implementers to gather feedback on the ICD-API Services.

    During early 2018, there will be an opportunity for suppliers to become involved in early testing. If you would like to take part, or would like further information, please make contact via ICD-11@nhs.net providing your name, contact details and organisation.

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    e-Learning: New Classification Modules

    A new interactive presentation, “Coding for non-coders”, is available in the Education and Training Resource Library. The presentation may be shared with clinicians and other health care professionals to give an overview of coding and the classifications.

    We are also excited to be working on the launch of an e-Learning platform – more news coming soon.

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    New Delen Community Library

    We are building a new resource, called the “Delen Community Library”, which will allow you as members of the Delen user community to share material you think will be of interest to the rest of the community. You will be able to upload your own ideas, examples of good practice, case studies, solutions you have developed locally and other items of relevance to users of terminology and classifications products and services.

    We hope that this will grow into a rich, user led resource, so if you have something you would like to be added to the library, simply upload it here and provide us with brief details. Once it has been submitted, we will contact you to get it ready for publication.

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    Clinical Contacts: get in touch

    Do you have clinical contacts, or are you a clinician who would be happy to provide advice to help us develop the Classifications coding standards and guidance?

    When developing national clinical coding standards and guidance and the ICD-10 and OPCS-4 Classifications, we draw on a wide range of knowledge, expertise and information sources, in addition to the classifications knowledge we have within the team. It is important that developments are based on sound and up-to-date clinical input, so if you are a clinician with an interest in the classifications or are a coding professional who has contact with clinicians who would be willing to help us, please get in touch using this form which can also be accessed via the contact us page on Delen.

    Contact details will not be shared outside of our team without prior consent.

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    Key Messages

    We have recently added a number of new key messages on Delen. Please use this page to find answers to the most frequently asked questions relating to our products and services. If you have a question you would like us to answer, please send it through using the contact us link on Delen.

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    Our Five-Year Roadmap

    We are currently developing our five-year roadmap for terminology and classifications products. An initial draft of the roadmap will be published in the New Year and will describe - at a high level - our planned activities and milestones for SNOMED CT, dm+d, ICD-10, ICD-11, OPCS-4 and NICIP. We are very much looking forward to sharing the roadmap with you, listening to your feedback and working collaboratively with you and our partner organisations.

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    Our Service Improvement Plan

    As you will be aware, following the annual survey which we ran earlier this year, we published a Service Improvement Plan which set out a number of commitments relating to four areas of our business. We are making good progress in all of the areas and will publish a progress report on Delen, early in January, so look out for this.

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    NHS Digital at EHI Live 2017

    NHS Digital representatives attended EHI Live 2017 in Birmingham on 31 October and 1 November.

    The event described itself as the UK’s number one show for those involved in digital health, hospital information and healthcare innovation. More than 4,000 professionals dedicated to IT healthcare came together to discuss frontline use of healthcare technology and what products would shape the future of the healthcare industry. This year was the 10th anniversary of EHI Live.

    The event provided us with a platform to engage with and build new contacts with several target audiences simultaneously, including CIOs, CCIOs, IT professionals, healthcare leaders, managers, and clinicians involved in the procurement, management and frontline use of information systems.

    Over the two days, we hosted our own NHS Digital stand, had speakers giving talks on the main stage, and ran multiple sessions in our own theatre – involving over 25 speakers and panel sessions.

    Our contributions included:

    • The keynote speech from our Deputy Chief Executive, Rob Shaw
    • Our Chairman, Noel Gordon, opening the conference and chairing the NHS Leadership Forum
    • Chief Nurse, Anne Cooper, speaking about the importance of giving nurses better quality clinical information
    • Head of Cyber Security, Dan Taylor, moderating a panel discussion on future NHS cyber security threats
    • Health and Social Care Network Programme Director, Dermot Ryan, talking about how better connectivity is transforming health and care services; and
    • Professor Daniel Ray discussing the development of data analytics

    In our own theatre sessions, we spoke about “Health as an Open Platform” and building a digital NHS involving the NHS Apps Library, digital medicines, and the new personal health records.

    We streamed all of our theatre sessions to a YouTube link, so you can watch the action as it unfolded.

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    Digital Ready Workforce Consultation

    We want you to have your say in the “Building a Digital Ready Workforce” online consultation, which is open to people working across the health and care workforce until 13 December 2017. We’re working with Health Education England to find out what can be done to improve the digital skills and knowledge of people working in health and care by asking them directly.

    After the consultation closes, we aim to turn your input into the practical solutions to support the whole health and care workforce.

    Join and share the online conversation on LinkedIn, and Twitter #DigitalReady.

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    By Katy Park 4 years ago

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