Terminology & Classifications News

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  • Notice of exceptional changes to 2019 release schedule for the UK Edition of SNOMED CT

    Published: December 2018

    NHS Digital would like to inform the licensed users of the UK SNOMED CT product of some important changes to the SNOMED CT release schedule for 2019.

    The schedule for the following SNOMED CT products will change from the normal schedule for 2019 only:

    UK SNOMED CT Clinical Edition

    SNOMED CT UK Data Migration Workbench

    SNOMED CT UK Query Table and History Substitution Table

    NHS Data Migration

    The schedule for the National Interim Clinical Imaging Procedures (NICIP) code set release will also be affected in the same way.

    Clinical Imaging Procedures

    The NHS Digital Terminology and Classifications Service, in anticipation of the significant emphasis on Information Standards support for the Secretary of State's vision and to better be able to support the roadmap for clinical information standards (currently under consultation here), is carrying out an upgrade of its SNOMED CT and dm+d content management platform. This is a significant upgrade that will require extensive testing to ensure releases made through the new platform maintain the level of quality and accuracy that NHS Digital is proud to have demonstrated so far.  After migration, the new platform will enable faster additions and changes of requested content to the releases, shorter release assurance cycles, native RF2 processing, longer submission windows for content requests, and the automation or complete removal of many currently manual processes.  The end result will be a much more responsive service, able to handle the increased numbers of requests as the NHS scales up to full SNOMED CT take-up.

    At the same time, the International Edition release for SNOMED CT in 31st January 2019 will contain a significantly higher (excess of 10,000) number of concept changes, which will also require intensive integration and regression testing with the UK SNOMED CT releases.

    As Quality is paramount for NHS Digital, to mitigate the risk of delays or adverse quality changes, NHS Digital will pursue a modified release schedule for 2019 which aims to:

    1. Successfully migrate from the existing legacy platform to the new platform
    2. Mitigate the risks to quality and release readiness during 2019
    3. Provide advance notice on the changes to the release schedule to all our licensed users and work with them as far in advance of the releases as possible to address any queries or concerns.

    The first major change for 2019 concerns the next release of all products listed above, which will now occur on 1st June 2019 instead of 1st April 2019.  This change is to ensure that the platform migration was successful, including adequate time for additional testing prior to a first release using the new platform.  The following release will be as scheduled on 1st October 2019.

    To the same end, the closing date for submission of content change requests during this cycle is moved from 30th December 2018 to 21st December 2018.

    In addition to these changes to submission request and next release timings, and to further reduce the complexity and risk of the migration between content management platforms, the semantic content of the 1st June 2019 release will also differ in two significant ways:

    • Exceptionally, the 1st June 2019 release will not include any content changes published in the 31st January 2019 International Edition. Re-aligning the UK Edition with both the 31st January 2019 and 31st July 2019 International Edition changes will be deferred until the 1st October 2019 UK Edition release, when the changes will be simultaneously incorporated into both UK Clinical and UK Drug Extensions.
    • Cut-off dates for authoring are absolute: content change requests for the 1st June 2019  release will be excluded from that release if submitted after 21st December 2019.  Additionally, should any issues arise during new platform testing that can not be resolved by the 1st June 2019 release due to complexity, or other technical reasons, some content submitted even before 21st December 2018 may still not make the 1st June 2019 release. We will contact affected requestors as soon as this appears likely to occur, but would expect to achieve full ‘catch up’ of any residual content requests by the 1st October 2019 release.

    We aim to maintain the regular 4-weekly release of the UK SNOMED CT Drug Extension throughout 2019. However, the 1st June 2019 release of the UK SNOMED CT Clinical Extension will not be accompanied by the normal additional co-release of a Drug Extension release fully re-aligned with both the 31st January 2019 International Edition and the 1st June 2019 UK Clinical Extension; all 4-weekly releases of the Drug Extension through 2019 will instead remain based on the 31st July 2018 International Edition and 30th October 2018 UK Clinical Extension, until the next ‘integrated’ release of the UK Edition scheduled for 1st October 2019.

    Further updates will be published throughout spring 2019 as the migration to new tooling is undertaken, both by the same channels as this notice and via DELEN, our collaboration and information sharing platform.

    We apologise for this alteration to our normal service, and would be happy to discuss what we might practically do to help reduce its more adverse knock-on effects.

    For further information or queries, please contact information.standards@nhs.net

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    By Gavin McIntosh 3 years ago

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  • Improvement to Query Resolution Database

    Published: November 2018

    In our Service Improvement Plan, we committed to improving the Query Resolution Database by identifying changes and deletions in the database.

    You will now see an additional column entitled 'status'. This column will only be populated when a resolution has been removed from the database or replaced with a new UID.

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    By Katy Park 3 years ago

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  • ICD-11 Field Trials Update

    Published: November 2018

    Rounds 1 and 2

    The first round was conducted between 4 April 2017 and 30 June 2017, the second round was conducted between 27 February 2018 and 13 April 2018. We have produced a report on the findings from the first two rounds which details:

    • The methodology used for the field trials
    • The components of the field trials
    • Information on participation
    • The high level issues identified during the first round of the trials
    • Details of how these issues have been rectified or improved in the second round and whether they are still present

    You can access the report here - ICD-11 Field Trial Findings Rounds 1 and 2

    Round 3

    The third round is currently underway and closes on Friday 30 November 2018.

    You can see progress updates on the third round on the ICD-11 Product page on Delen.

    There is still time to participate in the third round, if you have not registered and would like to take part please submit your details here and we will send you an invitation to join the ICD-11 Field Trials Third Round Area on Delen. 

    If you have already registered and have not received an invitation, please contact us at ICD-11@nhs.net and we will send you another invitation.

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    By Andrew Brooke 3 years ago

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  • Please take part in the public consultation on the NHS Digital, Data and Technology Standards Framework

    Published: November 2018

    On October 17th, Secretary of State Matt Hancock published his vision for The Future of Healthcare. The vision emphasises the importance of technology and in particular the importance of technical standards that will help the NHS and social care to benefit from the potential of modern technology. The vision is out for consultation and people can provide feedback on it via this questionnaire.

    Alongside the vision, we have also published two important documents, which we are keen to get your feedback on. These documents are:

    1. The NHS Digital, Data and Technology Standards Framework

    and

    1. The Clinical Information Standards Specification 

    You can read and comment upon both documents on our dedicated consultation platform. The documents are in a format which allows you to comment publicly, but anonymously, so that everyone can see what each other is saying. Our hope is that this will help to avoid duplication, while also prompting thoughts and helping themes to emerge. There is also a short questionnaire on the site which allows you to provide feedback privately. The documents cover standards that are very important to the Delen community, including SNOMED CT, dm+d, ICD and OPCS-4 so it is essential that we get as much feedback as possible.

    We very much look forward to reading your responses, which will be used to update the documents and inform our plans.

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    By Gavin McIntosh 3 years ago

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  • Terminology and Classifications Delivery Service – Service Improvement Plan for 2018-19

    Published: October 2018

    Following the publication of our annual survey report in August, we have continued to analyse the many detailed and constructive comments provided by survey respondents. Based on this analysis, we have identified a range of priority areas where we are committed to making improvements during 2018-19. Details are contained within the Service Improvement Plan, which we will update throughout the 2018-19 year, with news of progress against each commitment.

    Thank you once again to everyone who responded to the survey.

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    By John Ramsden 3 years ago

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  • Clinical Coding Trainer Programme (CCTP) Assessment Day - 6th September 2018

    Published: October 2018

    The Terminology and Classifications Delivery Service are pleased to confirm that 15 candidates were successful in passing both the Practical and Theory papers and as a result will be invited to attend a Clinical Coding Trainer Programme Train the Trainer course which will be held in both London and Leeds in early 2019.

    There were a total of 24 candidates on the Assessment Day, with 15 candidates passing the Practical paper and 22 passing the Theory paper. The Terminology and Classifications Delivery Service is pleased to confirm that all the candidates passed the Presentation and Pre-prepared Flip Chart Activity part of the day.

    We can confirm that a Summary of Common Errors document relating to the Clinical Coding Trainer Programme Assessment Day held on 6th September 2018 is now available to view on our Delen website.

    An overview of the common errors made in both the Practical and Theory papers are provided along with explanations/rationales as appropriate. Generic feedback is also given on the Presentation and Pre-Prepared Flip Chart Activity elements of the assessment day.

    It can be accessed within the Clinical Coding Trainer Programme section on Delen.

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    By Heather Douglas 3 years ago

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  • Proposal for OPCS-4.9 codes for medical termination of pregnancy documented as a delivery procedure

    Published: October 2018

    We have published a proposal for authoring new OPCS-4 codes for medical termination of pregnancy documented as a delivery procedure, for possible inclusion in the OPCS-4.9 Classification, for the following scenarios:

    • Patient received abortifacient/feticide discharged home. Patient later re-admitted to deliver a fetus (irrespective of gestational age or outcome of termination i.e. liveborn/stillborn). Documented as a delivery procedure.
    • Patient received abortifacient/feticide and delivered a fetus in the same episode of care (irrespective of gestational age or outcome of termination i.e. liveborn/stillborn). Documented as a delivery procedure.

    You can access and comment on the proposal here. The consultation is open until Friday 19 October.

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    By Mandy Hudson 3 years ago

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  • ICD-11 Field Trials Third Round

    Published: October 2018

    The Third Round of the ICD-11 Field Trials started at the beginning of September and will close on Friday 30 November. If you have not registered and would like to take part please submit your details here and we will send you an invite to join the ICD-11 Field Trials Third Round Area on Delen. 

     If you have already registered and have not received an invite, please contact us at ICD-11@nhs.net and we will send you another invitation. 

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    By Mandy Hudson 3 years ago

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  • Query Resolution Database Update

    Published: September 2018

    The resolution UID 5254 has been removed and replaced with UID 5551.

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    By Heather Douglas 3 years ago

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  • Query Resolution Database Update

    Published: September 2018

    The resolution UID 3123 has been removed and replaced with UID 5547 

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    By Heather Douglas 3 years ago

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