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  • Update the Query Resolution Database – COVID-19

    Published: April 2020

    Dear colleague,

    The Query Resolution Database has been updated to include all COVID-19 queries we have resolved to date. As we resolve more queries we will continue to publish guidance onto COVID-19 National Clinical Coding Standards and Guidance that we consider would be useful to the wider coding service. Further resolutions will be added to the Database in due course.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • April 2020 SNOMED CT Biannual Release (includes COVID-19 content)

    Published: April 2020

    Dear colleague,

    The SNOMED CT UK Clinical Edition, RF2 for April 2020 is now available for download from the following links:

    The SNOMED CT UK Drug extension is not released as part of the SNOMED CT biannual release. SNOMED CT UK Drug Extension data is published on a four-weekly cycle within the "UK Drug Extension, RF2" sub pack on TRUD. Please review the associated documentation for more details.

    Release documentation is now only accessible on Delen.

    Important changes and information regarding this release

    Although a release was always scheduled for April 2020, its content changes have been radically descoped and are now restricted to coding expressivity improvements urgently needed to manage the current pandemic. This very narrowed scope should reduce the “content update penalty” on product consumers, and so reduce barriers to the urgent deployment of the new content to the clinical frontline:

    Whereas this release had been planned to be based on the July 2019 International Edition, it remains instead based on the July 2018 International Edition.

    A new tranche of 30 COVID-19 codes are added relating to the current pandemic, in addition to those already released for that same purpose in the 28.1.1 Emergency Release of February 2020. The 30 new codes are:

    1300671000000104

    COVID-19 severity scale

    (assessment scale)

    1321071000000107

    Has NHS digital isolation note

    (finding)

    1321081000000109

    Self-isolation note issued to patient

    (finding)

    1321091000000106

    Household isolation note issued to patient

    (finding)

    1300591000000101

    Low risk category for developing complication from COVID-19 infection

    (finding)

    1300571000000100

    Moderate risk category for developing complication from COVID-19 infection

    (finding)

    1300561000000107

    High risk category for developing complication from COVID-19 infection

    (finding)

    1300631000000101

    COVID-19 severity score

    (observable entity)

    1300681000000102

    Assessment using COVID-19 severity scale

    (procedure)

    1321161000000104

    Household isolation to prevent exposure of community to contagion

    (procedure)

    1321131000000109

    Self-isolation to prevent exposure of community to contagion

    (procedure)

    1321141000000100

    Shielding of household to prevent exposure of uninfected subject to contagion

    (procedure)

    1321151000000102

    Shielding of uninfected subject to prevent exposure to contagion

    (procedure)

    1321231000000101

    Signposting to CHMS (COVID-19 Home Management Service)

    (procedure)

    1321061000000100

    Signposting to NHS online isolation note service

    (procedure)

    1320971000000102

    Taking of swab for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)

    (procedure)

    1300721000000109

    COVID-19 confirmed by laboratory test

    (situation)

    1300731000000106

    COVID-19 confirmed using clinical diagnostic criteria

    (situation)

    1321101000000103

    COVID-19 excluded

    (situation)

    1321111000000101

    COVID-19 excluded by laboratory test

    (situation)

    1321121000000107

    COVID-19 excluded using clinical diagnostic criteria

    (situation)

    1321221000000103

    Consultation via video conference not available

    (situation)

    1321171000000106

    Provision of advice, assessment or treatment limited due to COVID-19 pandemic

    (situation)

    1321031000000105

    Self-taken swab for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) completed

    (situation)

    1321041000000101

    Self-taken swab for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) offered

    (situation)

    1321051000000103

    Swab for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) taken by healthcare professional

    (situation)

    1321201000000107

    COVID-19 health issues simple reference set

    (foundation metadata concept)

    1321211000000109

    COVID-19 presenting complaints simple reference set

    (foundation metadata concept)

    1321191000000105

    COVID-19 procedures simple reference set

    (foundation metadata concept)

    1321181000000108

    COVID-19 record extraction simple reference set

    (foundation metadata concept)


    N.B. The final four items in this list are four new refsets holding elements of both this new content and of the COVID-19 content added back in February in the 28.1.1 release.

    Only nine new non-COVID-19 items were added, largely for technical reasons (they have already been pre-released):

    1126441000000105

    Office of Population Censuses and Surveys Classification of Interventions and Procedures Version 4.9 complex map reference set

    (foundation metadata concept)

    1149501000000101

    List of consultations

    (record artifact)

    1218611000000102

    Urgent supply of prescription items by community pharmacy

    (record artifact)

    1239801000000104

    Survivor of conflagration in residential building or apartment

    (finding)

    1239831000000105

    Bereavement due to conflagration in residential building or apartment

    (finding)

    1239791000000103

    Major incident bereavement support management

    (procedure)

    1239781000000100

    Major incident survivor annual review

    (regime/therapy)

    1239771000000102

    Major incident survivor monitoring

    (regime/therapy)

    1239861000000100

    Seasonal influenza vaccination given in school

    (situation)


    Further incremental “microreleases” of the UK SNOMED CT Clinical Extension will occur with new COVID-19 related content for the NHS. These will coincide with at least the next three scheduled releases of the UK SNOMED CT Drug Extension (22 April, 20 May and 17 June). A full release comprised of substantially all new content deferred from this current scheduled 1 April release is planned for October 2020. However, the ongoing effects and requirements of the pandemic may require this plan to change; the final contents of the October 2020 release will be informed by a consultation that NHS Digital will carry out in July to assess readiness of the NHS and its IT suppliers.

    Subscribers were previously advised that, from April 2020 all future PRODUCTION releases of the Drug and Clinical extension content would transition to the BETA release bundling previously provided as technology previews here. This transition is also now deferred: the PRODUCTIION release will remain as before; BETA format releases will continue to be published alongside.

    For a more detailed explanation of the issues behind the BETA bundling, watch our webinar recording.

    Reference sets (Refsets)

    There are 4 new UK refsets for the April 2020 release, as detailed above. All are relevant to COVID-19.

    Cross Mapping

    The SNOMED CT to OPCS-4.8, OPCS-4.9 and ICD-10 5th Edition five character maps are included in this April 2020 bi-annual release. The ICD-10 four character only maps reference set (999002261000000108) has been removed completely from the release from June 2019 onwards.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • COVID-19 and ICD-10 Classification

    Published: March 2020

    Dear Colleague,

    A dedicated COVID-19 area has been launched on Delen to provide: COVID-19 information from the World Health Organisation; information on the classification of COVID-19 in ICD-10; and a single authoritative location for COVID-19 national clinical coding standards for Admitted Patient Care in England. This area will be updated as more information becomes available so please check back regularly for updates.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • UK SNOMED CT Clinical Edition – April 2020 release – COVID-19 content

    Published: March 2020

    Dear colleague,

    The planned biannual release of the UK SNOMED CT Clinical Edition on the 1st April will be replaced with a significantly smaller version in order to add COVID-19 content and a small amount of high priority concepts.

    The content originally planned to be released on the 1 April 2020 was expected to include additions to the following domains digital child health, new-born blood spot screening, IAPT and mental health as well as new international content.   However, in light of the current pandemic, we recognise that such large-scale changes to the coding framework could impose a significant assurance and change management burden on system suppliers, which may delay the deployment of any care-critical COVID-19 elements. Because of this the full release with these additions has been cancelled. 

    Further similarly small COVID-19 releases may follow in the weeks ahead as new coding requirements emerge.  Any other interim requirements will be considered in consultation with the wider NHS and relevant stakeholders.

    The next full release will follow our schedule for October 2020.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Coding of COVID-19

    Published: March 2020

    Dear Colleague,

    We have received a number of queries seeking confirmation of ICD-10 coding of suspected cases of COVID-19 and the application of the national clinical coding standard DCS.XXII.5: COVID-19 (U07.1). We are currently working closely with WHO through the WHO-FIC Classifications and Statistical Advisory Committee on additional coding guidance for COVID-19. 

    Please be assured this is being given the highest priority and once the guidance has been agreed we will publish the resolutions on the Query Resolution Database for the benefit of the wider coding community.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Greg Tait 2 years ago

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  • March 2020 NCCQ Examination – COVID-19

    Published: March 2020

    Dear colleague,

    Due to the current situation regarding the COVID-19 precautions, IHRIM have taken the decision to cancel the March 2020 NCCQ Examination. Further information can be found on the IHRIM website at https://www.ihrim.co.uk/news-blogs-and-events/32-news/general/477-covid-19-march-2020-nccq.

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Update to National Clinical Coding Standards ICD-10 Reference Book (2020)

    Published: March 2020

    Dear colleague,

    The World Health Organisation announced the official names for the virus responsible for COVID-19 (previously known as “2019 novel coronavirus”) and the disease it causes.  The official names are:

    Disease 
    Coronavirus disease 
    (COVID-19)

     Virus 
    Severe acute respiratory syndrome coronavirus 2 
    (SARS-CoV-2)

    The clinical coding standard DCS.XXII.5: Novel Coronavirus (2019-nCoV) (U07.1) has been updated to DCS.XXII.5: COVID-19 (U07.1) to reflect this change.  The ICD is the foundation for the identification of health trends and statistics globally, and the international standard for reporting diseases and health conditions. WHO reserve ICD-10 codes for emergency use.

     There has been no change to the coding instruction for hospital providers, but additional guidance has been provided.

     The updated National Clinical Coding Standards ICD-10 reference book is available to download here.

    For more information on the official naming of COVID-19 please visit https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it

    Kind regards

    Terminology & Classifications Delivery Service

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    By Katy Park 2 years ago

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  • Coding Clinic February 2020: Vaping related disorder and novel Coronavirus (2019-nCoV)

    Published: February 2020

    Dear colleague

    Following two WHO emergency meetings and subsequent correspondence with the World Health Organisation Family of International Classifications (WHO-FIC) Collaborating Centres, official guidance for the coding of vaping related disorder and novel Coronavirus (2019-nCoV) in the NHS in England has been published in the latest Coding Clinic and is available to download from the Publications and Resources page on Delen. 

    Kind regards

    Terminology & Classifications Delivery Service 

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    By Katy Park 2 years ago

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