Query Resolution Database

The Query Resolution Database contains the resolutions we have provided to classifications and associated clinical coding queries received by our Product Support helpdesk in NHS England.

Support and Advice
COVID19 ICD10

How to use the Query Resolution Database

The Query Resolution Database (QRD) gives you access to resolutions we have provided to customer queries. Many of these relate to clinical coding queries. If you are a clinical coder, or are accessing clinical coding query resolutions, please be aware of the following important points:

  • Due to the nature of clinical coding and classifications, there are situations where there is no definitive ICD-10/OPCS-4 code(s) and the resolution is a recommendation only
  • Resolutions should be used to inform discussions at Trusts and aid the coding of patients’ episodes of care. We ask that queries are not raised in relation to a previous QRD resolution unless the response contravened a coding rule, convention or standard in use at that time
  • While resolutions will be consistent with national standards, they are not national standards and must not be referred to when answering questions within the NCCQ (UK) examination or questions within clinical coding training materials produced by the Terminology and Classifications Delivery Service. This has been confirmed to all approved clinical coding trainers and is clarified to delegates in the introduction of each course.
  • Resolutions are also not to be used for Clinical Coding Audit purposes. Please see Section 3 of ‘A Guide to Clinical Coding Audit Best Practice’ and Section 3.6 of the Clinical Coding Audit Methodology (the Clinical Coding Audit Methodology is only available to approved clinical coding auditors) for further information in relation to clinical coding audit.
  • Resolutions published on the QRD were provided to original submitters in response to specific queries and related supporting documentation, so may not be relevant to all similar situations
  • Some resolutions may no longer apply due to subsequent changes in mandated versions of the classification or coding standard(s). Users should ensure that, if using a resolution from the QRD, it is still appropriate at that time; this can be done by checking the ‘Date of resolution’ and ‘Query type’ fields.
  • Due to Information Governance constraints, we are unable to publish extracts from anonymised patient medical records
  • The QRD includes the majority of queries answered by us but excludes those we feel would not be of use to the wider service. Examples would be a unique situation or a request for long lists of codes from non-coding professionals
  • The database and any entries held on the database may be withdrawn at any point at the discretion of the Terminology and Classifications Delivery Service. The status of the resolution will indicate whether it has been removed or replaced and a blog will be published on Delen to inform the service of the change.
  • We always strive to provide reliable and useful resolutions, but if you see an error or have a suggestion for improvement, please let us know.

Update: 19 August 2021

To ensure that the resolutions relating to the coding of COVID-19 are up to date, we have marked those that have been superseded by updates to the coding standards. Whilst this may not affect the coding service, this may be useful for information analysts who may access the database for coding guidance. Please note, this is a unique exercise specific to COVID-19 and we do not anticipate that this will be performed for other resolutions on the Query Resolution Database (QRD), therefore we recommend that if using a resolution from the QRD, you ensure that it is still appropriate at that time; this can be done by checking the ‘Date of resolution’ and ‘Query type’ fields.

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174 entries match Any column includes COVID

List of entries in this database
Key TermUIDDate of resolutionDate added to databaseQuery typeStatus

Antibody testing for COVID-19

13376
28 May 2020 12 Jun 2020 View

Assignment of Z11.5 when multiple COVID-19 tests are given in a single FCE

13147
14 Apr 2020 27 Apr 2020 View

Clinical COVID-19 pneumonia

13284
15 May 2020 15 May 2020 View

Clinical COVID-19 pneumonia

13242
07 May 2020 14 May 2020 View

Clinically COVID-19, negative laboratory results

13184
19 Apr 2020 30 Apr 2020 View

Coding Clinic Ref 121 (COVID-19)

14061
19 Mar 2021 24 Mar 2021 View

Community acquired COVID

13523
27 Jul 2020 28 Jul 2020 View

COVID 19 in pregnancy

13110
02 Apr 2020 27 Apr 2020 View

COVID – adverse reactions post COVID vaccine

14167
05 May 2021 05 May 2021 View

COVID patient transferred between Trusts

13182
07 May 2020 14 May 2020 View
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