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Classification and Terminology Tools

Terminology Services and Clinical Coding

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Classification and Terminology Tools

Many of the support tools listed below can be subscribed to via the NHS Digital's Technology Reference data Update Distribution website (known as TRUD). It should be noted however that ICD-10 and OPCS-4 reference and validation files for use in NHS Scotland should be obtained from ISD (see link below) as there are coding differences between the home countries. Also NHS Scotland independently decides whether to approve new releases of ICD-10 and OPCS-4 and versions may not always align with the rest of the UK.

Classification Tools

Classification Reference Files

OPCS-4 Coding Tools

ICD-10 Coding Tools

Terminology Tools

Classification Tools

Classification Reference Files (OPCS and ICD-10) for System Suppliers

ISD provide all the reference and validation files required for hospital patient administrative systems submitting national SMR returns using ICD-10 and OPCS-4 classifications. These can be downloaded from the ISD Definitions and References Service.

OPCS4 Coding Tools - Coding Books

OPCS-4 coding books (current version in use is 4.8) are available from The Stationery Office (TSO). Orders should be placed with the head office in Norwich:

The Stationery Office (TSO)
St Crispins
Duke Street
Norwich
NR3 1PD
Tel: +44 (0)1603 622211

It is essential that NHS headed note paper is used in order to gain the significant discount for NHS users.

If you need any further information regarding this, please contact our helpdesk (NSS.terminologyhelp@nhs.net).

A summary of the changes that have been made to OPCS-4.7 to produce OPCS-4.8 can be found on the NHS Digital TRUD website

OPCS4 Coding Tools - Electronic Support Tools

NHS Digital has developed an electronic version of the OPCS classification.

This piece of software can be downloaded free of charge to NHS users, but is only available as a 'stand-alone' version - i.e. it must be downloaded to individual P.C.s.

This can be done via the Terminology Reference Data Update Distribution Service (TRUD).

You must register then select the product from the downloads list (OPCS ebook under NHS Classifications). Some technical questions must be answered and it is therefore recommended that Information Technology staff be involved in the process.

Whilst Terminology Services staff at ISD have used and assessed the product, it is owned, maintained and supported by NHS Digital. Any difficulties with downloading or usage must be reported directly to NHS Digital using their Helpdesk facilities. Please also be aware when upgrading to newer versions of the OPCS ebook that only NHS Scotland approved versions of OPCS should be downloaded (the current national standard for use in NHS Scotland is OPCS version 4.7).

If sites choose to use this, they must keep it updated with any amendments and upgrades issued by NHS Digital Clinical Classifications Service.

ICD-10 Coding Tools - Coding Books

ICD-10 V5 will be mandatory for recording of diagnoses on SMRs from 1st April 2016.

Sets of ICD-10 V5 books should be ordered from:

The Stationary Office (TSO)
St. Crispins
Duke Street
Norwich
NR3 1PD

Tel: 0333 202 5070
Email: NHSICD10@tso.co.uk

ISBN
9789241549165 (3 volume set)

Quote 'NHS1' to receive the discount for NHS usage.

Please check the price directly with TSO, as it may vary depending on when the order is placed and costs for delivery.

A summary of the changes that have been made to ICD-10 V4 to produce ICD-10 V5 can be found on the NHS Digital Clinical Classifications Service web pages.

ICD-10 Coding Tools - Electronic Support Tools

The World Health Organisation has published an ICD 10 browser which is available on their website. However WHO do not recommend this as a tool for coding purposes and the index is not represented as per the books. Similarly electronic files of the ICD-10 codes available on the WHO website are not comparable with the coding books approved for use in the UK. If any of these WHO sources are used they may contain codes not used for national statistical returns which could potentially cause validation issues for coders or produce erroneous results in statistical analyses.

NHS Digital has developed an electronic version of the ICD-10 classification.

This piece of software can be downloaded free of charge to NHS users, but is only available as a 'stand-alone' version - i.e. it must be downloaded to individual PCs.

This can be done via the Terminology Reference Data Update Distribution Serice (TRUD).

You must register then select the product from the downloads list (ICD-10 ebook under NHS Classifications). Some technical questions must be answered and it is therefore recommended that Information Technology staff be involved in the process.

Whilst Terminology Services staff at ISD have used and assessed the product, it is owned, maintained and supported by NHS Digital. Any difficulties with downloading or usage must be reported directly to NHS Digital using their Helpdesk facilities. Please also be aware when upgrading to newer versions of the ICD-10 ebook that only NHS Scotland approved versions of ICD-10 should be downloaded (the current national standard for use in NHS Scotland is ICD version 5).

If sites choose to use this, they must keep it updated with any amendments and upgrades issued by NHS Digital Clinical Classifications Service.

Terminology Tools

Terminology Reference Files

Suppliers wishing to download the latest version of UK approved terminologies can find them on the TRUD website. This includes Read and SNOMED CT terminologies as well as approved subsets and the Clinical Imaging Procedures (procedure codes and descriptions for use in the representation of clinical imaging procedures in imaging systems across the UK - also mapped to SNOMED CT).

In Scotland the de facto standard for Read terminology is Version 2 (5 byte (Scottish) version). The difference between Scottish version Read v2 and the rest of the UK lies in different codes and/or terms being used within the administrative chapter (11).

Terminology Browsers

Terminology browsers allow the user to search electronically for codes and terms. This method is used when the number of terms and codes are too great to be easily or practically searched for in books.

NHS Read Browser

The NHS Read Browser (containing 5-Byte Version 2 Read Codes (Scottish)) can be downloaded by registering at NHS Digital's TRUD site. N.B. when downloading the Read browser NHS Scotland staff should choose the option offering the Scottish variation. Please note that Read coding is being retired and will eventually be replaced by SNOMED CT. The last update to Read V2 was the April 2016 release. Please see our home page news section for further details..

SNOMED CT Browser

A number of SNOMED-CT browsers are available free of charge. Some are available from our SNOMED CT Resources page.

The SNOMED-CT content is also available to users in the UK to download in file format. For further details please register at the NHS TRUD download site.

 

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