ISD Terminology Services provides support and guidance in the use of clinical classifications, coding and terminology to NHS Scotland and its partners through locally based training, provision of an expertly manned Advisory Service and publication of Scottish Clinical Coding Standards. Terminology Services form part of Data Support and Quality within the Data Management Team.
Why do we need clinical classifications, coding and terminology?
Clinical and health related data are collected on various national patient based datasets by ISD to support a variety of purposes including epidemiology, service planning and performance management. The information is also used to support policy making decisions aimed at improving the health and healthcare of the people of Scotland. To ensure that data is recorded consistently and accurately, to facilitate analyses and to provide meaningful comparisons, nationally agreed clinical coding systems are used. Terminology Services offers advice and support to users of clinical coding and terminology systems in Scotland.
We provide an expert based clinical coding and terminology advisory service for NHS Scotland and other external customers including the Scottish Government, information analysts, clinicians, researchers, clinical coders and systems suppliers. Our advisory service offers coding advice to hospital based clinical coders but we also assist analysts by helping them to select the correct codes for analyses of healthcare data or to help interpret customer needs for healthcare information requests. We also advise on any coding differences between Scotland and other UK countries, answer coding queries and requests from clinicians and advise IT staff on the availability of coding systems.
In addition to advice, Terminology Services offers locally based bespoke training in ICD10, OPCS-4, Read and SNOMED-CT standards. Our website contains a full list of our courses but please contact us if there are any other aspects of clinical coding training that you would like us to consider supporting. We can provide this training tailored to our customers' needs e.g. clinical coders, clinicians, information analysts, IT staff and administrative staff.
We also coordinate new code requests for Read, Clinical Imaging Procedures and SNOMED-CT in Scotland. In addition we provide technical expertise for data quality assurance in other NHS programmes of work and contribute to the maintenance and development of the above mentioned coding systems.
For further information please browse our webpages. You can also download a leaflet that summarises our services.
Please see our new SNOMED CT Resources webpage which provides a centralised resource for links to online training courses, webinars, special interest groups, documentation and other SNOMED CT related information suitable for clinicians, IT developers, analysts and other informaticians. if you have any other suggestions for additions to this page please contact the Terminology Services Manager.
Important - Read Code Announcement
The UK Terminology Centre (which forms part of NHS Digital - formerly the Health and Social Care Information Centre, HSCIC) has announced that it will be retiring Read codes which will be replaced by SNOMED CT terminology (see http://systems.digital.nhs.uk/data/uktc/readcodes). As such there will be no further updates to Read Version 2 terminology after the April 2016 release. Read V2 (Scottish edition) is the de facto standard currently used in Scottish Primary care systems but it should be noted that it is also the intention of the UK Terminology Centre to phase out Read CTV3 also over a slightly longer period as detailed below. There will be no published release of CTV3 (Read codes version 3) in October 2016.
The final release schedule for Read products is as timetabled below follows:
The final updated release of Read v2 is 1/4/2016
The date of withdrawal of Read v2 is 1/4/2020
The final updated release of Read v3 is 1/4/2018
The date of withdrawal of Read v3 is 1/4/2020
HSCIC are also undertaking developments to enable the withdrawal of Read drugs; both the Read Drug and Appliance Dictionary and CTV3 drugs (these have not been actively maintained since June 2006).
Requesting codes for the final release of Read V2
NHS Scotland customers requiring new Read codes for inclusion in the final update to Read V2 in April 2016 should contact the NSS Terminology helpdesk ( email@example.com or telephone 0131-275-7283 (Tues-Thurs 9am-5pm) no later than 30 November 2015 for assistance in code request submissions to HSCIC.
Any enquiries in relation to Read codes should be sent to the NSS terminology helpdesk.
An assessment on the impact of Read withdrawal has been presented to the eHealth Clinical Change Governance Group (CCLG) and the eHealth Programme Board. Subsequently, a programme of work is to be established to take forward the transition from Read to SNOMED CT and further details will be available in due course.
For further general information on SNOMED CT please see the Terminology Services web pages at: http://www.isdscotland.org/Products-and-Services/Terminology-Services/Coding-and-Terminology-Systems/ .
Please note that this announcement does not affect the use of classification systems and there are no plans to withdraw the use of ICD10 or OPCS4.