Request for Guidance on Significant Previous Procedures Criteria

Personal Demographics Service (PDS) Personal Demographics Service FHIR API
1

Hi,

Wishing you all a very Happy New Year.

We are a TIF Framework partner of the NHS and are seeking guidance on a Summary Care Record requirement, outlined below.

Significant Previous Procedures should be included within a patient’s GP Summary if they meet either of the following criteria:

  1. Read code–based inclusion, defined by the rule:

read_code LIKE ‘7%’
AND NOT (
read_code LIKE ‘7L1%’
OR read_code LIKE ‘7M%’
OR read_code LIKE ‘7N%’
OR read_code LIKE ‘7P%’
OR read_code LIKE ‘7Q%’
)
AND priority > 1

OR

  1. **Manually included items
    **
    We require assistance in determining how we can exclude specific SNOMED CT procedure concepts—particularly vaccination-related procedures—from the list of Significant Previous Procedures, or alternatively, how we can control which procedure concepts are permitted at a practice level.

    For example, vaccination procedures currently include many SNOMED CT concepts such as:

    • Salmonella vaccination (procedure)

    • Leishmaniasis vaccination (procedure)

    • and other immunisation-related procedures.

    These should not be classified as Significant Previous Procedures for GP Summary purposes.

    We would appreciate your guidance on the appropriate approach for implementing this filtering or configuration.

    Regards,

2

Hi @mkumar - the team will look at this tomorrow morning and get back to you ASAP. Thanks, Shelley

3

Thanks for your prompt response. No worries, please take your time. we will wait for your valuable remarks.

4

Hi Manish,

After reviewing with the SCR team, this really needs a terminologist to guide you on how to configure this within the FL system.
I have previously shared a text file which includes the significant past procedures list created by NHS England and you are fine to use this as your list whilst you build it out internally.
@bill.lush please can you pick this up with Manish and look at how this can be achieved with the use of the Terminology server. The SCR team have provided a text file of the codes, a word document detailing how to create it and a spreadsheet which was used to build our logic.
If a meeting is required I am more than happy to facilitate.

Thanks

Shelley

5

Hi Shelley and Manish

I don’t know how much help I can be here. I don’t know Read codes and I am not clinical to be able to advise on the best way to do query SNOMED.

However I am not really understanding the problem so always happy to have a call.

6

Hi @bill.lush i will share the guidance provided to all NMEs and we can have a call. We will need Stuart Abbott to help us and if your also in attendance that will help hugely from a Terminology Server aspect. Leave it with @mkumar to organise.
Thanks

Shelley