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Recording ECDS instances of COVID-19
In response to the RCEM guidance below we have issued an updated ETOS and the code will be added to SUS.
To support you in recording ECDS instances of COVID-19, please see below for the communication issued by the Royal College of Emergency Medicine (RCEM) and the updates we are working to implement.
You are able to submit the new code immediately and they will be sent through to Public Health England (PHE) from the start. However, you should be aware that until SUS+ has been fully updated, the codes will not be sent onwards to certain recipients (excluding PHE).
Please check Secondary Uses Service what's new for communication of implementation plans.
ECDS Enhanced Technical Output Specification (ETOS) v3.0.0
The ECDS Enhanced Technical Output Specification (ETOS) v3.0.0 is available.
This reflects recent changes to the Technical Output Specification (TOS) v3.0 and updates to the TRUD made in August 2020.
We will be releasing a revision to the ECDS diagnosis code set before the end of October 2020, so please wait for this as it will remain stable for some time, whereas E TOS v3.0.0 is a minor update relating to the August 2020 catch-up SNOMED release.
Communication from the Royal College of Emergency Medicine (RCEM)
As part of our commitment to getting information to you quickly during the pandemic, we’ve been asked to urgently share with you information about how to code cases of COVID-19 in your IT systems.
We’ve had a number of questions from Members and Fellows about this and so are sharing this guidance with you to assist. Please feel free to pass this on to relevant personnel.
Guidance endorsed by the College’s Informatics Committee
If your hospital has not already implemented a system of recording COVID and submitting it centrally as part of ECDS the recommended options are:
1240751000000100 - Disease caused by 2019-nCoV (novel coronavirus) [UK SNOMED code]
This data should be submitted as part of ECDS either as the normal diagnosis list (suspected / confirmed) and/or using the ECDS 'disease outbreak notification' field (this is limited to 20 characters so just submit the code).
Please note: some IT providers may not have made the disease outbreak notification field visible to users but it is part of the original ECDS specification from April 2017.
ECDS data quality summary report
Is an interactive data quality report providing early analysis between providers and for individual SNOMED CT codes: primary diagnosis; treatment; investigation and chief complaint.
The Emergency Care Data Set data quality reports on the following:
- percentage of each SNOMED code highlighting which are the most common codes nationally
- field validity for each provider organisation
- from May 2019 activity, a new tab for each of these four fields has been added to report the number of different, unique codes submitted by each provider. Providers with a low number of unique codes indicates that the full ECDS SNOMED_CT functionality isn’t being utilised, losing granularity that the ECDS dataset has to offer.
Retirement of deprecated SNOMED CT Codes
We have now placed end-dates on any codes that are no longer used, so they will be flagged as invalid for activity dated after 31/3/2019. Please ensure you check your local setup to ensure it only contains SNOMED codes presented in Enhanced Technical Output Specification v126.96.36.199 (see below).
SNOMED codes that have been deprecated (those that do not appear in v188.8.131.52 of the E TOS) will no longer be accepted as valid codes for submission to SUS+ for activity dated later than 31/3/2019.
|Technical Output Spec version||Aligns with schema version||Aligns with SNOMED content version||Notes|
|3.0.0||CDS v6.2.3||August 2020||now available|
|184.108.40.206 (Enhanced)||CDS v6.2.2||April 2020||Addition of SNOMED term for COVID-19 Coronavirus, due to the infectious notifiable disease outbreak.|
|2.1.1 (Enhanced)||CDS v6.2.2||October 2018||Lists all deprecated SNOMED codes due for retirement on 31/3/2019. This has been replaced with v220.127.116.11 which was published April 2020.|
|2.1||CDS v6.2.2||Structure only. No SNOMED content||Contains fix to Postcode of Usual Address minimum field length and some minor typos.|
|2.0.0 (enhanced)||CDS v6.2.2||October 2018||Replaced with v2.1.0, see above|
|2.0||CDS v6.2.2||Structure only NO SNOMED content||Replaced with v2.1.0, see above|
|1.5.2 (enhanced)||CDS v6.2.1||October 2018|
|1.01||CDS v6.2.1||October 2017|
|1.0||CDS v6.2.1||April 2017|
Join our mailing list
Join our mailing list to receive important ECDS updates, news and alerts.
The Emergency Care Data Set (ECDS) team host ECDS webinars covering all aspects of the ECDS. Copies of past webinars and slides are available to download, together with the details of the next webinar and how to register.
Type 011: Emergency Care Data Set (ECDS) is the Commissioning Data Set (CDS) Type for emergency care services.
The ECDS data quality report is based on the monitored quality of the chief complaint, first diagnosis and acuity data items submitted within ECDS. The report is published monthly by SUS.
We have provided some ECDS user guidance about technical implementation and for clinical and admin staff.