Freedom of Information Request: 0572
University Hospitals Birmingham NHS Foundation Trust (UHB) completed a merger by acquisition of Heart of England NHS Foundation Trust (HEFT) on 1st April 2018. Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust this response has been provided by hospital site.
Queen Elizabeth Hospital Birmingham
- Does your Trust have a fully or partially implemented Electronic Patient Record (EPR)?
Yes.
If yes:
- What is the name and supplier of the EPR?
Oceano/Medicode
- For inpatient / daycase activity does the EPR have an ‘auto clinical coding’ function i.e. can clinical codes (ICD-10 / OPCS) be automatically assigned / suggested without manual intervention by a clinical coder?
No.
If yes:
- Is the auto-coding based solely on structured clinical information or is free-text analysed in addition?
Not applicable.
- If free-text is used how is this analysed to predict clinical codes?
Not applicable.
- If based on structured clinical information which clinical classification / terminology is used to record the clinical information (e.g. SNOMED CT / ICD-10 / OPCS / local codes)?
Not applicable.
- Does the Trust utilise the auto-coding function in any way?
Not applicable.
- If yes then which specialties is it used for?
Not applicable.
- Is all auto-coding validated by trained clinical coders?
Not applicable.
- Has the auto-coding improved the Trust’s clinical coding audit results / accuracy levels?
Not applicable.
- Has the auto-coding improved the depth of coding in anyway?
Not applicable.
- If the auto-coding function is not used what are the reasons for not using this function.
This is not a valid request under the Freedom of Information Act.
Heartlands, Good Hope and Solihull Hospital
- Does your Trust have a fully or partially implemented Electronic Patient Record (EPR)?
Yes
If yes:
- What is the name and supplier of the EPR?
Concerto. Coding system – 3m Medicode
- For inpatient / daycase activity does the EPR have an ‘auto clinical coding’ function i.e. can clinical codes (ICD-10 / OPCS) be automatically assigned / suggested without manual intervention by a clinical coder?
Yes, although this is not used.
If yes:
- Is the auto-coding based solely on structured clinical information or is free-text analysed in addition?
Although an auto-coding function is available within the system, it is not used and we therefore do not know how it would work in practice.
- If free-text is used how is this analysed to predict clinical codes?
Free text is not analysed to predict clinical codes.
- If based on structured clinical information which clinical classification / terminology is used to record the clinical information (e.g. SNOMED CT / ICD-10 / OPCS / local codes)?
ICD-10 /OPCS 4.8
- Does the Trust utilise the auto-coding function in any way?
No.
- If yes then which specialties is it used for?
Not applicable.
- Is all auto-coding validated by trained clinical coders?
Not applicable.
- Has the auto-coding improved the Trust’s clinical coding audit results / accuracy levels?
Not applicable.
- Has the auto-coding improved the depth of coding in anyway?
Not applicable.
- If the auto-coding function is not used what are the reasons for not using this function.
This is not a valid question under the Freedom of Information Act.
