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The National Clinical Coding Qualification (UK) (NCCQ) is a professional examination for clinical coders working in the United Kingdom. Currently, it is the only clinical coding qualification recognised by the NHS. [1] Having the NCCQ is a requirement of being admitted to the National Clinical Coding Trainer and Auditor Programmes run by NHS ...
OPCS-4, or more formally OPCS Classification of Interventions and Procedures version 4, [1] is the procedural classification used by clinical coders within National Health Service (NHS) hospitals of NHS England, NHS Scotland, NHS Wales and Health and Social Care in Northern Ireland.
Awarded by the Institute of Health Records & Information Management (IHRIM), the aims of the certificate include supporting staff new to clinical coding, and providing a standardised framework of clinical coding training across NHS Scotland. [18] The NCCQ is a recognized coding qualification in Scotland.
The first version was developed in the early 1980s by Dr James Read, a Loughborough general medical practitioner. [2] The scheme was structured similarly to ICD-9: . each code was composed of four consecutive characters: first character 0-9, A-Z (excepting I and O), remaining three characters 0-9, A-Z/a-z (excepting i,I,o and O) plus up to three trailing period '.' characters
Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification. In medical classification, diagnosis codes are used as part of the clinical coding process alongside intervention codes. Both diagnosis and intervention codes are assigned by a health professional trained ...
ICD has a hierarchical structure, and coding in this context, is the term applied when representations are assigned to the words they represent. [30] Coding diagnoses and procedures is the assignment of codes from a code set that follows the rules of the underlying classification or other coding guidelines.
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings. [1]