Query Resolution Database

The Query Resolution Database (QRD) contains the resolutions we have provided to classifications and associated clinical coding queries received by our Product Support helpdesk in NHS England.

If you are a clinical coder, or are accessing clinical coding query resolutions, please be aware of the important points below.

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  • Due to the nature of clinical coding and classifications, there are situations where there is no definitive ICD-10/OPCS-4 code(s) and the resolution is a recommendation only.
  • Resolutions should be used to inform discussions at Trusts and aid the coding of patients’ episodes of care. We ask that queries are not raised in relation to a previous QRD resolution unless the response contravened a coding rule, convention or standard in use at that time.
  • While resolutions will be consistent with national standards, they are not national standards and must not be referred to when answering questions within the NCCQ (UK) examination or questions within clinical coding training materials produced by the Terminology and Classifications Delivery Service. This has been confirmed to all approved clinical coding trainers and is clarified to delegates in the introduction of each course.
  • Resolutions are also not to be used for Clinical Coding Audit purposes. Please see Section 3 of ‘A Guide to Clinical Coding Audit Best Practice’ and Section 3.6 of the Clinical Coding Audit Methodology (the Clinical Coding Audit Methodology is only available to approved clinical coding auditors) for further information in relation to clinical coding audit.
  • Resolutions published on the QRD were provided to original submitters in response to specific queries and related supporting documentation, so may not be relevant to all similar situations.
  • Some resolutions may no longer apply due to subsequent changes in mandated versions of the classification or coding standard(s). Users should ensure that, if using a resolution from the QRD, it is still appropriate at that time; this can be done by checking the ‘Date of resolution’ and ‘Query type’ fields.
  • Due to Information Governance constraints, we are unable to publish extracts from anonymised patient medical records.
  • The QRD includes the majority of queries answered by us but excludes those we feel would not be of use to the wider service. Examples would be a unique situation or a request for long lists of codes from non-coding professionals.
  • The database and any entries held on the database may be withdrawn at any point at the discretion of the Terminology and Classifications Delivery Service. The status of the resolution will indicate whether it has been removed or replaced and a blog will be published on Delen to inform the service of the change.
  • We always strive to provide reliable and useful resolutions, but if you see an error or have a suggestion for improvement, please let us know.

Coding Professionals

If you are a clinical coding professional and you have a query, you must follow all of the steps in the Clinical Coding Query Mechanism which shows you how to resolve your query and signposts you to useful resources.

Non-Coding Professionals

If you are an organisation such as a public body of the Department of Health and Social Care, NHS body, Academic Institute, or a non-coding professional and want to submit a query to our helpdesk, please refer to our Query Guidance for Non-Coding Professionals.