I do hope you pointed out that there have been
exclusions added for PVFS, BME and CFS under ICD-11's BDD since January 17, 2020?
Re Chalder and her enthusiasm for DSM-5's Somatic symptom disorder:
The new IAPT Data Set v2.0 which had been scheduled for roll-out on April 01 was postponed to July 01, then to August 01, and yesterday (August 04), roll-out was postponed again to September 01.
This is from the most recent version of spreadsheet document
"IAPT v2.0 Terminology Mapping Guidance" (now designated as
Version: 3.3), which was published on the IAPT Data Set v2.0 pages on July 17:
Spreadsheet: "IAPT v2.0 Terminology Mapping Guidance" Current Version: v3.3 Last Updated: 17 July 2020:
https://digital.nhs.uk/data-and-inf...to-the-iapt-data-set-v2.0---from-1-april-2020
https://digital.nhs.uk/binaries/con...apt_v2_terminology_mapping_guidance_v3.3.xlsx
I have been in contact with Elainer Wooler,
Principal Terminology Specialist, Terminology and Classifications Delivery Service, NHS Digital, since February, and I am continuing to monitor the progress and outcome of Request
#29847.
Extract from
Request #29847:
Description of the addition or change
Sheree Hemingway and myself attended a call with the NHS England IAPT senior team on 11/11/19 regarding the mapping of a cohort of patients who require psychological therapy in relation to persistent physical symptoms. This cohort was previously categorised in IAPT as 'Medically unexplained symptoms - other' but this is no longer appropriate.
The IAPT National Clinical Advisor highlighted that Somatic Symptom Disorder (300.82* I think) in DSM-5 is the appropriate definition for this cohort. However, a SNOMED or ICD-10 code was required for the IAPT Data Set submission.
It was agreed that this DSM-5 code would be mapped to SNOMED as a new 'Somatic Symptom Disorder' concept if possible.
I am not sure how this would map up in the SNOMED hierarchy and would be grateful for your steer.
*300.82 is a code from the U.S.'s ICD-9-CM which was retired in 2015 and replaced with ICD-10-CM. In ICD-10-CM, SSD is an inclusion under F45.9.
This request was submitted on behalf of IAPT leads last November.
It requests the creation of a new Concept code for the term
Somatic symptom disorder to be added to the April release of the SNOMED CT UK Edition, in order that a Concept code for SSD could be used to replace the terminology,
"Medically unexplained symptoms - other" for the new Data Set v2.0 and in its associated documentation.
(There is no ICD-10 code for SSD but IAPT can make use of SNOMED CT Concept codes. There is currently no SSD in SNOMED CT, either in the International Edition of in any of the national extensions, including the U.S. Edition, so they have had to submit a formal request for consideration of a new code being created for SSD.)
On February 23, I submitted stakeholder feedback robustly opposing the addition of the SSD term to the SNOMED CT UK Edition or to the International Edition.
IAPT had originally urgently requested addition of a new Concept code for SSD to be added in time for the April 2020 release of the SNOMED CT UK Edition, as the original roll-out date for the new Data Set had been April 01.
Following my stakeholder submission, I was informed by Ms Wooler, on March 13, that they would not be adding Somatic symptom disorder to the April SNOMED CT release as there are still discussions taking place regarding this and that further research needed to take place with SNOMED International and probably discussion with the Royal College of Psychiatrists; that it may take some months to conclude the discussions but that she would keep me updated with any changes.
IAPT are evidently still hoping to obtain approval of this request in time for implementation in the
October SNOMED CT UK Edition release. I am intending to contact Ms Wooler, later this week, for an update on the status of Request
#29847.
