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22-398: GPES may refer to: General Practice Extraction Service Ground Parachute Extraction System See also [ edit ] GPE (disambiguation) Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with the title GPES . If an internal link led you here, you may wish to change

44-894: A clinical terminology system that was in widespread use in General Practice in the United Kingdom until around 2018, when NHS England switched to using SNOMED CT . Read codes are still in use in Scotland and in England were permitted for use in NHS secondary care settings, such as dentistry and mental health care until 31 March 2020. Read codes support detailed clinical encoding of multiple patient phenomena including: occupation; social circumstances; ethnicity and religion; clinical signs, symptoms and observations; laboratory tests and results; diagnoses; diagnostic, therapeutic or surgical procedures performed; and

66-496: A code NOT beginning with the characters 'XU'. Although CTV3 continues to be released biannually by the NHS independently of SNOMED CT, maintenance of both occurs in parallel; most concepts required to be added to CTV3 are as a matter of course simultaneously dual-authored into both CTV3 and the UK extension of SNOMED CT. The NHS in England has committed to a strategic move to SNOMED CT , and systems using SNOMED are now being deployed within

88-728: A joint conference of the Royal College of General Practitioners and the British Medical Association recommended standardisation of the system in general practice Electronic Medical Record (EMR) systems and the National Health Service mandated this in April 1999. The intellectual property of the codes themselves was purchased outright by the UK government, and they have therefore been published under Crown Copyright ever since. A third and more radically progressive version

110-527: A maximum of 4 hierarchical levels. The operational NHS requirement to provide a direct crossmap to both ICD-9-CM and OPCS-4 implied an additional hierarchical level was required. Accordingly, a new scheme was devised with exactly the same technical properties as 4-Byte Read except that the code structure was extended to 5-Bytes. This became known as Read2, or 5-Byte Read. The first release of 5-Byte Read occurred sometime prior to January 1991. The October 2010 release contained 82,967 discrete 5-byte codes (although

132-652: A quarterly basis for clinical terms, and monthly for drugs and appliances. Latterly, they were maintained by the UK Terminology Centre, a division within NHS Data Standards and Products (in turn a division of NHS Connecting for Health ) and both versions were released biannually, in October and April, under the Open Government Licence . License application, and distribution, are now electronic only via

154-433: A variety of administrative items (e.g. whether a screening recall has been sent and by what communication modality, or whether an item of service fee has been claimed). It therefore includes but goes significantly beyond the expressivity of a diagnosis coding system. Since its origins in the 1980s, the system has evolved through three major technical design changes and significantly expanded its content. The first version

176-532: Is intended to replace it. The purpose of the GPES is not dissimilar to the Office for National Statistics in how it collates data. It consists of the query tool GPET-Q, and the extraction tool GPET-E. GPET-Q is designed by Paris-based Atos , a large IT services company. The data extracted from the GPES database will help medical research in the United Kingdom, and possible disease prevention at an individual level and at

198-504: Is quicker. Medical conditions can be cross-referenced with lifestyle. The GPES began in 2007. The NHS has not had a good record for computer systems. The NHS National Programme for IT, a complete digital overhaul of the NHS's medical records, became NHS Connecting for Health , and then partly by the Health and Social Care Information Centre; a lot of money was effectively lost on NHS Connecting for Health, sometimes quoted at £12 billion. GPES

220-506: Is to be made available on 1 April 2016, and will be withdrawn completely on 1 April 2020. The deprecation and withdrawal time frame for Read version 3 was also agreed by the SCCI in August 2014. The deprecation date was set at 1 September 2014, with a final updated release for 1 April 2018, and complete withdrawal on 1 April 2020. The Read Codes Drug and Appliance Dictionary (DAAD) was published for

242-584: The GPET-Q engine was already seen as unfit for use and was beginning to be deprecated, favoring a much simpler system built in house at NHS Digital . Numerous fails of standard Disaster Recovery tests, showed that GPET-Q was becoming further unstable. By 2020, GPET-Q had been entirely retired, yet NHS Digital continue to receive requests for data extracts that are fulfilled by NHS Digital. The General Practice Data for Planning and Research initiative, announced in May 2021,

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264-451: The NHS primary and secondary care estates. At the end of 2010, however, READ versions 2 and 3 remained the core clinical terminology used in UK primary care, with roughly 90% of the primary care estate still using version 2. In preparation for the whole English health system moving to SNOMED CT by April 2020, primary care systems were to have adopted the new nomenclature by April 2018. Secondary care, including Mental Health and Dentistry,

286-488: The October 2010 release contained 52,316 codes. A popular misconception is that all 4-Byte codes are also present in 5-Byte, where they will also carry the same meaning. Whilst in the majority of cases any 4-Byte code of the general form 'wxyz' will be equivalent to a 5-Byte code of the form 'wxyz.', there are notable exceptions. The 4-Byte code [E333 Fear of flying], for example, corresponds to 5-Byte [E202A Fear of flying]; no [E333.] code exists in 5-Byte Read at all. In 1988

308-586: The UKTC Terminology Reference data Update Distribution service. SNOMED CT was created in 2001 out of a technical, editorial and content merger of CTV3 and SNOMED RT , an American system. A significant part of the International Core content of SNOMED CT derives directly from CTV3; most of this content is identifiable as those SNOMED ConceptIDs where the CTV3ID column in the sct_concept table cites

330-429: The actual number of discrete clinical concepts that may be represented is estimated to be slightly lower - 82,593 - because of duplicate entries). A later extension of Read version 2 product family was the co-publication of a drug and appliance dictionary. This follows the same technical structure (5-character alphanumeric codes with first character lower case alpha organised in a monohierarchy). Released every four weeks,

352-750: The life-span of the system continued this moved to use SNOMED CT clinical codes as a way of making the extracts more specialised. It is part of the GP Collections of NHS Digital , formerly the Health and Social Care Information Centre or HSCIC. Another part is the Calculating Quality Reporting Service (CQRS). Other similar UK databases include the Clinical Practice Research Datalink and The Health Improvement Network . It pursues similar work to UK public health observatories . Read code Read codes are

374-567: The link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=GPES&oldid=806087531 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages General Practice Extraction Service With advances in computing technology and databases, many more types of public health research , including time-consuming cohort studies , are now possible; sifting through health data

396-415: The public level—such as health campaigns. It will find where diseases are prevalent, and in which age groups and geographic areas, and possibly which social class. Social class has a large effect on long-term health outcomes. The way that GPET-Q did this was queries being built around keys dates and medical Read codes to define the conditions that were being sought for a particular collection of data. As

418-417: Was developed in the early 1980s by Dr James Read , a Loughborough general medical practitioner. The scheme was structured similarly to ICD-9 : Because of its four character code structure, Read Codes version 1 was more commonly known as 4-Byte Read. The first release was in April 1986; the final official release of 4-Byte Read occurred in April 2009. 4-Byte Read could only encode a monoaxial hierarchy with

440-465: Was devised through the 1990s in an attempt to address some of the more serious technical limitations of the earlier designs, including: The first release of Clinical Terms Version 3 occurred in the late 1990s. The October 2010 release contained 298,102 discrete concept codes of which 55,829 were marked as inactive, and 58,130 were pharmaceutical products or devices. In the 1990s the Read codes were released on

462-546: Was mandated to move to SNOMED by April 2020. The former Information Standards Board for Health and Social Care (ISB) set December 2010 as the deprecation date for Read version 2, but did not set a date for its withdrawal at the time. In August 2014 the ISB's successor, the Standardisation Committee for Care Information (SCCI), formalised the withdrawal time frame of Read version 2: A final updated release for Read version 2

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484-529: Was meant to cost £14m but has cost £40m. The system was discussed by the Public Accounts Committee (PAC) in 2015, who said the system has begun five years later than planned, being planned to start in 2009. During its usage period, the system supported national extracts for NHS England and Public Health England, that not only enabled payment for General Practices. But added to data sets around such areas as Learning Disabilities Observatory. By 2018,

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