1. (a) With regard to the following Accident and Emergency Diagnosis Code (and/or treatment Code; whichever is applicable): ‘8582’ what is the specific name of the respective coding database/data set and the corresponding version and the applicable date range when the Trust used this code?
(b) What is the corresponding full diagnosis descriptor and/or if relevant, treatment descriptor?
(c) Please provide the corresponding word descriptor for each of the numbers within the code “8582”.
2. (a) with regard to the Accident and Emergency diagnosis descriptor: ‘Other Soft Tis Inj. Neck,’ what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
3. (a) With regard to the Accident and Emergency diagnosis descriptor: ‘Other Soft Tis Inj. Neck, Not applicable’ what is the specific name of the respective database/data set used in 2012 and the corresponding version and applicable date range in which the above diagnosis descriptor was used by the Trust?
(b) What is the corresponding Accident and Emergency diagnosis code relevant to the above diagnosis descriptor within the same database/dataset which was used within patient records by the Trust at the time?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data in 2012?
4(a) With regard to the Accident and Emergency Investigation descriptor: ‘X-ray or Blood tests’ what is the specific name of the database/data set and the corresponding version and applicable date range when this Investigation descriptor was used by the Trust?
(b) What is the corresponding code relevant to the above Investigation descriptor within the same database/dataset?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
5(a) With regard to the Accident and Emergency Investigation descriptor: ‘X-ray plain film’ what is the specific name of the database/data set and the corresponding version and applicable date range when the above Investigation descriptor was used by the Trust?
(b) What is the corresponding code relevant to the above Investigation descriptor within the same database/dataset?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data;
6(a) with regard to the possible Accident and Emergency diagnosis descriptor: ‘Other Soft Tis Inj. Shoulder,’
If this is a historically identified diagnosis descriptor, please confirm whether the Trust has ever used this and if so, what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) If applicable, what is the corresponding code used within the Trust’s patient records?
(c) If applicable, what was the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data from April 2012 onwards?
7(a) with regard to the Accident and Emergency diagnosis descriptor: ‘Acute limb injury*, leg,’ *ALI what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
8(a) with regard to the Accident and Emergency diagnosis descriptor: ‘Whiplash’ what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
9(a) with regard to the Accident and Emergency diagnosis descriptor: ‘Acute torticollis,’ what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
Additional questions:
2. Please confirm, so that I know I have understood the Trust’s response to question 14(a) correctly, that the software system which was in use by the Trust in December 2020, in respect of onsite storage, retrieval and printing of historical patient records was ‘eNotes’.
3. In respect of the Trust’s response to question 14(b), please clarify whether the ‘eNotes’ system which the Trust response refers to, accesses historical April 2012 patient letters, and whilst processing them, modifies elements of the original document data automatically, and if so, please specify which fields and how and why these fields are modified.
4. Please indicate if a patient’s original historical letter can be modified on ‘eNotes’ in real time by an individual Trust software user and then be printed off subsequently.
5. In respect of the ‘eNotes’ system that the Trust refers to, please specify the software company who supplies the Trust.
6. With regard to the Trust’s comments relating to software (see Appendix 5), although it is stated that the Trust migrated to Sunrise in July 2021, was this software ever utilised in conjunction with historical patient records, before July 2021?
7. What specific date range did the Trust use the Symphony system provided by EMIS?
8. What specific date range did the Trust use the Symphony system provided by Footman-Walker?
9. Would patient records have been processed by Symphony EMIS or Symphony Footman-Walker at the time in April 2012?
10. Although the A & E response explains that further diagnoses were hand written in the CAS card and scanned in following attendance, it is not clear from the response whether the further diagnoses which were hand written in the CAS card were the same as those original further diagnoses which would have been included in real time (April 2012) within the A & E record ‘Diagnosis Comments’ field’ (which I referred to in my FOI question (b), copied above).
Please provide precise and direct clarification on this point
i.e. was the further diagnoses data entered into both the A & E ‘Diagnosis Comments’ field in real time in April 2012, as well as being hand written subsequently in the CAS card?

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