Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms

Jani, B. D. , Pell, J. P. , McGagh, D., Liyanage, H., Kelly, D., de Lusignan, S., Weatherburn, C. J., Burns, R., Sullivan, F. M. and Mair, F. S. (2020) Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms. BJGP Open, 4(4), bjgpopen20X101125. (doi: 10.3399/bjgpopen20X101125) (PMID:32843331) (PMCID:PMC7606148)

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Abstract

Background: There is an urgent need for epidemiological research in primary care to develop risk assessment processes for patients presenting with COVID-19, but lack of a standardised approach to data collection is a significant barrier to implementation. Aim: To collate a list of relevant symptoms, assessment items, demographics, and lifestyle and health conditions associated with COVID-19, and match these data items with corresponding SNOMED CT clinical terms to support the development and implementation of consultation templates. Design and setting: Published and preprint literature for systematic reviews, meta-analyses, and clinical guidelines describing the symptoms, assessment items, demographics, and/or lifestyle and health conditions associated with COVID-19 and its complications were reviewed. Corresponding clinical concepts from SNOMED CT, a widely used structured clinical vocabulary for electronic primary care health records, were identified. Method: Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations. The NHS Digital SNOMED CT Browser was used to identify concept and descriptive identifiers. Key implementation challenges were conceptualised through a Normalisation Process Theory (NPT) lens. Results: In total, 32 symptoms, eight demographic and lifestyle features, 25 health conditions, and 20 assessment items relevant to COVID-19 were identified, with proposed corresponding SNOMED CT concepts. These data items can be adapted into a consultation template for COVID-19. Key implementation challenges include: 1) engaging with key stakeholders to achieve ’buy in’; and 2) ensuring any template is usable within practice settings. Conclusion: Consultation templates for COVID-19 are needed to standardise data collection, facilitate research and learning, and potentially improve quality of care for COVID-19.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Pell, Professor Jill and Jani, Dr Bhautesh and Mair, Professor Frances
Authors: Jani, B. D., Pell, J. P., McGagh, D., Liyanage, H., Kelly, D., de Lusignan, S., Weatherburn, C. J., Burns, R., Sullivan, F. M., and Mair, F. S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:BJGP Open
Publisher:Royal College of General Practitioners
ISSN:2398-3795
ISSN (Online):2398-3795
Published Online:26 August 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in BJGP Open 4(4): bjgpopen20X101125
Publisher Policy:Reproduced under a Creative Commons License

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