Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms
Background <br>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. <br><br> Aim<br>...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Royal College of General Practitioners
2020
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| _version_ | 1797109718574956544 |
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| author | Jani, BD Pell, JP McGagh, D Liyanage, H Kelly, D de Lusignan, S Weatherburn, CJ Burns, R Sullivan, FM Mair, FS |
| author_facet | Jani, BD Pell, JP McGagh, D Liyanage, H Kelly, D de Lusignan, S Weatherburn, CJ Burns, R Sullivan, FM Mair, FS |
| author_sort | Jani, BD |
| collection | OXFORD |
| description | Background <br>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.
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Aim<br> 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.
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Design & setting <br>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.
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Method <br>Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations.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.
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Results<br> 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.
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Conclusion <br>Consultation templates for COVID-19 are needed to standardise data collection, facilitate research and learning, and potentially improve quality of care for COVID-19. |
| first_indexed | 2024-03-07T07:45:23Z |
| format | Journal article |
| id | oxford-uuid:62d2af00-9af8-4d0d-a527-7b536992cca1 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:45:23Z |
| publishDate | 2020 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:62d2af00-9af8-4d0d-a527-7b536992cca12023-06-05T13:27:19ZRecording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT termsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:62d2af00-9af8-4d0d-a527-7b536992cca1EnglishSymplectic ElementsRoyal College of General Practitioners2020Jani, BDPell, JPMcGagh, DLiyanage, HKelly, Dde Lusignan, SWeatherburn, CJBurns, RSullivan, FMMair, FSBackground <br>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. <br><br> Aim<br> 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. <br><br> Design & setting <br>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. <br><br> Method <br>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. <br><br> Results<br> 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. <br><br> Conclusion <br>Consultation templates for COVID-19 are needed to standardise data collection, facilitate research and learning, and potentially improve quality of care for COVID-19. |
| spellingShingle | Jani, BD Pell, JP McGagh, D Liyanage, H Kelly, D de Lusignan, S Weatherburn, CJ Burns, R Sullivan, FM Mair, FS Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title | Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title_full | Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title_fullStr | Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title_full_unstemmed | Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title_short | Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms |
| title_sort | recording covid 19 consultations review of symptoms risk factors and proposed snomed ct terms |
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