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

Jani, BD; Pell, JP; McGagh, D; Liyanage, H; Kelly, D; de Lusignan, S; Weatherburn, CJ; Burns, R; Sullivan, FM; Mair, FS

Journal article

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

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 & 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Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations.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.

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

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

MLA Style

Jani, B. D., et al. “Recording COVID-19 Consultations: Review of Symptoms, Risk Factors, and Proposed SNOMED CT Terms.” BJGP Open, vol. 4, no. 4, Royal College of General Practitioners, 2020.

Chicago Style

Jani, BD, JP Pell, D McGagh, H Liyanage, D Kelly, S de Lusignan, CJ Weatherburn, R Burns, FM Sullivan, and FS Mair. 2020. “Recording COVID-19 Consultations: Review of Symptoms, Risk Factors, and Proposed SNOMED CT Terms.” BJGP Open 4 (4).
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