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dc.contributor.authorJani, Bhautesh Dinesh
dc.contributor.authorPell, Jill P
dc.contributor.authorMcGagh, Dylan
dc.contributor.authorLiyanage, Harshana
dc.contributor.authorKelly, Dave
dc.contributor.authorde Lusignan, Simon
dc.contributor.authorWeatherburn, Christopher J
dc.contributor.authorBurns, Ronnie
dc.contributor.authorSullivan, Frank M
dc.contributor.authorMair, Frances S
dc.identifier.citationJani , 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 , vol. 4 , no. 4 , pp. 1-10 .
dc.identifier.otherJisc: a52ee8e2a6794426923ab9d4e4da64d3
dc.identifier.otherpii: bjgpopen20X101125
dc.identifier.otherORCID: /0000-0002-6623-4964/work/83889647
dc.description.abstractBackground 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 Method Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations.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.
dc.relation.ispartofBJGP Openen
dc.subjectGeneral practiceen
dc.subjectMedical Records Systems, Computeriseden
dc.subjectPrimary health careen
dc.subjectSystematised Nomenclature of Medicineen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleRecording COVID-19 consultations : review of symptoms, risk factors, and proposed SNOMED CT termsen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.description.statusPeer revieweden

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