TY - JOUR T1 - Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms JF - BJGP Open JO - BJGP Open DO - 10.3399/bjgpopen20X101125 VL - 4 IS - 4 SP - bjgpopen20X101125 AU - Bhautesh Dinesh Jani AU - Jill P Pell AU - Dylan McGagh AU - Harshana Liyanage AU - Dave Kelly AU - Simon de Lusignan AU - Christopher J Weatherburn AU - Ronnie Burns AU - Frank M Sullivan AU - Frances S Mair Y1 - 2020/10/01 UR - http://bjgpopen.org/content/4/4/bjgpopen20X101125.abstract N2 - 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clinical vocabulary for electronic primary care health records, were identified.Method Guidelines and published and unpublished reviews (N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations.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. ER -