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 Method Guidelines and published and unpublished reviews ( N = 61) were utilised to collate a list of relevant data items for COVID-19 consultations.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.
【저자키워드】 COVID-19, Primary Health Care, General practice, Systematised Nomenclature of Medicine, Medical Records Systems, Computerised, 【초록키워드】 primary care, risk, guideline, Symptoms, Health, Features, implementation, Research, Patient, Digital, Complication, epidemiological, consultation, Care, meta-analyses, systematic reviews, demographics, Support, NHS, These data, theory, health condition, approach, clinical guideline, IMPROVE, Result, identify, was used, lack, develop, eight, facilitate, presenting, conditions, utilised, Process, with COVID-19, 【제목키워드】 Risk factors, Symptoms, recording,