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National standard clinical terms (SNOMED CT) specifically relating to COVID-19 could appear in the additional information fields of a patient’s SCR. Five of the SNOMED CT commonly used terms for suspected and confirmed COVID-19 cases are signposted by a yellow message box when viewing the SCR screen on the SCRa , SCR 1-Click and SCR private beta.
SCRa and SCR 1-Click yellow message box
This picture shows an example of the yellow message box on the SCR screen when used on an iPad. The yellow message box contains the wording, COVID-19. The wording diagnosis and investigation results are hyperlinks to the COVID-19 information in the SCR.
SCRa private beta: iPad yellow message box
This picture shows an example of the yellow message box on the SCRa private beta screen when used on an iPad. The yellow message box contains the wording, COVID-19. The wording diagnosis and investigation results are hyperlinks to the COVID-19 information in the SCR.
SCRa private beta: desktop yellow message box
This picture shows an example of the yellow message box on the SCRa private beta screen when used on a desk top The yellow message box contains the wording, COVID-19. The wording diagnosis and investigation results are hyperlinks to the COVID-19 information in the SCR.
SNOMED CT terms that will cause the yellow message box to display
| Snomed CT Concept ID | Preferred term | Relevant SCR section |
|---|---|---|
| 1240751000000100 | COVID-19 | Diagnoses |
| 1300721000000109 | COVID-19 confirmed by laboratory test | Diagnoses |
| 1240581000000104 | SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive | 'Investigation Results' OR 'Clinical Observations and Findings' |
| 1300731000000106 | COVID-19 confirmed using clinical diagnostic criteria | Diagnoses |
| 1240761000000102 | Suspected COVID-19 | Diagnoses |
Four of these terms relate to whether the patient has a diagnosis of confirmed COVID-19 based on laboratory test results or clinical diagnostic criteria. The fifth term relates to whether the patient has suspected COVID-19, which will include assessments by NHS 111 telephone service.
Negative test results and other COVID-19 related information may be present on a patient’s SCR, however the yellow message box will not be displayed to signpost to this information.
Patients will be aware of their test results in advance of their GP being notified. It will take time for the data to flow through to the GP record and the SCR. There may be occasions where the GP record and the SCR are not updated with the COVID-19 results received by individuals, for example, where it was not possible to ascertain the NHS number from the information provided to the test centre.
Last edited: 3 June 2020 5:16 pm