COVID-19 Information Standards

COVID-19 Information Standards

snomed-2

Published: 26 March 2020          

This page was last updated on 10th February 2021

Here you can find out the latest on SNOMED CT and COVID-19 to support the care of the individual and further epidemiology studies.

The content provided is relevant to frontline clinical staff, information managers and suppliers, clinical coders and those undertaking research studies.

COVID-19 Vaccination codes

SNOMED CT and dm+d content has been developed to support the recording of the COVID-19 vaccination. The detailed terminology content can be found on this pageThe set includes content to support:

  • dm+d coded representations of the initial vaccine products
  • SNOMED CT coded representations of significant steps in the vaccination course life-cycle (started, declined, abandoned, DNA etc.), codes to represent the act of dose administration (or not), the identification of high priority patients and adverse or allergic reactions..

We are aware of the following relevant publications:

Updates to The Green Book (Immunisation against infectious disease):

A COVID-19 Vaccination programme guide for healthcare practitioners:

COVID-19 and SNOMED CT

Visit our SNOMED CT Terminology Releases page for more information.

PRSB Collaboration

NHS Digital continue to work with the Professional Record Standards Body (PRSB) to raise awareness of the SNOMED CT response to COVID-19, and to gather, coordinate and prioritise input into new content requests.

Pathology

The names of tests and the test results relating to COVID-19 have been incorporated into the SNOMED CT clinical extension as part of the 22nd April 2020 release. Guidance for end users on these is incorporated in a document produced in collaboration with the PRSB; please note this includes clinical care related terms as well.

In addition, NHS Digital have recently updated the guidance for the national naming, coding and processing of SARS-COV-2 Pathology tests which now contains additional information for Labs and LIMS on naming requestable and reportable items related  to SARS-COV-2 Testing.

Changes in v2.5.9:

  • Updated ConceptIDs and DescriptionIDs for new RNA Positive, and RNA Negative SNOMED CT concepts included in the UK SNOMED CT November 2020 Release

  • Added Lateral Flow Assay for Antigen testing

Changes in v2.5.8:

  • Added “RNA Positive at the Point of Detection” concept and associated elements

Changes in v2.5.7:

  • Updated section 4.3 to remove FSN DescriptionIDs for some rows

  • Additional information on the SNOMED CT mapping refset files

Changes in v2.5.4:

  • Working with the RCPath and the PSGB we have created a detailed set of requestable and reportable items to help laboratories and LIMS suppliers define COVID19 related data items. These include:
    • Requestable Items for Virus detection (including Antigen) and Antibody detection
    • Reportable Items for each detection technique
    • Permissible values for each result
  • Updated guidance on mapping from lab results to SNOMED CT via a set of ‘standardised descriptions’ used to flow the data in the PMIP NHS003 Message
  • Updates to SNOMED CT findings to allow filing of results into Primary Care EPR systems
  • Updates to the structure of the machine readable mapping table now included in the SNOMED CT UK Clinical Extension as a pair of simple map refsets

This document describes the mapping table changes in the latest version of the guidance

Visit the latest news area of our Pathology and Diagnostics workspace for more information on Pathology and COVID-19.

Management of the long-term effects of COVID-19

Working with NICE, RCGP and SIGN (who have published guidance (including case definitions) on the management of the long-term effects of COVID 19, NHS England and NHS Improvement and PRSB, we have produced an initial set of SNOMED CT codes to support the management of the-long term effects of COVID 19, corresponding to:

  • Diagnostic categories
  • Referral and signposting
  • Assessment instruments and outcome measures
  • Community care and self care options

Further guidance on the management of the long-term effects of COVID 19 from both NICE, NHS England and NHS Improvement is expected soon, and we will provide links to these materials when they are published.

Details are as follows:

Terms

Preferred Term

(the term entered/found in the record).

Fully Specified Name

(name for terminology & internal purposes)

Notes

Diagnostic categories

Acute COVID-19 Infection

Acute COVID-19 infection

Acute disease caused by severe acute respiratory syndrome coronavirus 2 infection (disorder)

As presented in the NICE reference

Ongoing Symptomatic COVID-19

Ongoing symptomatic COVID-19

Ongoing symptomatic disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)

Post-COVID-19 syndrome

Post-COVID-19 syndrome

Post-COVID-19 syndrome (disorder)

Referral and signposting

Referral to post-COVID assessment clinic

Referral to post-COVID assessment clinic

Referral to post-COVID assessment clinic (procedure)

Based on referral steps described in NHSE document

Referral to Your COVID Recovery

Referral to Your COVID Recovery rehabilitation platform

Referral to Your COVID Recovery rehabilitation platform (procedure)

Signposting to Your COVID Recovery

Signposting to Your COVID Recovery

Signposting to Your COVID Recovery (procedure)

Assessment instruments and outcome measures

Newcastle Post-COVID syndrome Follow-up Screening Questionnaire

Newcastle post-COVID syndrome Follow-up Screening Questionnaire

Newcastle post-COVID syndrome Follow-up Screening Questionnaire (assessment scale)

Based on analysis of assessment instruments described in NHSE document

Assessment using Newcastle post-COVID syndrome Follow-up Screening Questionnaire

Assessment using Newcastle post-COVID syndrome Follow-up Screening Questionnaire (procedure)

COVID-19 Yorkshire Rehabilitation Screening Tool

C19-YRS (COVID-19 Yorkshire Rehabilitation Screening) tool

COVID-19 Yorkshire Rehabilitation Screening tool (assessment scale)

Assessment using C19-YRS (COVID-19 Yorkshire Rehabilitation Screening) tool

Assessment using COVID-19 Yorkshire Rehabilitation Screening tool (procedure)

Post-COVID-19 Functional Status Scale

PCFS (Post-COVID-19 Functional Status) Scale patient self-report

Post-COVID-19 Functional Status Scale patient self-report (assessment scale)

Assessment using PCFS (Post-COVID-19 Functional Status) Scale patient self-report

Assessment using Post-COVID-19 Functional Status Scale patient self-report (procedure)

PCFS (Post-COVID-19 Functional Status) Scale patient self-report final scale grade

Post-COVID-19 Functional Status Scale patient self-report final scale grade (observable entity)

PCFS (Post-COVID-19 Functional Status) Scale structured interview

Post-COVID-19 Functional Status Scale structured interview (assessment scale)

Assessment using PCFS (Post-COVID-19 Functional Status) Scale structured interview

Assessment using Post-COVID-19 Functional Status Scale structured interview (procedure)

PCFS (Post-COVID-19 Functional Status) Scale structured interview final scale grade

Post-COVID-19 Functional Status Scale structured interview final scale grade (observable entity)

Community care/Self care existing content

 

315241000000102 | Advised to self care (situation)

Already released codes; based on best matches identified to

 

781901000000106 |Community care management (procedure) &

737470001 |Primary care management (procedure)

COVID-19 Primary Care EPR Result Processing

Using the mapping logic shown in this diagram, EPR systems should extract the values and map the results to the appropriate Pathology SNOMED CT concepts.  You can click on this image for a full size, downloadable and printable version if it this may be of use to you.

The Professional Record Standards Body (PRSB) has published guidance for health and care professionals to accompany the release of COVID-19 related UK SNOMED CT codes.  This will help health and care professionals manage clinical information to improve patient care. It will also support central data collections to help manage the pandemic and aid research and planning.