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Pulse Oximetry #68

Open brianmackenna opened 3 years ago

brianmackenna commented 3 years ago

NHS England and others have issued guidance on the role of pulse oximetry to support management of people at home with confirmed / suspected COVID.

We will need a codelist to support analysis - there will be codes in existence in Snomed already and also NHS Digital have coordinated the release of new codes

brianmackenna commented 3 years ago

@mattinadakim has been involved in setting up pulse oximetry at home services and is going to help us develop this codelist for the Service Restoration Observatory.

mattinadakim commented 3 years ago

NHS England and others have issued guidance on the role of pulse oximetry to support management of people at home with confirmed / suspected COVID.

We will need a codelist to support analysis - there will be codes in existence in Snomed already and also NHS Digital have coordinated the release of new codes

Brilliant thanks so much for kicking this off Brian. very light on publications and a roadmap for the care of nearly all conditions. image

mattinadakim commented 3 years ago

@mattinadakim has been involved in setting up pulse oximetry at home services and is going to help us develop this codelist for the Service Restoration Observatory.

a colleague, Kuldhir Johal Medical Director NWLondon has done some work on standardising GP codes in COVID 👍

Resuscitation coding      
For resuscitation 304252001 Xa9tS 1R0
Not for resuscitation 304253006 Xa9tT 1R1

Death coding Date of death | 399753006 | XaJOG | 94E Patient died at home | 184293009 | 9491 | 9491 Patient died in care home | 698747008 | XaVwv | 949D Patient died in nursing home | 184295002 | 9493 | 9493 Patient died in hospice | 313372007 | XaEK5 | 949A Patient died in hospital | 184297005 | 9495 | 9495 Patient died | 397709008 | XM01Y | 22J HUBS ONLY Hub appointment source |   |   |   GP practice | 1101191000000106 | XaIhB | 9b1F Referred by NHS 111 service | 879591000000102 | XaaRe | 9N6p Referred by hospital Dr. | 185360007 | 9N62. | 9N62 Hub appointment outcome Follow-up arranged | 183616001 | 8H8.. | 8H8 No follow-up arranged | 266750002 | XE0iR | 8HA Telephone follow-up | 386473003 | Xaa4C | 9N311 Urgent referral | 134403003 | XaIIs | 8H7h Informal referral - signposted to other agency | 413306008 | XaXR2 | 8Hkj Home visit planned by healthcare professional | 408382000 | XaJLP | 9NFM Refer to accident and emergency department | 183660001 | 8HC1. | 8HC1 Ambulance request for patient | 185406000 | 9N9.. | 9N9 Virtual ward & telehealth Admission to virtual ward | 784431000000109 | XaXpP | 8Hv Telehealth monitoring declined | 750451000000101 | XaWzf | 8AB2 Telehealth monitoring not appropriate | 886611000000107 | XaaeJ | 8AB3 Telehealth monitoring invitation | 922451000000105 | XabY5 | 8AB4 Starting of telehealth monitoring | 726861000000100 | XaWNG | 8AB1 Ending of telehealth monitoring | 726871000000107 | XaWNH | 8AB0 Discharge from virtual ward | 708252004 | XaXnm | 8HgE Step up change in telehealth monitoring | 722299009 | XacXO | 8AB7

LFISHER7 commented 3 years ago

@inglesp Building a codelist for this using these new codes but I can't see them indexed on codelists. Are you able to add them please?

inglesp commented 3 years ago

Hi @LFISHER7, do you have a link to the page on OpenCodelists?

LFISHER7 commented 3 years ago

@inglesp I was looking for the codes here

inglesp commented 3 years ago

You'll need to decide which of the codes in your search results should be included in the codelist -- at the moment all 13 are unresolved, and you'll have to either include or exclude codes, depending on whether you think they belong in your codelist.

Once you've done that, you'll be able to click "Save changes", and then we can publish on OpenCodelists.

Shout on Slack if this doesn't make sense.

inglesp commented 3 years ago

Sorry, this is a total failure of reading comprehension on my part.

inglesp commented 3 years ago

I'll get the latest SNOMED release imported today.

LFISHER7 commented 3 years ago

That's great, thanks!

inglesp commented 3 years ago

OK, try now. I've added a search for "pulse oximeter", since 1325211000000107 (Provision of pulse oximeter) didn't the search for "pulse oximtery".

LFISHER7 commented 3 years ago

All visible now, thank you!

LFISHER7 commented 3 years ago

@brianmackenna these are the SNOMED codes for COVID Oximetry @ home. Older codes are excluded for now.

brianmackenna commented 3 years ago

@LFISHER7 thislook good as a complete list of codes for Oximetry @ home . we should use this for protyping and monitoring of uptake of codes. We'll then work with colleagues to make some more definitive lists for specific actions and using complete dictionary.