Description

A codelist that helps identify patients that have had an online consultation instance, in the context of the roll-out of online consultations in primary care (SNOMED). (Not to be used in itself to tally number of online consultations as unit)

Methodology

The general approach was to:

a) browse the SNOMED CT Term Browser for relevant keywords * and children, choose relevant ones . Find its CTV3 equivalent (refset), if listed;

b) browse the "Read CTV3 to SNOMED CT Mapping Lookup (April 2020)" for relevant keywords * and children, choose relevant ones;

c) browse the literature, online resources and white publications for further code indications;

d) obtain clinical input via the Digital First Primary Care programme (DFPC) on initially found codes of interest (long list from a-c), as well as further codes, to arrive at a refined list.

e) Insert list into OS CodelistBuilder, include additional codes if deemed relevant.

Caveats: - Coding of online consultations is likely not a) widespread and exhaustive; b) standardised (incl because of different pathways and dispositions); c) defined by a standalone code (could need querying with other codes or looking at annotations) - Not all codes found in SNOMED may have a CTV3 equivalent.

• Keywords:
• consultation (procedure)
• econsultation
• indirect encounter
• online
• remote triage
• telemedicine
• telepractice

References

• SystmOne - Receiving & Processing eConsult Guide
• NHSEI Guidance - Advice on how to establish a remote ‘total triage’ model in general practice using online consultations
• eConsult tweet on new econsultation code
• Github issue (to be updated)