What does this Florey do?
The Accurx Cough Florey collects information regarding a patient's cough in order to facilitate their ongoing management.
The questionnaire link is sent via SMS or email. The patient fills in the questionnaire through a browser so can use their phone, tablet, laptop or desktop to complete it.
The responses are returned to the practice and can be saved directly into the clinical record (EMIS or SystmOne) with coded entries. The responses can have additional notes added, be assigned to other colleagues and be marked as urgent.
What does it look like for the clinician and patient?
Clinician view of sending a Florey questionnaire 👇
Accurx green toolbar floating above EMIS
Accurx green toolbar floating above SystmOne
The Florey compose screen for clinicians shown below 👇
They can edit the SMS message if required.
Patient's perspective of viewing and completing a Florey questionnaire 👇
Questions:
1. How long have you had your cough?
Enter Text
2. Do you feel feverish or shivery?
Yes
No
3. Do you have a thermometer?
Yes
No
If yes:
4. What temperature reading is your thermometer showing?
Enter text
5. Do you have any pain on taking a deep breath?
Yes
No
6. Do you have a blocked or runny nose?
Yes
No
7. Are you more breathless than normal?
Yes
No
8. Do you have a dry cough? (i.e. no phlegm)
Yes
No
9. Have you coughed up any blood?
Yes
No
10. Is your breathing noisy?
For example, noisy breathing could be wheezing or whistling.
Yes
No
11. Do you find you get more breathless when lying flat?
Yes
No
12. Do you ever wake from sleeping gasping for breath?
Yes
No
13. Do you have any new leg swelling?
Yes
No
14. What is your smoking status?
Current Smoker
Ex-smoker
Never Smoked
15. How much do you smoke? or How much did you smoke?
<1 cigarette or equivalent per day
1-9 cigarettes or equivalent per day
10-19 cigarettes or equivalent per day
20-39 cigarettes or equivalent per day
40+ cigarettes or equivalent per day
16. How many years did you smoke for?
Enter text
17. Have you been abroad in the past 6 months?
Yes
No
18. Where did you travel to (in the last 6 months)?
Enter text
19. Have you had any night sweats?
Night sweats are episodes of very heavy sweating during sleep that are heavy enough to soak your nightclothes or bedding
Yes
No
20. Have you had any unexplained weight loss?
Yes
No
21. Do you have a pulse oximeter (fingertip oxygen probe)?
Yes
No
Are you happy with your answers? If so, click submit.
When they have submitted their answers, they will be thanked for completing the survey and sent a confirmation SMS 👇
Clinician view of the Cough Questionnaire response
A red notification indicating a patient response has arrived
Inbox view showing a cough questionnaire response for a patient
Updated entry showing when the response was saved to record and by whom
Users can add internal notes for colleagues relating to the patient response
Users can mark a response as urgent
Users can assign the response to a different team
SNOMED codes added on response
The codes added are in bold and italics
If readings provided from pulse oximeter:
Baseline SPO2 (oxygen saturation at periphery) - 927981000000106
Pulse rate - 78564009
If selected "current smoker":
Smoker (finding) - 77176002
Trivial cigarette smoker (less than one cigarette/day) (finding) - 266920004
Light cigarette smoker (1-9 cigs/day) (finding) - 160603005
Moderate cigarette smoker (10-19 cigs/day) (finding) - 160604004
Heavy cigarette smoker (20-39 cigs/day) (finding) - 160605003
Very heavy cigarette smoker (40+ cigs/day) (finding) - 160606002
If selected "ex-smoker":
Ex-smoker (finding) - 8517006
Ex-trivial cigarette smoker (<1/day) (finding) - 266921000
Ex-light cigarette smoker (1-9/day) (finding) - 266922007
Ex-moderate cigarette smoker (10-19/day) (finding) - 266923002
Ex-heavy cigarette smoker (20-39/day) (finding) - 266924008
Ex-very heavy cigarette smoker (40+/day) (finding) - 266925009
If selected "never smoked":
Never smoked - 266919005
Additional SNOMED codes:
Finding of tobacco smoking behaviour - 365981007
If selected "current smoker":
Smoking cessation advice - 225323000
Current smoker annual review - 505651000000103
If selected "ex-smoker":
Ex-smoker annual review - 505761000000105
If selected "never smoked":
Non-smoker annual review - 505681000000109
If you still have any questions or concerns, feel free to chat with us using the green message bubble in the bottom right-hand corner of this page. 👉