We have built a tool that helps healthcare teams remotely monitor their patients who may have been discharged from the hospital or who they may want to keep a closer eye on.
π¬ Enrolment SMS as shown below π :
Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire π
Questions:
1. How do you feel compared to yesterday?
Better
Same
Worse
2. In what way are you feeling worse?
Free Text
(only shown if answered Worse to 'How do you feel compared to yesterday?')
3. Do you have any new symptoms that you are worried about?
Free Text
4. Please select if you have any of the following equipment at home and are able to provide readings.
(Select all that apply)
Blood pressure monitor
Fingertip oxygen monitor
Thermometer
I have none of these
The patient will be prompted to answer a number of questions depending on the equipment they have available to them expr.
Blood pressure monitor questions
Questions 5 to 7 only show if the patient selects 'Blood pressure monitor' in question 4.
The patient will be shown the following instructions π
The linked video is 'How to measure your blood pressure at home' by the British Heart Foundation, available here: https://www.youtube.com/watch?v=mfwBpBXUYHs
5. Please enter your systolic (SYS) blood pressure reading. This is the top number.
Number box
6. Please enter your diastolic (DIA) blood pressure reading. This is the lower number.
Number box
7. Please enter your heart rate (usually PUL) reading.
Number box
The patient will be shown the following warning and instructions π
Fingertip oxygen monitor questions
Questions 8 to 9 only show if the patient selects 'Fingertip oxygen monitor' in question 4.
The patient will be shown the following instructions π
8. Please enter your oxygen saturation reading.
Number box
9. Please enter your pulse reading (beats per minute, bpm)
Number box
The patient will be shown the following warning and instructions π
Thermometer Questions
Question 10 only shows if the patient selects 'Thermometer' in question 4.
The patient will be shown the following instructions π
10. Please enter your temperature reading (ΒΊc)
Number box
The patient will be shown the following warning and instructions π
11. Is there anything else you are concerned about or want to let us know?
Free text
12. Are you happy with your answers? If so, click submit.
(The patient is shown a summary of their responses to the remote monitoring survey)
Back
Submit
The patient will be thanked for submitting their answers, given advice and sent a confirmation SMS π
Response in the Accurx Desktop toolbar: Remote Monitoring Team π
Please then select the save to record button if you wish for these results to be saved to the patient's medical record π
SNOMED codes saved to the record
The codes added are in bold and italics
Codes from Questions 5 to 7.
Blood pressure recorded by the patient at home (Concept ID: 413153004)
Self reported systolic blood pressure (Concept ID: 1162737008 / CTV3 2469)
Self reported diastolic blood pressure (Concept ID: 1162735000 / CTV3 246A)
Pulse rate (Concept ID: 78564009)
Codes from Questions 8 to 9.
Basline SPO2 (oxygen saturation at periphery (Concept ID: 927981000000106)
Pulse rate (Concept ID: 78564009) - IF NOT COLLECTED BY BLOOD PRESSURE
Code from Question 10.
Thympanic temperature (Concenpt ID: 415974002)
Please Note β οΈ If a patient answers all the questions, we will collect both pulse readings from the blood pressure monitor and fingertip oxygen monitor questions. Both readings will be displayed in the inbox but the blood pressure pulse reading takes priority in being coded to the record.
This table displays which pulse reading is coded to the medical record depending on the questions answered and the patient π
| Blood Pressure Monitor Qs | Oxygen Saturation Qs | Thermometer Qs |
|
Patient 1 | β | β | β | Blood pressure pulse reading is coded to the record |
Patient 2 | β | β | β | Blood pressure pulse reading is coded to the record |
Patient 3 | β | β | β | Oxygen saturation pulse reading is coded to the record |
β - Question answered by the patient
β - Question not answered by the patient