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Florey: SNOMED codes and questions for Diabetes Pre-Appointment
Florey: SNOMED codes and questions for Diabetes Pre-Appointment

This article lists the questions and codes used in the Diabetes Pre-Appointment Florey

Harry avatar
Written by Harry
Updated over a week ago

What is a Diabetes Pre-Appointment Florey?

The Diabetes Pre-Appointment Florey Questionnaire is used to help gather data that would be useful ahead of a diabetes review appointment. Using the patients’ responses, clinicians can determine the most helpful next-steps in the review.

🌟 Please note: This Florey is only available to users whose practice has access to Accurx Plus 🌟


Enrolment SMS 💬

exemplar SMS sent to a patient

Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire 📆

Questions

1. Do you drink alcohol?

  • Yes

  • Now

(💡 If answered ‘No ❌*’ it will take them straight to question 5*)

2. How often do you have a drink containing alcohol?

  • Never

  • Monthly or less

  • 2-4 times per month

  • 2-3 times per week

  • 4 or more times per week

3. How many units of alcohol do you drink on a typical day when you are drinking?

(A pint of beer is around 2 units. A medium glass of wine (175ml) is around 2 units. A single measure of spirits is 1 unit)

  • 1 or 2 units

  • 3 or 4 units

  • 5 or 6 units

  • 7 to 9 units

  • 10 or more units

4. How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?

(A pint of beer is around 2 units. A medium glass of wine (175ml) is around 2 units. A single measure of spirits is 1 unit)

  • Never

  • Less than monthly

  • Monthly

  • Weekly

  • Daily or almost daily

5. What is your smoking status?

  • Current smoker

  • Ex-smoker

  • Never smoked

(💡 If answered ‘Ex-smoker’ or ‘Never smoked’, it will take them straight to the next information screen)

6. How much do 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

Information screen 📱💻

The following questions will ask you to submit some readings such as weight and blood pressure.

If you don't have the equipment to do this, you can skip the questions.’

7. Do you know your weight?

  • Yes

  • No

8. Please enter your weight in kilograms.

(If you only know your weight in stone and pounds, please use this converter here)

  • The field for weight entry

9. Do you know your height?

  • Yes

  • No

10. Please enter your height in metres.

If you only know your height in feet and inches, please use this converter here.

  • The field for weight entry

11. Do you have access to a blood pressure monitor so that you can submit a reading?

  • Yes

  • No

Information screen 📱💻

Before you take your blood pressure reading:

  • Sit down comfortably for 5 minutes.

  • Wear loose-fitting clothing.

  • Make sure your arm is around the same level as your heart.

  • Make sure your arm is relaxed.

When taking your blood pressure:

  • Put the cuff on following the instructions which came with your blood pressure monitor.

  • Keep still and silent.

Other tips:

  • Take at least three readings, each two minutes apart.

  • Your first reading may be much higher than the next readings. If this is the case, keep taking readings until they level out and stop falling. Use this as your reading.

Please seek urgent medical attention if you develop any of the following:

  • Blood pressure is 180/110 or above (despite repeating it at least 2 times)

  • Chest pain

  • Changes in vision

  • Confusion

  • Severe headache

Here is a video from the British Heart Foundation on how to take your reading.’

12. Please enter your systolic (SYS) blood pressure reading. This is the top reading.

13. Please enter your diastolic (DIA) blood pressure reading. This is the lower reading.

(Note: This is NOT the pulse.)

14. Are you having any side effects or problems from your medication that you would like to discuss with your GP/nurse?

  • Yes

  • No

15. Diabetes can sometimes affect your vision. Are you having yearly diabetes eye check-ups (known as retinopathy screening)?

  • Yes

  • No

16. Diabetes can sometimes affect sexual function such as difficulties with erections or vaginal dryness. Is this something you would like to discuss with your GP/nurse?

  • Yes

  • No

17. Diabetes can sometimes lead to low mood, worries or stress. Is this something you would like to discuss with your GP/nurse?

  • Yes

  • No

18. People with diabetes sometimes need to change the way they take their medication when they are unwell. Do you know your “sick day rules”?

  • Yes

  • No

19. Is there anything else regarding your diabetes that you would like us to know or discuss?

  • Free text field

After submitting ✅

‘Thank you for submitting information regarding your diabetes.

What next?

Your practice will review this information in the next 28 days and be in touch if further action is required.

What to bring to your diabetes appointment?

Bring a urine sample to your appointment. You can pickup a urine pot at reception.

If you monitor your blood glucose at home, please fill a weekly diary and bring it to your appointment. A diary can be found on the Diabetes UK website here.

More information

The Diabetes UK website has more information on diabetes including information about treatments, diet, keeping active, regular check-ups and how to find further help and support. Click here to access this.’

💡 *If a patient has responded ‘Current Smoker’ to the question ‘What is your smoking status?’ they will also see...*👇

Smoking cessation advice

Smoking leads to health problems such as cancer, heart disease and strokes. The benefits of stopping smoking include: better health, more money and cleaner air for those around you!

Do you want to stop smoking? Here is some advice on ways to quit smoking, local services and general tips: nhs.uk/smokefree

Confirmation SMS:

Response in the Accurx Desktop toolbar: Diabetes Team 👇

Please then select the save to record button if you wish for these results to be saved to the patient's medical record 📚

SNOMED codes saved to record 💾

The codes added are in bold and italics

The following codes are also saved according to the patient's response:

"What is your smoking status?"

  • "Current smoker" - Current smoker

  • "Ex-smoker" - Ex-smoker

  • "Never smoked" - Never smoked

[if chose 'Current Smoker' above] 👇

Smoking: "How much do you smoke?"

  • "Trivial smoker (<1 cigarettes/day or equivalent)" - Trivial smoker (<1 cigarettes/day or equivalent)

  • "Light smoker (1-9 cigarettes/day or equivalent)" - Light smoker (1-9 cigarettes/day or equivalent)

  • "Moderate smoker (10-19 cigarettes/day or equivalent)" - Moderate smoker (10-19 cigarettes/day or equivalent)

  • "Heavy smoker (20-30 cigarettes/day or equivalent)" - Heavy smoker (20-30 cigarettes/day or equivalent)

  • "Very heavy smoker (40+ cigarettes/day or equivalent)" - Very heavy smoker (40+ cigarettes/day or equivalent)

Smoking cessation advice given - This code is added for anyone who says they are a current smoker.

We display a standard short bit of smoking cessation advice with link to nhs.uk/smokefree.

Blood pressure readings:

  • Systolic arterial pressure - 72313002

  • Diastolic arterial pressure - 1091811000000102

  • Weight - 162763007

  • Height - 162755006

  • BMI - 60621009

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. 👉


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