What does this Florey do?

The Accurx Cough Florey allows the sending of an online questionnaire to patients to collect information in regard to their 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 👇

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

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