Patient Demographics
General demographic characteristics are important to record for each patient being investigated or treated for COVID-19. Relevant patient demographics, which can be recorded using SNOMED CT includes:
Biological sex
Gender identity
Marital or partnership status
Nationality
Ethnic group
Racial group
Occupation
Travel history
Residential location type
Next of kin relationship
Living arrangements
Care and support circumstances
These data elements are described below, with example SNOMED CT subsets for each.
Sex and Gender
Multiple types of sex and/or gender are recorded in clinical practice, including biological sex and gender identity. 1
SNOMED CT supports the distinction between biological sex (e.g. 248152002 |Female (finding)| ) and gender identity (e.g. 703118005 |Feminine gender (finding)| ), as shown in the two subset definitions below.
CV19-PAT- BiologicalSex Intensional Definition : < 429019009 |Finding related to biological sex (finding)| MINUS << 302081005 |Finding of sex of baby (finding)|
CV19-PAT- GenderIdentity Intensional Definition : < 365873007 |Gender finding (finding)|
Marital or Partnership Status
The marital or partnership status of a patient describes their legal, civil or personal relationship with their significant other, for example 87915002 | Married (finding)| .
CV19-PAT- MaritalOrPartnershipStatus Intensional Definition : < 365581002 |Finding of marital or partnership status (finding)|
Nationality
Nationality refers to a particular legal relationship between an individual person and a sovereign state. The nationality of a patient may refer to the nation in which they were born, have citizenship, or have other legal ties - for example 223610001 | Jordan (geographic location)| or 223625001 | New Zealand (geographic location)| .
CV19-PAT- Nationality Intensional Definition : < 223369002 |Country (geographic location)|
Ethnic Group
The ethnic group (or ethnicity) of a patient is the social or cultural group with whom they identify - for example, 33897005 |Chinese (ethnic group)| or 735001008 |Scandinavian (ethnic group)| .
CV19-PAT- EthnicGroup Intensional Definition : < 372148003 |Ethnic group (ethnic group)|
Racial Group
The racial group (or race) of a patient is the group (or groups) with whom they share inherited physical characteristics - for example, 414408004 |Hispanic (racial group)| or 413773004 |Caucasian (racial group)| .
CV19-PAT- RacialGroup Intensional Definition : < 415229000 |Racial group (racial group)|
Occupation
Occupation is the patient's job or profession - for example, 158942005 | Residential child care worker (occupation)| or 308223007 | Hairdresser (occupation)| .
CV19-PAT- Occupation Intensional Definition : < 14679004 |Occupation (occupation)|
Travel History
The travel history of a patient is a record of their past visits to locations both inside and outside their country of residence. This may include a list of the specific countries and/or regions that they have travelled to (e.g. 223498002 | Africa (geographic location)| or 223585008 | South east Asian country (geographic location)| ), or a descriptive travel history finding (e.g. 161090005 | Travel abroad for business (finding)| ).
CV19-PAT-TravelHistory Intensional Definition : < 223496003 |Geographical and/or political region of the world (geographic location)| OR < 365457007 |Foreign travel history finding (finding)| OR < 420008001 |Travel (event)|
Residential Location Type
The residential location type is the type of place in which the patient is currently living, or was living prior to admission to hospital - for example, 257564005 | Apartment (environment)| or 257670006 | Private house (environment)| .
CV19-PAT- ResidentialLocationType Intensional Definition : < 272497004 |Residential environment (environment)|
Next of Kin Relationship
The next of kin relationship is the relationship that the patient has with their closest living relative (as chosen by the patient) - for example 444053001 | Husband of subject (person)| or 444301002 | Mother of subject (person)| .
CV19-PAT- NextOfKinRelationship Intensional Definition : < 444148008 |Person in family of subject (person)|
Living Arrangements
The living arrangements of the patient describes the familial and non-familial relationships of a person to all the other people with whom they usually reside - for example 105529008 | Lives alone (finding)| or 224133007 | Lives with family (finding)| .
CV19-PAT- LivingArrangements Intensional Definition : < 365481000 |Finding of household composition (finding)|
Care and Support Circumstances
The care and support circumstances of the patient describe how and by whom they are looked after when living at their usual place of residence - for example 427454004 | Cared for by neighbors (finding)| or 301887005 | Needs assistance at home (finding)| .
CV19-PAT- CareAndSupportCircumstances Intensional Definition : < 365483002 |Finding related to care and support circumstances and networks (finding)|
Footnotes
1 https://confluence.hl7.org/display/VOC/The+Gender+Harmony+Project
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