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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:

These data elements are described below, with example SNOMED CT subsets for each.

2.2.1 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

CV19-PAT-GenderIdentity
Intensional Definition:

365873007 |Gender finding (finding)|

2.2.2 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)| .

Only those options that are considered relevant to COVID-19 data collection are included in our example subset below. However this subset may be extended if required.

CV19-PAT-MaritalOrPartnershipStatus
Concept idFully Specified Nameen-US Preferred TermEffective Time
20295000Divorced (finding)Divorced20020131
160504008Marital state unknown (finding)Marital state unknown20020131
87915002Married (finding)Married20020131
125681006Single person (finding)Single person20020131
33553000Widowed (finding)Widowed20020131

2.2.3 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)|

2.2.4 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)|

2.2.5 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)|

2.2.6 Foreign Travel History 

The foreign travel history of a patient is a record of their past visits to locations 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-ForeignTravelHistory
Concept idFully Specified Nameen-US Preferred TermEffective Time
506931000000109Recent travel to disease affected area (finding)Recent travel to disease affected area20200731

Please refer to 2.2.1 Extension Concepts - Patient Demographics for a list of known extension concepts.

2.2.7 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

2.2.8 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

2.2.9 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

2.2.10 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


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