# Dutch COVID-19 template for elderly care **Category:** [Covid-19](https://discourse.openehr.org/c/covid19/32) **Created:** 2020-03-17 10:10 UTC **Views:** 694 **Replies:** 11 **URL:** https://discourse.openehr.org/t/dutch-covid-19-template-for-elderly-care/607 --- ## Post #1 by @joostholslag @ian.mcnicoll there are plans coming up to use this by the association off Dutch elderly care doctors(Verenso);) Do you need any help from a medical perspective? --- ## Post #2 by @ian.mcnicoll Absolutely - I would welcome having a small clinical team to review the screening template before it gets updated publicly. It probably only needs 3 or 4 of us but might mean late night webcalls . A new update will go out today that I got some clinical feedback on, so all ok right now but almost certainly this will change again in a few days - so yours and any other input would be really helpful. It is going to be tricky to stay aligned internationally but NL input most welcome. Can we try and have a chat? Ian --- ## Post #3 by @joostholslag The association off Dutch elderly care doctors(Verenso) has requested us to localize the template to match this form [COVID-19 registratie formulieren.pdf|attachment](upload://fEvu7hoGAIefzurwwEsEqj4hC1Q.pdf) (60.2 KB) How should I approach this? In the end it needs to be adl2 to work in our system btw. But I could get internal help for that. --- ## Post #4 by @ian.mcnicoll Could you or someone else do a quick translation - google is fine, just to figure out any significant differences? --- ## Post #5 by @joostholslag Form 1: "COVID-19 Initial" Suspicion Date: [date] Symptoms: 1. influenza-like symptoms (present / absent / unknown) 2. coughing (present / absent / unknown) 3. fever (present / absent / unknown) 4. shortness of breath (present / absent / unknown) 5. sore throat (present / absent / unknown) 6. other symptoms (free text) all fields optional and fields 1 to 5 "single select" answers, default "unknown") Body temperature (number, 1 decimal) Problem / diagnosis (Suspicion COVID-19 / COVID-19 confirmed / no suspicion COVID-19 ") Other (free text) --- ## Post #6 by @joostholslag made two adl2 archetypes to test, they are not technically based on the supplied files (yet) [nl.joostholslag__openEHR-EHR-OBSERVATION.covid-19_followup.v0.0.1.adls|attachment](upload://6mcEF3PVwylXqZMAUPuF5xma9lC.adls) (3.0 KB) [nl.joostholslag__openEHR-EHR-OBSERVATION.covid-19_initieel.v0.0.1.adls|attachment](upload://1UdkD4643bN6qIH57wrnEAGAKgS.adls) (8.6 KB) --- ## Post #7 by @ian.mcnicoll The only real discrepancy there that I can see is that the suggested 'risk assessment outcome' for us is low risk => which means "No suspicion of Covid-19" high risk=> which means "Covid-19 suspected" The problem diagnosis currently only covers 'positive diagnoses' e.g. Suspected or confirmed as SNOMED codes. We have already had issues in the UK where 'exclusion of of COVID-19' has been recorded as a SNOMED code in GP systems and is being misinterpreted as 'Negative testing for COVID-19' so we very deliberaelt left this out of problem diagnosis. I have just 'hidden' Other symptoms but equally happy to put it back in. Not sure about the value /safety of allowing other diagnoses in the context of the screening assessment but it is easy to support. Worth a brief conversation? The differences are very slight. Do you know that CKM has an ADL2 export facility? You might want to see if that works. Ian Happy to discuss --- ## Post #8 by @joostholslag Yes, the goal of verenso was to take the template and use it for research/analysis purposes with as little as possible unnecessary questions as possible. So it was meant to match the template:) Us the risk assessmenent calculated btw? Or just filled out by the clinician? I know about ckm adl2 , but it’s buggy and doesn’t work for templates:) Happy to discuss, pm. --- ## Post #9 by @ian.mcnicoll Not calculated - it is actually very simple but depends on the exact questions used, which themselves vary depending on the setting - e.g self-assessment vs secondary care vs primary/community care, and of course national policy which may differ. We primarily refer to [Public Health England guidance (correct as of 17 March)](https://www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection) For that reason we felt it better to leave any algorithm to the app. @rong.chen did build a wee CDS GDL app which he might be able to share but was very much a POC. --- ## Post #10 by @joostholslag In the end we decided our new openEHR application was not advanced enough to meet our clients requirements for COVID-19 registration. So we modelled it in our legacy application:s. I’m still willing to help out where I can. --- ## Post #11 by @ian.mcnicoll Thanks Joost, your input was very helpful and we always expected that some people would use the data model as a specification to be implemented 'natively'. Please continue to share experiences and requirements even though you might actually deploy in your legacy system? Ian --- ## Post #12 by @joostholslag The missing requirements were not limitations in openEHR but just not implemented in our new application: a way to fill out a follow-up questionaire after 14 days, a customer accessible way to export all covid-19 registration data, and not all customers are familiar with our openEHR based app yet:) It was a good test case for us btw to see how far along our app development was. And it made us/me (even) more enthousiastic about all the possibilities openEHR offers! --- **Canonical:** https://discourse.openehr.org/t/dutch-covid-19-template-for-elderly-care/607 **Original content:** https://discourse.openehr.org/t/dutch-covid-19-template-for-elderly-care/607