This page explains the content and coding for the COPD questionnaire.
On this page:
Questionnaire content
Text message
Dear <patient first name>,
<Practice name> would like to ask a few questions about chronic obstructive pulmonary disease (COPD).
Your answers will help your GP give you advice and let you know when to get help.
It should take about 2 minutes, and your answers are private.
Select the link to get started <link>
Introduction screen
A few questions about chronic obstructive pulmonary disease (COPD)
Dear <Patient first name>,
<Practice name> would like to ask a few questions about chronic obstructive pulmonary disease (COPD).
Your answers will help your GP give you advice and let you know when to get help.
It should take about 2 minutes, and your answers are private.
Thank you,
<Practice Name>
Questions and answers
1. How often do you cough?
- 0 - I never cough
- 1
- 2
- 3
- 4
- 5 - I cough all the time
2. How much phlegm do you have in your chest?
- 0 - I have no phlegm in my chest at all
- 1
- 2
- 3
- 4
- 5 - My chest is completely full of phlegm
3. Does your chest feel tight?
- 0 - My chest does not feel tight at all
- 1
- 2
- 3
- 4
- 5 - My chest feels very tight
4. Do you get breathless walking up a hill or one flight of stairs?
- 0 - I am not breathless when I walk up a hill or one flight of stairs
- 1
- 2
- 3
- 4
- 5 - I get very breathless walking up a hill or one flight of stairs
5. Are you limited in doing any activities at home?
- 0 - I’m not limited at all
- 1
- 2
- 3
- 4
- 5 - I am very limited
6. With your lung condition, do you feel confident leaving your home?
- 0 - Yes, I am confident leaving my home
- 1
- 2
- 3
- 4
- 5 - I am not at all confident leaving the home, because of my lung condition
7. How is your sleep?
- 0 - I sleep soundly
- 1
- 2
- 3
- 4
- 5 - I do not sleep soundly, because of my lung condition
8. How are your energy levels?
- 0 - I have lots of energy
- 1
- 2
- 3
- 4
- 5 - I have no energy at all
Check and submit answers screen
Results
If patient said 'I smoke' to question 12
We've sent your answers to your GP
Thank you.
To stay on top of things, Asthma and Lung has tips to improve your inhaler technique.
Get help to stop smoking
For free local services and tips, take a look at the NHS advice on how to quit smoking.
If patient said 'I used to smoke' to question 12
We've sent your answers to your GP
Thank you.
To stay on top of things, Asthma and Lung has tips to improve your inhaler technique.
If you’re tempted to smoke again
The NHS Smokefree helpline has trained advisers to help you stay off cigarettes.
Call free on 0300 123 1044.
If patient said 'I have never smoked' to question 12
We've sent your answers to your GP
Thank you.
To stay on top of things, Asthma and Lung has tips to improve your inhaler technique.
[Inbox]
[Inbox subject line]
COPD monitoring (version 1)
[Inbox body copy]
Questionnaire: COPD monitoring (version 1)
MMRC Grade: 0/1/2/3/4
How often do you get breathless?: [text for patient answer Q1 here]
CAT score: [0 - 40]
Frequency of cough: 0-5
Amount of phlegm: 0-5
Tightness of chest: 0-5
Breathlessness with a hill/stairs: 0-5
Limited activities: 0-5
Confidence leaving home: 0-5
Sleep: 0-5
Energy levels: 0-5
Do you have an oxygen measurement device: [Yes/no]
What are your oxygen saturations normally?: [groups]
How many COPD exacerbations have you had in the last 12 months?: [ranges]
Have you gone to hospital because of your COPD in the last 12 months? [Yes/no]
Do you smoke, or have you ever smoked regularly?
When did you stop smoking?
How many cigarettes do/did you smoke a day?
Coding
When SMS message sent
SCTID: 1066281000000104
Chronic obstructive pulmonary disease monitoring short message service text message invitation (procedure)
No Read code available
When questionnaire completed
|
Modified Medical Research Council Dyspnoea Scale How Often do you get breathless? |
||
|
Answer |
SNOMED Code |
Read Code |
|
I only get breathless with strenuous exercise |
MRC Breathlessness Scale: grade 1391120009 |
XalUi |
|
I get short of breath when hurrying on level ground or walking up a slight hill |
MRC Breathlessness Scale: grade 2 391123006 |
XalUl |
|
On level ground, I walk slower than people of my age because of breathlessness, or I have to stop for breath when walking at my own pace on the level |
MRC Breathlessness Scale: grade 3 391124000 |
XalUm |
|
I stop for breath after walking about 100 yards or after a few minutes on level ground |
MRC Breathlessness Scale: grade 4 391125004 |
XalUn |
|
I am too breathless to leave the house or I am breathless when dressing/undressing |
MRC Breathlessness Scale: grade 5 391126003 |
XalUo |
CAT Score
SNOMED:
446660005
Chronic obstructive pulmonary disease assessment test score (observable entity)
Read:
XUk55
Assessment using chronic obstructive pulmonary disease assessment test (procedure)
[Free text entry CAT score]
Smoking
Do you smoke?
|
Answer |
SNOMED code |
Read code |
|
I am a smoker/I smoke |
Smoker (finding) |77176002 |Smoking cessation education (procedure)SCTID: 225323000 |
137R 8CAL |
|
I am an ex-smoker/I used to smoke |
Ex-smoker (finding) 8517006 |
137S |
|
I have never smoked |
Never smoked tobacco (finding) 266919005 |
1371 |
How many cigarettes a day do you smoke?
If you roll your own cigarettes or smoke other tobacco products, think of the equivalent amount.
|
Answer |
SNOMED code |
Read code |
|
Fewer than 1 cigarette a day |
Trivial cigarette smoker (less than one cigarette/day) (finding) 266920004 |
1372 |
|
Between 1 and 9 cigarettes a day |
Light cigarette smoker (1-9 cigs/day) (finding) 160603005 |
1373 |
|
Between 10 and 19 cigarettes a day |
Moderate cigarette smoker (10-19 cigs/day) (finding) 160604004 |
1374 |
|
Between 20 and 39 cigarettes a day |
Heavy cigarette smoker (20-39 cigs/day) (finding) 160605003 |
1375 |
|
40 or more cigarettes a day |
Very heavy cigarette smoker (40+ cigs/day) (finding) 160606002 |
1376 |
When did you stop smoking?
|
Answer |
SNOMED code |
Read code |
|
Less than 1 year ago |
Ex-smoker for less than 1 year (finding) 735128000 |
XUyAb |
|
A year or more ago |
Ex-smoker for more than 1 year (finding) 48031000119106 |
XUs4N |
How many cigarettes did you smoke a day?
If you rolled your own cigarettes or smoke other tobacco products, think of the equivalent amount.
|
Answer |
SNOMED code |
Read code |
|
Fewer than 1 cigarette a day |
Ex-trivial cigarette smoker (<1/day) (finding) 266921000 |
1377 |
|
Between 1 and 9 cigarettes a day |
Ex-light cigarette smoker (1-9/day) (finding) 266922007 |
1378 |
|
Between 10 and 19 cigarettes a day |
Ex-moderate cigarette smoker (10-19/day) (finding) 266923002 |
1379 |
|
Between 20 and 39 cigarettes a day |
Ex-heavy cigarette smoker (20-39/day) (finding) 266924008 |
137A |
|
40 or more cigarettes a day |
Ex-very heavy cigarette smoker (40+/day) (finding) 266925009 |
137B |
A technical limitation means we cannot yet code numerical values directly into S1. We are working to fix this issue. While we do this, we have configured MJOG to code to the record that the relevant information has been collected, and free text the score or avlue alongside. This issue is not present in EMIS.
How to give feedback
As always, we’d love to hear your feedback about our questionnaires.
To request a new questionnaire or suggest changes, please fill in our request form.