Table 1

Classification criteria for symptoms

CategoryDescriptionSubcategoryExamples
APresentations with no oncological significanceA1 Skin complaintAcne, eczema, dermatitis, psoriasis, excludes pigmented lesions
A2 Contraception or pregnancy-related conditionContraceptive pill or injection, termination of pregnancy, pre- and postnatal care
A3 Known chronic illness/review of existing conditionAsthma, diabetes, cystic fibrosis
A4 Simple infectionRespiratory tract infection, urinary tract infection
A5 Mental healthDepression, anxiety
A6 Multiple issuesNumerous symptoms, none of which are category B; for example, skin complaint, contraception, and mental health
A7 ‘Other’ acute, clearly non-oncological problemTrauma, eye problems, foreign bodies, dyspepsia, migraine, haemorrhoids, diarrhoea, and vomiting; also includes first presentation of headache, back pain and dizziness
BPresentations that could have some oncological significance (alert symptoms)B1 lump/swellingBreast, testis or other area
B2 LymphadenopathySwollen/enlarged lymph nodes
B3 HeadachesPersistent unexplained headaches, excludes migraine or headache associated with viral illness
B4 FatiguePersistent unexplained fatigue
B5 Weight lossUnexplained weight loss
B6 PainPersistent unexplained pain
B7 DizzinessUnexplained dizziness
B8 OtherExamples include pigmented lesions, non-healing ulcers, rectal bleeding, haematemesis, intermenstrual bleed
COther clinical conditions, including preventative advicen/aSmoking cessation, travel vaccine advice
DNo clinical conditionn/aBack-to-work papers, registering new patient, giving test results, methadone prescriptions
EInconclusiven/aInsufficient details of consultation recorded