MODIFIED REFERRAL FLOWCHART FOR PATIENTS WITH POSSIBLE COVID-19

PATIENT

TRAVEL HISTORY
HISTORY OF EXPOSURE WITHIN 14
In the past 14 days to countries/areas with local NO
transmission or areas with enhanced community DAYS
transmission
A. Providing direct care for COVID-19 patient
YES B. Working together or staying in the same close
environment of a COVID-19 patient
Inform or contact respective
YES C. Traveling together with COVID-19 patient in
Barangay Health Emergency
any kind of transportation
Response Team (Refer to Hotline
D. Living in the same household as a COVID-19
Lists)
patient

SYMPTOMS

FeverYES
(37.6 & above) AND/OR
Respiratory Illness (Cough and/or
Colds) (May use the Diagnostic
Tool) NO

NO YES
PERSON UNDER PERSON UNDER
MONITORING INVESTIGATION
(PUM) (PUI)

HOME If with mild If mild but with co-morbid NOT PUI NOR
QUARANTINE OR symptoms and AND/OR Elderly (60 & up) with PUM
ISOLATION UNIT no co-morbid; mild symptoms; Moderate to
provide Severe manifestations Manage
instructions for appropriately
HQ or IU
Triage will CALL CHO-HEMS

Triage will TEXT CHO-HEMS

1. There should be Two (2) separate Temperature takings, 15 minutes apart, to confirm
if there is fever. Have the patient rest in a cool, shaded area in between takings.
2. Mild manifestations include fever, dry cough, fatigue, sputum production, sore throat,
headache, muscle or joint pains, nasal congestion, diarrhea.
3. Severe manifestations include difficulty of breathing.
4. Persons with co-morbid conditions include heart diseases, diabetes, cancer, chronic
lung disease, renal problems and immunocompromised.
5. City Health Office – Health Emergency Medical Services (CHO-HEMS) will assess if
the patient needs to be brought to the hospital and will facilitate the transfer to the
hospital.
6. This flowchart is modified to suit CHO-CdO’s preference and application.

Reference: DOH Algorithm for Triage of Patients with Possible COVID-19 Infection in
Ports of Entry and DILG Memorandum Circular