Asplenia
- Coding system
- CTV3 (Read V3)
- Organisation
- OpenSAFELY
- Codelist ID
- opensafely/asplenia
- Version Tag
- 2020-06-02
- Version ID
- 3ce9e642
Versions
- 2020-06-02
Description
Codes indicating diagnosis of asplenia or dysplenia (acquired or congenital)
Methodology
This codelist was derived by the following method:
- Read 2 Codelist provided by LSHTM. See references for paper.
- Codes from Quality Outcome Framework (QOF) were examined and relevant spleen codes taken
- Codes from SNOMED were taken by searching for relevant spleen terms
These 3 lists were mapped into CTV3 by TPP to create one list. This list was examined by 2 people and the following logic applied (see github issue for more detail):
- Splenomegaly or splenic cysts excluded as no evidence of reduced function
- Congenital syphilis which appears in the list due to one code with congenital syphilitic splenomegaly was excluded. Congenital syphilitic splenomegaly was included however.
- All unspecified injuries to spleen for example trauma were excluded except where removal of spleen was specified.
- Removal of accessory spleen was excluded
References
- Discussion on GitHub issue
- Grint DJ, McDonald HI, Walker JL, Amirthalingam G, Andrews N, Thomas S. Safety of inadvertent administration of live zoster vaccine to immunosuppressed individuals in a UK-based observational cohort analysis. BMJ Open. 2020;10(1):e034886.
Signed off by
- Caroline Morton, (April 14, 2020)
- Alex Walker, (April 14, 2020)
- Henry Drysdale, (June 2, 2020)
CTV3ID | CTV3PreferredTermDesc | CTV3Source |
---|---|---|
14N7. | H/O splenectomy | CTV3Map_Code_And_Term |
7840. | Total splenectomy | CTV3Map_Code_And_Term |
7840. | Total splenectomy | CTV3Map_Code_Only |
7840. | Total splenectomy | QOF |
78400 | Total splenectomy and reimplantation of fragments | CTV3Map_Code_And_Term |
78401 | Total splenectomy | High_Level_SNOMED |
78403 | Splenectomy NEC | CTV3Map_Code_And_Term |
78403 | Splenectomy NEC | QOF |
7840y | Other specified total excision of spleen | CTV3Map_Code_And_Term |
7840y | Other specified total excision of spleen | QOF |
7840z | Total excision of spleen NOS | CTV3Map_Code_And_Term |
7840z | Total excision of spleen NOS | QOF |
7841. | Other excision of spleen | CTV3Map_Code_And_Term |
7841. | Other excision of spleen | QOF |
78410 | Partial splenectomy | CTV3Map_Code_And_Term |
7841y | Other specified other excision of spleen | CTV3Map_Code_And_Term |
7841y | Other specified other excision of spleen | QOF |
7841z | Other excision of spleen NOS | CTV3Map_Code_And_Term |
7841z | Other excision of spleen NOS | QOF |
78421 | Embolisation of spleen | CTV3Map_Code_And_Term |
A8410 | Plasmodium vivax malaria with rupture of spleen | QOF |
D4154 | Atrophy of spleen | CTV3Map_Code_And_Term |
D4154 | Atrophy of spleen | QOF |
D4156 | Splenic fibrosis | CTV3Map_Code_And_Term |
D4156 | Splenic fibrosis | QOF |
D4157 | Infarction of spleen | CTV3Map_Code_And_Term |
D4157 | Infarction of spleen | QOF |
G74y6 | Embolism and thrombosis of the splenic artery | CTV3Map_Code_And_Term |
PK01. | (Absent spleen) or (asplenia) | High_Level_SNOMED |
PK06. | Hypoplasia of spleen | CTV3Map_Code_And_Term |
PK06. | Hypoplasia of spleen | QOF |
Ua1JD | Subtotal splenectomy | CTV3_Children |
X205i | Splenic vein thrombosis | QOF |
X20BK | Splenectomy | QOF |
X20Fp | Post-splenectomy leucocytosis | QOF |
XA07k | Avulsion of spleen | QOF |
XE1Mi | Congenital absence of spleen | CTV3Map_Code_And_Term |
XE1Mi | Congenital absence of spleen | CTV3Map_Code_Only |
XE1Mi | Congenital absence of spleen | QOF |
XM1OF | Congenital syphilitic splenomegaly | CTV3Map_Code_And_Term |
Xa0hO | Hyposplenism | CTV3Map_Code_And_Term |
Xa0hO | Hyposplenism | QOF |
Xa7Ya | Spleen absent | CTV3Map_Code_And_Term |
Xa7Ya | Spleen absent | CTV3Map_Code_Only |
Xa7Ya | Spleen absent | QOF |
Xa9D7 | Hereditary splenic hypoplasia | QOF |
XaEXw | Laparoscopic total splenectomy | CTV3Map_Code_And_Term |
XaEXw | Laparoscopic total splenectomy | QOF |
XaZvR | Acquired absence of spleen | CTV3_Children |
XaZvR | Acquired absence of spleen | QOF |
Codes not in the full codelist are in faint grey.