Symptoms: breathlessness



Coding system
SNOMED CT
Coding system release
unknown
Organisation
OpenSAFELY
Codelist ID
opensafely/symptoms-breathlessness-new
Version ID
5aee78ee

Versions

Description

Code list aiming to identify individuals consulting complaining of being short of breath.

Methodology

Identified from intial search terms outside of OpenCodelists: "breathless" "short of breath" "dyspnoea" "dyspnea" "sob" "gasping" "orthopnoea" "orthopnea" "tachypnea" "tachypnoea" "respiratory"

Clearly irrelevant codes excluded (with review by a second clinician)

Candidate codelist uploaded to OpenCodelists for review of candidate codes.

Specifically excluded tacypnoea as suggests increased breath rate, but not necessarily subjective sensation of breathlessness (e.g., could be increased resp rate as a reaction to pain or acidosis). Did not exclude signs of difficulty breathing (e.g., intercostal recession). Excluded ARDS, but retained respiratory distress.

Signed off by

  • Kate Mansfield, (Dec. 1, 2022)
  • Caroline Morton, (Dec. 1, 2022)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

code term
102577000 Trepopnea
1047261000000103 Breathlessness care management
1049241000000109 Opioid therapy for breathlessness management
1060991000000107 Medical Research Council Breathlessness Scale grade 5a
1061001000000106 Medical Research Council Breathlessness Scale grade 5b
1089971000000104 Extended Medical Research Council dyspnoea scale grade 1
1089981000000102 Extended Medical Research Council dyspnoea scale grade 2
1089991000000100 Extended Medical Research Council dyspnoea scale grade 3
1090001000000101 Extended Medical Research Council dyspnoea scale grade 5a
1090011000000104 Extended Medical Research Council dyspnoea scale grade 4
1090021000000105 Extended Medical Research Council dyspnoea scale grade 5b
1099381000000100 Modified Medical Research Council dyspnoea scale grade 1
1099391000000103 Modified Medical Research Council dyspnoea scale grade 2
1099401000000100 Modified Medical Research Council dyspnoea scale grade 3
1099411000000103 Modified Medical Research Council dyspnoea scale grade 4
119981000146107 Dyspnea caused by Severe acute respiratory syndrome coronavirus 2
139192008 (Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)
139194009 Breathless - moderate exertion
139195005 Breathless - mild exertion
139196006 Dyspnoea at rest
139197002 (Breathless - lying flat) or (orthopnoea symptom)
139198007 Paroxysmal nocturnal dyspnoea
139201002 Dyspnoea
139204005 Dyspnoea on exertion
139207003 Breathlessness NOS
140107002 O/E - dyspnoea
140108007 O/E - orthopnoea
140109004 O/E - respiratory distress
158371003 [D]Dyspnoea
158373000 [D]Orthopnoea
158377004 [D]Respiratory distress
158379001 [D]Shortness of breath
161937008 (Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)
161939006 Breathless - moderate exertion
161940008 Breathless - mild exertion
161941007 Dyspnea at rest
161942000 (Breathless - lying flat) or (orthopnoea symptom)
161946002 Dyspnoea
161948001 Dyspnoea on exertion
161951008 Breathlessness NOS
162890008 On examination - dyspnea
162891007 On examination - orthopnea
162895003 On examination - accessory respiratory muscles used
162900004 On examination - air hunger
162916002 On examination - tachypnea
17216000 Dyspnea, class I
20112008 Dyspnea leaning over
207051007 [D]Orthopnea
207055003 [D]Respiratory distress
207057006 [D]Shortness of breath
207059009 [D]Dyspnea
207062007 [D]Breathlessness
230145002 Difficulty breathing
23141003 Gasping for breath
248548009 Nocturnal dyspnea
248549001 Labored breathing
248550001 Cannot breathe deeply enough
248551002 Cannot blow
248552009 Winded
248564001 Pursed-lip breathing
248567008 Indrawing of ribs during respiration
248569006 Sternal recession
248578000 Sobbing respiration
24921003 Dyspnea raising arms
25209001 Inspiratory dyspnea
267036007 Dyspnea
271620003 Accessory respiratory muscles used
271621004 Stertorous breathing
271825005 Respiratory distress
276859008 Suprasternal recession
297216006 Increasing breathlessness
301820005 Finding of respiratory effort
30744009 Platypnea
308149007 [D]Breathlessness
34560001 Expiratory dyspnea
373895009 Acute respiratory distress
389324009 Short of breath dressing/undressing
389325005 Breathless - strenuous exertion
389326006 MRC Breathlessness Scale: grade 1
389327002 MRC Breathlessness Scale: grade 2
389328007 MRC Breathlessness Scale: grade 3
389329004 MRC Breathlessness Scale: grade 4
389330009 MRC Breathlessness Scale: grade 5
390057009 Short of breath dressing/undressing
390058004 Breathless - strenuous exertion
390059007 MRC Breathlessness Scale: grade 1
390060002 MRC Breathlessness Scale: grade 2
390061003 MRC Breathlessness Scale: grade 3
390062005 MRC Breathlessness Scale: grade 4
390063000 MRC Breathlessness Scale: grade 5
390870001 Short of breath dressing/undressing
390871002 Breathless - strenuous exertion
391120009 Medical Research Council Dyspnoea scale grade 1
391123006 Medical Research Council Dyspnoea scale grade 2
391124000 Medical Research Council Dyspnoea scale grade 3
391125004 Medical Research Council Dyspnoea scale grade 4
391126003 Medical Research Council Dyspnoea scale grade 5
394878001 On examination - sternal recession
394879009 On examination - intercostal recession
394880007 On examination - subcostal recession
394881006 On examination - suprasternal recession
39950000 Dyspnea, class III
401279002 Borg Breathlessness Score: 1 very slight
401280004 Borg Breathlessness Score: 2 slight
401281000 Borg Breathlessness Score: 3 moderate
401282007 Borg Breathlessness Score: 4 somewhat severe
401284008 Borg Breathlessness Score: 5 severe
401286005 Borg Breathlessness Score: 6 severe (+)
401290007 Borg Breathlessness Score: 7 very severe
401291006 Borg Breathlessness Score: 8 very severe (+)
401292004 Borg Breathlessness Score: 9 very, very severe (almost maximal)
401293009 Borg Breathlessness Score: 10 maximal
401323002 Borg Breathlessness Score: 0.5 very, very slight (just noticeable)
407588003 Unable to complete a sentence in one breath
45591000000101 Borg Breathlessness Score: 1 very slight
45601000000107 Borg Breathlessness Score: 2 slight
45611000000109 Borg Breathlessness Score: 3 moderate
45651000000108 Borg Breathlessness Score: 5 severe
45671000000104 Borg Breathlessness Score: 6 severe (+)
45721000000109 Borg Breathlessness Score: 7 very severe
45731000000106 Borg Breathlessness Score: 8 very severe (+)
45741000000102 Borg Breathlessness Score: 9 very, very severe (almost maximal)
45751000000104 Borg Breathlessness Score: 10 maximal
49233005 Dyspnea
497941000000108 [D]Orthopnoea
497981000000100 [D]Respiratory distress
498001000000107 [D]Shortness of breath
498021000000103 [D]Dyspnoea
502631000000100 [D]Breathlessness
55442000 Paroxysmal nocturnal dyspnea
572661000000100 Breathlessness NOS
57769004 Dyspnea after eating
59265000 Paroxysmal dyspnea
60845006 Dyspnea on exertion
62744007 Orthopnea
6442005 Intercostal recession
67909005 Chest wall retraction
702535006 Anxiety about breathlessness
702581006 Difficulty eating due to breathlessness
719413006 Breathlessness care management
719415004 Breathlessness care
719416003 Opioid therapy for breathlessness management
72365000 Dyspnea, class II
73322006 Dyspnea, class IV
8453006 Subcostal recession
852051000000107 Minimal breathlessness
870535009 Chronic dyspnea
887741000000102 Anxiety about breathlessness
887751000000104 Anxiety about breathlessness
888131000000106 Breathlessness causing difficulty eating
888141000000102 Breathlessness causing difficulty eating

Codes not in the full codelist are in faint grey.