Symptoms: chest pain without confirmed diagnosis

Coding system: SNOMED CT (UK Clinical Edition)
Coding system release: unknown
Organisation: OpenSAFELY
Codelist ID: opensafely/symptoms-chest-pain-unexplained
Version ID: 0d0d5f59

Versions

0d0d5f59 Published
Created: 01 Dec 2022 at 16:08
7c28fdff Published
Created: 12 Oct 2022 at 11:02

Description

Code list aiming to identify individuals consulting complaining of chest pain. Aiming to identify unexplained chest pain.

Methodology

Identified from intial search terms outside of OpenCodelists: "chest pain" "costochondritis" "rib pain" "parasternal" "precordi" "praecord" chest wall" "chest discomfort" retrosternal" "painful respir" "retrosternal" "painful breath"

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

Candidate codelist uploaded to OpenCodelists for review of candidate codes.

Excluded definite diagnoses. Specifically excluded codes related to rapid access chest pain clinic as local guidelines for these clinics may include those with cardiac symptoms other than chest pain (e.g., shortness of breath).

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.

Search:

code	term
2237002	Pleuritic pain
3368006	Dull chest pain
4568003	Retrosternal pain
9267009	Chest pain at rest
10000006	Radiating chest pain
13057000	Pleuropericardial chest pain
29857009	Chest pain
30128009	Tietze's disease
36859004	Esophageal chest pain
43470008	Pain in heart
59139008	Crushing chest pain
64109004	Costal chondritis
71884009	Precordial pain
75483001	Breathing painful
81953000	Chest pain on exertion
89638008	Xiphodynia
89874002	Xiphoidalgia syndrome
95421005	Intercostal myalgia
102587001	Acute chest pain
102588006	Chest wall pain
102589003	Atypical chest pain
102591006	Chest wall tenderness
103015000	Thoracic nerve root pain
139228007	Chest pain
139230009	Central chest pain
139231008	Precordial pain
139232001	Anterior chest wall pain
139234000	Parasternal pain
139236003	Atypical chest pain
139237007	Retrosternal pain
139238002	Chest pain on exertion
139239005	Rib pain
139240007	Chest pain NOS
158393008	[D]Chest pain
158394002	[D]Precordial pain
158396000	[D]Anterior chest wall pain
158399007	[D]Chest discomfort
158402008	Retrosternal pain [D]
158403003	[D]Musculoskeletal chest pain
158404009	[D]Chest pain NOS
161972006	Central chest pain
161973001	Anterior chest wall pain
161974007	Parasternal pain
161976009	Rib pain
161977000	Costal margin chest pain
161978005	Chest pain NOS
162425003	Chest wall tenderness
202478007	Sternoclavicular joint pain
203523006	Costochondritis
207078009	[D]Chest pain
207079001	[D](Chest pain: (unspecified) or (retrosternal))
207080003	[D]Precordial pain
207081004	[D]Anterior chest wall pain
207082006	[D]Painful respiration NOS
207085008	[D]Chest discomfort
207088005	[D]Parasternal chest pain
207089002	[D]Musculoskeletal chest pain
207090006	[D]Non-cardiac chest pain
207091005	[D]Retrosternal chest pain
207092003	[D]Central chest pain
207093008	[D]Chest pain NOS
207583009	[X]Other chest pain
233845001	Cardiac syndrome X
240136001	Costochondritis NOS
247389006	Intercostal neuralgia
271330001	[D]Chest pain, unspecified
274253004	[D]Retrosternal pain
274664007	Chest pain on breathing
274668005	Non-cardiac chest pain
279019008	Central crushing chest pain
279036000	Myofascial pain syndrome of thorax
279084009	Chest discomfort
281245003	Musculoskeletal chest pain
285385002	Left sided chest pain
285386001	Right sided chest pain
285389008	Upper chest pain
297217002	Rib pain
298729007	Sternum tender
298731003	Pain of sternum
298740004	Rib tender
308150007	[D]Retrosternal chest pain
309552003	[D]Painful respiration
313438003	[D]Central chest pain
366958004	Chest wall pain
367183005	Chest wall pain
371030007	Squeezing chest pain
393606005	Costochondritis
426396005	Cardiac chest pain
430894003	Strain of muscle of chest wall
444821009	Assessment of chest pain
721908003	Strain of muscle of anterior chest wall
735940001	Pain of intercostal space
7921000119104	Anterior pleuritic pain
41821000119108	Strain of intercostal muscle
97001000119106	Localized chest pain
239671000000106	Cardiac chest pain
397721000000106	[D]Chest pain NOS
425421000000105	[X]Other chest pain
440571000000100	[D]Painful respiration NOS
471551000000103	[D]Chest pain NOS
498151000000109	[D]Chest pain
498161000000107	[D]Precordial pain
498171000000100	[D]Anterior chest wall pain
498201000000104	[D]Chest discomfort
498231000000105	[D]Parasternal chest pain
498241000000101	[D]Musculoskeletal chest pain
498251000000103	[D]Non-cardiac chest pain
502141000000102	[D]Chest pain, unspecified
502361000000104	[D]Retrosternal pain
502641000000109	[D]Retrosternal chest pain
502711000000102	[D]Painful respiration
502911000000100	[D]Central chest pain
559961000000104	Chest pain NOS
621811000000103	Costochondritis NOS
1075631000119107	Pain of right sternoclavicular joint
1075651000119101	Pain of left sternoclavicular joint

Showing 1 to 116 of 116 entries

Disorder

Status:
Included
Name:
Costal chondritis
Code:
(64109004)
- Status:
  Included
  Name:
  Tietze's disease
  Code:
  (30128009)
Status:
Included
Name:
Strain of muscle of chest wall
Code:
(430894003)
- Status:
  Included
  Name:
  Strain of intercostal muscle
  Code:
  (41821000119108)
- Status:
  Included
  Name:
  Strain of muscle of anterior chest wall
  Code:
  (721908003)

Finding

Status:
Included
Name:
Breathing painful
Code:
(75483001)
Status:
Included
Name:
Chest discomfort
Code:
(279084009)
Status:
Included
Name:
Chest pain
Code:
(29857009)
- Status:
  Excluded
  Name:
  Abdominal cutaneous nerve entrapment syndrome
  Code:
  (230648001)
- Status:
  Included
  Name:
  Acute chest pain
  Code:
  (102587001)
- Status:
  Excluded
  Name:
  Angina
  Code:
  (194828000)
  - Status:
    Excluded
    Name:
    Angina co-occurrent and due to coronary arteriosclerosis
    Code:
    (15960141000119102)
    Status:
    Excluded
    Name:
    Angina co-occurrent and due to arteriosclerosis of coronary artery bypass graft
    Code:
    (15960381000119109)
    Status:
    Excluded
    Name:
    Angina co-occurrent and due to arteriosclerosis of autologous vein coronary artery bypass graft
    Code:
    (15960581000119102)
    Status:
    Excluded
    Name:
    Unstable angina co-occurrent and due to arteriosclerosis of coronary artery bypass graft
    Code:
    (15960661000119107)
    Status:
    Excluded
    Name:
    Unstable angina co-occurrent and due to coronary arteriosclerosis
    Code:
    (15960061000119102)
    Status:
    Excluded
    Name:
    Unstable angina co-occurrent and due to arteriosclerosis of coronary artery bypass graft
    Code:
    (15960661000119107)
  - Status:
    Excluded
    Name:
    Angina decubitus
    Code:
    (59021001)
  - Status:
    Excluded
    Name:
    Angina due to type 2 diabetes mellitus
    Code:
    (791000119109)
  - Status:
    Excluded
    Name:
    Angina, class I
    Code:
    (61490001)
  - Status:
    Excluded
    Name:
    Angina, class II
    Code:
    (41334000)
  - Status:
    Excluded
    Name:
    Angina, class III
    Code:
    (85284003)
  - Status:
    Excluded
    Name:
    Angina, class IV
    Code:
    (89323001)
  - Status:
    Excluded
    Name:
    Atypical angina
    Code:
    (371807002)
  - Status:
    Excluded
    Name:
    Exercise-induced angina
    Code:
    (300995000)
  - Status:
    Excluded
    Name:
    New onset angina
    Code:
    (233821000)
  - Status:
    Excluded
    Name:
    Nocturnal angina
    Code:
    (35928006)
  - Status:
    Excluded
    Name:
    Post infarct angina
    Code:
    (314116003)
  - Status:
    Excluded
    Name:
    Preinfarction syndrome
    Code:
    (4557003)
    Status:
    Excluded
    Name:
    Acute coronary insufficiency
    Code:
    (194823009)
    Status:
    Excluded
    Name:
    Unstable angina co-occurrent and due to coronary arteriosclerosis
    Code:
    (15960061000119102)
    Status:
    Excluded
    Name:
    Unstable angina co-occurrent and due to arteriosclerosis of coronary artery bypass graft
    Code:
    (15960661000119107)
    Status:
    Excluded
    Name:
    Unstable angina due to arteriosclerosis of autologous arterial coronary artery bypass graft
    Code:
    (15960461000119105)
    Status:
    Excluded
    Name:
    Unstable angina due to arteriosclerosis of autologous vein coronary artery bypass graft
    Code:
    (15960541000119107)
    Status:
    Excluded
    Name:
    Unstable angina due to arteriosclerosis of coronary artery bypass graft of transplanted heart
    Code:
    (15960341000119104)
  - Status:
    Excluded
    Name:
    Prinzmetal angina
    Code:
    (87343002)
  - Status:
    Excluded
    Name:
    Progressive angina
    Code:
    (371806006)
  - Status:
    Excluded
    Name:
    Recurrent angina status post coronary artery bypass graft
    Code:
    (371810009)
  - Status:
    Excluded
    Name:
    Recurrent angina status post coronary stent placement
    Code:
    (371809004)
  - Status:
    Excluded
    Name:
    Recurrent angina status post directional coronary atherectomy
    Code:
    (371812001)
  - Status:
    Excluded
    Name:
    Recurrent angina status post percutaneous transluminal coronary angioplasty
    Code:
    (371808007)
  - Status:
    Excluded
    Name:
    Recurrent angina status post rotational atherectomy
    Code:
    (371811008)
  - Status:
    Excluded
    Name:
    Refractory angina
    Code:
    (315025001)
  - Status:
    Excluded
    Name:
    Stable angina
    Code:
    (233819005)
    Status:
    Excluded
    Name:
    Stable angina due to coronary arteriosclerosis
    Code:
    (16754391000119100)
  - Status:
    Excluded
    Name:
    Status anginosus
    Code:
    (19057007)
  - Status:
    Excluded
    Name:
    Syncope anginosa
    Code:
    (21470009)
  - Status:
    Excluded
    Name:
    Typical angina
    Code:
    (429559004)
- Status:
  Included
  Name:
  Atypical chest pain
  Code:
  (102589003)
- Status:
  Included
  Name:
  Cardiac chest pain
  Code:
  (426396005)
- Status:
  Included
  Name:
  Cardiac syndrome X
  Code:
  (233845001)
- Status:
  Included
  Name:
  Chest pain at rest
  Code:
  (9267009)
- Status:
  Excluded
  Name:
  Chest pain due to pericarditis
  Code:
  (34791000119103)
- Status:
  Included
  Name:
  Chest pain on breathing
  Code:
  (274664007)
- Status:
  Included
  Name:
  Chest pain on exertion
  Code:
  (81953000)
- Status:
  Included
  Name:
  Chest wall pain
  Code:
  (102588006)
  - Status:
    Included
    Name:
    Anterior chest wall pain
    Code:
    (161973001)
  - Status:
    Included
    Name:
    Central chest pain
    Code:
    (161972006)
    Status:
    Included
    Name:
    Central crushing chest pain
    Code:
    (279019008)
  - Status:
    Included
    Name:
    Intercostal myalgia
    Code:
    (95421005)
  - Status:
    Included
    Name:
    Pain of intercostal space
    Code:
    (735940001)
  - Status:
    Included
    Name:
    Pain of sternum
    Code:
    (298731003)
  - Status:
    Excluded
    Name:
    Post-thoracotomy pain syndrome
    Code:
    (239175003)
    Status:
    Excluded
    Name:
    Acute postthoracotomy pain syndrome
    Code:
    (444227004)
    Status:
    Excluded
    Name:
    Chronic post-thoracotomy pain syndrome
    Code:
    (98611000119104)
  - Status:
    Included
    Name:
    Rib pain
    Code:
    (297217002)
    Status:
    Included
    Name:
    Costal margin chest pain
    Code:
    (161977000)
  - Status:
    Included
    Name:
    Sternoclavicular joint pain
    Code:
    (202478007)
    Status:
    Included
    Name:
    Pain of left sternoclavicular joint
    Code:
    (1075651000119101)
    Status:
    Included
    Name:
    Pain of right sternoclavicular joint
    Code:
    (1075631000119107)
  - Status:
    Included
    Name:
    Xiphodynia
    Code:
    (89638008)
    Status:
    Included
    Name:
    Xiphoidalgia syndrome
    Code:
    (89874002)
- Status:
  Included
  Name:
  Crushing chest pain
  Code:
  (59139008)
  - Status:
    Included
    Name:
    Central crushing chest pain
    Code:
    (279019008)
- Status:
  Included
  Name:
  Dull chest pain
  Code:
  (3368006)
- Status:
  Included
  Name:
  Esophageal chest pain
  Code:
  (36859004)
- Status:
  Included
  Name:
  Intercostal neuralgia
  Code:
  (247389006)
  - Status:
    Excluded
    Name:
    Intercostal neuralgia as late effect of trauma
    Code:
    (713839007)
  - Status:
    Excluded
    Name:
    Neuralgia of twelfth thoracic nerve
    Code:
    (866043000)
  - Status:
    Excluded
    Name:
    Postinfective intercostal neuralgia
    Code:
    (713829001)
    Status:
    Excluded
    Name:
    Intercostal post-herpetic neuralgia
    Code:
    (230597003)
- Status:
  Excluded
  Name:
  Internal mammary artery syndrome
  Code:
  (279048002)
- Status:
  Excluded
  Name:
  Ischemic chest pain
  Code:
  (225566008)
- Status:
  Included
  Name:
  Left sided chest pain
  Code:
  (285385002)
- Status:
  Included
  Name:
  Localized chest pain
  Code:
  (97001000119106)
- Status:
  Included
  Name:
  Musculoskeletal chest pain
  Code:
  (281245003)
  - Status:
    Excluded
    Name:
    Epidemic pleurodynia
    Code:
    (83264000)
  - Status:
    Included
    Name:
    Intercostal myalgia
    Code:
    (95421005)
  - Status:
    Included
    Name:
    Myofascial pain syndrome of thorax
    Code:
    (279036000)
  - Status:
    Excluded
    Name:
    Pain in thoracic spine
    Code:
    (267981009)
  - Status:
    Included
    Name:
    Pain of sternum
    Code:
    (298731003)
  - Status:
    Included
    Name:
    Rib pain
    Code:
    (297217002)
    Status:
    Included
    Name:
    Costal margin chest pain
    Code:
    (161977000)
  - Status:
    Excluded
    Name:
    Scapulalgia
    Code:
    (20793008)
    Status:
    Excluded
    Name:
    Pain of left shoulder blade
    Code:
    (774135008)
    Status:
    Excluded
    Name:
    Pain of bilateral shoulder blades
    Code:
    (15743681000119106)
    Status:
    Excluded
    Name:
    Pain of right shoulder blade
    Code:
    (774134007)
    Status:
    Excluded
    Name:
    Pain of bilateral shoulder blades
    Code:
    (15743681000119106)
  - Status:
    Included
    Name:
    Sternoclavicular joint pain
    Code:
    (202478007)
    Status:
    Included
    Name:
    Pain of left sternoclavicular joint
    Code:
    (1075651000119101)
    Status:
    Included
    Name:
    Pain of right sternoclavicular joint
    Code:
    (1075631000119107)
  - Status:
    Included
    Name:
    Xiphodynia
    Code:
    (89638008)
    Status:
    Included
    Name:
    Xiphoidalgia syndrome
    Code:
    (89874002)
- Status:
  Included
  Name:
  Non-cardiac chest pain
  Code:
  (274668005)
- Status:
  Excluded
  Name:
  Pain of breast
  Code:
  (53430007)
  - Status:
    Excluded
    Name:
    Cyclical mastalgia
    Code:
    (237453001)
  - Status:
    Excluded
    Name:
    Intractable breast pain
    Code:
    (315248002)
  - Status:
    Excluded
    Name:
    Mastalgia of puberty
    Code:
    (135876005)
  - Status:
    Excluded
    Name:
    Non-cyclical mastalgia
    Code:
    (237454007)
    Status:
    Excluded
    Name:
    Trigger point mastalgia
    Code:
    (237455008)
  - Status:
    Excluded
    Name:
    Pain from breast implant
    Code:
    (237477007)
  - Status:
    Excluded
    Name:
    Pain of left breast
    Code:
    (1010235008)
  - Status:
    Excluded
    Name:
    Pain of right breast
    Code:
    (1010237000)
  - Status:
    Excluded
    Name:
    Painful lactation
    Code:
    (247415009)
    Status:
    Excluded
    Name:
    Breastfeeding painful
    Code:
    (200430001)
    Status:
    Excluded
    Name:
    Pain when milk coming in
    Code:
    (279054001)
  - Status:
    Excluded
    Name:
    Persistent mastalgia
    Code:
    (315250005)
  - Status:
    Excluded
    Name:
    Sore nipple
    Code:
    (247350000)
- Status:
  Included
  Name:
  Parasternal pain
  Code:
  (161974007)
- Status:
  Included
  Name:
  Pleuritic pain
  Code:
  (2237002)
  - Status:
    Included
    Name:
    Anterior pleuritic pain
    Code:
    (7921000119104)
- Status:
  Included
  Name:
  Pleuropericardial chest pain
  Code:
  (13057000)
- Status:
  Included
  Name:
  Precordial pain
  Code:
  (71884009)
- Status:
  Included
  Name:
  Radiating chest pain
  Code:
  (10000006)
- Status:
  Included
  Name:
  Retrosternal pain
  Code:
  (4568003)
- Status:
  Included
  Name:
  Right sided chest pain
  Code:
  (285386001)
- Status:
  Included
  Name:
  Squeezing chest pain
  Code:
  (371030007)
- Status:
  Included
  Name:
  Thoracic nerve root pain
  Code:
  (103015000)
- Status:
  Included
  Name:
  Upper chest pain
  Code:
  (285389008)
Status:
Included
Name:
Chest wall tenderness
Code:
(102591006)
- Status:
  Included
  Name:
  Rib tender
  Code:
  (298740004)
- Status:
  Included
  Name:
  Sternum tender
  Code:
  (298729007)

Procedure

Status:
Included
Name:
Assessment of chest pain
Code:
(444821009)

[Inactive] Disorder

Status:
Included
Name:
Costochondritis
Code:
(393606005)
Status:
Included
Name:
Costochondritis
Code:
(203523006)
Status:
Included
Name:
Costochondritis NOS
Code:
(621811000000103)
Status:
Included
Name:
Costochondritis NOS
Code:
(240136001)
Status:
Included
Name:
[D]Anterior chest wall pain
Code:
(158396000)

[Inactive] Finding

Status:
Included
Name:
Anterior chest wall pain
Code:
(139232001)
Status:
Included
Name:
Atypical chest pain
Code:
(139236003)
Status:
Included
Name:
Cardiac chest pain
Code:
(239671000000106)
Status:
Included
Name:
Central chest pain
Code:
(139230009)
Status:
Included
Name:
Chest pain
Code:
(139228007)
Status:
Included
Name:
Chest pain NOS
Code:
(161978005)
Status:
Included
Name:
Chest pain NOS
Code:
(139240007)
Status:
Included
Name:
Chest pain NOS
Code:
(559961000000104)
Status:
Included
Name:
Chest pain on exertion
Code:
(139238002)
Status:
Included
Name:
Chest wall pain
Code:
(367183005)
Status:
Included
Name:
Chest wall pain
Code:
(366958004)
Status:
Included
Name:
Chest wall tenderness
Code:
(162425003)
Status:
Included
Name:
Pain in heart
Code:
(43470008)
Status:
Included
Name:
Parasternal pain
Code:
(139234000)
Status:
Included
Name:
Precordial pain
Code:
(139231008)
Status:
Included
Name:
Retrosternal pain
Code:
(139237007)
Status:
Included
Name:
Rib pain
Code:
(161976009)
Status:
Included
Name:
Rib pain
Code:
(139239005)
Status:
Included
Name:
[X]Other chest pain
Code:
(425421000000105)
Status:
Included
Name:
[X]Other chest pain
Code:
(207583009)

[Inactive] Situation

Status:
Included
Name:
Retrosternal pain [D]
Code:
(158402008)
Status:
Included
Name:
[D](Chest pain: (unspecified) or (retrosternal))
Code:
(207079001)
Status:
Included
Name:
[D]Anterior chest wall pain
Code:
(207081004)
Status:
Included
Name:
[D]Anterior chest wall pain
Code:
(498171000000100)
Status:
Included
Name:
[D]Central chest pain
Code:
(207092003)
Status:
Included
Name:
[D]Central chest pain
Code:
(502911000000100)
Status:
Included
Name:
[D]Central chest pain
Code:
(313438003)
Status:
Included
Name:
[D]Chest discomfort
Code:
(207085008)
Status:
Included
Name:
[D]Chest discomfort
Code:
(498201000000104)
Status:
Included
Name:
[D]Chest discomfort
Code:
(158399007)
Status:
Included
Name:
[D]Chest pain
Code:
(498151000000109)
Status:
Included
Name:
[D]Chest pain
Code:
(207078009)
Status:
Included
Name:
[D]Chest pain
Code:
(158393008)
Status:
Included
Name:
[D]Chest pain NOS
Code:
(207093008)
Status:
Included
Name:
[D]Chest pain NOS
Code:
(158404009)
Status:
Included
Name:
[D]Chest pain NOS
Code:
(471551000000103)
Status:
Included
Name:
[D]Chest pain NOS
Code:
(397721000000106)
Status:
Included
Name:
[D]Chest pain, unspecified
Code:
(271330001)
Status:
Included
Name:
[D]Chest pain, unspecified
Code:
(502141000000102)
Status:
Included
Name:
[D]Musculoskeletal chest pain
Code:
(498241000000101)
Status:
Included
Name:
[D]Musculoskeletal chest pain
Code:
(158403003)
Status:
Included
Name:
[D]Musculoskeletal chest pain
Code:
(207089002)
Status:
Included
Name:
[D]Non-cardiac chest pain
Code:
(207090006)
Status:
Included
Name:
[D]Non-cardiac chest pain
Code:
(498251000000103)
Status:
Included
Name:
[D]Painful respiration
Code:
(309552003)
Status:
Included
Name:
[D]Painful respiration
Code:
(502711000000102)
Status:
Included
Name:
[D]Painful respiration NOS
Code:
(440571000000100)
Status:
Included
Name:
[D]Painful respiration NOS
Code:
(207082006)
Status:
Included
Name:
[D]Parasternal chest pain
Code:
(498231000000105)
Status:
Included
Name:
[D]Parasternal chest pain
Code:
(207088005)
Status:
Included
Name:
[D]Precordial pain
Code:
(498161000000107)
Status:
Included
Name:
[D]Precordial pain
Code:
(158394002)
Status:
Included
Name:
[D]Precordial pain
Code:
(207080003)
Status:
Included
Name:
[D]Retrosternal chest pain
Code:
(207091005)
Status:
Included
Name:
[D]Retrosternal chest pain
Code:
(502641000000109)
Status:
Included
Name:
[D]Retrosternal chest pain
Code:
(308150007)
Status:
Included
Name:
[D]Retrosternal pain
Code:
(502361000000104)
Status:
Included
Name:
[D]Retrosternal pain
Code:
(274253004)