Symptoms: sleep disturbance

Codelist metadata

Coding system
SNOMED CT (UK Clinical Edition)
Coding system release
unknown
Organisation
OpenSAFELY
Codelist ID
opensafely/symptoms-sleep-disturbance
Version ID
59c92016

Versions

About

Description

Code list aiming to identify individuals consulting complaining of sleep disturbance.

Methodology

Identified from intial search terms outside of OpenCodelists: "sleep" "insomnia" "waking" "awake" awakening" "dyssomnia" somnol" "somnia" "sleep walk" "somnambul"

Clearly irrelevant codes excluded (not reviewed by a second clinician)

Candidate codelist uploaded to OpenCodelists for review of candidate codes.

Removed non-specific codes for sleeping during the day or drowsiness, which may be symptoms unrelated to sleep disturbance (e.g., medications causing daytime sleepiness). Excluded central apnoea codes, likely to be a formal neurological diagnosis.

Signed off by

  • Kate Mansfield, (Nov. 16, 2022)
  • Caroline Morton, (Nov. 16, 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.

Codes not in the full codelist are in faint grey.

Disorder
Sleep disorder(39898005)
Alveolar sleep apnea(230494007)
Breathing-related sleep disorder(111489007)
Central alveolar hypoventilation syndrome(24825006)
Acquired central alveolar hypoventilation(105191000119100)
Congenital central hypoventilation(399040002)
Idiopathic sleep related non-obstructive alveolar hypoventilation(441910000)
Late-onset central hypoventilation co-occurrent and due to hypothalamic dysfunction(724508005)
Central sleep apnea syndrome(27405005)
Central sleep apnea caused by high altitude(91441000119109)
Central sleep apnea caused by substance(724504007)
Central sleep apnea co-occurrent with Cheyne Stokes respiration(724506009)
Central sleep apnea due to periodic breathing(85721000119105)
Central sleep apnea without Cheyne-Stokes respiration(724507000)
Mixed sleep apnea(230493001)
Primary central sleep apnea(9741000119101)
Treatment-emergent central sleep apnea(789055001)
Obstructive sleep apnea syndrome(78275009)
AT-hook DNA binding motif containing 1-related intellectual disability, obstructive sleep apnea, mild dysmorphism syndrome(774068004)
Autoimmune encephalopathy with parasomnia and obstructive sleep apnea(765751002)
Mixed sleep apnea(230493001)
Obstructive sleep apnea of adult(1101000119103)
Obstructive sleep apnea of child(1091000119108)
Sleep related hypoventilation or hypoxemia(89911000119102)
Sleep hypoventilation(443760008)
Hypoventilation during sleep due to neuromuscular disorder(429456008)
Sleep hypoventilation due to lower airway obstruction(426542005)
Sleep-related hypoventilation caused by substance(724509002)
Sleep related hypoxemia(288581000119102)
Sleep-related neurogenic tachypnea(430390000)
Disorders of initiating and maintaining sleep(194437008)
Insomnia(193462001)
Acute insomnia(762348004)
Adjustment insomnia(472819006)
Behavioral insomnia of childhood(90361000119105)
Chronic insomnia(724748004)
Circumstances interfere with sleep(248258007)
Drug-induced insomnia(91411000119105)
Fatal familial insomnia(83157008)
Initial insomnia(59050008)
Insomnia co-occurrent and due to medical condition(27971000119105)
Insomnia co-occurrent and due to nocturnal myoclonus(93681000119102)
Insomnia disorder related to another mental disorder(24121004)
Insomnia disorder related to known organic factor(81608000)
Insomnia with sleep apnea(41975002)
Late insomnia(162204000)
Menopausal sleeplessness(198437004)
Middle insomnia(67233009)
Mixed insomnia(54230003)
Nonorganic insomnia(192454004)
Not getting enough sleep(248256006)
Persistent insomnia(191997003)
Primary insomnia(3972004)
Psychophysiologic insomnia(425832009)
Rebound insomnia(88982005)
Symptoms interfere with sleep(248259004)
Terminal insomnia(67062000)
Transient insomnia(268652009)
Dream enactment behavior(711565008)
Dyssomnia(44186003)
Always sleepy(248262001)
Ankyrin 3 related intellectual disability, sleep disturbance syndrome(787175002)
Disorder of sleep-wake cycle(271794005)
Circadian rhythm disorder caused by drug(91461000119108)
Circadian rhythm sleep disorder caused by alcohol(135331000119105)
Circadian rhythm sleep disorder of shift work type(713498009)
Disruptions of 24 hour sleep-wake cycle(31491000119109)
Familial advanced sleep phase syndrome(715829003)
Irregular sleep-wake pattern(271793004)
Non-24 hour sleep-wake cycle(230496009)
Non-organic disorder of the sleep-wake schedule(268722008)
Organic sleep-wake cycle disorder(99711000119104)
Repeated rapid eye movement sleep interruptions(192004002)
Reversed sleep-wake cycle(192008004)
Sleep-wake schedule disorder due to jet lag(724751006)
Sleep-wake schedule disorder, advanced phase type(31537005)
Sleep-wake schedule disorder, delayed phase type(80623000)
Sleep-wake schedule disorder, frequently changing type(54532007)
Transient sleep-wake rhythm disorder(230495008)
Disorders of excessive somnolence(194439006)
Somnolence syndrome(370971007)
Post-radiotherapy somnolence syndrome(418424006)
Hypersomnia(77692006)
Behaviorally induced hypersomnia(724749007)
Cataplexy and narcolepsy(193042000)
Daytime hypersomnia(31771000119102)
Excessive day and night-time sleepiness(230490003)
Excessive daytime sleepiness - normal night sleep(230489007)
Hypersomnia disorder related to a known organic factor(44455001)
Hypersomnia disorder related to another mental disorder(89415002)
Hypersomnia of non-organic origin(230488004)
Hypersomnia with sleep apnea(79280005)
Hypersomnolence caused by substance(724750007)
Oversleeps(248261008)
Persistent hypersomnia(191999000)
Postviral excessive daytime sleepiness(230491004)
Primary hypersomnia(36124002)
Idiopathic hypersomnia(3731000119107)
Narcolepsy(60380001)
Autosomal dominant cerebellar ataxia, deafness and narcolepsy syndrome(722293005)
Narcolepsy type 1(735676003)
Narcolepsy without cataplexy(91521000119104)
Recurrent hypersomnia(426451004)
Transient hypersomnia(268653004)
Insomnia(193462001)
Acute insomnia(762348004)
Adjustment insomnia(472819006)
Behavioral insomnia of childhood(90361000119105)
Chronic insomnia(724748004)
Circumstances interfere with sleep(248258007)
Drug-induced insomnia(91411000119105)
Fatal familial insomnia(83157008)
Initial insomnia(59050008)
Insomnia co-occurrent and due to medical condition(27971000119105)
Insomnia co-occurrent and due to nocturnal myoclonus(93681000119102)
Insomnia disorder related to another mental disorder(24121004)
Insomnia disorder related to known organic factor(81608000)
Insomnia with sleep apnea(41975002)
Late insomnia(162204000)
Menopausal sleeplessness(198437004)
Middle insomnia(67233009)
Mixed insomnia(54230003)
Nonorganic insomnia(192454004)
Not getting enough sleep(248256006)
Persistent insomnia(191997003)
Primary insomnia(3972004)
Psychophysiologic insomnia(425832009)
Rebound insomnia(88982005)
Symptoms interfere with sleep(248259004)
Terminal insomnia(67062000)
Transient insomnia(268652009)
Unrefreshed by sleep(248260009)
Environmental sleep disorder(429276004)
Kleine-Levin syndrome(111488004)
Limit-setting sleep disorder(425881006)
Long sleeper syndrome(443664006)
Non-organic sleep disorder(270487001)
Organic sleep disorder(418955009)
Organic mixed sleep disorder(105521000119109)
Organic sleep apnea(442164004)
Organic sleep related movement disorder(90011000119105)
Sleep-related movement disorder caused by substance(789047008)
Parasomnia(58690002)
Autoimmune encephalopathy with parasomnia and obstructive sleep apnea(765751002)
Confusional arousal disorder(441830002)
Exploding head syndrome(449160007)
Hypnogogic exploding head syndrome(724752004)
Narcolepsy(60380001)
Autosomal dominant cerebellar ataxia, deafness and narcolepsy syndrome(722293005)
Narcolepsy type 1(735676003)
Narcolepsy without cataplexy(91521000119104)
Nocturnal myoclonus(34101000119105)
Insomnia co-occurrent and due to nocturnal myoclonus(93681000119102)
Non-organic parasomnia(425476007)
Organic parasomnia(441976002)
Parasomnia disorder caused by substance(724754003)
Rapid eye movement sleep behavior disorder(415238003)
Reaction to sudden wakening(247951006)
Recurrent isolated sleep-related hallucinations(724753009)
Secondary parasomnia(428708005)
Sleep automatism(247962006)
Nocturnal sleep-related eating disorder(407666007)
Sleep related bruxism(274950005)
Sleep walking disorder(80495009)
Sleep drunkenness(192003008)
Sleep paralysis(277180005)
Sleep related movement disorder(84991000119105)
Benign neonatal sleep myoclonus(413638006)
Periodic limb movement disorder(418763003)
Restless legs(32914008)
Sleep related bruxism(274950005)
Sleep related rhythmic movement disorder(430893009)
Sleep starts(277181009)
Sleep terror disorder(89675003)
Sleep-related dissociative disorder(429571005)
Sleep-related dystonia(230500006)
Sleep-related groaning(429266002)
Sleep-related head banging(230497000)
Primary central sleep apnea of prematurity(789009003)
Repetitive intrusions of sleep(268654005)
Sleep apnea(73430006)
Glaucoma and sleep apnea syndrome(719976001)
Obstructive sleep apnea syndrome(78275009)
AT-hook DNA binding motif containing 1-related intellectual disability, obstructive sleep apnea, mild dysmorphism syndrome(774068004)
Autoimmune encephalopathy with parasomnia and obstructive sleep apnea(765751002)
Mixed sleep apnea(230493001)
Obstructive sleep apnea of adult(1101000119103)
Obstructive sleep apnea of child(1091000119108)
Organic sleep apnea(442164004)
Primary sleep apnea of newborn(361208003)
Sleep attack(427426006)
Sleep disturbance in infancy(4681000119100)
Sleep dysfunction with arousal disturbance(442176004)
Sleep dysfunction with sleep stage disturbance(441877007)
Sleep-onset association disorder(426824009)
Sleep-related painful erections(230498005)
Sleep-related respiratory failure(230499002)
Substance-induced sleep disorder(363314000)
Finding
Able to sleep with sedation(799001000000105)
Abnormal rapid eye movement sleep(69020003)
Cannot sleep at all(248255005)
Complaining of insomnia(272025006)
Complaining of somnolence(272026007)
Daytime somnolence(141000119100)
Delayed onset of sleep(401161007)
Difficulty sleeping(301345002)
Disturbance in sleep behavior(53888004)
Does not sleep(1072611000000100)
Does sleep with sedation(1074261000000105)
Finding related to sleep walking(419057008)
Inadequate sleep hygiene(443483005)
Insufficient rest/sleep for age(425202006)
Insufficient rest/sleep for physical condition(422730001)
Light sleep(29373008)
Mood hypersomnia(59445005)
Mood insomnia(53758003)
Not easily wakened from sleep(733504007)
Poor sleep pattern(314938000)
Prolonged sleep(48091006)
Restless sleep(12262002)
Short-sleeper(192007009)
Sleep pattern disrupts family lifestyle(423439006)
Sleep pattern disturbance(26677001)
Sleep related hallucinations(445112001)
Sleeptalking(36321004)
Twilight sleep(41016007)
Unable to sleep with sedation(1075841000000106)
Unable to sleep without sedation(1075851000000109)
Wakes up during night(713822005)
Procedure
Signposting to the Sleep Council(1057371000000102)
Sleep disorder care management(81121000119107)
Sleep pattern control education(410079007)
Sleep pattern control management(410080005)
Situation
On melatonin for sleep disorder(887881000000101)
[Inactive] Disorder
(Dreams) or (other non-organic sleep disorder)(192009007)
(Repetitive intrusions of sleep) or (restless sleep)(192006000)
Disorder of sleep-wake cycle(194440008)
Early morning waking(45121000000105)
Early waking(393575002)
Hypersomnia NOS(230486000)
Hypersomnia NOS(671501000000102)
Hypersomnia of non-organic origin(192455003)
Hypersomnia: [transient] or [NOS](191998008)
Idiopathic insomnia(426257002)
Insomnia(62577008)
Insomnia(270478005)
Insomnia NOS(671491000000108)
Insomnia NOS(230484002)
Insomnia: [transient] or [NOS](191996007)
Non-organic sleep disorder(192453005)
Non-organic sleep disorder NOS(665901000000102)
Non-organic sleep disorder NOS(192010002)
Non-organic sleep disorders (& [hypersomnia] or [insomnia])(191994005)
Nonorganic insomnia(230485001)
Other non-organic sleep disorder(268655006)
Other non-organic sleep disorder(574401000000107)
Other sleep stage or arousal dysfunction(192005001)
Other sleep stage or arousal dysfunction(608231000000106)
Sleep disorders (& [insomnia] or [nightmares] or [sleepwalking (& somnambulism)])(268775007)
Sleep disorders (& [insomnia] or [nightmares] or [sleepwalking (& somnambulism)])(154927001)
Sleep-wake disorder(194436004)
Sleep-wake schedule disorder(3745000)
Sleep-wake schedule disorder, delayed phase(28011000119104)
Sleep-wake schedule disorder, disorganized type(50702007)
Sleepwalking(192457006)
Unspecified non-organic sleep disorder(608221000000109)
Unspecified non-organic sleep disorder(191995006)
[D]Sleep disturbances (& [hypersomnia] or [insomnia])(270961006)
[X] Nonorganic disorder of the sleep-wake schedule: [psychogenic inversion of circadian rhythm (including nyctohemeral rhythm and sleep rhythm)](192456002)
[X]Nonorganic sleep disorder, unspecified(192462007)
[X]Nonorganic sleep disorder, unspecified(456351000000103)
[X]Other nonorganic sleep disorders(192460004)
[X]Other nonorganic sleep disorders(414731000000105)
[X]Other sleep disorders(456421000000100)
[X]Other sleep disorders(194498000)
[Inactive] Finding
Delayed onset of sleep(44361000000104)
Excessive somnolence(837041000000105)
Initial insomnia(162202001)
Insomnia (& C/O)(162201008)
Insomnia (& symptom) or somnolence(267172002)
Insomnia (& symptom) or somnolence(139485005)
Light sleep(177841000000108)
Middle insomnia(162203006)
Pain onset during sleep(242101000000103)
Poor sleep pattern(139500000)
Poor sleep pattern(162224001)
Sleep drunkenness(67238000)
Sleeping pattern(44501000000107)
Sleepy(284091004)
Wakes and cannot sleep again(248257002)
[Inactive] Situation
[D]Hypersomnia(309732001)
[D]Hypersomnia(502761000000100)
[D]Hypersomnia(158154009)
[D]Hypersomnia NOS(424801000000100)
[D]Hypersomnia NOS(206751007)
[D]Insomnia(274233003)
[D]Insomnia(158152008)
[D]Insomnia(502171000000108)
[D]Insomnia NOS(477671000000104)
[D]Insomnia NOS(206749008)
[D]Sleep disturbance, unspecified(495651000000107)
[D]Sleep disturbance, unspecified(206747005)
[D]Sleep disturbance, unspecified(158150000)
[D]Sleep disturbances(495641000000109)
[D]Sleep disturbances(206746001)
[D]Sleep disturbances (& [hypersomnia] or [insomnia])(158149000)
[D]Sleep dysfunction NEC(268892009)
[D]Sleep dysfunction NEC(469181000000105)
[D]Sleep dysfunction NEC(471781000000102)
[D]Sleep dysfunction NEC(158160009)
[D]Sleep dysfunction NOS(206757006)
[D]Sleep dysfunction NOS(437981000000106)
[D]Sleep dysfunction with arousal disturbance(158159004)
[D]Sleep dysfunction with arousal disturbance(495711000000102)
[D]Sleep dysfunction with arousal disturbance(206756002)
[D]Sleep dysfunction with sleep stage disturbance(158158007)
[D]Sleep dysfunction with sleep stage disturbance(206755003)
[D]Sleep dysfunction with sleep stage disturbance(495701000000104)
[D]Sleep rhythm inversion(206752000)
[D]Sleep rhythm inversion(158155005)
[D]Sleep rhythm inversion(495671000000103)
[D]Sleep rhythm irregular(495681000000101)
[D]Sleep rhythm irregular(158156006)
[D]Sleep rhythm irregular(206753005)
[D]Sleep-wake rhythm non-24-hour cycle(495691000000104)
[D]Sleep-wake rhythm non-24-hour cycle(158157002)
[D]Sleep-wake rhythm non-24-hour cycle(206754004)
[D]Somnolence(158124004)
[D]Somnolence(495381000000108)
[D]Somnolence(206712002)
[Inactive] Unknown
Delayed onset of sleep(79121000000107)
Delayed onset of sleep(39391000000105)
Delayed onset of sleep(74881000000104)
Delayed onset of sleep(41651000000105)
Disturbing sleep(346781000000103)
Early morning waking(79141000000100)
Early morning waking(39421000000104)
Early morning waking(74901000000101)
Early morning waking(41681000000104)
Excessive sleep(39401000000108)
Excessive sleep(46701000000106)
Excessive sleep(41661000000108)
Excessive sleep(83701000000109)
Excessive somnolence(857601000000103)
Leaving to sleep(347641000000101)
Light sleep(186211000000101)
Light sleep(189651000000108)
On melatonin for child sleep disorder (887891000000104)