vitamin-d-deficiency-symptoms

Metadata

Coding system
SNOMED CT (UK Clinical Edition)
Coding system release
40.2.0
Organisation
OpenSAFELY
Codelist ID
opensafely/vitamin-d-deficiency-symptoms
Version ID
1a07ecb8
Number of codes included
22

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About

Description

Captures vitamin D deficiency symptoms. It is developed for the purpose of the vitamin D study (indications for vitamin D testing/ prescribing).

Methodology

Symptoms to be captured: - bone pain (not due to any other pathology), - muscle weakness (where differentiation given - proximal), - proximal myopathy.

Search term 1: bone. Codes from categories: situation, observable entity, finding and event reviewed and selected.

Search term 2: muscle weakness. All categories reviewed. Terms referring to non-related specific disorders, fatigueable weakness (specific to myasthenia gravis) and distal weakness are excluded.

Search term 3: proximal myopathy. All categories reviewed, relevant selected.

References

Signed off by

  • Arina Tamborska, (July 16, 2025)
  • Andrew Brown, (Aug. 18, 2025)

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
1137405009 Muscle weakness of upper arm
1137411007 Weakness of flexor muscle of hip joint
1137412000 Weakness of muscle of lower limb
1137415003 Weakness of triceps brachii muscle
1137501002 Generalized muscle weakness
1137511009 Progressive weakness of muscle
1137512002 Progressive weakness of proximal muscle
12584003 Bone pain
155098008 Proximal myopathy
162236007 Weakness present
193255007 Proximal myopathy
203507006 Bone pain
203508001 Bony pelvic pain
249939004 Proximal muscle weakness
249940002 Shoulder girdle weakness
249941003 Pelvic girdle weakness
26544005 Muscle weakness
300948004 Quadriceps weakness
301773003 Pain in femur
432559006 Abnormal gait due to muscle weakness
713512009 Muscle weakness of upper limb
713514005 Muscle weakness of limb

This page shows the search terms that were used to build the codelist. Concepts that match the search terms, but which were excluded, are in faint grey.

bone pain

Included 4 out of 24 matching concepts.

Show matching concepts
  • Axis pressure pain (416562001)
  • Bertolotti's syndrome (86345004)
  • Bone pain (203507006)
  • Bone pain (12584003)
  • Bone pain caused by granulocyte colony stimulating factor (116271901000119108)
  • Bony pelvic pain (203508001)
  • Clavicle pain (203509009)
  • Costal margin chest pain (161977000)
  • Malignant bone pain (282743009)
  • Metatarsalgia (10085004)
  • Pain due to fracture (733826000)
  • Pain in femur (301773003)
  • Pain of bilateral shoulder blades (15743681000119106)
  • Pain of left shoulder blade (774135008)
  • Pain of right shoulder blade (774134007)
  • Pain of sternum (298731003)
  • Pain of tooth socket (285339000)
  • Painful os peroneum syndrome (710230000)
  • Rib pain (297217002)
  • Scapulalgia (20793008)
  • Tarsalgia (704677002)
  • Vertebrogenic low back pain (616839841000119101)
  • Xiphodynia (89638008)
  • Xiphoidalgia syndrome (89874002)

muscle weakness

Included 16 out of 129 matching concepts.

Show matching concepts
  • Abdominal weakness (162239000)
  • Abnormal gait due to muscle weakness (432559006)
  • Actin accumulation myopathy (702349003)
  • Adult familial nephronophthisis with spastic quadriparesia syndrome (733650000)
  • Amish nemaline myopathy (1197155007)
  • Bilateral paresis (127378008)
  • Bilateral partial vocal cord paralysis (195844002)
  • Calf muscle weakness (309249007)
  • Childhood-onset nemaline myopathy (1197154006)
  • Complete bilateral paresis (78119002)
  • Detrusor muscle paresis (95585001)
  • Diaphragmatic paresis (95438009)
  • Distal muscle weakness (249942005)
  • Early-onset myopathy, areflexia, respiratory distress, dysphagia syndrome (1236844002)
  • Early-onset progressive diffuse brain atrophy, microcephaly, muscle weakness, optic atrophy syndrome (1172593006)
  • Facial weakness, lower motor neurone (249933003)
  • Facial weakness, upper motor neurone (249934009)
  • Fatigable weakness of muscle (1119507003)
  • Fatigable weakness of muscle of forearm (1119514001)
  • Fatigable weakness of muscle of hip and/or thigh (1119519006)
  • Fatigable weakness of muscle of lower leg (1119509000)
  • Fatigable weakness of muscle of mastication (1119508008)
  • Fatigable weakness of muscle of neck (1119515000)
  • Fatigable weakness of muscle of upper arm (1119520000)
  • Fatigable weakness of respiratory muscle (1119516004)
  • Fatigable weakness of speech muscle (1119517008)
  • Fatigable weakness of swallowing muscle (1119518003)
  • Generalized muscle weakness (1137501002)
  • Hand muscle weakness (298283006)
  • Increased fatigable weakness of muscle (1119521001)
  • Intellectual disability, muscle weakness, short stature, facial dysmorphism syndrome (1208746001)
  • Intermediate nemaline myopathy (1197156008)
  • Laryngeal paresis (129568000)
  • Late onset weakness of distal muscle (1137503004)
  • Late onset weakness of proximal muscle (1137504005)
  • Lower facial weakness (249932008)
  • Muscle paresis due to and following neuromuscular blockade (823018004)
  • Muscle weakness (26544005)
  • Muscle weakness of limb (713514005)
  • Muscle weakness of upper arm (1137405009)
  • Muscle weakness of upper limb (713512009)
  • Myosin storage myopathy (699267007)
  • Nemaline myopathy (75072002)
  • Nemaline myopathy, early onset type (129621001)
  • Nemaline myopathy, late onset type (129622008)
  • Neurogenic muscle weakness, ataxia and retinitis pigmentosa (237984008)
  • Neurological muscle weakness (41786007)
  • Oculopharyngodistal myopathy (763829004)
  • Palatal paresis (129584004)
  • Paresis of left lower limb (16018391000119104)
  • Paresis of left vocal cord (1052239007)
  • Paresis of lower extremity (102568007)
  • Paresis of right lower limb (16018431000119109)
  • Paresis of right vocal cord (1052240009)
  • Partial bilateral paresis (50314001)
  • Pelvic girdle weakness (249941003)
  • Pharyngeal paresis (129567005)
  • Progressive weakness of distal muscle (1137510005)
  • Progressive weakness of muscle (1137511009)
  • Progressive weakness of proximal muscle (1137512002)
  • Proximal muscle weakness (249939004)
  • Pseudoparalysis (135834002)
  • Pseudoparalysis due to generalized arthritis (418073009)
  • Pyramidal type muscle weakness (249946008)
  • Quadriceps weakness (300948004)
  • Quadriparesis (91327001)
  • Quadriplegia with quadriparesis (22881000119100)
  • Severe congenital nemaline myopathy (1197157004)
  • Shoulder girdle weakness (249940002)
  • Spastic paraparesis (312444006)
  • Spastic paraparesis co-occurrent with deafness (715504003)
  • Spastic paresis (371028005)
  • Spastic quadriparesis (298282001)
  • Spinal hemiparesis (20940004)
  • Spinal paraparesis (23042008)
  • Subjective muscle weakness (126013009)
  • Truncal muscle weakness (249937002)
  • Typical nemaline myopathy (1197153000)
  • Upper facial weakness (298281008)
  • Weak eye closure (249935005)
  • Weak mouth closure (367381002)
  • Weak teeth clenching (219656000)
  • Weakness of anterior tibialis muscle (1137414004)
  • Weakness of axial muscle (1137492001)
  • Weakness of back (249938007)
  • Weakness of bilateral facial muscles (15749961000119105)
  • Weakness of distal arms and legs (249943000)
  • Weakness of extensor muscle of finger (1137407001)
  • Weakness of extremities as sequela of stroke (92341000119107)
  • Weakness of face muscles (95666008)
  • Weakness of face muscles as sequela of stroke (40161000119102)
  • Weakness of facial muscle due to and following embolic cerebrovascular accident (690171000119105)
  • Weakness of facial muscle due to and following hemorrhagic cerebrovascular accident (674371000119105)
  • Weakness of facial muscle due to and following ischemic cerebrovascular accident (674381000119108)
  • Weakness of facial muscle due to and following non-traumatic intracranial subarachnoid hemorrhage (1279529002)
  • Weakness of first dorsal interosseous muscle of hand (1137497007)
  • Weakness of flexor muscle of finger (1137406005)
  • Weakness of flexor muscle of hip joint (1137411007)
  • Weakness of intercostal muscle (1137502009)
  • Weakness of intrinsic muscle of hand (1137416002)
  • Weakness of jaw muscles (249886001)
  • Weakness of lateral rectus muscle (1137505006)
  • Weakness of left facial muscle (734756006)
  • Weakness of left facial muscle due to and following cerebrovascular accident (12242711000119109)
  • Weakness of left facial muscle due to and following cerebrovascular disease (15982311000119104)
  • Weakness of left facial muscle due to and following non-traumatic intracranial subarachnoid hemorrhage (15982471000119100)
  • Weakness of masseter muscle (1137506007)
  • Weakness of medial rectus muscle (1137508008)
  • Weakness of muscle of ankle region (1137408006)
  • Weakness of muscle of forearm (1137410008)
  • Weakness of muscle of lower leg (1137409003)
  • Weakness of muscle of lower limb (1137412000)
  • Weakness of muscle of respiration (1137517008)
  • Weakness of neck flexor muscle (1137509000)
  • Weakness of occipitofrontalis muscle (1137499005)
  • Weakness of orbicularis oculi muscle (1137518003)
  • Weakness of peroneal muscle (1137413005)
  • Weakness of right facial muscle (734757002)
  • Weakness of right facial muscle due to and following cerebrovascular accident (12242751000119105)
  • Weakness of right facial muscle due to and following cerebrovascular disease (15982271000119104)
  • Weakness of right facial muscle due to and following non-traumatic intracranial subarachnoid hemorrhage (15982351000119103)
  • Weakness of scapuloperoneal muscle (1137513007)
  • Weakness of sternomastoid (249888000)
  • Weakness of superior oblique muscle of eye (1137514001)
  • Weakness of superior rectus muscle of eye (1137515000)
  • Weakness of thenar muscle (1137516004)
  • Weakness of triceps brachii muscle (1137415003)
  • Weakness present (162236007)
  • X-linked intellectual disability, limb spasticity, retinal dystrophy, arginine vasopressin deficiency (732246009)

proximal myopathy

Included 2 out of 6 matching concepts.

Show matching concepts
  • Hereditary myopathy with early respiratory failure (702373006)
  • Myopathy with hexagonally cross-linked tubular arrays (764994007)
  • Proximal myopathy (193255007)
  • Proximal myopathy (155098008)
  • Proximal myopathy with extrapyramidal signs (770722002)
  • Proximal myopathy with focal depletion of mitochondria (1197756002)