{
  "concept_id": 2501,
  "concept_version_id": 6402,
  "coding_system": {
    "id": 5,
    "name": "Read codes v2",
    "description": "Read codes v2"
  },
  "name": "Empyema or pyothorax or purulent pleuritis Primary care - BREATHE recommended - 1",
  "description": "\n\nNot found code search\n\n",
  "author": "Chukwuma Iwundu, Clare MacRae, Eleftheria Vasileiou",
  "entry_date": "2022-01-17",
  "validation_performed": true,
  "validation_description": "Hamilton et al, 2020Clinical coding of pleural empyema was validated using coding data from three hospitals in England, UK. The coded diagnoses of pleural empyema is defined as J86-, also known as pyothorax.  Empyema was considered as a pleural effusion that had a documented pH of less than 7.2, microscopic evidence of infection, or frank pus. If microscopic evidence was not available, then clear clinical management as empyema (supporting radiology, clinical progress, and biochemistry) was used.The clinical diagnosis of empyema was made on retrospective review of the notes, discharge summary, radiology, and microbiology available.Empyema was considered as a pleural effusion that had a documented pH of less than 7.2, microscopic evidence of infection, or frank pus. If microscopic evidence was not available, then clear clinical management as empyema (supporting radiology, clinical progress, and biochemistry) was used.Empyema coding was generally good (>85% accuracy), although some cases were miscoded. Using codes for elective admissions helped to differentiate post-operative from community acquired empyema. It is likely empyema is under rather than over-recorded in HES data.Using codes for elective admissions helped to differentiate post-operative from community acquired empyema. It is likely empyema is under rather than over-recorded in HES dat",
  "publication_doi": "",
  "publication_link": "",
  "secondary_publication_links": "",
  "paper_published": false,
  "source_reference": "",
  "citation_requirements": "",
  "owner_access": 3,
  "group_access": 1,
  "world_access": 2,
  "tags": [],
  "collections": [
    {
      "name": "BREATHE",
      "value": 19,
      "type": 2
    },
    {
      "name": "Phenotype Library",
      "value": 18,
      "type": 2
    }
  ],
  "created_by": null,
  "modified_by": null,
  "owner": null,
  "group": null,
  "phenotype_owner": "PH802",
  "phenotype_owner_history_id": 1683,
  "requested_entity_id": null,
  "components": [
    {
      "id": 2823,
      "name": "BREATHE recommended",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 169862,
          "code": "A120.00",
          "description": "Tuberculous pleurisy"
        },
        {
          "id": 169863,
          "code": "F530.12",
          "description": "Empyema of mastoid"
        },
        {
          "id": 169864,
          "code": "J650.12",
          "description": "Empyema of gallbladder"
        },
        {
          "id": 169865,
          "code": "H50..00",
          "description": "Empyema"
        },
        {
          "id": 169866,
          "code": "H500101",
          "description": "Empyema with bronchopleural fistula"
        },
        {
          "id": 169867,
          "code": "H501201",
          "description": "Pleural empyema"
        },
        {
          "id": 169868,
          "code": "H501401",
          "description": "Purulent pleurisy"
        },
        {
          "id": 169869,
          "code": "H510901",
          "description": "Pneumococcal pleurisy"
        },
        {
          "id": 169870,
          "code": "H510A00",
          "description": "Staphylococcal pleurisy"
        },
        {
          "id": 169871,
          "code": "H511.00",
          "description": "Bacterial pleurisy with effusion"
        },
        {
          "id": 169872,
          "code": "H510900",
          "description": "Pneumococcal pleurisy"
        },
        {
          "id": 169873,
          "code": "H50z.00",
          "description": "Empyema NOS"
        },
        {
          "id": 169874,
          "code": "H500100",
          "description": "Empyema with bronchopleural fistula"
        },
        {
          "id": 169875,
          "code": "A124600",
          "description": "Tuberculous pleurisy, conf bacteriologically/histologically"
        },
        {
          "id": 169876,
          "code": "H501300",
          "description": "Lung empyema NOS"
        },
        {
          "id": 169877,
          "code": "A120100",
          "description": "Tuberculous empyema"
        },
        {
          "id": 169878,
          "code": "H511000",
          "description": "Pneumococcal pleurisy with effusion"
        },
        {
          "id": 169879,
          "code": "H501200",
          "description": "Pleural empyema"
        },
        {
          "id": 169880,
          "code": "H511z00",
          "description": "Bacterial pleurisy with effusion NOS"
        },
        {
          "id": 169881,
          "code": "A101.00",
          "description": "Tuberculous pleurisy in primary progressive tuberculosis"
        },
        {
          "id": 169882,
          "code": "H501400",
          "description": "Purulent pleurisy"
        },
        {
          "id": 169883,
          "code": "H501.00",
          "description": "Empyema with no fistula"
        },
        {
          "id": 169884,
          "code": "A120z00",
          "description": "Tuberculous pleurisy NOS"
        },
        {
          "id": 169885,
          "code": "H500.00",
          "description": "Empyema with fistula"
        },
        {
          "id": 169886,
          "code": "H500000",
          "description": "Empyema with bronchocutaneous fistula"
        },
        {
          "id": 169887,
          "code": "H510B00",
          "description": "Streptococcal pleurisy"
        },
        {
          "id": 169888,
          "code": "H511100",
          "description": "Staphylococcal pleurisy with effusion"
        },
        {
          "id": 169889,
          "code": "H500400",
          "description": "Empyema with pleural fistula NOS"
        },
        {
          "id": 169890,
          "code": "H511200",
          "description": "Streptococcal pleurisy with effusion"
        },
        {
          "id": 169891,
          "code": "H500z00",
          "description": "Empyema with fistula NOS"
        },
        {
          "id": 169892,
          "code": "H500300",
          "description": "Empyema with mediastinal fistula"
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6402,
      "version_name": "Empyema or pyothorax or purulent pleuritis Primary care - BREATHE recommended - 1",
      "version_date": "2022-01-17T14:00:41.431095Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}