{
  "concept_id": 2502,
  "concept_version_id": 6404,
  "coding_system": {
    "id": 9,
    "name": "SNOMED  CT codes",
    "description": "SNOMED CT codes"
  },
  "name": "Empyema or pyothorax or purulent pleuritis Primary care - BREATHE recommended - 2",
  "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": 2824,
      "name": "BREATHE recommended",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 169896,
          "code": "128069014",
          "description": "Fibrinous pleurisy"
        },
        {
          "id": 169917,
          "code": "456436010",
          "description": "Empyema"
        },
        {
          "id": 169893,
          "code": "121449018",
          "description": "Empyema of gallbladder"
        },
        {
          "id": 169894,
          "code": "1231843013",
          "description": "Purulent pleurisy"
        },
        {
          "id": 169895,
          "code": "12711015",
          "description": "Streptococcal pleurisy with effusion"
        },
        {
          "id": 169897,
          "code": "141587016",
          "description": "Streptococcal pleurisy"
        },
        {
          "id": 169898,
          "code": "141595017",
          "description": "Bacterial pleurisy with effusion"
        },
        {
          "id": 169899,
          "code": "218821000006118",
          "description": "Pleural empyema"
        },
        {
          "id": 169900,
          "code": "24683016",
          "description": "Tuberculous empyema"
        },
        {
          "id": 169901,
          "code": "2730071000006112",
          "description": "Tuberculous pleural empyema"
        },
        {
          "id": 169902,
          "code": "286214019",
          "description": "Tuberculous pleurisy in primary progressive tuberculosis"
        },
        {
          "id": 169903,
          "code": "286225011",
          "description": "Tuberculous pleurisy"
        },
        {
          "id": 169904,
          "code": "286230010",
          "description": "Tuberculous pleurisy NOS"
        },
        {
          "id": 169905,
          "code": "2990251000006110",
          "description": "Empyema necessitans"
        },
        {
          "id": 169906,
          "code": "301625018",
          "description": "Empyema with pleural fistula NOS"
        },
        {
          "id": 169907,
          "code": "301626017",
          "description": "Empyema with thoracic fistula NOS"
        },
        {
          "id": 169908,
          "code": "301635012",
          "description": "Lung empyema NOS"
        },
        {
          "id": 169909,
          "code": "301661011",
          "description": "Bacterial pleurisy with effusion NOS"
        },
        {
          "id": 169910,
          "code": "3349791000006110",
          "description": "Mastoid empyema"
        },
        {
          "id": 169911,
          "code": "3451091000006115",
          "description": "Suppurative pleurisy"
        },
        {
          "id": 169912,
          "code": "3854971000006111",
          "description": "Epidemic benign dry pleurisy"
        },
        {
          "id": 169913,
          "code": "3854981000006114",
          "description": "Epidemic pleurisy"
        },
        {
          "id": 169914,
          "code": "39802016",
          "description": "Staphylococcal pleurisy with effusion"
        },
        {
          "id": 169915,
          "code": "406305010",
          "description": "Empyema with fistula"
        },
        {
          "id": 169916,
          "code": "40785018",
          "description": "Pneumococcal pleurisy with effusion"
        },
        {
          "id": 169918,
          "code": "46467017",
          "description": "Encysted pleurisy"
        },
        {
          "id": 169919,
          "code": "47025013",
          "description": "Empyema with bronchopleural fistula"
        },
        {
          "id": 169920,
          "code": "4740991000006119",
          "description": "Primary progressive tuberculosis with tuberculous pleurisy"
        },
        {
          "id": 169921,
          "code": "4741061000006117",
          "description": "Tuberculous pleuritis"
        },
        {
          "id": 169922,
          "code": "4782121000006111",
          "description": "Loculated empyema"
        },
        {
          "id": 169923,
          "code": "50946012",
          "description": "Empyema with bronchocutaneous fistula"
        },
        {
          "id": 169924,
          "code": "5407016",
          "description": "Pneumococcal pleurisy"
        },
        {
          "id": 169925,
          "code": "5525211000006118",
          "description": "Pleural empyema with fistula"
        },
        {
          "id": 169926,
          "code": "5525221000006114",
          "description": "Pleural empyema with no fistula"
        },
        {
          "id": 169927,
          "code": "5525231000006112",
          "description": "Empyema of pleura without fistula"
        },
        {
          "id": 169928,
          "code": "57249012",
          "description": "Empyema with hepatopleural fistula"
        },
        {
          "id": 169929,
          "code": "6320012",
          "description": "Staphylococcal pleurisy"
        },
        {
          "id": 169930,
          "code": "640711000006112",
          "description": "Empyema NOS"
        },
        {
          "id": 169931,
          "code": "640771000006115",
          "description": "Empyema with fistula NOS"
        },
        {
          "id": 169932,
          "code": "640801000006118",
          "description": "Empyema with no fistula"
        },
        {
          "id": 169933,
          "code": "640811000006115",
          "description": "Empyema with no fistula NOS"
        },
        {
          "id": 169934,
          "code": "83211000006113",
          "description": "Tuberculous pleurisy, conf bacteriologically/histologically"
        },
        {
          "id": 169935,
          "code": "84488013",
          "description": "Empyema with mediastinal fistula"
        },
        {
          "id": 169936,
          "code": "8694011",
          "description": "Empyema of mastoid"
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6404,
      "version_name": "Empyema or pyothorax or purulent pleuritis Primary care - BREATHE recommended - 2",
      "version_date": "2022-01-17T14:00:42.293181Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}