{
  "concept_id": 2503,
  "concept_version_id": 6406,
  "coding_system": {
    "id": 5,
    "name": "Read codes v2",
    "description": "Read codes v2"
  },
  "name": "Empyema or pyothorax or purulent pleuritis Primary care -  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",
  "code_attribute_header": [
    "CPRD GOLD Med",
    "BREATHE recommended",
    "Manchester Clinical Codes 3"
  ],
  "phenotype_owner_history_id": 1683,
  "requested_entity_id": null,
  "components": [
    {
      "id": 2825,
      "name": "Empyema or pyothorax or purulent pleuritis Primary care",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 169937,
          "code": "A120.00",
          "description": "Tuberculous pleurisy",
          "attributes": {
            "CPRD GOLD Med": "23472",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169938,
          "code": "F530.12",
          "description": "Empyema of mastoid",
          "attributes": {
            "CPRD GOLD Med": "28228",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169939,
          "code": "J650.12",
          "description": "Empyema of gallbladder",
          "attributes": {
            "CPRD GOLD Med": "932",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169940,
          "code": "H50..00",
          "description": "Empyema",
          "attributes": {
            "CPRD GOLD Med": "2375",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": "Y"
          }
        },
        {
          "id": 169941,
          "code": "H500101",
          "description": "Empyema with bronchopleural fistula",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": "Y"
          }
        },
        {
          "id": 169942,
          "code": "H501201",
          "description": "Pleural empyema",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": "Y"
          }
        },
        {
          "id": 169943,
          "code": "H501401",
          "description": "Purulent pleurisy",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169944,
          "code": "H51..01",
          "description": "Pleurisy",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169945,
          "code": "H510300",
          "description": "Acute dry pleurisy",
          "attributes": {
            "CPRD GOLD Med": "19207",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169946,
          "code": "H510301",
          "description": "Acute dry pleurisy",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169947,
          "code": "H510901",
          "description": "Pneumococcal pleurisy",
          "attributes": {
            "CPRD GOLD Med": "",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169948,
          "code": "H510A00",
          "description": "Staphylococcal pleurisy",
          "attributes": {
            "CPRD GOLD Med": "31603",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169949,
          "code": "H511.00",
          "description": "Bacterial pleurisy with effusion",
          "attributes": {
            "CPRD GOLD Med": "31689",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169950,
          "code": "H510900",
          "description": "Pneumococcal pleurisy",
          "attributes": {
            "CPRD GOLD Med": "32818",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169951,
          "code": "H50z.00",
          "description": "Empyema NOS",
          "attributes": {
            "CPRD GOLD Med": "34282",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169952,
          "code": "H500100",
          "description": "Empyema with bronchopleural fistula",
          "attributes": {
            "CPRD GOLD Med": "34651",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169953,
          "code": "A124600",
          "description": "Tuberculous pleurisy, conf bacteriologically/histologically",
          "attributes": {
            "CPRD GOLD Med": "35443",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169954,
          "code": "H510500",
          "description": "Basal pleurisy",
          "attributes": {
            "CPRD GOLD Med": "37599",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169955,
          "code": "H501300",
          "description": "Lung empyema NOS",
          "attributes": {
            "CPRD GOLD Med": "38052",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169956,
          "code": "A120100",
          "description": "Tuberculous empyema",
          "attributes": {
            "CPRD GOLD Med": "39512",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169957,
          "code": "H510400",
          "description": "Diaphragmatic pleurisy",
          "attributes": {
            "CPRD GOLD Med": "40819",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169958,
          "code": "H511000",
          "description": "Pneumococcal pleurisy with effusion",
          "attributes": {
            "CPRD GOLD Med": "43345",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169959,
          "code": "H501200",
          "description": "Pleural empyema",
          "attributes": {
            "CPRD GOLD Med": "44425",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169960,
          "code": "H511z00",
          "description": "Bacterial pleurisy with effusion NOS",
          "attributes": {
            "CPRD GOLD Med": "44842",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169961,
          "code": "A101.00",
          "description": "Tuberculous pleurisy in primary progressive tuberculosis",
          "attributes": {
            "CPRD GOLD Med": "46272",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169962,
          "code": "H510700",
          "description": "Fibrinous pleurisy",
          "attributes": {
            "CPRD GOLD Med": "47354",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169963,
          "code": "H501400",
          "description": "Purulent pleurisy",
          "attributes": {
            "CPRD GOLD Med": "49452",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169964,
          "code": "H501.00",
          "description": "Empyema with no fistula",
          "attributes": {
            "CPRD GOLD Med": "53494",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169965,
          "code": "H51z200",
          "description": "Serous pleurisy NOS",
          "attributes": {
            "CPRD GOLD Med": "55211",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169966,
          "code": "A120z00",
          "description": "Tuberculous pleurisy NOS",
          "attributes": {
            "CPRD GOLD Med": "56890",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169967,
          "code": "H51y000",
          "description": "Encysted pleurisy",
          "attributes": {
            "CPRD GOLD Med": "57092",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169968,
          "code": "H500.00",
          "description": "Empyema with fistula",
          "attributes": {
            "CPRD GOLD Med": "59340",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169969,
          "code": "H51z000",
          "description": "Exudative pleurisy NOS",
          "attributes": {
            "CPRD GOLD Med": "60142",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169970,
          "code": "H510600",
          "description": "Chronic dry pleurisy",
          "attributes": {
            "CPRD GOLD Med": "62895",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169971,
          "code": "H500000",
          "description": "Empyema with bronchocutaneous fistula",
          "attributes": {
            "CPRD GOLD Med": "66856",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169972,
          "code": "H510800",
          "description": "Sterile pleurisy",
          "attributes": {
            "CPRD GOLD Med": "67452",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169973,
          "code": "H51z100",
          "description": "Serofibrinous pleurisy NOS",
          "attributes": {
            "CPRD GOLD Med": "68470",
            "BREATHE recommended": "N",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169974,
          "code": "H510B00",
          "description": "Streptococcal pleurisy",
          "attributes": {
            "CPRD GOLD Med": "69352",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169975,
          "code": "H511100",
          "description": "Staphylococcal pleurisy with effusion",
          "attributes": {
            "CPRD GOLD Med": "93010",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169976,
          "code": "H500400",
          "description": "Empyema with pleural fistula NOS",
          "attributes": {
            "CPRD GOLD Med": "99547",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169977,
          "code": "H511200",
          "description": "Streptococcal pleurisy with effusion",
          "attributes": {
            "CPRD GOLD Med": "108784",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169978,
          "code": "H500z00",
          "description": "Empyema with fistula NOS",
          "attributes": {
            "CPRD GOLD Med": "111451",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        },
        {
          "id": 169979,
          "code": "H500300",
          "description": "Empyema with mediastinal fistula",
          "attributes": {
            "CPRD GOLD Med": "113005",
            "BREATHE recommended": "Y",
            "Manchester Clinical Codes 3": ""
          }
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6406,
      "version_name": "Empyema or pyothorax or purulent pleuritis Primary care -  1",
      "version_date": "2022-01-17T14:00:43.156549Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}