{
  "concept_id": 2504,
  "concept_version_id": 6408,
  "coding_system": {
    "id": 9,
    "name": "SNOMED  CT codes",
    "description": "SNOMED CT codes"
  },
  "name": "Empyema or pyothorax or purulent pleuritis Primary care -  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",
  "code_attribute_header": [
    "SNOMED CT Concept ID",
    "Read v2",
    "Description",
    "BREATHE recommended"
  ],
  "phenotype_owner_history_id": 1683,
  "requested_entity_id": null,
  "components": [
    {
      "id": 2826,
      "name": "Empyema or pyothorax or purulent pleuritis Primary care",
      "logical_type": "INCLUDE",
      "source_type": "SELECT_IMPORT",
      "source": null,
      "codes": [
        {
          "id": 169980,
          "code": "121449018",
          "description": "Empyema of gallbladder",
          "attributes": {
            "SNOMED CT Concept ID": "73125001",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169981,
          "code": "1231843013",
          "description": "Purulent pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "58554001",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169982,
          "code": "12711015",
          "description": "Streptococcal pleurisy with effusion",
          "attributes": {
            "SNOMED CT Concept ID": "7097001",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169983,
          "code": "128069014",
          "description": "Fibrinous pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "77138008",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169984,
          "code": "141587016",
          "description": "Streptococcal pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "85420008",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169985,
          "code": "141595017",
          "description": "Bacterial pleurisy with effusion",
          "attributes": {
            "SNOMED CT Concept ID": "85426002",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169986,
          "code": "2011541000006110",
          "description": "OH respiratory questionnaire: history of pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "2011541000006106",
            "Read v2": "J650.12",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 169987,
          "code": "2011551000006112",
          "description": "OH respiratory questionnaire: no history of pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "2011551000006108",
            "Read v2": "H501400",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 169988,
          "code": "218821000006118",
          "description": "Pleural empyema",
          "attributes": {
            "SNOMED CT Concept ID": "58554001",
            "Read v2": "H511200",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169989,
          "code": "22395010",
          "description": "Diaphragmatic pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "13082000",
            "Read v2": "H510700",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 169990,
          "code": "24683016",
          "description": "Tuberculous empyema",
          "attributes": {
            "SNOMED CT Concept ID": "14527007",
            "Read v2": "H510B00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169991,
          "code": "2730071000006112",
          "description": "Tuberculous pleural empyema",
          "attributes": {
            "SNOMED CT Concept ID": "14527007",
            "Read v2": "H511.00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169992,
          "code": "286214019",
          "description": "Tuberculous pleurisy in primary progressive tuberculosis",
          "attributes": {
            "SNOMED CT Concept ID": "186172004",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169993,
          "code": "286225011",
          "description": "Tuberculous pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "186182003",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169994,
          "code": "286230010",
          "description": "Tuberculous pleurisy NOS",
          "attributes": {
            "SNOMED CT Concept ID": "186182003",
            "Read v2": "H501200",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169995,
          "code": "2990251000006110",
          "description": "Empyema necessitans",
          "attributes": {
            "SNOMED CT Concept ID": "30437004",
            "Read v2": "H510400",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169996,
          "code": "301625018",
          "description": "Empyema with pleural fistula NOS",
          "attributes": {
            "SNOMED CT Concept ID": "271503005",
            "Read v2": "A120100",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169997,
          "code": "301626017",
          "description": "Empyema with thoracic fistula NOS",
          "attributes": {
            "SNOMED CT Concept ID": "271503005",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169998,
          "code": "301635012",
          "description": "Lung empyema NOS",
          "attributes": {
            "SNOMED CT Concept ID": "58554001",
            "Read v2": "A101.00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 169999,
          "code": "301647018",
          "description": "Acute dry pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "196077006",
            "Read v2": "A120.00",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170000,
          "code": "301650015",
          "description": "Basal pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "196079009",
            "Read v2": "A120z00",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170001,
          "code": "301651016",
          "description": "Chronic dry pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "196080007",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170002,
          "code": "301652011",
          "description": "Sterile pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "196081006",
            "Read v2": "H500400",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170003,
          "code": "301661011",
          "description": "Bacterial pleurisy with effusion NOS",
          "attributes": {
            "SNOMED CT Concept ID": "85426002",
            "Read v2": "H500500",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170004,
          "code": "301669013",
          "description": "Exudative pleurisy NOS",
          "attributes": {
            "SNOMED CT Concept ID": "196075003",
            "Read v2": "H501300",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170005,
          "code": "301670014",
          "description": "Serofibrinous pleurisy NOS",
          "attributes": {
            "SNOMED CT Concept ID": "196075003",
            "Read v2": "H510300",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170006,
          "code": "301671013",
          "description": "Serous pleurisy NOS",
          "attributes": {
            "SNOMED CT Concept ID": "196075003",
            "Read v2": "H510500",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170007,
          "code": "3048161000006111",
          "description": "Adhesive pleuritis",
          "attributes": {
            "SNOMED CT Concept ID": "34038005",
            "Read v2": "H510600",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170008,
          "code": "3349791000006110",
          "description": "Mastoid empyema",
          "attributes": {
            "SNOMED CT Concept ID": "52404001",
            "Read v2": "H510800",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170009,
          "code": "3451091000006115",
          "description": "Suppurative pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "58554001",
            "Read v2": "H511z00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170010,
          "code": "3451101000006114",
          "description": "Empyema thoracis",
          "attributes": {
            "SNOMED CT Concept ID": "58554001",
            "Read v2": "H51z000",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170011,
          "code": "3754521000006119",
          "description": "Fibrinous pleuritis",
          "attributes": {
            "SNOMED CT Concept ID": "77138008",
            "Read v2": "H51z100",
            "Description": "",
            "BREATHE recommended": "N"
          }
        },
        {
          "id": 170012,
          "code": "3854971000006111",
          "description": "Epidemic benign dry pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "83264000",
            "Read v2": "H51z200",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170013,
          "code": "3854981000006114",
          "description": "Epidemic pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "83264000",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170014,
          "code": "39802016",
          "description": "Staphylococcal pleurisy with effusion",
          "attributes": {
            "SNOMED CT Concept ID": "23698009",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170015,
          "code": "406305010",
          "description": "Empyema with fistula",
          "attributes": {
            "SNOMED CT Concept ID": "271503005",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170016,
          "code": "40785018",
          "description": "Pneumococcal pleurisy with effusion",
          "attributes": {
            "SNOMED CT Concept ID": "24302002",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170017,
          "code": "456436010",
          "description": "Empyema",
          "attributes": {
            "SNOMED CT Concept ID": "312682007",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170018,
          "code": "46467017",
          "description": "Encysted pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "27757009",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170019,
          "code": "47025013",
          "description": "Empyema with bronchopleural fistula",
          "attributes": {
            "SNOMED CT Concept ID": "28085001",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170020,
          "code": "4740991000006119",
          "description": "Primary progressive tuberculosis with tuberculous pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "186172004",
            "Read v2": "H511100",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170021,
          "code": "4741061000006117",
          "description": "Tuberculous pleuritis",
          "attributes": {
            "SNOMED CT Concept ID": "186182003",
            "Read v2": "H500.00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170022,
          "code": "4782121000006111",
          "description": "Loculated empyema",
          "attributes": {
            "SNOMED CT Concept ID": "196067009",
            "Read v2": "H511000",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170023,
          "code": "50946012",
          "description": "Empyema with bronchocutaneous fistula",
          "attributes": {
            "SNOMED CT Concept ID": "30437004",
            "Read v2": "H50..00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170024,
          "code": "5407016",
          "description": "Pneumococcal pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "2585002",
            "Read v2": "H51y000",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170025,
          "code": "5525211000006118",
          "description": "Pleural empyema with fistula",
          "attributes": {
            "SNOMED CT Concept ID": "271503005",
            "Read v2": "H500100",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170026,
          "code": "5525221000006114",
          "description": "Pleural empyema with no fistula",
          "attributes": {
            "SNOMED CT Concept ID": "271504004",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170027,
          "code": "5525231000006112",
          "description": "Empyema of pleura without fistula",
          "attributes": {
            "SNOMED CT Concept ID": "271504004",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170028,
          "code": "57249012",
          "description": "Empyema with hepatopleural fistula",
          "attributes": {
            "SNOMED CT Concept ID": "34286007",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170029,
          "code": "6320012",
          "description": "Staphylococcal pleurisy",
          "attributes": {
            "SNOMED CT Concept ID": "3144005",
            "Read v2": "H500000",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170030,
          "code": "640711000006112",
          "description": "Empyema NOS",
          "attributes": {
            "SNOMED CT Concept ID": "312682007",
            "Read v2": "H510900",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170031,
          "code": "640771000006115",
          "description": "Empyema with fistula NOS",
          "attributes": {
            "SNOMED CT Concept ID": "271503005",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170032,
          "code": "640801000006118",
          "description": "Empyema with no fistula",
          "attributes": {
            "SNOMED CT Concept ID": "271504004",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170033,
          "code": "640811000006115",
          "description": "Empyema with no fistula NOS",
          "attributes": {
            "SNOMED CT Concept ID": "271504004",
            "Read v2": "",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170034,
          "code": "83211000006113",
          "description": "Tuberculous pleurisy, conf bacteriologically/histologically",
          "attributes": {
            "SNOMED CT Concept ID": "186200004",
            "Read v2": "H500200",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170035,
          "code": "84488013",
          "description": "Empyema with mediastinal fistula",
          "attributes": {
            "SNOMED CT Concept ID": "50694005",
            "Read v2": "H510A00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        },
        {
          "id": 170036,
          "code": "8694011",
          "description": "Empyema of mastoid",
          "attributes": {
            "SNOMED CT Concept ID": "386034005",
            "Read v2": "H50z.00",
            "Description": "",
            "BREATHE recommended": "Y"
          }
        }
      ]
    }
  ],
  "version_history": [
    {
      "version_id": 6408,
      "version_name": "Empyema or pyothorax or purulent pleuritis Primary care -  2",
      "version_date": "2022-01-17T14:00:44.160979Z",
      "is_published": true,
      "is_latest": true
    }
  ]
}