[
  {
    "phenotype_id": "PH3749",
    "phenotype_version_id": 8878,
    "name": "Symptoms: breathlessness",
    "definition": "This codelist was taken from [OpenCodelists](https://www.opencodelists.org/), created by [OpenSAFELY](https://www.opensafely.org/). We recommend viewing this Phenotype on the OpenCodelist website to view the most recent version.\n\n\nCode list aiming to identify individuals consulting complaining of being short of breath.\n\n\n© University of Oxford for the Bennett Institute for Applied Data Science 2025\\. This work may be copied freely for non\\-commercial research and study.\n\n",
    "implementation": null,
    "publications": null,
    "validation": null,
    "citation_requirements": null,
    "created": "2026-01-26T23:32:41.467300Z",
    "author": "OpenSAFELY",
    "collections": [
      {
        "name": "OpenCodelist",
        "value": 31
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": {
      "id": 1,
      "slug": "opensafely",
      "name": "OpenSAFELY"
    },
    "world_access": 1,
    "updated": "2026-01-26T23:32:43.038692Z",
    "references": [],
    "signed_off": [],
    "methodology": "Identified from intial search terms outside of OpenCodelists: \"breathless\" \"short of breath\" \"dyspnoea\" \"dyspnea\" \"sob\" \"gasping\" \"orthopnoea\" \"orthopnea\" \"tachypnea\" \"tachypnoea\" \"respiratory\" \n\n\nClearly irrelevant codes excluded (with review by a second clinician)\n\n\nCandidate codelist uploaded to OpenCodelists for review of candidate codes.\n\n\nSpecifically excluded tacypnoea as suggests increased breath rate, but not necessarily subjective sensation of breathlessness (e.g., could be increased resp rate as a reaction to pain or acidosis).\nDid not exclude signs of difficulty breathing (e.g., intercostal recession).\nExcluded ARDS, but retained respiratory distress.\n\n",
    "coding_system": [
      {
        "name": "SNOMED  CT codes",
        "value": 9
      }
    ],
    "open_codelist_id": "opensafely/symptoms-breathlessness-new",
    "source_reference": "https://www.opencodelists.org/codelist/opensafely/symptoms-breathlessness-new/5aee78ee",
    "concept_information": [
      {
        "concept_id": 9055,
        "concept_version_id": 16540,
        "concept_name": "opensafely/symptoms-breathlessness-new/5aee78ee",
        "coding_system": {
          "id": 9,
          "name": "SNOMED  CT codes",
          "description": "SNOMED CT codes"
        },
        "phenotype_id": "PH3749",
        "phenotype_version_id": 8878,
        "phenotype_name": "Symptoms: breathlessness",
        "code_attribute_header": [],
        "codes": [
          {
            "code": "102577000",
            "description": "Trepopnea",
            "attributes": null
          },
          {
            "code": "1047261000000103",
            "description": "Breathlessness care management",
            "attributes": null
          },
          {
            "code": "1049241000000109",
            "description": "Opioid therapy for breathlessness management",
            "attributes": null
          },
          {
            "code": "1060991000000107",
            "description": "Medical Research Council Breathlessness Scale grade 5a",
            "attributes": null
          },
          {
            "code": "1061001000000106",
            "description": "Medical Research Council Breathlessness Scale grade 5b",
            "attributes": null
          },
          {
            "code": "1089971000000104",
            "description": "Extended Medical Research Council dyspnoea scale grade 1",
            "attributes": null
          },
          {
            "code": "1089981000000102",
            "description": "Extended Medical Research Council dyspnoea scale grade 2",
            "attributes": null
          },
          {
            "code": "1089991000000100",
            "description": "Extended Medical Research Council dyspnoea scale grade 3",
            "attributes": null
          },
          {
            "code": "1090001000000101",
            "description": "Extended Medical Research Council dyspnoea scale grade 5a",
            "attributes": null
          },
          {
            "code": "1090011000000104",
            "description": "Extended Medical Research Council dyspnoea scale grade 4",
            "attributes": null
          },
          {
            "code": "1090021000000105",
            "description": "Extended Medical Research Council dyspnoea scale grade 5b",
            "attributes": null
          },
          {
            "code": "1099381000000100",
            "description": "Modified Medical Research Council dyspnoea scale grade 1",
            "attributes": null
          },
          {
            "code": "1099391000000103",
            "description": "Modified Medical Research Council dyspnoea scale grade 2",
            "attributes": null
          },
          {
            "code": "1099401000000100",
            "description": "Modified Medical Research Council dyspnoea scale grade 3",
            "attributes": null
          },
          {
            "code": "1099411000000103",
            "description": "Modified Medical Research Council dyspnoea scale grade 4",
            "attributes": null
          },
          {
            "code": "119981000146107",
            "description": "Dyspnea caused by Severe acute respiratory syndrome coronavirus 2",
            "attributes": null
          },
          {
            "code": "139192008",
            "description": "(Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)",
            "attributes": null
          },
          {
            "code": "139194009",
            "description": "Breathless - moderate exertion",
            "attributes": null
          },
          {
            "code": "139195005",
            "description": "Breathless - mild exertion",
            "attributes": null
          },
          {
            "code": "139196006",
            "description": "Dyspnoea at rest",
            "attributes": null
          },
          {
            "code": "139197002",
            "description": "(Breathless - lying flat) or (orthopnoea symptom)",
            "attributes": null
          },
          {
            "code": "139198007",
            "description": "Paroxysmal nocturnal dyspnoea",
            "attributes": null
          },
          {
            "code": "139201002",
            "description": "Dyspnoea",
            "attributes": null
          },
          {
            "code": "139204005",
            "description": "Dyspnoea on exertion",
            "attributes": null
          },
          {
            "code": "139207003",
            "description": "Breathlessness NOS",
            "attributes": null
          },
          {
            "code": "140107002",
            "description": "O/E - dyspnoea",
            "attributes": null
          },
          {
            "code": "140108007",
            "description": "O/E - orthopnoea",
            "attributes": null
          },
          {
            "code": "140109004",
            "description": "O/E - respiratory distress",
            "attributes": null
          },
          {
            "code": "158371003",
            "description": "[D]Dyspnoea",
            "attributes": null
          },
          {
            "code": "158373000",
            "description": "[D]Orthopnoea",
            "attributes": null
          },
          {
            "code": "158377004",
            "description": "[D]Respiratory distress",
            "attributes": null
          },
          {
            "code": "158379001",
            "description": "[D]Shortness of breath",
            "attributes": null
          },
          {
            "code": "161937008",
            "description": "(Symptom: [SOB] or [breathlessness] or [dyspnoea]) or (breathlessness)",
            "attributes": null
          },
          {
            "code": "161939006",
            "description": "Breathless - moderate exertion",
            "attributes": null
          },
          {
            "code": "161940008",
            "description": "Breathless - mild exertion",
            "attributes": null
          },
          {
            "code": "161941007",
            "description": "Dyspnea at rest",
            "attributes": null
          },
          {
            "code": "161942000",
            "description": "(Breathless - lying flat) or (orthopnoea symptom)",
            "attributes": null
          },
          {
            "code": "161946002",
            "description": "Dyspnoea",
            "attributes": null
          },
          {
            "code": "161948001",
            "description": "Dyspnoea on exertion",
            "attributes": null
          },
          {
            "code": "161951008",
            "description": "Breathlessness NOS",
            "attributes": null
          },
          {
            "code": "162890008",
            "description": "On examination - dyspnea",
            "attributes": null
          },
          {
            "code": "162891007",
            "description": "On examination - orthopnea",
            "attributes": null
          },
          {
            "code": "162895003",
            "description": "On examination - accessory respiratory muscles used",
            "attributes": null
          },
          {
            "code": "162900004",
            "description": "On examination - air hunger",
            "attributes": null
          },
          {
            "code": "162916002",
            "description": "On examination - tachypnea",
            "attributes": null
          },
          {
            "code": "17216000",
            "description": "Dyspnea, class I",
            "attributes": null
          },
          {
            "code": "20112008",
            "description": "Dyspnea leaning over",
            "attributes": null
          },
          {
            "code": "207051007",
            "description": "[D]Orthopnea",
            "attributes": null
          },
          {
            "code": "207055003",
            "description": "[D]Respiratory distress",
            "attributes": null
          },
          {
            "code": "207057006",
            "description": "[D]Shortness of breath",
            "attributes": null
          },
          {
            "code": "207059009",
            "description": "[D]Dyspnea",
            "attributes": null
          },
          {
            "code": "207062007",
            "description": "[D]Breathlessness",
            "attributes": null
          },
          {
            "code": "230145002",
            "description": "Difficulty breathing",
            "attributes": null
          },
          {
            "code": "23141003",
            "description": "Gasping for breath",
            "attributes": null
          },
          {
            "code": "248548009",
            "description": "Nocturnal dyspnea",
            "attributes": null
          },
          {
            "code": "248549001",
            "description": "Labored breathing",
            "attributes": null
          },
          {
            "code": "248550001",
            "description": "Cannot breathe deeply enough",
            "attributes": null
          },
          {
            "code": "248551002",
            "description": "Cannot blow",
            "attributes": null
          },
          {
            "code": "248552009",
            "description": "Winded",
            "attributes": null
          },
          {
            "code": "248564001",
            "description": "Pursed-lip breathing",
            "attributes": null
          },
          {
            "code": "248567008",
            "description": "Indrawing of ribs during respiration",
            "attributes": null
          },
          {
            "code": "248569006",
            "description": "Sternal recession",
            "attributes": null
          },
          {
            "code": "248578000",
            "description": "Sobbing respiration",
            "attributes": null
          },
          {
            "code": "24921003",
            "description": "Dyspnea raising arms",
            "attributes": null
          },
          {
            "code": "25209001",
            "description": "Inspiratory dyspnea",
            "attributes": null
          },
          {
            "code": "267036007",
            "description": "Dyspnea",
            "attributes": null
          },
          {
            "code": "271620003",
            "description": "Accessory respiratory muscles used",
            "attributes": null
          },
          {
            "code": "271621004",
            "description": "Stertorous breathing",
            "attributes": null
          },
          {
            "code": "271825005",
            "description": "Respiratory distress",
            "attributes": null
          },
          {
            "code": "276859008",
            "description": "Suprasternal recession",
            "attributes": null
          },
          {
            "code": "297216006",
            "description": "Increasing breathlessness",
            "attributes": null
          },
          {
            "code": "301820005",
            "description": "Finding of respiratory effort",
            "attributes": null
          },
          {
            "code": "30744009",
            "description": "Platypnea",
            "attributes": null
          },
          {
            "code": "308149007",
            "description": "[D]Breathlessness",
            "attributes": null
          },
          {
            "code": "34560001",
            "description": "Expiratory dyspnea",
            "attributes": null
          },
          {
            "code": "373895009",
            "description": "Acute respiratory distress",
            "attributes": null
          },
          {
            "code": "389324009",
            "description": "Short of breath dressing/undressing",
            "attributes": null
          },
          {
            "code": "389325005",
            "description": "Breathless - strenuous exertion",
            "attributes": null
          },
          {
            "code": "389326006",
            "description": "MRC Breathlessness Scale: grade 1",
            "attributes": null
          },
          {
            "code": "389327002",
            "description": "MRC Breathlessness Scale: grade 2",
            "attributes": null
          },
          {
            "code": "389328007",
            "description": "MRC Breathlessness Scale: grade 3",
            "attributes": null
          },
          {
            "code": "389329004",
            "description": "MRC Breathlessness Scale: grade 4",
            "attributes": null
          },
          {
            "code": "389330009",
            "description": "MRC Breathlessness Scale: grade 5",
            "attributes": null
          },
          {
            "code": "390057009",
            "description": "Short of breath dressing/undressing",
            "attributes": null
          },
          {
            "code": "390058004",
            "description": "Breathless - strenuous exertion",
            "attributes": null
          },
          {
            "code": "390059007",
            "description": "MRC Breathlessness Scale: grade 1",
            "attributes": null
          },
          {
            "code": "390060002",
            "description": "MRC Breathlessness Scale: grade 2",
            "attributes": null
          },
          {
            "code": "390061003",
            "description": "MRC Breathlessness Scale: grade 3",
            "attributes": null
          },
          {
            "code": "390062005",
            "description": "MRC Breathlessness Scale: grade 4",
            "attributes": null
          },
          {
            "code": "390063000",
            "description": "MRC Breathlessness Scale: grade 5",
            "attributes": null
          },
          {
            "code": "390870001",
            "description": "Short of breath dressing/undressing",
            "attributes": null
          },
          {
            "code": "390871002",
            "description": "Breathless - strenuous exertion",
            "attributes": null
          },
          {
            "code": "391120009",
            "description": "Medical Research Council Dyspnoea scale grade 1",
            "attributes": null
          },
          {
            "code": "391123006",
            "description": "Medical Research Council Dyspnoea scale grade 2",
            "attributes": null
          },
          {
            "code": "391124000",
            "description": "Medical Research Council Dyspnoea scale grade 3",
            "attributes": null
          },
          {
            "code": "391125004",
            "description": "Medical Research Council Dyspnoea scale grade 4",
            "attributes": null
          },
          {
            "code": "391126003",
            "description": "Medical Research Council Dyspnoea scale grade 5",
            "attributes": null
          },
          {
            "code": "394878001",
            "description": "On examination - sternal recession",
            "attributes": null
          },
          {
            "code": "394879009",
            "description": "On examination - intercostal recession",
            "attributes": null
          },
          {
            "code": "394880007",
            "description": "On examination - subcostal recession",
            "attributes": null
          },
          {
            "code": "394881006",
            "description": "On examination - suprasternal recession",
            "attributes": null
          },
          {
            "code": "39950000",
            "description": "Dyspnea, class III",
            "attributes": null
          },
          {
            "code": "401279002",
            "description": "Borg Breathlessness Score: 1 very slight",
            "attributes": null
          },
          {
            "code": "401280004",
            "description": "Borg Breathlessness Score: 2 slight",
            "attributes": null
          },
          {
            "code": "401281000",
            "description": "Borg Breathlessness Score: 3 moderate",
            "attributes": null
          },
          {
            "code": "401282007",
            "description": "Borg Breathlessness Score: 4 somewhat severe",
            "attributes": null
          },
          {
            "code": "401284008",
            "description": "Borg Breathlessness Score: 5 severe",
            "attributes": null
          },
          {
            "code": "401286005",
            "description": "Borg Breathlessness Score: 6 severe (+)",
            "attributes": null
          },
          {
            "code": "401290007",
            "description": "Borg Breathlessness Score: 7 very severe",
            "attributes": null
          },
          {
            "code": "401291006",
            "description": "Borg Breathlessness Score: 8 very severe (+)",
            "attributes": null
          },
          {
            "code": "401292004",
            "description": "Borg Breathlessness Score: 9 very, very severe (almost maximal)",
            "attributes": null
          },
          {
            "code": "401293009",
            "description": "Borg Breathlessness Score: 10 maximal",
            "attributes": null
          },
          {
            "code": "401323002",
            "description": "Borg Breathlessness Score: 0.5 very, very slight (just noticeable)",
            "attributes": null
          },
          {
            "code": "407588003",
            "description": "Unable to complete a sentence in one breath",
            "attributes": null
          },
          {
            "code": "45591000000101",
            "description": "Borg Breathlessness Score: 1 very slight",
            "attributes": null
          },
          {
            "code": "45601000000107",
            "description": "Borg Breathlessness Score: 2 slight",
            "attributes": null
          },
          {
            "code": "45611000000109",
            "description": "Borg Breathlessness Score: 3 moderate",
            "attributes": null
          },
          {
            "code": "45651000000108",
            "description": "Borg Breathlessness Score: 5 severe",
            "attributes": null
          },
          {
            "code": "45671000000104",
            "description": "Borg Breathlessness Score: 6 severe (+)",
            "attributes": null
          },
          {
            "code": "45721000000109",
            "description": "Borg Breathlessness Score: 7 very severe",
            "attributes": null
          },
          {
            "code": "45731000000106",
            "description": "Borg Breathlessness Score: 8 very severe (+)",
            "attributes": null
          },
          {
            "code": "45741000000102",
            "description": "Borg Breathlessness Score: 9 very, very severe (almost maximal)",
            "attributes": null
          },
          {
            "code": "45751000000104",
            "description": "Borg Breathlessness Score: 10 maximal",
            "attributes": null
          },
          {
            "code": "49233005",
            "description": "Dyspnea",
            "attributes": null
          },
          {
            "code": "497941000000108",
            "description": "[D]Orthopnoea",
            "attributes": null
          },
          {
            "code": "497981000000100",
            "description": "[D]Respiratory distress",
            "attributes": null
          },
          {
            "code": "498001000000107",
            "description": "[D]Shortness of breath",
            "attributes": null
          },
          {
            "code": "498021000000103",
            "description": "[D]Dyspnoea",
            "attributes": null
          },
          {
            "code": "502631000000100",
            "description": "[D]Breathlessness",
            "attributes": null
          },
          {
            "code": "55442000",
            "description": "Paroxysmal nocturnal dyspnea",
            "attributes": null
          },
          {
            "code": "572661000000100",
            "description": "Breathlessness NOS",
            "attributes": null
          },
          {
            "code": "57769004",
            "description": "Dyspnea after eating",
            "attributes": null
          },
          {
            "code": "59265000",
            "description": "Paroxysmal dyspnea",
            "attributes": null
          },
          {
            "code": "60845006",
            "description": "Dyspnea on exertion",
            "attributes": null
          },
          {
            "code": "62744007",
            "description": "Orthopnea",
            "attributes": null
          },
          {
            "code": "6442005",
            "description": "Intercostal recession",
            "attributes": null
          },
          {
            "code": "67909005",
            "description": "Chest wall retraction",
            "attributes": null
          },
          {
            "code": "702535006",
            "description": "Anxiety about breathlessness",
            "attributes": null
          },
          {
            "code": "702581006",
            "description": "Difficulty eating due to breathlessness",
            "attributes": null
          },
          {
            "code": "719413006",
            "description": "Breathlessness care management",
            "attributes": null
          },
          {
            "code": "719415004",
            "description": "Breathlessness care",
            "attributes": null
          },
          {
            "code": "719416003",
            "description": "Opioid therapy for breathlessness management",
            "attributes": null
          },
          {
            "code": "72365000",
            "description": "Dyspnea, class II",
            "attributes": null
          },
          {
            "code": "73322006",
            "description": "Dyspnea, class IV",
            "attributes": null
          },
          {
            "code": "8453006",
            "description": "Subcostal recession",
            "attributes": null
          },
          {
            "code": "852051000000107",
            "description": "Minimal breathlessness",
            "attributes": null
          },
          {
            "code": "870535009",
            "description": "Chronic dyspnea",
            "attributes": null
          },
          {
            "code": "887741000000102",
            "description": "Anxiety about breathlessness",
            "attributes": null
          },
          {
            "code": "887751000000104",
            "description": "Anxiety about breathlessness",
            "attributes": null
          },
          {
            "code": "888131000000106",
            "description": "Breathlessness causing difficulty eating",
            "attributes": null
          },
          {
            "code": "888141000000102",
            "description": "Breathlessness causing difficulty eating",
            "attributes": null
          }
        ]
      }
    ],
    "coding_system_release": "",
    "open_codelist_version_id": "5aee78ee",
    "open_codelist_version_tag": "",
    "status": 1,
    "doi": "https://doi.org/10.48533/jfb0-cs79",
    "is_deleted": false,
    "publish_status": 2,
    "owner": "ieuan.scanlon",
    "template": {
      "id": 3,
      "name": "OpenCodelists Phenotype",
      "description": "OpenSafely's OpenCodelist Phenotype, visit https://www.opencodelists.org/ to learn more",
      "version_id": 1
    },
    "versions": [
      {
        "version_id": 8878,
        "version_name": "Symptoms: breathlessness",
        "version_date": "2026-01-26T23:32:43.052367Z",
        "is_published": true,
        "is_latest": true
      },
      {
        "version_id": 8877,
        "version_name": "Symptoms: breathlessness",
        "version_date": "2026-01-26T23:32:41.479253Z",
        "is_published": true,
        "is_latest": false
      }
    ]
  }
]