opensafely / codelist-development

Repository for discussion of OpenSAFELY codelists
7 stars 4 forks source link

*CONDITION*: Chronic haematological disorders #276

Open chrisjwood16 opened 1 year ago

chrisjwood16 commented 1 year ago

User Requirements*

The ISARIC COVID-19 case report form collects data on patients medical history. A detailed completion guide collects data on patients medical history. A planned ISARIC validation study requires a series of SNOMED CT codelists to replicate as closely as possible the details given in the ISARIC case report form. This codelist is designed to identify patients with chronic haematological disorders as defined by ISARIC criteria (any long‐term disorder of the red or white blood cells, platelets or coagulation system requiring regular or intermittent treatment. Do not include leukaemia, lymphoma or myeloma, which should be entered under malignancy. Do not include iron‐deficiency anaemia which is explained by diet or chronic blood loss.)

Coding system*

SNOMED CT

Sensitivity versus specificity

Existing relevent codelists

Nil found

Search terms / synonyms / search strategy

Red cell disorders

White cell

Platelet:

Coagulation disorders:

Inclusion Criteria for Codes

Codes indicating patient is:

Exclusion Criteria for Codes

Anemia due to blood loss Anaemia due to dietary deficiency Codes indicating acute/withdrawable cause e.g. drug induced, transfusion related, neonatal, pregnancy conditions. Except alcohol induced where alcoholism indicated. Anemia of pregnancy(27342004) Anemia caused by physical agent/medications/transfusion/infection that is likely to be withdrawn/resolve in a short period. Benign ethnic neutropenia(1156300000) Leukaemia Lymphoma Myeloma

Codes for conditions classified as cancers:

Borderline cases

Anemia(271737000) - unspecified - likely to be a large % coded with this where due to blood loss/dietary causes. Iron deficiency anemia(87522002) Chronic cold agglutinin disease associated with B-cell neoplasm(127056008) Anemia co-occurrent and due to chronic kidney disease(707323002) Neonatal conditions

Familial pseudohyperkalemia(717254007)

Use count taken from - https://digital.nhs.uk/supplementary-information/2022/snomed-code-usage

Codelist

In progress: https://www.opencodelists.org/codelist/user/chriswood/chronic-haematological-disorder/45881196/